HomeMy WebLinkAboutPermit Mechanical 1993-5-27
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726<1759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP' /702..
LOT:
OWNER:
AODflESS'
CITY'
AM
AIJ
,
DESCRIBE WORK:
NEW __ REMODEL
ADDITION
CONTRACTOR'S NAME
GENERAL-
PLUMBI~'''''
MECHANICAL'
t:..o.N..il'lU. 1U1,.
\j 0
ELECTRICA' '
SPRINGFIELD
53%' tftAtr,.} SPME.-#/1&
3!. cro
BLOCt<'
STATF'
6fL
.
JOB NUMBER_Q3D7-!7
225 Fifth Street
Springfield, Oregon 97477
TAX LOT'
SUBDIVISION:
/..2 /'T1)
Ale!
DEMOLISH
OTHER ><
PHONF' 1?-"'--35;'5'
ZIP: Gf-z1f1t
~ ,?",,4
.~
Vf
Ale a.JJ.-D^.
ADDRESS
CONST,
CONTRACTOR'
EXPIRES
PHONE
t(~1 w, S'fh
1C6'iS-
I~ - '13
3'14-'J-'f8{
- OFFICE USE -
OUAD AREA' LAND USE: FLOOD PLAIN:
. OF BLDGS: . OF UNITS' ZONING CODE:
OCCY GROUP' CONSTR. TYPE: . OF BDRMS'
. OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER' RANGF' SOUARE 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 following work day.
o Temporary Electric
o
Site Inspection - To be made
after excavation, but prior to
setting 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 are
ereclnd !Jut prior to concrete
placement.
o
Underground Plumbing - Prior
to filting trench.
o
Underlloor Plumbing/Mechanical
- Prior to insulation or decking.
D
Post and Bcam - Prior to floor
insulation or decking.
o Floor Insulation - Prior to
decking.
o
Sanitary Sewer - Prior to filling
trencll.
o
Storm Sewer - Prior to filling
trench.
o
Water line - Prior to fitling
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
'fC7f'ROUgh Mechanical - Prior to
~ cover.
D 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 cover.
o Wall/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o ~ood Stove - After Installation.
o Insert - After Cireplace approval
and installation of unit.
o
Curbcut & 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.
o
Fence - When completed.
o
Street Trees - When all requIred
trees are planted.
o Final Plumbing - When all
plumbing work is complet.e.
o Final Electrical - When all
electrical work is complete.
'f\I( 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 Set-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
inspections 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 installed.
.
.'
Lot faces lot Type Setbacks IS THE PROPOSED WORK tN THE
lot sq, flg, Interior I P.L. HSE GAR Accl HISTORICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTEf\?
Lot coverage Corner If yes, this application must be signed
Is I and approved by the Historical
Topography Panhandle \W Coordinator prior to permit issuance.
Total height Cul.de-sac L___
APPROVED'
BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT, ~ VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Main
This permit is granted on the express condition ltlallhc said
construction shall, in all respects, conform to 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 ordinances.
Garage
Carport
Plan Check Fee:
Date Paid:
Total Value
Recel pi Number.
Building Permit Fee
Received By:
State Surcharge
Total Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due On all undeveloped
properties within the City l!mits which are being improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
N'
Sanitary Sewer
FT.,
FT.,
FT.
, '
"1&
..
Water
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
~/..u .
Furnace
Total Permit
(D)
/ oS Ifhf)
//)~
7J
?,7,r
By signature, I state 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 performed shall be done in accordance
with the Ordinances of the City of Springfield. and the Laws
of the Stale of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance with OAS 701.055 wilt be used on this
project.
Exhaust Hood
Vent Fan
N'
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Sidewalk
It
I further agree to ensure that all required inspection~ 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
on the ~~ ~l~ :lr:es duri~~ c~otruc n.-
~ignatu;e , VU~rltJ IF. . -({Mr-
I .
Datp S -eJ1Jf)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Curbcut
It
Slate Surcharge
VALIDATION:
RECEIPT NUMBER
~
Demolition
"'" "-/,,", 7.r
DATE PAin,
AMOUNT RECEIVED
~ 5"5:"'
5/21/93
2~7r
Total Miscellaneous Permits
(E)