HomeMy WebLinkAboutPermit Mechanical 1992-02-21LOT:_ BLOCK:
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LO( ;\l ION OF PROPOSED WORK:
/rlSISSORS MAP:
RESIDENTIAL
PERMIT APPLICATION
lns 1;cctions: 726-3769
Of (ice: 726'3759
225 Fif th Street
Springf iel11, Oregort 97477
JoB NUMBE "9-A?'6-7
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Qr<n,7 o ^,'ZIP
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7 tlt1 - 2L85
STATE:
do
e-L ) 6tr6.- z] 6 s
?-7,1
PHONEOWNER: --
ADDFTESS: --
Cl'IY: -,--
NEW --- REMODEL -- ADDITION DEMOLISH OTHER
DESCRIBE WORK:
$"1ry*-eulyiryl]sy@
EXPIBES PHONEADDFIESS
t i'rc-q +__ 3_1 5*1?
CONTI-IACTOR'S NAME
F:1-t-CTRICAL: _---
NST.
NTRACTOB .C
CO
CO
CENERAL:
I't UML]INC:
Mt CTIANICAL:
OI.,AD AFIEA: ,.
, OF BLDGS: -
OCCY CROUP:
* OF STOBIES:
RANGE:WATET] HEATER:
_ OFFICE USE _
HEAT SOURCE:
FLOOD PLAIN: ----
ZONING CODE:
--# OF BDRMS: ,- .- --
SECONDARY HEAT:
SQUARE FOOTAGE:
LAND USE:
# OF UNITS
To request an inspection, you must call 726-3769. Thls ls a24hour recording. All inspections requested before 7:0o a.m. will be
rnade the same working day, lnspections requested after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing worl( is comPlete.
Rough Electrical - Prior tot-]Site lnspeclion - To be made
af ter excavation, but Prior to
setting fornts.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
beatns, grouting.
Foundalion - After forms are
erected but prior to concrete
placement.
Underground Plumbing - Prior
to lilling trench.
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.
Post and Beam - Prior to (loor
insulation or decking.
Floor lnsulation - Prior to
decki ng.
Sanitary Sewer - Prior to filling
I renctl.
Storm Sewer - Prior to filling
trencll.
Water Line - Prior to filling
t rcnctl.
Rough Plumbing - Prior to
cover.
cover,
Electrical Service - Must be
approved to obtain Permanent
electrical power.
Fireplace - Prior to faclng
materials and framing lnsp.
Wall/Ceiling lnsulation - Prior to
cover.
Final Electrical - When all
electrical work is comPlete.
Final Mechanical - When all
echanical worl( is corlplete.
Final Building - When all
required inspections have been
approved and building is
completed.
Other
MOBILE HOME !NSPECTTONS
Blocking and Set.UP - Wlren all
blocking is complete.
Plumbing Connections - When
home has been corrnected to
water and sewer.
Electrical Connection - When
blocking, set-uP, and Plumtring
inspections have been apProve(l
and the home is connecte(l to
the service Panel.
[-_| Drywall - Prior to taping.
Wood Stove - After installation
lnsert - After firePlace approval
and installation of unit.
Curbcut & ApProach - After
forms are erected but Prior to
placement of concrete.
Sidewalk & DrivewaY - After
excavation is comPlete, forms
and sub-base rnaterial in Place.
l-_l Fence - When comPleted
Street Trees - When all required
trees are planted.
Final - After all required
inspections are aPProved and
porches, skirting, decl<s, and
venting have been installecl.
SUBDIVISION:
-
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l-l Framing - Prior to cover.,/-.44 //t rE
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r
Lot fa<:cs
Lot sq. {tg.
Lot coverage
Topography
Total hciglrt
Lot 'lY.
_
_-.. lnterior
-,-
Corner
-- Panhandle
-- Cul-de-sac
Sctbac ks
ACC
IS T} 'ttOPOSEI] WOHI( IN I-FIE
}-IISTHICAL DISTFIICT, OR ON
TFIE HISTOFIICAL REGISTER?,
lf yes, this application musl be signed
ancl approved bY the Historical
Coorditrator prior lo perrnit issuancc.
APPROVEDE
P.L.GAR
N
HSE
S
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pcrmit is llrarrtecl on the exprcss condition that the sai(l
construction shall, in all respects, confortn to the Ordinance
adoptetj by tlre City of Sprirrgfield, including the
Developrnent Coclc, regulating the construction and trse of
buildings, ancl rnay be suspended or rcvoked at any lirnc
upon violation of arry provisiorls of saici ordinatrces.
D:rtcPlans 11t'vit-'wcrl [.]Y
Plan Chcck Fce
Date Paid
Fleceipt Nunrl;er
Rcceivctl By:
VALUE
(A)
X $/SO. FT.
P ERM !T
SQ. FT.
BUILDING
ITEM
Mairr
Garagc
Carpott
Total Value
Builcling Permit Fee
St;rte Surcharge
Total Fee
Systems Dcvclopment Charge is due on all undevelopcd
properties within thc City limits which are being improvecl.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITTONAL COMMENTS
ITEM
Fix t u res
Residcntial Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
(( ))
NU
Fl.
Plur.nbirrg Permit
Sl;rtc Iirrr<;hargc
I()l,rl (;ltilr(lc
Wood Stove/ lnsert/ Fi replace Ut.ti t
Drycr Vcnt
46 Lq,lg- - ,r2//,O LS
Mcclr;rnical Permit
(D)
d
2.
NO
?.r
Vcnt F;rn
75
Nlssuance
State Surcharge
Total Permit
MECIIANICAL PERMIT
lrutttitt;t)
Exl,ratrst l-lood By signature, I state and agree, that I have caref ully examined
the completecl a1;plication and do l'rerel.ly certify that all
information hcreon is true and correct, and I f urthcr ccrtiIy
that any and all work performed shall be done in accordance
with the Ordinances of thc City of Springficld, arrd the Laws
of the Statc of Oregon pcrtairring to the wor[< desoriltt:rl
herein, and that NO OCCUPANCY will be made of arry
structure without pcrrnission of tlte Building Safety Division.
I f urther certify that only conlractors and employees wl'ro
are in compliance with ORS 701.055 will be ttsed on tltis
proiect.
I f urther agree to ensure that all required irrspcctions arc
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, and the approved sct of lrlans will renr;rirr
on the site al all tinres during construction.
oate --fita- >-L.121 4. -
)
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
Statc Surcharge
Sidewalk -.--.-- ft
Curbout --- ft
Dcrnolition
St:rtr-' Surcltarg;e
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excludinq electrical)
(A, L], C, D, and E Combineci)25,7{
VALIDATION:
RECEI')T NI.'MUIII 377C
DATE PAID 2-z/-92
AMOUNT RECEIVED
RECEIVFD IIY
"r
FT.
--FT.
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