HomeMy WebLinkAboutPermit Mechanical 1994-09-22SPFlI,\rGFTEL()
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Off ice: 726-3759
294 S. 35thLOCATION OF PROPOSED WORK:
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ASSESSORS MAP
?l/y'70JOB NUMBER
LOT:BLOCK:
-
225 Fifth Street
Springfield, Orego
TAX LOT:
SUBDIVISION
747-904LStan Vandergriffe PHONE:
97478SpringfieldZIP:STATE:OR
294 S. 35th Street
OWNER:
-
CITY: .=--
ADDRESS;
NEW
-
REMODEL ADDITION DEMOLISH OTHER
BTU )InstaII new qas furnace (60.000DESCRIBE WORK:
PHONEEXPI RESADDRESS
97402EueneComfort Flow Heatinq 855 W. 1st
PLUMBING
CONST.
CONTRACTOR /CONTRACTOB'S NAME
GENERAL:
MECHANICAL:
ELECTRICAL: -
_ OFFICE USE _
LAND USE:
# OF BDRMS
OUAD AREA
S OF UNITS:ZONING CODE:
FLOOD PLAIN
WATER HEATER:
, OF STORIES:SECONDARY HEAT:
SOUARE FOOTAGE:
CONSTR. TYPE
HEAT SOURCE:
RANGE:
OCCY GROUP: -
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To request an inspection, you rnust call 726-3769. This is a24hour recording. All inspections requested before 7:O0 a'm. will be
made the same working Cay, inspections requested after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
X:ru: Mechanicar - Prior toTemporary Electric
Site lnspection - To be made
after excavation, but prior to
setting forms.
Underslab Plumbing / Electrical /
Mechanical - Prior to cover.
Fooling - After trenches are
excavated.
Masonry - Steel location, bond
beams, grouting.
Foundation - After forms are
erected but prior to concrete
placement.
Underground Plumbing - Prior
to f illinq trench.
Underlloor Plumbingl i4echanical
- Prior io insulation or Cecking.
Post and Beam - Prior to floo:'
insulation or decking.
Floor lnsulation - Prior to
decki n g.
Sanitary Sewer - Prior to filling
trench.
Storm Sewer - Prior to filling
trench.
Water Line - Prior to filling
trench.
Final Plumbing - When all
plumbing vuork is complete.
Final Electrical - When all
electrical work is complete.
Rough Electrical - Prior to
cover,
Eleclrical Service - Must be
approved 19 6[;ain permanent
electrical power.
Fireplace - Prior tc facing
materials and f raming lnsP.
Wall/Ceiling lnsulation - Prior to
cover,
Drywall - Prior to tapi ng
Wood Stove - .After installation.
lnsert - After f ireplace approval
and installation of unit.
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Siclewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
f-l Fence - When completed
Slreet Trees -- V'i hen al! required
lrees aie i'l:nied.
llZr'Pinal Mechanical - When all
.,/alvneciranical work is complete.
ffo,n", 4*,< ' -
Final Building - When all
required inspections have been
approved and building is
completed.
MOBILE HOME INSPE TIONS
Blocking and Set-Up - When all
blocking is complete.
Plumbing Conneclions - When
home has been connected to
w.-i1er and sewer,
Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
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Rough Plumbing - Prior to
cover.
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I Framing - Prior to cover.
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Setbacks
PL.HSE GAR
N
S
I
E
ACC
:<THE PROPOSED WOBK lN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED
VALUE
(A)
X $/SQ. FT,
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pcrmit is granted on the express condition that the said
construction shall, in all respects, conlorm 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.
Date
Receipt Numbe
Plans Reviewed By
Plan Clreck Fee
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Resldential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
FEE
@ ea
( \-.)
N0
FT.
FT.
FT.
PLUMBING PERMIT ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
MECHANICAL PERMIT 6.4
2ep
(D)
_#
- 6?0
N0
/z/i) / 5P.,
,7
&Mechanical Permit
lssuance
State Surcharge
Total Permit
Fu rn ace
Exhaust Hood
Vent Fan
By signature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther 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
proiect.
I further agree to ensure that all required !nspections are
requested at the proper time, that each address is readable
from the street, that the permit card is located at the f ront
approved set of plans will remainof the property,ndt
te it
re
I tim d ring construction
2_
on the si
X,nnu,,
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, q D, and E Combined)
^a-
VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED.
RECEIVED BY
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
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