HomeMy WebLinkAboutPermit Mechanical 1997-06-03RESIDENTIAL
PERMIT APPLICATION
lnspectlons:726-3769
Office: 726.3759
LOCATION OF PROPOSE
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2Y 11 rL \lt"
JOB NUMBER
225 Filth Street
Sprlnglleld, Oregon 97477
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TAX LOT 0
SPNINGFIELE,q1 o$52-
ASSESSORS MAP:t lb rt
D WOBK:'703
LOT: BLocK:SUBDIVISION:-
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PHONE:
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STATE:,,r, 47 4 7'7 _
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CITY:
NEW
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REMODEL ADDITION DEMOLISH OTHER
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DESCRIBE WOFIK:tr
ADDRESS
EXPII]ES PHONE
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CONTBACTOR'S NAME
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GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONSI.
CONTRACTOR ,
- OFFICE USE -
LAND USE:
r OF BDRMS:
FIANGE: --
ZONING CODE:
/ OF UNITS:
OUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SOUARE FOCTAGE:
OCCY GFIOUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To reques
made ths
t an lnspecilon, you must call 726.376,sarne worklng day, lnspecilons reque
l-l femporary Elecrrlc
Sllo lnspocllon _ To be rnadoalter excavailon, bul prlor loseltlng forms.
fl?:i:,1 r" i 1,t?l : : i 5, : :yj; ",,
Lggllnq - Atrer trenches areexcavated.
Masonry - Steel locatlon, boncjbeams, grouUng.
!,o11dgt!on - Arter forms areerected but prlor to concretepracemont.
Underground plumblng _ prlorto fllllng trench_
Underlloor plumblng/ Mechanlcal
- yno( to lnsulailon or decklng.
Posl. and Beam _ prlor to floorlnsulatlon or decklng.
f] 5[?i,];suratron - Prror to
Sanltary Sower - prior to fllllnglrench.
Slorm Sewer _ prlor lo lllllngtrench. r
Y:j:r.Ltno - prtor to tiiltnglrench.
Rough plumblng
- prlor tocover.
9. Thls ls a 24 hour recordln
sted alter 7:OO a,m. wlll be
g. All lnspecilons requested
made the followlng work day.
belore 7;00 a.m, wlll be
QUIRED INSPECTI ONS
[-l RouOh Electrtcat _ prtor ro.< COVOf.
Electrlcal Servlco _ Must beaPpr.oyecl to obtaln permanenteleclrlcal power.
!l:pl,u9u - prlor ro factngmaterlals and framlng lnspi
Framlng - prlor to cover.
I W-all/Ceilng lnsutatlon _ prlor tocover.
Drywall - prlor to taplng.
Wood Stovo - Alter lnstallatlon.
Lnsgft - After ltreplace approvaland lnslallaUon of unlt.
C_urbcul & Agrproach _ Afterrorms arB erected bUl prlor loplacomont of concrole.
Sldewalk & Drlveway _ Afterexc,availon ls compictc, formsand sub.base materlal in ptace.
Fence - When completed.
IVIOBILE HOME INSPECTIONS
ugh Mechanlcal -Prlor to Flnal, plumblng _ When allptumblng work ls complete.
FJnal Eloctrlcsl _ When alletectrlcal work ls complote.J
IY rtnal Mschantcat _ When a[
\ecnanlcat work f s compfeie]
F_lnal Bulldlng - When atlrequlred.lnspecilons have beenapproved and bulldlno lscomplolod.
Olhor
8ffi,',ig,Tj"i"J;lg - when a,,
IllTblrs Connocrtons _ Whennomo has been connecled lowater and sewer.
,.j::*.*::",:l;#i,i;tnspe.ctlons have been approvedand U)e .home ls connected lotne servlce panel.
[-_] Street Troos _ When all requtred.J trees are planted.
,F_l!"| : After ail requtred
*:i?ix;:;:":{i:f ,'#
Efl
Lot faces
Lol sq, ,tg.
Lol coverage
Topography
Total helght
Lol Typo
-
tntertii
-
Corner
-
Panhandle
-
Cul-de'sac
Se ks
GAR ACCPL.HSE
N
S
E
i THE PROPOSEO WORK IN THE .
v ISTOFIICAL DISTBICT, OB ON
TI]E HISTORICAL BEGISTER?
-
ll yes, thls appllcatlon must be slgned
and approved bY the Hlstorlcal
Coordlnator prlor to pgrmit lssuance.
APPROVED:
BUILDING VALUC, PTRTT CHECK
AND BUILDING PERMIT
Thls permlt ls granled on tho express condltlon that the sald
consiructlon shall, ln all respects, conlorm to the Ordlnance
adopted by the City ol Sprlngfleld' includlng the
Development Code, regulatlng the constructlon and use ol
bulldlngs, and may be suspenbed or revokod at any tlme
upon vlolatlon of any provisions ol sald ordlnances'
Plan Check Fee:
-.-
Recel pt Number:-
OatePlans Bcvle wcd t3Y
Dato Pald:
Received BY:
BUILDING PERMIT
VALUE
(A)
SO. FT. X $/SO. FT.ITEM
Maln
Garago
Carport
Total Value
Bulldlng Permlt Fee
State Surcharge
Total Fee
Systoms Developmcnt Charge ls duo on all undevelopod
pioportlos wlthln tlro Clly linrlts whlcl'r are belng lmproved'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
dlI\^< 6!TFM
Flxtures
Resldentlal Balh(s)
SanltarY Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
No
FT.
FT,
FT.
(c)
Plumblng Permlt
State Surcharge
Total Charge
By slgnature, I state and agree, that I have carolully examlned
the comPloted appllcatlon and do hereby certlly that all
lnlormatlon hereon ls true ancl correct, and I lurther c€rtlfy
that any and all work performed shall be done ln accordance
wlth tho Ordinanccs ol the City ot Sprlnglleld' and the Laws
o{ the State o, Oregon pertalnlng to tho work descrlbed
heroln, and that NO OCCUPANCY. yvlll be mado ol any
structure wlthout perrnisslon ol the Bulldlng Salety Dlvislon'
I further certlty that only contractors and employees who
aro ln cotnpllance with OFS 701'055 wlll be used on thls
prolect.
I further agree to ensure that all requlred lnspectlons are
requested at the propor tlme, that oach address ls readable
lrom tlro street, that the permlt card ls located at tho front
ol the property, and thc approvcd set ol plans wlll remaln
tlon.mes durlng constron the slte at all
b -3 4]Slg natu re
Date
MISCELLANEOUS PERMITS
MECHANICAL PERMIT
u\Ai/\-
37, C,l't bdwe-
(E)Total Mlscellaneous Perlnlls
e)4)(D)
N0
Dryer Vent
t0
Wood Stove/ lnsert/ Flroplace Unll
Mechanlcal Pormlt
lssuance
State Surcharge -f
Total Permlt
Moblle Homo
State lssuance
State Surcharge
Sldewalk -- ft
Curbcul
-
ft
Demolltlon
State SurchargP
Furnaco
Exhaust Hood
Vent Fan
7
1r3
RECEIPT N
DATE PAID
UMB '3
AMOUNT RECEIVED
RECEIVED BY
VALIDATION
TOTAL AMOUNT DUE (excludlng clectrlcal)
(A, B, C, D, and E Comblned)
6 .0t)