HomeMy WebLinkAboutPermit Mechanical 1996-10-22K0L ,l
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SPRINGFIELD
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lESIDENTIAL
PEBMIT APPLICATION
lnspections:726-3769
0llice:726.3759
LOCATION OF PROPOSED
/trt,*;utl'.?rtt't 7J_JOB NUMBER
225 Filth Street
Sprlng(le{d, Oregon 97477
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ASSESSORS MAP:110 5t z--TAX LOT tnqo t
SUBDIVISION
OWNER:
ADDRESS:
CITY:
DESORIBE WORK
NEW --- REMODEL ADDITI ON
-
DEMOLISH OTHER
CONTRACTOB'S NAME
L
ADDRESS CONST.
CONTFIACTOR #EXPIHES PHONEG ENERAL:
PLUMBING
MECHANICALI
ELECTRICAL:
STATE 7/7ztP
/o 4,o*u'2tuirtL(n
ZONING CODE;
, OF BDRMS: .----...-
SECONDARY HEAT
-SOUARE FOOTAGE:
_ OFFICE USE -
LAND USE:
RANGE:
QUAD AREA:
* OF BLDGS:, OF UNITS:_OCCY GROUP:
# OF STORIES:
CONSTR. TYPE:
HEAT SOUFICE:
WATER HEATERI
To req U ES an n pec il on you m ust cal 726.3769.ThtmadehesarIteworkngday,a 24 ho UT recordl n s.Ail I ns pec
the fol
n S pec lo n s req U es ted af ter 7:O0 tions requested belore 7100 a.mlowing work day.
a.m.lt be made wlll be
Temporary Eleclric \ ,EOU|RED tNSPECTtoNs
A:"W
Mechantcat - Prror ro
Slle lnspectlon _ To be madoatter excavailon, but prlor toseltlng forms.
il:5:",ff i1,1?i 3f i 5' ::yf ,,,
L:-.ll.lg - After trenches areexcavated.
[1T:o_: Steel tocailon, bondDeams, grouilnO.
Flnal, plumblng _ When allptumblng worl( ls comptete.
I:ySt Electrlcat _ prlor tocover.
-l"-"_ll"q,.Servtce _ Musr be;f#ffi i'#:l:' " permanen t
ItI:{.*. - prtor to factnsmaterlals and framlng lnspi
FJnal Electrlcal _ Whetectrical work is com
en all
plete.
F_lna.l Mechanlcat _ Wlrq6 s11mechanical work is cornplete.
Flnal-Building _ When ail
:"-1y,_r"d .tnspec ilons have been
:3ffi[T.1"d buirdins is
I:liTgirlon - After forms are:l::l"d but prtor to concreteptacement.
r'J'ffiifl;',1:d Piumbrno - Prror
$; il',.' ij,'JJflj,,,:i, y,.T*,l,,ff
:
l^o-:!..'.Ta Beam - Prror to froorInsulailon or decking.
,Framtng - prlor to cover.
ftll/Celllng tnsutatlon _ prtor tocover.
Drywall - prlor to taptng.
Wood Stovo - After lnstailatlon.
(.ther 1.q
MOBILE HOME INSPECTIONS
[-l f,.gt tnsulailon _ prtor to
-
decklng.
lx.T ;,illiJ^";? rJ ii,: a p p rova,
!-lrUcut & Approach _ AfterIorm_s are erected b(rt prlor topracomont of concrote.
3,'ff[T3,i"3.i"J;Y[ - when a,,
Ilrl_uirg gonnecrtons _ Whennome has been connected towater and sewer.E ;::l;3 Sewer - Prior ro ,rrns
E ;:"^'$, Sewer - Prror ro frrns E Sldewalk & Drlveway J Afterexcavailon ls compi'otc,. formsand sub.base materlal in ptace.
Fence - When completed.
Eleclrical Conneclion _ When
P]::I119, ser.up, and ptumbin-sInspections have been approvedafld the .home is connccted tothe servlce panel.X H;:;Lrne - Prror to rnrns
[-l lougrr plumbrns _ prtor ro
-
cover.t] flXfftI;Hr"f^en arr requrred
,l,l:! : After all requjredrn_spections are apDioved and
9"",{i,i?: ; i Ij'r?B;.,i? i;'i, i! ;
LOT:.- BLOCK:
FLOOD PLAIN:
'.;
!,
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Tyg.
---
-
lnterior
-
Corner
-
Panhandle
-
Cul.de-sac
Se IS THE PBOPOSED \^/OFK iN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REG|STER?
-
ll yes, this applicatlon must be signed
and approved by the Historlcat
Coordinator prlor to permit issuance.
APPROVED
if
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express condition that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springfleld, including the
Development Code, regulating the construction and use of
bulldings, and may be suspended or revoked at any time
upon vlolation of any provis.ions of said ordinances'
Plan Check Fee
Date Pald
Receipt Numbe
Received BY:
Plans Rcvlewed tly Date
Systems Developmcnt Charge is due on all undeveloped
pioperties wlthln tlre City llmlts which are being improved'
ADDITIONAL COMMENTS
I f urther agree to ensure that all required inspections are
requesled at the ProP er tlme, that each address is readable
from the street, that the Perml t card ls located at the f ront
of the ProPertY, and the aPProved set of Plans will remain
on the slte at all times rlng truction
Signature
By slgnature, I state and agree' that I have caref ully examlned
the completed appllcatlon and do hereby certl(y that all
lnlormatlon hereon ls true ancl correct' and I lurther certi(y
that any and all work performed shall be done in accordance
wlth thl Ordinanccs of the Clty of Sprlng(ield' and the Laws
of the State of Oregon pertalnlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure wlthout perlnission of the Buildlrrg Safety Division'
I further certlly that only contractors and employees lvho
are ln compliance with OBS 701'055 wlll be used on this
prolect.
PL.HSE
N
VALUE
(A)
X $/SO. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fec
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
SYSTEMS DEVELOPMENT CHARG
(B)
E (SDC)
ITEM
F ix tu res
Residential Bath(s)
SanitarY Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
(\,,
N0
FT.
FT.
FT.
Plumblng Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fl replace Unit
Dryer Vent
Mcchanical Permit
lssuance
;;;; ;;,"^.,su \ 37o ci\ Mw'*{q-
MECHANICAL PERMIT
No
.2C)
Total Permit (D)2 ,x)
'l5"or)
Furnacc
Exhaust Hood
Vent Fan
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
lt
Curbcut
-
lt
Demolition
State Surcharge
ti
(E)Total Miscellaneous Pertnits
23 €
o
z4
a.2_
RECEIVED BY
VALIDATION
AMOUNT RECEIVED
RECEIPT NUMBER
DATE PAID
OUNT DUE (excluding,clectrical)
and E Comblned)
&_ 2{'.
TOTAL AM
(A, B, C, D,
Date
GAR ACC
S
.E