HomeMy WebLinkAboutPermit Mechanical 1996-3-20
RESIDENTIAL . .
PERMIT APPLICATION - -~
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROP?R~O~~ " JP 2. )
ASSESSORS MAP: ~
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JOB NUMBER
225 Flflh Streel
Springfield, Oregon 97477
TAX LOT: DltfJ1X.)
SUBDIVISION:
OWNER'
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Ma.-r; l..V\ P~(),..l-c.... PHONF'
102-3 f\{<(.....C'L. A-JL
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ADDRE~'"
CITY:
ZIP:_l:i7'{ 77
DESCRIBE WOR....
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NEW
REMODEL
PHONE
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F;r < flo((' ~
ADDITION
DEMOLISH
OTHER
ADDRESS
CONST.
CONTRACTOR'
CONTRACTOR'S NAME
GENERA' .
PLUMBIN'"
MECHANICAL: ~ MJ' t.-.t\\!r t-\ ~"\-J\..!L.
ELECTRICA' .
EXPIRES
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v -, c.c... t:t>2St'fO \2-/1..3/'t.(
- OFFICE USE -
QUAD 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' RANG'" SQUARE FOOTAGE:
To request an Inspection, you must cafl 726-3769. This Is a 24 hour recording. Afllnspecllons requested before 7:00 a.m. will be
made the same working day, Inspections requested ofter 7:00 a.m. will be made the following work day.
D Temporary Eleclrlc
D Site Inspection - To be mado
atler excavation, but prior to
seltlng forms.
D Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
D Footing - After trenches are
excavated. :
D Mesonry - Steel location, bond
.beems, groullng.
D Foundation - After forms are
erected but prior to concrete
placement.
D Underground Plumbing - Prior
to flfIlng trench. .
D Underlloor Plumbing/MechanIcal
- Prior to Insulallon or decking.
D Post and Beam - Prior to floor
Insuletlon or decking.
D Floor, Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling'
trench.
o Storm Sewer - Prior to filling
trench.
D Water Line - Prior to filling
trench.
D Rough Plumbing - Prior 10
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Rough Electrical - Prior to
cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
D FIreplace - Prior to facing
materials and framing Insp.
D Framing - Prior to cover.
I
D Wail/Ceiling InsJlatlon - Prior to
cover.
D Drywall - Prior to taping.
D Wood Slovo - Aftor Installation.
D Inserl - Alter fireplace approv41
and Instaflatlon of unit.
o Curbcut & Approach - Afler
forms Bre erected but prior to
placement of concrete.
D Sidewalk & Driveway - After
excavation Is completo, forms
and sub-base material In place.
D Fence - When completed.
o Street Trees - When all required
trees are planted. :
D Flnel Ptumblng - When all
plumbing w9rk Is complete.
o Final Electrical - \llll'ien all
electrical work Is complete. C
o Flnel Mechanical - When alf
mechanical work Is complete.
D Final Building - Whon all
required Inspections have been
approved and butldlng Is
completed.' .
M;;"~OME I
o Blocking and Set. Up - Whep all
blocking Is complete.
o Plumbing Connoctlons - When
home has been connected 10 .
water and sewer.
D Electrical Connection - When
blocking, set.up, and plufllblng
Inspecllons have boen approved
and the home Is connccled to
the service panel.
o Final - Afler all roqulred
, Inspections Bre approved and
porches, skirting, decks, and
venting have been Installed.
"~' ~ ,. . .' " ; . t; ~.j1 jl :~. ::w I
Lot Type- , '. ,,\.' ~ :'~IS THE PROPOSED WORK, IN THE _ '
'.',. \
Lol faces Setbacks,
InterIor 1p.L. HSE GAR ACe' I HISTOI'lICAL DISTRICT, OR ON
Lol sq, ftg, IN I "THE HISTORICAL REGISTER?
Lot coverage Corner If yes, lhls application must be signed
Is I and approved by the Historical
Topography Panhandle I~ I Coordinator prior to permit Issuance.,
Tolal ~elght Cul-de-sac IE I
'i APPROVED'
BUILDING PERMIT
ITEM SQ, FT,
X $/sa, FT.
VALUE
Main
Ga(age
Carporl
"
Total Value
Building Permit Fee
State Surcharge
, Tolal Foo
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(6)
PLUMBING PERMIT
ITEM
FEE
Fixtures
,
Residential Bath(s) N'
San I iary Sewer
, Water
FT.
FT,
FT,
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Totaf Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
I ~,OO _
I () UJ
-, (_ 6IU
rU\p ,~.r)
Issuahce
State'Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
It
Curbcut
Demolition
State Surcharge
, Tolal Mlscotlaneous Pormlts (E)
TOTAL AMOUNT DUE (excluding electrical) &LfJ. 121:)
(A, B, C, 0, and E Comblnod)
,
BUILDING:VALUE, PLAN CHECK
AND BUILOING PERMIT
This permit Is g~anted on the express condition that 'he 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.
Plan Check Fee:
Date Paid:
Receipt Number'
Received By: ':
Plans Rovlewed By
Date
Systems Developmont Charge Is due on all undeveloped
properlles within tho City limits which are being Improved,
ADDITIONAL COMMENTS
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c-f Wel( t
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By signature, I stalo and agree, that I have carefully examined
the completed;appllcatlon and do hereby certify that atl
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 Ihe City of Springfield, and the Laws
of the State of Oregon pertaining to tho work described
herein, and thai NO OCCUPANCY will be made of eny
structure without permission of the Building Safety Division.
I further certify .that only contractors and employees who
are In compllan~e with ORS 701.055 will be used on this
project.
I further agree to ensure thai all required Inspections are
requested at the proper time, that each address Is readable
from the street,:thal the permit card Is located at Ihe front
of the property, 'and the approved set of plans will remain
on the site at all limes during construction.
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Signature
Datp
VALIDATION:' ~h 1
RECEIPT NUMB~R r !) I/O
DATE PAlf'I ,'3 '!JI:;^' h
AMOUNT RECE~ c51(o .'!1()
RECEIVED BY, COO)
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