HomeMy WebLinkAboutPermit Mechanical 1996-3-8
RESIDENTIAL
PERMIT APPLICATION
Inspecllons: 726.3769
Office: 726.3759
LOCATlO~ OF PROPOSED WORp: As-<=(
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JOB NUMBER
225 FllIh Slreet
Sprlnglleld, Oregon 97477
Nor i'-'. .,. ..aU:..
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TAX LOT:
LOT'
BLOC/'"
SUBDIVISION:
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$D~
OWNER'
PHONF'
ADDRESP'
CITY:
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ZIP:~l'lll
STATF' .
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DESCRIBE WOR/'"
,'~I~cT
NEW
REMODEL
ADDITION
DEMOLISH
OTHER
CON ST.
CONTRACTOR .
CONTRACTOR'S NAME
GENERAl'
PLUMBING:
MECHANICAL:}1 e..~ ~ ~ \ ~
ADDRESS
EXPIRES
PHONE
1-\ <A.-1 ;~
Lf1(O (") I~., ....f I,. SDU
~ 'l....S'"1'1 (")
"f,DS 7. YI-7'(:1S
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ELECTRICAl'
- OFFICE USE -
QUAD AREA:
· OF BLDGS:
OCCY GROUP'
. OF SlORIES:
LAND USE:
FLOOD PLAIN'
ZONING CODE: _
. OF BDRMS'
· OF UNITS'
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
SECONDARY HEAT:
SQUARE FOOTAGE:
WATER HEATER'
To requesl an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested belore 7:00 a,m. will bo
made the same working day, Inspections requested aller 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
~ Mochanlcal - Prior to
cover.
o Temporary Electric
o Final Plumbing - When ell
plumbing work Is completo.
O SlIe Inapectlon - To be mado
aller excavation, but prior to
setting forms.
o Rough Electrical - Prior to
cover.
o FInal Eleclrlcal - \^.'.hen all
electrical work Is complete. C
~echanlcal - When all
mechanical work Is complete.
o Underslab Plumblng/Electrlca"
Mechanical - Prior to cover.
o Electrical ServIce - Must be
approved to obtain permanent
electrical power.
o Footing - Aller trenches are
excavated. :
o Final Bulldlng - When all
required Inspections have been
approved and building Is
completed.
o Fireplace - Prior to facing
materials and Iramlng Insp.
o Masonry - Steal location, bond
.beams, grouting,
O Foundation - Aller torms are
erected but prior to concrete
placement.
o Framing - Prior to cover.
I
o Wail/Ceiling InsJlatlon - Prior to
cover.
o Other
o Underground PlumbIng - Prior
to filling trench.
o Drywall - Prior to taping.
MOBilE HOME INSPECTIONS
O Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Wood Stovo - After Installation.
o Post and Beam - Prior to floor
Insulation or decking,
o Blocking and Sot-Up - Whep all
blocking Is complete.
o Insarl - After lire place approvol
and Installation 01 unit. .
o Floor Insulation ...:. Prior to
decking. -
o Plumbing Connoctlons - When
home has been connected to '
water and sewer.
o Curbcut & Approach - Alte,
forms are erected but prior 10
placement of concrete.
o Sanitary Sewer - Prior to filling
trench.
o Electrical Connection - When
blocking, set-up, and plurT,lblng
Inspections have been approved
and the home Is connocted 10
the service panel.
O Sldawalk & Driveway - After
excavation Is completo, forms
and sub.base material In place,
o Storm Sewer - Prior to filling
trench.
o Fence - When completed.
o Water Line - Prior to IIIl1ng
trench.
o Final - Alter all raqulred
Inspecllons are approved and
porchos, skirting, decks, and
venting have been Installed.
o Rough Plumbing - Prior to
cover.
o Street Treea - When all required
trees Bre planted. ..
Lot faces
Lot sq. fig.
Lot coverage
Topography
Totel ~elghl
BUILDING PERMIT
ITEM SQ. FT.
Main
Gacage
Carport
Total Value
Building Permit Fee
State Surcharge
Tolal Fce
.
Lol Type
Interior
Corner
Panhandle
Cul-de-sac
X $/50. FT.
(A)
-~. I
...., \
~ . ~ "
'P.L.
N
Is
Iw
IE
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
.
Residential Bath(s)
Sanitary Sewer FT.
. Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhausl Hood
Vent Fan
N'
(C)
N'
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State'Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
Slate Issuance
Stale Surcharge
Sidewalk
fI
II
Curbcul
Demolition
Slate Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding olectrlcal)
(A, B, C, 0, and E Combined)
FEE
~)) ,CO
tV.DO
ci/i6
.,.,; '.';"'<;;I~)'i'i
, ". " ~
Se I bac ks
HSE GAR
'IS THE PROPOSED WORK. IN THE _
. "HISTOBICAL DISTRICT, OR ON
"THE HISlORICAL REGISTER?
II yes, this application must ba signed
and approved by the Historical
Coordinator prior to permit Issuance.-
ACe' I
I
I
I
I
I APPROVEI"
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT .
This permllls grented on Ihe express condition that the seld
construction shall, In all respects, conform to the Ordinance
adopted by the City. of Springfield, Including the
Davelopment Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of sold ordinances.
Plan Check Fee:
Date Paid:
Receipt Numbar'
Received By:
Plans Revlewad By
Date
Systems Development Charge Is due on all undeveloped
properties within tho City limits which are baing Improved.
ADDITIONAL COMMENTS
\rd I ~ ~ (","" ~.b
f I 6')$,00
By signature, I stale and agree, that I have carefully examined
the compleled eppllcatlon and do hereby certify that all
Informatlon 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 Clly of Springfield, and the Laws
of the State 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 ORS 701.055 will be used on this
project.
I further agree to ensure that all required Inspections are
requested at the proper time, that each address Is readable
tram the streel, 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 urlng constructlon.\ d,1
Signature rf"'"
50 -9-<(
Data
VALIDATION: f)
RECEIPT NUMBER 0( ()rfl- I
DATE PAID ~~, A ,qi",
AMOUNT RECE'!!t.c&fO-' m
RECEIVED BY _)