HomeMy WebLinkAboutPermit Mechanical 1992-03-03ASSESSORS MAP: TAX LOI
JoB NUMBE "92e52.L225 Fifth Street
Springfield, Oregon 97 477
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LOCATION OF I)T]OPOSED WORK
LOT:
RESIDENTIAL
PERMIT APPLICATION
lnspections:7?6'3769
OIfrce: 726-3159
BLOCK: SUBDIVISION
7lP:tA STATE:
PHONE:
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ADDRESS:
CITY:
OWNER: {'17/t- *f
ADDITION DEMOLISH OTHER
DESCRIBE WORK
NEW -- REMODEL
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MECHANICAL:
CONST.
CONTRACTOR #
OUAD AREA:.
r OF BLDGS:
OCCY GROUP:
r OF STORIES:
WATER HEATER
FLOOD PLAIN
_ OFFICE USE -
ZONING CODE:
CONSTR. TYPE:
HEAT SOURCE:
SOUARE FOOTAGE:
SECONDARY HEAT:
RANGE:
LAND USE:
# OF UNITS
d OF BDRMS: .- -.-
To request an inspection, you must call 726-3769' This ls a 24 hour reco
made the same working day, inspections requested after 7:00 a'm' will
REOUIRED INSPECTIONS
TemporarY Electric Rough Meclranical - Prior to
Rough Eleclrical - Prior to
rding. All inspections requested before 7:00 a'm' will be
be made the following work daY'
Final Plumbing - When all
plumbing work is comPlete.
Final Electrical - When all
electrical worl( is cotnPlete.cover.
Underslab Ptumbing/ Electrical /
Mechanical - Prior to cover'
Footing - After trenches are
excavated.
MasonrY - Stccl location, bond
bcatrts, grouting.
Foundation - After forms are
erected but Prior to concrete
placemen t.
Underground Plumbing - Prior
to f illing trench.
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking'
Post and Beam - Prior to floor
insulation or decking'
Floor lnsulation - Prior to
clecking.
SanitarY Sewer - Prior to f illing
trench.
Slorm Sewer - Prior to filling
tren ctl.
Water Line - Prior to {illing
trench.
Rough Plumbing - Prior to
cover.
Electrical Service - Must be
approved to obtain Perrnanent
electrical Power.
[I FirePlace - Prior to facingl.-J materials and framing lnsp.
Em: I mI 1j,i'; "xx,",,?"?li
Final Building - Wlren all
required inspections have becn
approvecl and builcling is
cornpleted.
potno'
MOBILE HOME INSPECTIONS
Blocking and Set'UP - When all
blocking is comPlete.
Plumbing Connections - Wtten
home has been connected to
water and sewer'
Electrical Connection - When
blocking, set'uP, and Plumbing
inspections havc been aPProvc'd
anci the horne is connectcd to
the service Panel.
Final - After all rcquired
insoections are aPProved and
oorches, skirting, decks, and
ventinO have been installed'
Framing - Prior to cover'
Wall/Ceiling lnsulation - Prior to
cover,
l-l orywall - Prior to taping
l-l Wood Slove - After installation'
lnsert - After firePlace aPProval
and installation of unit'
Curbcul & APProach - Af ter
forms are erected but Prior to
placement of concrete'
Sidewalk & DrivewaY - Af ter
excavation is comPlete, (orrns
and sub-base material in Place'
l-l Fence - When comPleted
Street Trees - When all required
trees are Planted.
au-7 ^
ELECTFIICAL: ---
rl
t-_l Site lnsPection - To be madeI I af ter excavation, but Prior to
setting {ornts.
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Lot laces
Lot sq. {tg.
Lot covcrage
Topography
Total height
Lot Type \.,
-.-- lnterior
----...- Corner
---- Panhandle
--_ Cul-de-sac
Setbacks
GAFI
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9
J THE PROPOSED WORK IN THE
-}1 ISTORICAL DISTRICT, OR ON
T}.IE HISTORICN L REGISTER? ,
lf yes, ttlis application nlust be signed
arrd approved by tlre Historical
Coordrrlator prior to pcrmit issuance.
APPROVEDE
VALUE
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Surclrarge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This perrnit is grar-rted on the express conditiot-t that the said
construction shall, in all respects, conform to lhe Ordinance
adopted by thc City of Springficld, including the
Developrrrent Code, rr:gulating the conslruction ancl trse of
buildings, and may be suspended or revokecJ at any time
upon violation of any provisions of said orcjinances.
Plan Check Fce: ---.-
Plans Bcviewed By Date
Date Paid
Fleceipt Nurnber:-
Received By:
Systems Developrnent Chargc is due on all urrdevcloped
properties within the City limits whiclr are being irrprovecl.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Fixtures
Resi<jential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
FT,
FT,
N"
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Clrarcye
ADDITIONAL COMMENTS
Exhaust Hood
Vent Fan N: , -
Wood Stove/ lnsert / Fireplace Uni t
Drycr Vr:nt
2-5._7)'
Ao-,
2 cx>-oa-/rae /A//)/5oo
,7J--/0:0
(D)
MECHANICAL PERMITFurnacc ,tql,rce
Mechanical Pcrmit
lssuance
State Surcharge
Total Permit
By signature, I state arrd agree, that I have caref ully examined
the completed application and do hereby certify that all
information hcreorr is trLle and correcl, ancl I {r-rrthr:r. cerlily
that any arrd all worl< pcrforrned shall be done in accordance
with the Ordinances of the City of Springf ielcl, and the Laws
of thc St;rte of OrcS;on ltcrt;rirring to thc worl< clr:scriltr:<l
lrcrcin, arrd Urat NO OCCUPANCY will bc rrr;-rdc of any
struclure without perrnis;sion of the Building Safety Division.
I f urther certify that only contractors and employees who
are in compliance with ORS 701.O55 will be used on this
proiect.
I f urther agree to ensure that all requirecl inspections are
requested at the proper time, that each address is reacjable
from the street, that the permit card is located at the front
of the property, and the approved set of plans will remain
on the site a I times during c
gnature
Date
tion
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
Stato Surcharge
Sidewalk
--_
ft
Curbcut
--
ft
Demolition
Statc Surch;rrgye
Total Misccllaneous Permils (E)
TOTAL AMOUNT DUE (excluclinl.1 electrical)
(4, B, C, f), ;rncl E Cornbirrecl)
-1<7f
-4--;l+- ---
VALIDATION:
RECEIPT NUMBER
-DATE PAID -/=\._/
AMOUNT RECEIVED
sab I
7 J'=
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NE,CEIVED BY -.,.--
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