HomeMy WebLinkAboutPermit Mechanical 1994-03-0351c
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JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
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TAX LOT:
SUBDIVISION:
D
_rRESID ENTIALpEnMtr APPLlcArloN
lnspections:726-3769
Of tice: 726'3759
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LOCATION OF PRO
ASSESSORS MAP:
PO
BLOCK:
LOT:
L PHONE:DE
Trn.*
ZIP:CESTATE:ln
S
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gq u'
CITY:
ADDRESS:
OWNER:
Pu rnPEfrYAS sys 16Mefrr
S S TE^ALLf,AHDEMOLISH OTHER
DESCRIBE WORK:
NEW
-
REMODEL ADDITION
PHONEEXPIRES
ADDRESS
3qa-8laJooqbotlqoaZI\i
,?q$.\s*PLUMBING
CONTRACTOB'S NAME
MECHANICAL:
CONST.
CONTRACTOB //
GENERAL:
ELECTRICAL:
WATER HEAIER:
_ OFFICE USE _
g OF BDFIMS:
OUAD AREA
ZONING CODE:
FLOOD PLAIN
SECONDARY HEAT:
SOUAPE FCOTAGE:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
--HEAT SOURCE:
RANGE:
To req
made
ions requested before 7:00 a.m. will be
owing work daY.
Final Plumbing - When all
plumbing work is comPlete.
Final Electrical - When all
trical work is comPlete.
Final Mechanical - When all
echanicat work is complete.
Final Building - When all
reouired inspections have been
approved and building is
completed.
Other
MOBILE HOME INSPECTIONS
Blocking and Set.Up - When all
blocking is complete.
Plumbing Conneclions - When
home has been connected to
water and sewer.
[-l TemporarY Electricll
Sile lnspection - To be macle
after excavation, but Prior to
setting forms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Footing - 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 illing trench.
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.
Post and Beam - Prior to floor
insutation or decking.
Floor lnsulation - Prior tc
decki ng.
Sanitary Sewer - Prior to f illing
trench.
Storm Sewer - Prior to lilling
trench.
Water Line - Prlor to filirng
trench.
uest an inspection, you must call 726-3769. This is a 24 hour recording' All inspect
the same working day, inspections requested after 7:00 a'm' wili be made the foll
Rough Electrical - Prior to
COVET
Electrical Service - Must be
approved to obtain Permanent
electrical Power.
Wall/Ceiling lnsulation - Prior to
COVET,
l--l Drywall - Prior to taoing
Wood Stove - After installation
lnsert - After f ireplace aPProval
and irrstal!atiorr of 'nit.
t:]Crrrbcut & Approacl. - After
fornrs art, erected hilt ,rrior t,)
placrlmcr! t ot con(;rCle.
rl Sidewatk & Driveway - After
excavatrcr'r 1s coniPlete, {orms
ancl suhr-b:rse rnatc:ial In place.
l---l fence - t'Vn.'ri co.rrrDlete(|.
ll
Street Trees - When all r::quired
iroOg arL. pt,lnir'cj.
Electrical Connection - When
blocki ng, set-up, and Plumbing
inspscticns have been aPProved
and the home is connected to
the servtce panel.
Final - After ail required
inspections are approved and
pr:rclies, skirting, decks, and
venting lrave been installed.Rough Plumbing - Pric:'to
cover.i.l
L]
Qlr,
REQUIRED INSPECTIONS,/\ffinough Mechanical - Prior to
f cover.
r
E
E
tl
r
[-l Fireplace - Prior to facingU materials and framing lnsP.
l-_l Framing - Prior to cover.
t-l
Er
t
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Tyt
-
lnterior
Corner
-
Panhandle
--
Cul-de-sac
5:c t bac l<r;
PL.HSE GAR ACC
IS IHE PROPOSED WORK IN THE
HISTOFIICAL DISTFIICI OR ONrHE HISTOR|CAu REGTSTER? --_lf yes, this application must be signedand approved by the Historicat
Coordinator prior to permit issuance.
APPROVED
J
_Y:{
E
VALUE
(A)
BUILDING PERMIT
Total Value
Building Permit Fee
State Surcharge
Total Fee
SO. FT. X $/SQ. FT.ITEM
Main
Garage
Carport
BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT'rhis pr:rnrit is 0r;rricd on the express condition that the said(;onstruclion shzrli, in all respects, conform to the Ordinanceadopted by the City of SpringfieicI, inctuding theDevelopme.t Cotle, regulating the construction and use ofbuildings, an(i may bc suspended or revol(ed at any timeupon violatron of any provisions of said ordinances.
Plan Check Fee:
Date
Date Paid
Receipt Numbcr:
i1c<;civcd By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systenrs Develolrrncrrt Charge is rJue on all undeveloped
properties within thc City limits which are being improve<1_
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
FT.
FT.
FT.
Plumbing Permit
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Fix t u res
N0
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolition
state surGharge
Total Miscellaneous Permits (E)
Vent Fan
(D)
MECHANICAL PERMIT
Fu rn ace
Exhaust Hood
Mechanical Permit
lssuance
State Surcharge
Total Permit
By signature, I state ancl 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 certif y
that any and all work perforrned shall be done in accordance
with the Ordinances of tlre City of Springf ield, and the Laws
of lhe Statc of Oreqon pertaining to the work <lescribc<j
hcrein, and that NO OCCUPANCY wili be made of any
slructure without perrnission of the Building Safety Division.
I further certify that only contractors and employees who
are in s.rrli;rnce with ORS 701.055 will be used on this
prolec t.
I f urther 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 front
of the property, and the approved set of plans will remain
Srg natu rc
Date 3_34A
rin sSon the site at all ti ruction
TOTAL AMOUNT DUE (excluding electrical
(A, B, C, D, and E Combined)
VALIDATION:
RECEIPT NU|\4BER
DATE PAID
AMOUNT R
RECEIV
I
I
I_l
N
Plans Rcviewed By
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