HomeMy WebLinkAboutPermit Mechanical 1997-5-30
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Of lice: 726.3759
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TAX LOT.
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SPRINGFIELD
ASSESSORS MAP:
LOCATION OF PROPOSED WORK: / (. :1. 9_~. ~
/7t#)7, 2.r- 32..
LOT:
BLOCK:
.
JOB NUMBER.j1 76~ <(2
225 Fifth Slreet
Spr1nglle1d, Oregon 97477
/+ 2b-o
SUBDIVISION:
. PHONF.
7-'1t.. 7,r~ :J-
OWNER:~ ,;.2~. ~ n 0 ~J..
ADORESS: 1t.:J..q 11J ~..J (,
I
CITY. . /}.tI\ 1.../ . STATE:
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to
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ZIP:J7.o/77
OESCRI~E WORK: ~--, P;;, Ie. f~
NEW REMODEL ADDITION
t.UdJZ.. .fl..u;:t'.9 ;",..-/ :'0-0- .a
DEMOLISH OTHER
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}>,().B._
CON ST.
CONTRACTOR'
III i" ? ../In. 1(').
. ..... ..
EXPIRES -. PHONE
CONTRACTOR'S NAME ADDRESS
GENERAL:~.....P f-/~Yf ~.
PLUMBING: 12')) A1 ,~
MECHANICAl'
x
ELECTRICAL:
- OFFICE USE _
QUAD AREA:
. OF BLDGS.
'OCCY GROUP:
. OF STORIES.
WATER HEATER.
LAND USE:
. OF UNITS.
CONSTR. TYPE:
HEAT SOURCE:
RANG~.
4
~
..
FLOOD PLAIN.
ZONING CODE:
. OF BDRMS.
SECONOARY HEAT:
S~UARE FOOTAGE:_
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be
made the same working day, Inspections requested aHor 7:00 a.m. will be made the following work day.
o Temporary Electric
O Site Inspection - To be mado
after excavatlon, but prior to
seltlng forms.
o Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms Bre
erected but prior to concrete
placemont.
o Underground Plumbing - Prior
to filling trench. .
O Underlleor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Boam - Prior to tloor
Insulation or decking.
o Floor Insulation - Prior to
, decking. .
o Sanitary Sewer - PrIor to fillIng
trench. "
o Storm Sower - Prior to filling
trench.
O . --....
Water Line -' Prior 10\ filling
trench. ----..-- -
o Rough Plumbing - Prior ie
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Rough Electrical - Prior to
cover.
o Electrical Service - Must "be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cove~.
. 0 Wail/Coiling Insulation - Prior to
cover.
o Drywall - Prior to taping,
-"-
s-
O Wood Stovo - After Installation.
o Inserl - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected bllt prIor to
placemont of concrete.
o Sidewalk & Driveway - After
excavation Is completc, forms
and sub-base material In placc.
o Fence - When completed.
o Street Trees - When all required
trees are planted.
o Final Plumbing - When all
plumbing W~"I( Is comp1et.e.
D Final Electrical - When all
electrical work Is complete.
o Final Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Sel.Up - When all
blocking Is complete.
o Plumbing Connoctlons - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set.up, and plumbing
Inspecllons have been approved
and the home Is connected to
the service panel. "
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Install co.
.
Lot faces
Lot Type
Lot sq. fig.
Interior
Lot coverage
Corner
Topography
Total height
Panhandle
Cul.de.sac
.. . .
". ::- .1,\ ....
.
t. IS THE PROPOSEO WORK IN THE.
...HISTOR1CAL OISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance:
Setbacks
I P.L. I HSE GAR 1 ACC 1
IN
Is
Iw
IE
BUILDING PERMIT
ITEM so. FT. X $/SO. FT. ~ VALUE
Main
Garage
Carport
To1al Value
Building Permit Fee
Slate Surcharge
Total Fcc
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanitary S~wer
Water
N'
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
c,: ~~~lns7r~/W1ace Un11
..cr~'9r "SFlt - f' o//:
_fiAt-- IA).:::.i?a'2./ _
Mechanical Permit
meN,
Issuance
State Surcharge
17 j-f-,~r
(D)
Total Permll
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fl
Curbcut
fI
Demolition
State Surcharge
Total Miscellaneous Perrnlls (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
,.
..
FEE
~~
4,JD
JiJ-OV
/0. 0-0
),:20
Uap
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APPROVED:
BUILDING VALUE, PLAN CHECK
ANI? BUILDING PEBMIT .
This permit Is granted on the express condition that the said
constructIon sh'all, In:all respects, conform to the Ordinance
adopted by the City of Springfield, Including the
Dovelopment Code, regulating the construction and use of
buildings, and may be suspended or rovoked at any time
upon violation of any provision.s of said ordinances.
Plan Check Fee.
Oale Paid:
Recel pt Number'
Received By:
. Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properties within tho City limIts which are being Improved,
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carofully examined
the completed application and do hereby certify that all
Information hereon Is true and correct, and I.further certHy
that any and all work performed shall be done In accordance
with tho Ordinances of the City of Sprlngflold, and the Laws
of the State of Orogon p,ertalnlng to tho work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of 1he Building Safety Division.
I further certify that only contractor. and employees who
are In co'npllanco with ORS 701.055 will ba used on this
project.
I further agreo to ensuro that all required Inspections are
reque.ted at the proper tlme,thet oach addre..I. raadable
from tho atreat, that the parm1t card I. locatad attha front
of the property, and the approvad Bet of plana will remain
~ .Ite at all limes during construction.
~1~ature4dAO~~ f! QDJJn ~.
Date C; /~Ah 7 .
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VALIDATION:
RECEIPT NUMBER
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DATE PAl'"
AMOUNT RECEIVED
RECEIVED BY