HomeMy WebLinkAboutPermit Mechanical 1995-3-22
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
'.
SPRINGFIELD
.
LOCATION OF PROPOSED WORK: .~..6 9' /'
XASSESSORS MAP: n'.::?2- ~$ - rS'
, (LOT: BLOCK:
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JOB NUMBER '9~;;i'5?
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225 Fifth Street
Springfield, Oregon 97477
. TAX LOT:
SUBDIVISION:
o62.e'3
OWNER: ,/7f/'c#A'~D.~ ~~?~~LL
ADDRESf" Cge:;/ ~A-//y 57' .
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DESCRIBE WORK: /J!/7:1'/~ ~~ .h~- .= .4-:/....
CITY'
NEW
REMODEL
PHONE
. STATE:
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ZIP:
"7/7?~
PHONe'
7Y~-5g ;>~
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OTHER
ADDITION
DEMOLISH
ADDRESS
CONST.
CONTRACTOR'
CONTRACTOR'S NAME
-7 GENERAL'
PLUMBING:
MECHANICAL~/'~~;"","~: ~~
ELECTRICAl'
t
EXPI RES
~ €oYa:_~7J"~C.r: ::f . . . .
~-- .:'1.;,'-" j ':5?'7? 7A::"~//~~ :75-Y-2~:
" - . r _
QUAD AREA'
. OF BLDGS'
OCCY GROUP:
. OF STORIES'
WATER HEATER:
- OFFICE USE _
LAND USE:
· OF UNITS:
CONSTR, TYPE:
HEAT SOURCE:
RANGF'
FLOOD PLAtN:
ZONING 'CODE:
. OF BDRMS:
SECONDARY HEAT:_.
SQUARE 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 after 7:00 a.m. will be made the lollowlng work day.
REQUIRED INSPECTIONS
o Temporary Electric
D Site Inspection - To be made
atter excavation, but prior to
settIng forms.
o Underslab Plumblngl Electrlcal/
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior 10 filling
trench..
o Rough Plumbing - Prior to
cover.
lKJ Rough Mechanical - Prior to
Cover.
o Rough Eloctrlcal - 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 cover.
o Wall/C'elllng Insulation - Prior to
cover.
o Drywafl - Prior to taping.
o Wood Stove - After Installation.
o Insert - After fireplace approvel
and Installation of unit.
o Curbcut & Approach - After
forms are erected bllt prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is compicte, (orms
and sub-base materIal In place.
o Fence - When completed.
o Street Trees - When all required
trees are planted.
o Final Plumbing - When [III
plumbing worl< Is complete.
o Final Electrical - When all
electrical work Is complete.
~ Final MechanIcal - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
o Other~' ~.;r,r<~
MOBILE HOME INSPECTIONS
o Blocking and Sel-Up - When all
blocking Is complete.
o Plumbing Connections - 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
Inspecttons are approved and
porch os, skirting, decks, and
venttng have been Installed.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by tho City of Sprlnglleld, 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 ordinances.
Lot faces
Lot TYPO.
. \'( .. .'.. "
'i,'i',
Lot sq. Itg.
Interior
Setbacks
I P.l. I HSE GAR I ACC I
I N I I
I S I I
Iw I I I I
lLLLLJ
Lot coverage
Corne r
Topography
Panhandle
Total height
Cul-de-sac
BUILDING PERMiT
ITEM SQ. FT. X $/SQ. FT. _ VALUE
Main
Garage
Carport
"
Plan Check Fee'
TOlal Value
Date Paid:
Building Permit Fee
Receipt Number:
Received By:
State Surcharge
Total Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
'IS THE PROPOSED WORK IN THE.
. "'HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
APPROVED:
Systems Development Charge Is due on all undeveloped
properties within tlw City limits which are being Improved.
PLUMBING PERMIT
ITEM
FEE
ADDITIONAL COMMENTS
By signature, I statc 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
that any and all work pcrformed shall be done In accordance
with the Ordinances of the City of Springfield, and the Laws
of the Stalc of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission ol the Building Safety Division.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
I further agree to ensuro that all re~ulred Inspections are
requested at the propor 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 all times durIng construction.
Signature tI/,,~ /
3-zz-Rs-
RECEIPT NUMBER /hC:iS/
"3~< 2-5!&--
AMOUNT RECEIVED ~ ~ ::;:>-
~,~_ z--_
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Fixtures
Resldenllal Bath(s) N'
Sunilary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace t#,c~
~.......
Exhaust Hood
Vent Fan
N'
Wood Stove/lnsert/Flrcplace Unit
Dryer Vent
Mechanical Permit
~~.
~
/?,-
/P.'~
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26.;a,::::.
Issuance
Slale Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Dat~
Curbcut
It
Demolition
State Surcharge
VALIDATION:
Total Miscellaneous Permits (E)
DATE PAID
TOTAL AMOUNT DUE (excluding electrical)
lA, B, C, D, and' E' Combined)
RECEIVED BY