HomeMy WebLinkAboutPermit Mechanical 1993-4-2
RESIDENTIAL
PERMIT APPLICATION
.
Inspections: 726,3769
Office: 726-3759
LOT'
OWNER.
)...A R R '\
ADDRESS.
CITY:
DESCRIBE WORI<". Il/J$fA-~'--
,.-/
REMODEL ADDITION
NEW
ELECTRICAL'
OUAD AREA.
. OF BLDGS'
OCCY GROUp.
. OF STORIES:
WATER HEATER:
SPRINGFIELD
J.f;gr!). tv
· JOB NUMBER q(~O+~G
225 Fifth Strect
Springflcld, Orcgon 97477
:S 't're t:;t;'r'
TAX LOT: n \ \ an ")
BLOCK:
STATE:
DR.
SUBDIVISION'
PHON".
ZIP:_fJ7 'lJtf
d~~
ADDRESS
CON ST.
CONTRACTOR'
EXPIRES
PHONE
REQUIRED INSPECTIONS
r-fL1 Rough Mechanical - Prior to
~ cover.
o Rough Electrical - Prior to
cover.
o
Electrical Service - Must be
approved to obtain permanent
electrical power.
sc.-i-t AnJ~
4L/55 IvY
S.Pie I/IJ (; Flt31.:JJ
AI'€
CONTRACTOR'S NAME
GENERAL'
PLUMBING:
MECHANICA' J!..omh-f ffluJ ;.jeahnc; ?.5S tl), /C-Y- &t-0iJ.W. t!JtJ 4MJ
f!..OIU,f) I rj()/lI Et€
DEMOLISH
OTHER
~ A '7 /9~ Sl/d -/3 , tJ/
FLOOD PLAIN'
ZONING CODE:
. OF BDRMS'
SECONDARY HEAT:
SOUARE FOOTAGE:
To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All inspections requested before 7:00 a,m. will be
made the same working day, inspections requested after 7:00 a.m. wllt be made the following work day.
o Temporary Electric
O Site Inspection - To be made
after excavation, but prior to
setting forms.
o
Underslab Plumbing/Electrical!
Mechanical - Prlor 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 Insulation - Prior to
dccking.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to fllliny
trench.
o Watcr Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
- OFFICE USE -
LAND USE:
. OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
o
Fireplace - Prior to facing
materials and framing Insp.
o
Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - After installation.
o Insert - After fireplace approval
and Installation of unit.
o
Curbcut & Approach - Aftcr
(arms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation is complete. forms
and sub.base material in place.
o Fence - When completed.
o Street Trees - V.Jr,cn all required
- trees are planted.
o
Final Plumbing - When all
plumbing work is complete.
o Final Electrical - When all
electrical work is complete.
fflnal Mechanical - When all
rmcchanlcal work is complcte,
.;:::0 Final Building - When all
, required Inspections have been
approvcd and building is
completed.
DOthcr
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
porches, skirting. decks, and
venting have been installed.
~
I
Lot Type . Setbacks t. IS'E PROPOSED WORK IN THE
Interior I P.L HSE GAR ACC I HISTORICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTER?
Corner II yes, this application must be signed
Is I and approved by the Historical
Panhandle Iw I Coordinator prior to permit issuance.
Cul.de.sac
IE I APPROVED'
Lot faces
Lot sq, ltg.
Lot coverage
Topography
Total height
BUILDING PERMIT
ITEM
X $/SO. FT.
VALUE
SO, FT,
Main
Garage
Carport
Total Value
Building Permit Fee
II
I
I
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s) N'
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood StoveJlnsert/Flreplace Unit
~i!I)
, I
Mechanical Permit
( _~pO
/fJ.W
.05
0)(5. I)S
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
r<J5, fj
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit IS granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City 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:
Plans Reviewed By
Date
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
arc In compliance with OAS 701.055 will be used on this
project.
I further agree to ensure 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 fronl
of the property, an the approved set 057P,ans. ill remain
on the site at ael .mes rin onstruction.
Signatur ."
" '
1-}~~}
Date
...l;)
I 0
VALIDATION:
RECEIPT NUMB~ / ~. _ _
DATE PAID 'L' 2- . C!l3
AMOUNT ~D r<("6 .1_~
RECEIVED~V~
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