HomeMy WebLinkAboutPermit Mechanical 1992-8-17
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RESIDENTIAL
PERMIT APPLICATION
Inspections. 726.3769
Office. 726.3759
TAX LOT' Clf'x- r 1-:-)
LOT' BLOCK: SUBDIVISION:
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ADDnESS:, _}q_c.~ _IV/c"_12fl-t"'t.Q __.r."-Iltfr ---
CITY: _.s./2t(;Yc_F(~{4-.___ STArr., o4'c
OWN En:
Cj L 01 C-
DEscnlBE wonK: '7 "'(.5 7#1' [
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NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERA' '
PLUMBING'
DEMOLISH
OTHER
PHONF'
7f.(7-}7"7-7
~IP:. C?7Y'77
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ADDnESS
CONST,
CONTRACTOR'
EXPIRES
PHONE
MECHANICA' '
(,;1",8,{,/ ;/t!""rl';~'1;)()7 iN S.z6 ffr./6. 7o.S'IS
C,41'V/6et[ ~CErT~/c.
-:!S '/ ,/-:2 'I ~/
ELECTRICA' '
QUAD AREA: ~_\l\DuJ__
# OF BLDCS:
OCCY cnOLJP:
# OF STOHl ES:
WATEn HEATEH: ._
- OFFICE USE -
LAND USE: I LK()
1/ OF UNITS:
CONSTll, TYI'E: -'.tTn---.--
HEAT sounCE:_..tl.t:..
nANCE: _.__._
0-.7/-12.
FLOOD PLAIN:
ZONING CODE: ~
. OF BDnMS: __,..__,
SECONDARY HEAT:
SQUARE FOOTAGE:
To rcqtlcsl Lln inspection, YOtl must call 726-3769. This Is n 24 hour recording. Alllnspccllons requested before 7:00 a.m. wilt be
made tile saflle workinG day. In:ipcctlons requested after 7:00 a.m. will be made the following work day.
o Tcmpor~lry Electric
o Site Inspection - To be made
after excavation, but prior to
settin{] forms.
o
Underslab Plumbing/ElectrlcalJ
Mechanical - Prior 10 cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bomj
beams, grouting. .
o
Foundation - AHcr forms are
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to filling trench.
D
Underlloor Plumblngl Mochanlcal
- Prior to insulation or decking.
D Post nnd Beam - PrIor 10 floor
Insulation or decking.
o
Floor Insulation - Prior to
decking,
o
Sanitary Sewer - Prior to filling
trenetl.
o
Storm Sewer - Prior to filling
trench,
O Water Line - Prior to filling
trench,
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover,
D Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrlcal.power,
o
Fireplace - Prior to facing
materials and framing Insp.
o
Framlno - Prior to cover.
D Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to tapi~g.
D Wood Stove - After In~ltallntlon.
o Insert - After fireplace approval
and Installation of unit.
o
Curbcul & Approach - After
forms are erected but prIor to
placement of concrete.
o
Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material In place.
D Fence - Wtlen completed,
o Stroot Troos - When ~Il required
trees arc planted.
o
Final Plumbing - When nil
plumbing worl< Is complel.c.
D Final Electrical - When all
electrical work is complete.
rfJ1inal Mechanical - When all
T 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 Set,Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
I',
o Electrical Connection - When
blocking, sel.up, and plumbing
Inspections have been approved
and the home is connected to
the service panel.
..
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'I
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting, have been Installed.
Lot faces lot Type .
lot sq, ftg, Interior I PL.
IN
Lot coverage Corner
Topography Panhandle S
Total height Cul.de.sac W
E
BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT,
Main
Garage
C<1rport
Total Value
Building Permit Fcc
Slate Surcharge
Total Fee
(A)
l.. .HE PROPOSED WORK IN THE
., HISTORICAL DISTRICT. OR ON
THE HtSTORICAl REGISTER?
II yes. this applicalion must be signed
<1nd approved by the HistorIcal
Coordinator prior to permit Issuance.
Setbacks
HSE GAR' ACC I
VALUE
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Resldenlial Bath(s)
N'
Sanitary Sewer
FT.
FT.,
Water
Storm Sower
FT.,
Mobile Home
Piumbing Permit
State Surcharge
TOlal Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnscrt/Fireplace Unit
Dryer Vent
Mechanical Perml t
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
,;)
!
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
FEE
IS .00
/O.W
, _I tJ
cY,~ fJS
O/~ ' ')S
APPROVED' '
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condilion that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Sprlnglield, including the
Developmcnt Code. regulating the construction and use or
buildings, and may be suspended or revoked nt any time
upon violation of any provisions or said ordinanccs.
Plan CllCCk Fcc:
Date Pnid:
Receipt Number"
Received By:
Plans F~eviewetl By
Date
Systems Development Charge Is due on all undeveloped
properties within Ihe City Iimlls which are beinu improved.
ADDITIONAL COMMENTS
By signature. I state and agree, that I have carefully examined
the cOl1lpleled application and do hereby certify that all
Information hereon is tlUO and correct, and I further cerlily
that any antl all work performed shall be done In accordance
wllh tlle Ordlnancu3 of the City or Sprlngfiuld. <lnd 1110 Laws
of the Slale of Orc~Jon pertaining to the work dc~crii)cd
herein, and tt13t NO OCCUPANCY will 'be made of any
structure witllOut permission of tile BuildinU Safety Division.
I furttler certify that only contractors and elllployees who
arc In compliance with ORS 701.055 will be used on this
project.
I furlher agree to ensure that all required inspections arc
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
on the site at Vrnes dur\ig construction,
Slgnaturp 'A-f1 U ~
/
Date _<3"- / 'J- . 9 1-
VALIDATION: , t::::'Q Q n
RECEIPT NUM[l~__0~>?,y
DATE PAIr> n. I rr0i<< .'
AMOUNT REC~~ _ J\)5.' l~
RECEIVED [lY (~")
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