HomeMy WebLinkAboutPermit Mechanical 1997-10-15
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
ASSESSORS MAP'
LOT:
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BLOCK'
OWNER'
ADDRESS'
CITY:
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ZIP: 97l/7)
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ADDITION ~ '&e.ld0~ OTHER
. ~~. 4:C'() .
'-~.' >O~ .,~l' CONST.
AD~:'~~ ~O.s'~ CONTRACTOR ·
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DESCRIBE WORK: _, N. s~ I
NEW
REMODEL
CONTRACTOR'S NAME
GENERAl'
PLUMBING'
MECHANICAl' :SD~,^
STATF' .
LQ)o' 11..Q
"
ELECTRICAl'
QUAD AREA:
. OF BLDGS'
OCCY GROUP'
. OF .STORIES:
WATER HEATER'
- OFFICE USE -
LAND USE:
. OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
..,
JOB NUMBER~150 LJ
225 Fifth Street
Sprlnglleld. Oregon 97477
~
TAX LOT:
SUBDIVISION'
PHONF'
721,- 9078
EXPIRES
,~
PHONE
JI_~
q 5'1-..Jf 1<;!:.
FLOOD PLAIN'
ZONING CODE:
. OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. Alllnspecllons requested before 7:00 a.m. will be
made the same working day. Inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
o Temporary Electric
D Slto Inspection - To be mado
after excavatlon, but prior to
setting forms.
o Underslab Plumblng/Eleclrlcall
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting. .
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
O Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulallon -Prior to
decking. . . .
o Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior to HlUng
trench.
O Waler Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
o Rough Mechanical - Prior to
cover.
D Rough "Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing lnsp.
o Framing - Prior to cover.
o Wail/Ceiling Insulallon - Prior to
cover.
o Drywall - Prior to taping:
o Wood Stovo - After Installation.
o Insert - Atter fireplace approv~1
and Installation 01 unit.
o Curbcut & Al'proach - After
forms are erected but prior to
placemont of concrete.
o Sidewalk & Drlvewav - After
excavation Is complete, forms
and sub.base material In place.
o Fence - When completed.
o ,Street Trees - Whtln all required
trees are planted.
o Final Plumbing - When all
plumbing work Is complete.
. .
D Final Electrical - When all
electrIcal work Is complete.
lB Final Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and buildIng is
completed.
rnOiher fr-A", St="l2..uJ U
',~ ~O;'cil.~
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Final - After all required
Inspections are approved and
porchos, skirting, decks, and
venting have been Installed..
Lot faces
L~t ~ype"
'"1 -:. '" . ~ , .~ :.1 ,f..j ~,~ '
~:, \ ~"-: '".' . ""l'_'~'" '11~.l.: th~.ih:~"~.."
" ... -. . .'. .." .~. .' i"J
Setbecks .
P.L. HSE GAR ACe' I
N I
S I
. (_THE PROPOSED WORK IN THE.
"~" ' I
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Lot sq. Itg.
Interior
Lot coverage
Corner
Topography
,.
Panhandle.
Total height
W
Cul-de-sac
E
BUILDING PERMIT "I 'i) '1
ITEM SO. FT. X $/SO. FT. ~ VALUE
Main
Garage
"
Carport
Tolal Value
Building Permit Fee
State Surcharge
Tolal Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
".' "
. (B) . ..' ,
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
FT.
FT.
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
.:Ii /'6, -
~ 10.-
I 7S1-, 4<S""
.;)I"..,}D
Issuance
State Surcharge +- 0,0=3 M;r..M-.
Total Permit
(0)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
ft
Curbcut
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C. D. and E Combined)
APPROVED'
BUILDING VhUYE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition thai the said
construction shall, In all respects, conform to the Ordinance
adopted by the Clty.of Springfield, Including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee'
Date Paid:
Receipt Number:
Received ,By:
. ,.V
.~,
Plans Reviewed By
Date
I .
.'~ Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done In accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
I further agree (0 ensuro that all required Inspections are
requested at the proper time, that each address Is readable
from the street, that the permit card Is located at the Iront
of the property, and the approved set 01 plans will remain
on theT/;lte at a tI~es d ring construction.
Slgnatur U , ..___
Date_(/JD -. :1{7
VALIDATION:
RECEIPT NUMBER 277 J W
/o-/S--Cj7
AMOUNT RECEIVEP 'fip ~ "'. ~ D
~
DATE PAIP
RECEIVED BY