HomeMy WebLinkAboutPermit Mechanical 1992-03-24.ES'DENIIAt
)ENMIT APPLICATION
lnspections: 726'3769
Ol{tce:726-3759
LOCATION OF PROPOSED WOFIK:
-ASSESSORS MAP:
LOT:
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BLOCK:
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.i>is r,tuuae"-/UZS.1
225 Flfth Street
Springfield, Oregon 97 477
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TAX LOT:D3 3
SUBDIVISION:
CITY:
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PHONE:\,41.' o r ?-?
STATE:o '-.C\a'r' \\*\\
N DDRESS
OWNEB:
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NEW
-
BEM.DEL / orDlrloN DEMoLIsH orHER
DESCRIBE WORK
GENERAL:
PHONEEXPIRESADDRESS
___<15 -7-7
c ,&/,77A2
)^: c.
PLUMBING
CONTRACTOR'S NAME
CONST.
CONTRACTOR #
MECHANICAL
ELECTRICAL:
, OF BLDGS: -.--.
OCCY GROUP:
/ OF STORIES:
WATER HEATER:
--
FLOOD PLAIN: -
ZONING CODE: -
P OF BDRMS: ---
SECONDARY HEAT:
SOUARE FOOTAGE:FIANGE:
HEAT SOURCE: -.-_.-
CONSTR. TYPE
_ OFFICE USE _
," OF UNITS:
-.----
OUAD AREA:LAND USE:
To request an inspection, you must call 726-3769. This ls a 24 hour recording. All inspections reguested before 7:o0 a.m. wlll be
made the same working day, lnspections requested after 7:00 a.m. will be made the following work day'
REOUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is comPlete.
Sile lnspeclion - To be made
af ter excavation, but Prior lo
setting forms.
Rough Electrica! - Prior to Final Electrical - When all
electrical work is comPlete.cover
Underslab Plumbing/ Electrical /
Meclranical - Prior to cover.
Electrical Service - Must be
approved to obtain Perlnanent
electrlcal power.
X.Final Mechanical - When all
rneclranical work is corrtPlete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsP.
Final Building - Wlten all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
bearns, grouting.Framing - Prior to cover.
(J
Foundation - After forms are
erected but Prior to concrele
placement.
lX ott'"'
Underground Plumbing - Prior
to filling trench.
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or clecking.Wood Stove - Af ter lnstallation
Post and Beam - Prior to lloor
insulation or decking.lnserl - After firePlace aPProval
and installation of unit.
Blocking and Set-Up - Whcn all
blocking is complete.
Floor lnsulation - Prior to
decking.Curbcut & Approach - After
forms are erected but Prior to
placement of concrete.
Plumbing Conneclions - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to ,illing
trench.Electrical Connection - When
blocking, set-up, ancl plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & DrivewaY - A{ter
excavalion is comPlete, forms
and sub-base materlal in Place.
Water Llne - Prior to lilling
trench.
Fence - When completed
Streel Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirling, decks, and
venting have been installed.Rough Plumbing - Prior to
cover.
-
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WatllCeiling lnsulation - Prior to
cover.
f_-l Drywall - Prior to taPing.
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APPROVED:
EHTNKRWOEDOSPROPEHTONBoCTDISTRLCAR'ro
?ERSTE.GRLRICAISTOtlETt-l edSignbeJMUaoncaSthipplyes'aCoJHhebvcleovadppl'la t1()c.LlaSSill)L)totoc)nal [)rrrloCcr
P.L.GARHSE
N
.)
E
Lot laces
Lot sq. ltg'
Lot coverage
ToPograPltY
Total height
Lot TYPe
lnterior
.-- Corner
,-.,- Panlrandle
Cul-de'sac
This permit is granted orr the express condition tlrat the said
construction shall, in all respects, conform lo 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 orditrances.
DatePlans Rovicwed By
BUILDING VALUE
AND BUILDING P
, PLAN CHECK
ERMIT
Plan Check Fee:
--Date Paid
Fleceipt Number:-
Fleceived By
VALUE
(A)
BUILDING PERMIT
Total Value
Building Permit Fee
State Surcharge
Total Fee
SO. FT. X $/SQ. FT,ITEM
Main
Garage
Carport
Systems Developn'rent Charge is due on all undevelopcd
properties within the City lirnits which are boing irnprovecl.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
N
FT.
FT.
(c)
PLUMBING PERMIT
ITEM
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert / Fi replace Urrit
Drycr Vettt
_a&5_loa&r_ i_6fr /r,r,,t
Bi,00,o
(D)
N0
zf
Vent F::n
2,rtJ
Mechanical Pertnit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood
-/f,-6o -iEto
/o o"
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certity that all
information hereon is lrue and correct, and I f urther certif y
that any and all work performed shall be done in accordance
witlr tlrc Ordinan<:cs c>l tlrc City of Sprinllfir:ltl,;rntl tltc L;twl;
of tlrc Statc of Otcl;on lrcrt;rirring to tllc wotl< clcscril-lctl
herein, and that NO OCCUPANCY will be trr:rde of any
struclure witl'rout pcrtttission of tlre Building Safety Divisi<ltt.
I further certily that orrly contractors and ctrrl;loyces who
are ln compliance with ORS 701.055 will be used on this
prolect.
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
-?4-
=t
gnat
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk _-- ft
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellancous Perrlits (E)
VALIDATION:
RECEIPT NUMBEII
DATE PAID -,
e
z/z
AMOUNT RECEIVED
BECEIVED AY
2Z-rfaS
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
.>5
FT.
-4Q,,E
on the site at all tirnes during construction.
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