HomeMy WebLinkAboutPermit Mechanical 1998-06-01SPRINGFIELDRESIDENTIAL
PERMIT APPLICATION JOB NUMBERUsk
Inspections: 726.m3769 � 225 Fifth Street
Office: 726.3759 � Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:...�
ASSESSORS MAP: '� ` � �oe3 _ TAX LOT: � ?Osorv�"'�
LOT' BLOCK: IN-OWANI_ ME&ENEENEI SUBDIVISION:
4EMPEI
OWNER: C �P�fa-.. PH NE: ���DCt
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ADDRESS:
CITY: S D S-� STAT
E ZIP:
DESCRIBE WORK:....07VI^��� � � a���' � amp., C � rt_ D�C � i�wtc f� � Y�'d� C C em'TC �
NEW REMODEL ADDITION DEMOLISH
l� qt,s Ile
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE
GENERAL: - —-- N C W V� S
PLUMBING:
MECHANICAL: �a« k4 \� -H' Ltl � . T _ t PA C S (Irl �) C
ELECTRICAL: W4 zS0I7t(?SEEN
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—OFFICE USE —
QUAD AREA,* LAND USE: _. FLOOD PLAIN.,
x OF BLDGS. # OF UNITS: _ ZONING CODE: _
OCCY GROUP: _ CONSTR. TYPE: # OF BDRMS:
# OF STORIES:- HEAT SOURCE; _ SECONDARY HEAT:
WATER HEATER; _ RANGE: SQUARE FOOTAGE'
To request an inspection; 41
��ou must cal! 726-3769. T,�.'%!Is Is a 2.4 howv- recordl��g. All 'nspe�tions requested before 7:00 a.m, will be
made the same working day, Inspections requested after 7,-00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
Temporary Electric � Rough Mechanical —Prior to � Final Plumbing When all
e��-+� Plumbing work is complete.
Site Inspection — To be made � Rough Electrical — Prior to a Final Electrical —When all
fter excavation
a, but prior to cover., electrical work is complete.
setting forms. p
Underslab Plumbing/ Electrical/ � Electrical Service —Must be � Final Mechanical —When all
Mechanical —Prior to cover.hanicalapproved to obta(n permanent work Is complete.
electrical power.
Footing —After trenches are � Final Building When all
excavated. � Fireplace —Prior to facing required Inspections have been
materials and framing Insp. approved and building is
Masonry �- Steel location, bond completed,
beams, grouting. El Framing —Prior to cover.
Foundation —After forms are � OtherEl.
erected-but prior to concrete
Wall/Ceiling Insulation —Prior to �/WPM
��placement., � cover.
Underground Plumbing —Prior Drywall —Prior to taping.
to filling trench.
MOBILE HOME INSPECTIONS
Underfloor Plumbing/ Mechanical Wood Stove —After installation.
— Prior to insulation or decking.
Post and Beam —Prior to floor
D Blocking and Set-UpWhen all
insulation or decking. � Insert —After fireplace approval blocking Is complete.
and Installation of unit.
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Lot faces Lot Type _ Setbacks ;HE PROPOSED WORK tN THE _
Lot sq. ftg. Interior P.L. HSE �R ACC HISTORICAL DISTRICT, OR ON
� THE HISTORICAL REGISTER'?
Lot coverage C orner N If yes, this application must be signed
To pography Panhandle S and approved by the Historical
Coordinator prior to permit issuance.
Total height Cul-de-sac W
E APPROVED:
BUILDING PERMIT � BUILDING VALUE, PLAN CHECK
ITEM SQ. FT., X $/SQ. FT. = VALUE AND BUILDING PERMIT
Main
This permit is granted on the express -condition that the said
construction shall, in all respects, conform to the Ordinance
Garage ' adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
Carport _ _ buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee:
Date Paid:
Total Value
Receipt Number. _
Building Permit Fee _
Received By:
State Surcharge _
Total Fee (A) _ _ Plans Reviewed By � Date
SYSTEMS DEVELOPMENT CHARGE (SDC) Systems Development Charge is due on all undeveloped
(B)
properties within the City limits whicr are being improved.
PLUMBING PERMIT ADDITIONAL COMMENTS
ITEM FEE
Fixtures
Residential Bath(s) N'
Sanitary Sewer - FT.
Water FT.
Storm Sewer FT.
WEI
Mobile Home
EI
Plumbing Permit
State Surcharge
Total Charge (G)
MECHANICAL PERMIT
Furnace
Exhaust Hood By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I further certify
iMee�-8t6v'T/Insert/Fireplace Unit 4� � that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
dryer Vent — 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.
Mechanical Permit t:9 I further certify that only contractors and employees who
Issuance ^_�Q. are in compliance with ORS 701.055 will be used on this
.�OState Surcharge �"'� project.
Total Permit (p) . tr= dt;o I further agree to ensure that all required inspections are
requested at the proper time ', that each address is readable
MISCELLANEOUS PERMITS from the street, that the permit card Is located at the front
Mobile Home of the properly, and the approved set of plans will remain
State Issuance
on the site at all mes during construction.
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State Surcharge Signature
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