HomeMy WebLinkAboutPermit Mechanical 1997-11-07SPR'NGF'E LE,RESIDENTIAL
PERMIT APPL'CAT'ON
lnspectlons: 726-3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
JoB NUMBE ^
o- o /
afi,225 Fifth Street
Sprl ng f lelrJ, Oregon 97477
SPRIN
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n€PHONE:
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CITY:
ADDRESS:
OWNER;
NEW -- REMODEL ADDITION DEMOLISH OTHER
C*s FcRPrP,CNYts u 7-/eLo-r-4€S DR YgE€+DESCRIBE WORK:1N 9rnu-
ADDFIESS
D EXPIRES 1 PHONE
CONTRACTOB'S NAME
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
RE FOOTAGE
WOBK
lsSHALT
otst
- OFFICE USE -
LAND USE;
WATER HEATEB:
* OF UNITS:zoNt
RANGE:
QUAD AREA:
r OF BLDGS:
OCCY GBOUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspecflon, you must calmade the same worklng day, lnspectio
7 26-3 769.Th ls s a 2 4 hou rec
NS o ct on re qu edrequeStedaf te 7 00 a.m.lt ES be fo re 7:OO a.m.il befollownworkday.RIEQUIRED INSPECTION
!_ough Mechantcal - prior tocover.
l^lynt Etecrricat - prior tocover.
STemporary Etectric
Slle lnspection _ To be madeatt.er excavailon, but prior tosetting forms.
fl:*::if",' Itsi 3f i 5' :c
t ri ca I /
^el1_qlicll.Servtce _ Must be
;i*l?tT i"J:l:' " Permane n t
lll?pt.u9. - prlor to factngmaterlals and framing lnspi
Framlng - prlor to cover.
Final, plumblng _ When ailprumblng work is complete.
Fjnal Ele.ctricat _ When ailerectrical work is complete.
Flnal Mechanlcal _ When allmechanical work ls complete.E #j[?.- Arter trenches are
Y_11nw - Steet tocaflon, bondoeams, grouilng.
l-o-11!1tfon - After forrns 3rserected but prlor to concreteplacement.
,'JffiiX;T:d Paumbrng - Prior
F^lnal Building _ When allre-qui red .lnspecilons have been
l?proyed and buitdino iscompleted.
Wall/Celllng lnsutatlon _ prlor tocover.
Drywa[ _ prlor to taptng.
Wood Stovo - AJler lnstallatlon.
Xo** a.k //,DE /
3 E?,'j',"lJ,?':ffiJ,:i, y,T::[,,ff
:
I-o-"t ".Ta Beam - Prror to froortnsulatlon or decklng.
Floor lnsutation _ prior todecking.
MOBILE HOME INSPECTIONS
S_anitary Sewer - prior to fllllngtrench.
P-t-otT sewer - Prior ro fil[ngtrench.
JVa_ter Llne - prlor to filllngtrench.
l^gr9t Plumblng - prtor tocover.
l1-"lt : After ftreptace approvaland ,nstallailon of unlt.
C^urbcul & AJrproach _ AfterIorms are erected brrt prior topracemcnt of concrete.
Sidewalk & Drlveway _ Afterexcavation is compilte, formsand sub-base materiat in ptac1.
3,H,i,'iS,'""3"i'J;3[ - when a,,
IllToinn Connecrions _ When
.1.?Tu h.: been connected towater and sewer.
f-l rence - when cci,preted
n+iiq"+'*},*l"t#?r;
:It_d _the.home is connected torne service panel.
$treet Trees - When all requlredIrees are planted.[i'**lttuTiiir,:#
5C
FLOOD PLAIN:
the
kLot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typr _
-
lnterior
-
Corner
-
Panhandle \'
-
Cul-de-sac
ACCP.L.HSE GAR
N
S
E
IS THE PROPOSED WORK TN THE .
HISTORICAL DISTFIICI, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
This permit is granled on the cxpress condition that the said
consiruction 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 timo
upon violation of any provisions of said ordinances'
Plan Check Fee: .....-=-
Beceipt Number:
DatePlans Reviewe dBv
BUILDING VALUE,
AND BUILDING PE
Funu cHEcK
,RMIT
Received BY
VALUE
(A)
I
Mrr
FT. X $/SQ. FT,
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PER
ITEM SO.
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
SanitarY Seweir
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
N.
FT.
FT.
(c)
Plumbing Permlt
State Surcharge
Total Charge
Wood Stove/ lnsert/Flreplace Unit
MECHANICAL PERMIT
,7ff'y'd rt / 2-o,lr14rr-(D)
No
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit
/o 9o
lzo
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree' that I have carefully examlned
the completed application and do hereby certlfy that all
ln(ormation hereon is true ancl correct' and I f urther certlfy
that any and all wort< performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfield' and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure wlthout pertnission of the Butldirlg Safety Divislon'
I further certily that only contractors and employees who
are ln compliance with ORS 701'055 will be used on thls
proiect.
to ensure that all required inspections are
r time, that each address is readable
construction
t-.., -)
!u
L /-7-
I further agree
requested at the ProPe
permlt card ls located at the front
from tl'le street, that the
approved set of Plans will remalnof the ProPerty, and the
site at all tion the
Signature
Date
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk -- ft
Curbcut
-
tt
Demolition
State Surcharge
(E)Total Miscellaneous Permits 2-o
.L 7 ?b3
DATE PAIi)
RECEIVED BY
VALIDATION:
FIECEIPT NUMBER
TOTAL AMOUN
(A, B, c, D, and
T DUE (excluding electrical)
E Comblned)
Date Paid:
FT
-._-_.--.
)arc
duri
AMOUNT BECEIVED