HomeMy WebLinkAboutPermit Mechanical 1997-7-21
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LOCATION OF PROPOSED WORK' 5/rO
/ 7023 j Do
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
ASSESSORS MAP'
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DESCRIBE WORK: YlA..h Du.\\
OWNER'
ADORES'"
CITY:
NEW
REMODEL
CONTRACTOR'S NAME
GENERAL:
PLUMBING'
MECHANICAL'
ELECTRICAl'
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SPOINGI'IELO
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JOB NUMBER
225 Filth Street
Springfield. Oregon 97477
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BLOCK:
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TAX LOT:
SUBDIVISION:
~r e.st\;Y- PHONE:
)~ '-- 35' .?(
STATE: -0 f..
ZIP:
Q,7<-f17
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ADDITION
DEMOLISH
OTHER
ADDRESS
CONST.
CONTRACTOR'
EXPIRES '- PHONE
YI-.
- 2-s;' 790 I '2..{2.'~ /eq
"1/10 QI'1Y""".o:c
7 Y'l '-f\.{l[~~
H eo.. t- I' "r.-
.
E' i\-lE Wofl,l<oFFICE USE -;-
QUAD AREA:~O"\C ',_ !:,UI'>.\ l E~PIRE Irj,"'M:rl$J~i '
5 Pr.\'INII' ~, ' \-115 PE\,\wlrr'
· OF BLDGS:i\-l1 'rl:"\\IlOER~;. O~itr~TS:
/>.Ui\1U\,\' .. S />.\3/>.NO -
OCCY GROUP: -HeW OR I CONSTn. TYPE: ___
COloAM~ 100, :
· OF STORIES: 1iJff~t.,( pER HEAT SOURCE: '
WATER HEATER: RANGE: __
.(f~
cq 7 '(7~
FLOOD PLAIN:
ZONING CODE: _
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an Inspection, you must call 726.3769, This Is a 24 hour recording, Alllnzpecllons requested before 7:00 a,m, will be
made tho same working day. Inspections rcquesled after 7:00 a.m. will be made tho following work day.
D Temporary Eleclrlc
D Site Inspocllon - To be mado
aller excavation, but prior to
. setting lorms.
D Underslab Plumbing/ Electrlca"
Mechanical - Prior 10 cover.
D Footing - After trenches are
excavated.
D Masonry - Steel location, bond
beams. grouting,
D Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
. to filling Ircnch, .
D Underlloor Plumbing/Mechanical
- Prior to Insulation or decking,
o Post and Boam - Prior to floar
Insulation ar deckIng. .
7 . , ,
~ \ ' , ' ,
D Floor Insulation - Prior to '
decking, \: _:
, '
o Sanitary Sowor - Prior to filling'
trench.
D Slorm Sewor - Prior to IlIlIng
lrench. I.
O Waler L1no -' Prior to IIIlIng
. trench. "
D Rough Plumbing - Prior 10
caver.
REQUIRED INSPECTIONS
D Rough Machanlcal - Prior to
cover. ,
o Rough Electrical - Prior ta
cover.
o Electrical Servlco - Must be
. approved ta obtain permanent
electrica.l power.
o Flreplaco - Prior to facing
malerlals and framing Insp.
D Framing - Prior to cover.
D Wall/e'olllng Insulnllon - Prior to
cover.
o Drywall - Prior to la~lng,
D Wood Slovo - Attor Installation,
o Insert - After fireplace approvo'
and Installallon of unit,
D Curbcut & Approach - After
forms are crocted but prior 10
placomonl of concrolc,
o Sidewalk & Driveway - After
excavation Is complote, forms
and sub.base material In place.
o Fonce ~ \-VllOn completed.
o !Hreol Troos - Whon all required
trees are planted.
D Final Plumbing - When ell
plumbing worl' Is comptet,e.
o Final Eloctrlcal - When all . I
electrical work Is complete,
~nal Mochanlcal - When all
~anlcal work Is complele,
o Final Building - When all
required Inspections have been
approved and buildIng Is
cornplelod.
DOlhor
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete,
D Plumbing Connoctlons - When
homo has been connected to
wa ler and sewer.
o Electrical Connoctlon - When
blocl(lng, set-up, and plumbIng
Inspecllons havo beon approved
and the homa Is connecled to
the service panel.
D Final - Afler all required
Inspccllons are approved and
porches, skirting, decks, and
vcnllng have been Inslalled,
BUILDING PERMIT
ITEM SQ, FT,
X $/SQ, FT. ' ~
Main
Garago
Carport.
Tolal Value
Building Permll Fee
State Surcharge
Total Feo,
(A)
VALUE
. I
"
"
(B)
SYSTEMS D~VELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Flxlures
Residential Bath(s)
N'
Sanllary Sewer
Waler
FT,
Slorm Sewer
FT,
FT.
Mobile Home
Plumbing Permit
Slate Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
/
Vent Fan
N'
Wood StovellnserllFlreplace Unll'
Dryer Venl
~d fMAM-f-
Mechanical Permll
Issuance
State Surcharge-1 '11(7 /.duM^-- fa.
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
Slate Issuance
Slate Surcharge
Sidewalk
It
Curbcut
It
Damolltlon
Slale Surcharge
Tolal Miscellaneous Permlls (E)
TOTAL AMOUNT DUE (excluding eleclrlcal)
(A, 13, C, 0, and E Combined)
FEE
['1,0-0
lO.tJ1J
, 75"
, "5"
rJ.h,2(}
p6.;)j)
. "' .
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
, This permllls gran led on the express condition Ihatlhe aald
construction shall:ln all respects, conform 10 Ihe Ordinance
adopled by: ;\~e City, 01 Springfield, Including the
Developmenl Code, regulating Ihe construction and use of
buildings, and may be suspended or revoked at any time
upon violation of OilY provisions of said ordinances.
Plan Check Fee:
Dale Paid:
ReceIpt Number"
Received By:
Plans Revlewed-'l3y"'--'--
Date
Systems Dovelopment Charge Is.duo on1 all undevelopod
proportlos within Iho City limits which Bre being Improved.
ADDITIONAL COMMENTS
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By signature, I otate and agree, Ihall have carefUlly examined
Ihe completed application and do horeby certify Ihal all
Informallon horeon Is true and correcl. and I 'urther certify
Ihat any and all work performed shall be done In accordance
wllh Ihe Ordlnancus of the Clly of Springfield, and Ihe Laws
of Ihe Slala 01 Oregon pertaining to Iho work described
herein, and Ihal NO OCCUPANCY, Y'III ba made of any
struclure wllhoul permission of the Building Safely Division.
I furlher cerllly lhat only contraclors and emptoyees who
are In compliance wllh ORS 701,055 will be used on this
prolec\.
I furl her agreo to ensuro thai all required Inspecllons are
requested allhe proper lime, that each address la readable
from tho street, thallhe permit card Is localed al the front
of the properly, and IhQ..<lpproved sel 01 plans will remain
on the site al all 1:es during construcllon,
Slgnalure ~_./\ ~ Vj~
(- l~-q 7
Oat.,
VALIDATION:
RECEIPT NUMBER 2 & 7 ftJ ~
7- 'J.-I -17
AMOUNT RECEIVED :l..h -H~
~
DATE PAID
RECEIVED BY