HomeMy WebLinkAboutPermit Mechanical 1995-10-11
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RESIDENTIAL
PERMIT APPLICATION
Inspections; 726-3769
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ASSESSORS MAP'
:~'....tJ BLOCI\"
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CITY:
NEW
. ADDITION
DEMOLISH
OTHER
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,JOB NUMBER 9") /,?2' ~
225 Fifth Street
Springfield, Oregon 97477
,T~XL.O'r..c?/~7" I .
SUBD\VISION: ^lr!JOkY Ddn-
. PHONE: ~m9?
ZIP: 'S:/!!lJ!J
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CONTRACTOR'S NAME r _
GENERAL: c:::... - ., R LO/.p
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PWMBING: -
"'MECHANICA.L: ~J\/~ ~"7
ELECTRICAl'
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CONST.
AODRESS "'"_ IJ C.ONTRACIOR ,
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- OFFICE USj _
LAND US".
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I SECONDARY HEAT; I
I SOUARE FOOTAGE: ,_
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To reque"t an Inape~tlono you muat c!,1I 728-3769, Thla la a 24 hour re~ordlng. AJllnapectlona requealed before 7:00 a,lII, wll be
made the same working Clay, Inspectlona requesled aller 7:00 a.m. -;111 be made the following work day,
REQUIRED INSPECTIONS
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rvJ Rough Mechanics! ..t. Prior 10
~ cover.
QUAD AREA'
, OF BLOGF"
OCC'( GROUP:
. OF STORIEC"
WI\TER HEATER'
o Temporary Elllelrlc
O Slle Inapactlon - To be mado
aller ""cavatlon, but prior 10
.ettlng lorms.
O Under.lab Plumblng/Eleclrlcall
Mechenlcal - Prior to cover,'
,0 Footing - Aller Irenches ara
. excavated. ,
O Masonry - Steel location, bond
beams, groullng.
'0 Foundallon - Aller lorms are
arected but prlQr to concrete
placement,
O Underground Plumbing - Prior
. to ""lnlt trench. . '
O Undar/loor, PlumbIng/MechanIcal
- Prl'or to InaulatlQn or decking,
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O Poal and 8..m - Prior to lIoor
Insulation or decking.
O Floor Insulallon - Prior to
decking.
O Sanite,ry Sewer - Prior to filling
Irench.
O Slorm Sawer - Prior to filling
trench.
O Water line - Prior 10 filling,
, lrench.
t:J Roug" Plumb'ng - Prior 10
cover. ,
, OF UNITS'
CONSTR. TYPF'
f
HEAT SOURCE:
RANI" c.
o Ro~gh 2JeC:lr:'lcaJ ~ ~rlor to .'
Cover.
o Eloctrlcal Sorvlce - Must be
apprQved to obtain permanenl
eleclrlcal,power. '1 .
O Fireplace - ,Prior to taclng
. maierlal. and lramln J Inap.
O Ftilml"g - Prior to c o>ter.
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W~IICelllnlllnsulallon - Prior to
cov~t '1
o Dry!"all - Prior to taping,
o Wood Sto~ ..:. After nalal/aUon.
o Insen - Aller flrepl. :a apprOVal
.nd"n~lal/allon or Uit. ,
o Curbcul & Approach ~ Aller
fcrms are creeled bu/ prlor to
placement or concreto.
o Sld4!,.,./k .. Drlvewey - After .
excavallcn Is comple 0. lonma
and sub-base motoria In plac...
o Fence -: When comr leled.
D Slreel 1l'... - When all reqUIred
tree. at" planted. .
EXPIRES
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74" T" ,77
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FLOOO PLAIN'
ZONING CODE:
, OF BDRMS'
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o FI...I Plumbing - When all
plumbing W9rk Is complet....
D Final Eleclflcal - Wt,en all
electrlcar work Is complete.
rl7I Final Mechanical - When all
l4-J mechanical work I. complele,
o Final 8ulldlng - When all
required Inspections have be.n
approved end building Is
completed,
o Other
MOBILE HOME INSPEcrION~
o Blocklnll end Set.Up - When a I
blocking's complet..
o Plumb'ng Connectlona - When
homc haa been connocted to
water and sewer.
tJ Eleotrlcel ConnacUon - Wl1en
blOcking, sat'uP. and plumbing
. Inspection, have been approved
and the home Is connected to
the servlee panel.
o FInal - Alter all required
Inspection, are approved and
poroho.. skirting, decks, ana
venting have been Installed.
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~t ~pe. ' , _ THE PROPOSED WORK IN THE,
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Lot fllCes Setbeck.
I P.1.. l , , "-HISTORICM,L DISTRICT, OR ON
Lot .q. fig. Interior HSI! GAR ACC
IN THE HISTORICAL REGISTER?
Lot coverage Corner II yes, this application must be slgl ed
'TOpography Panhandle Is IInd approved by the Hlatori :al
Iw Coordinator prior to permltlssuan, e.
Total heIght Cul-de-sac APPROVeD- ' I
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BUILDING PERMIT
ITEM so. Fr; x $/50. FT. _ VAWE
Main
Garage
Carport
Tolal Value
Building Permit Fee
Slate Surcharg.
Total Fee
(A)
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SYSTEMS DEVELOPMENT CHARGE (SDC)
(6)
PLUMBING PERMIT
ITEM
Fixture.
Realdentlal Bath(s) N'
Sanitary S~wer FT.
Water FT,
Storm Sewar FT.
Mobile Home
Plumbing Permit
Stale Surcharge
TOlal Charge
(C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
N'
WoOd Stova/lnsert/Flreplace Unit
Dryer Vent
FEE
Mechanical Permit ~$ /~ae:>
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Issuance ~ /a.
State Surcharce . :~4-
10(.. ...ermn (0) ..26_2..c> .
MISCELLANEOUS PERMITS
Mobile Home
Stale I""uance
State Surcharge
Sidewalk It
Curbcut II
DemollUon
Slate Surcharge
Tolal Mlacellaneoua Parmlt. (E)
TOTAL AMOUNT DUI! (excluding %!'trlcal)
CA. B, C. D, and I! Combined)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the expresa condlUon that the Sjd
construction shall, In all respecta, conform to the Ordlna Ce
adopted by the City 0' Sprlnglield, Including e
Deve/opment Code, regUlating the construction and us of
buildings, and may be Suspended or revoked at any ti ne
u'pon violation of any provisions of said ordinances, '
Plan Check Fee'
Qate Paid:
Receipt Number
Received By:,
Plans Reviewed Oy
Data
Systema Developmont Charge la duo on all undBVelol ad _
properties within the City II ",Its which are being Improv td,
ADDITIONAL COMMENTS
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By algnature, I elate and agme, that I have carefully eXamln ,d
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the complel8d application and do hereby certlly that a"
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Information hereon Is true and correct, and I further cClrtllY
that any and all work perlormed ehall be done In accordan~,
with Ihe Ordlnanc~a of the City 01 Sprlngfleld, and the UaI 'a
01 the State 01 Oregon pertaining to tho work descrlb'd
herein, and that NO OCCUPANCY will be made 01 a IV
struclum without par mission of lhe Building Safety Olvlalc l\,
I I,urther certify that only contractora and employees w~o
are In compliance with ORS 701.055 will be used on tls
proJecl.
I .....u.., ""'au LV ~11.1.lttl UI~l UII 'VQu~rea InspeCtions; '.
requested at the proper limo, thateac~ addross Is readab ty
'rom the atreel, thallhe permit card Is located at I rt
of the property, and the approved et plan III
on the sUo a durin
Slgnalu
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VAUOATION;
RECEIPT NUMBER /"'9 <'"5 :;>
DATE PAID $-r'/<9S
AMOUNT RECEIVED '2 ~ ?,d!:>
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RECEIVED BY
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