HomeMy WebLinkAboutPermit Mechanical 1996-11-20
RESIDENTIAL
PERMIT APPLICATION
Inspecllons: 726.3769
Office: 726.3759
.
SPRINCFIELD ,I.k..",
LOT'
OWNER: !v(E2'I.
ADDRESS: '-3 2-I"J .~
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BLOCK:
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CITY:
IYV;
STATE: _/1hf'
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JOB NUMBER
'9 ~/? ~ <: 7
225 Fifth Slreet
Sprlnglleld. Oregon 97477
(1-f6CJ 3 p4 )
TAX LOT' 6500 I
SUBDIVISION:
PHONF'
ZIP:
q7d7~
(I- ,
DESCRIBE WORK'
Fzr~~ I ~O. "'~ /.!rz,,)
/
NEW
REMODEL
CONTRACTOR'S NAME
GENERAl'
PLUMBING'
MECHANICA' .
ELECTRICAL:
r?/~ /A /?);1"
~~. dd'?'T
QUAD AREA'
. OF BLDGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER:
ADDITION
DEMOLISH
OTHER
ADDRESS
CaNST.
CONTRACTOR'
PHONE
REQUIRED INSPECTIONS
o Rough Mechanical - PrIor to
cover.
o Rough Electrical - Prior to
cover.
o
Electrical Service - Must be
approved to obtain permanent
electrical power.
- OFFICE USE -
LAND USE: _,_
. OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:_
EXPIRES
FLOOD PLAIN:
ZONING COOE:__
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an Inspection, you must call 726-3769. ThIs Is a 24 hour recording. All fnspectJons requested berore 7:00 a.m. will be
made the same workIng day, Inspections requested after 7:00 a.m. will be made the followIng worl( day.
o Tomporary Eloctrlc
. 0 Site Inspection - To be made
after excavation, but prior to
setting forms.
o Undcrslab Plumbing/.Elcctricnl/
Mochanlcal - Prior to cover.
o Footing - After trenches are
excavated.
o
Masonry - Steel locatlon, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to filling trench.
o
Underlloor Plumbing/Mechanical
- Prior to Insulation or decl<lng.
o
Post and Beam - Prior to floor
Insulation or decking.
o
Floor Insulation - Prior to
decking.
'.
o
Sanitary Sewer - Prior to filling
trench.
o
Storm Sewor - Prior to filling
trench.
o Wator Line - Prior to filling
trench.
o Rough Plumbing - Prior 10
cover.
o Fireplace - PrIor to facing
materials and framing Insp.
o Framing - Prior to cover:
o Wall/C'oiling Insulntion - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stovo - After Installalion.
o Insert - After fireplace approval
and installation of unit.
o
Curbcut & APP~<Jch - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Dril.ewav - After
excavation Is complete, forms
and sub.base rraterlal In place.
o Fenco - Whon completed.
o Stroot Treos - Wh~n all required
trees are planted. '.
o Final Plumbing - When all
plumbing worl< Is complete.
, .
~ Final Electricnl - Wt1en all
~trical worl< Is complete.
'tV( Final Mcchnnicnl - When all
~mechanical worl< Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
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MOBILE HOME INSPECTIONS
o Blocking and Set.Up - WIlen all
blocklno Is complete.
o Plumbing Connections - When
home has been COnnected 10
water .'J.nd Sewer.
o Electrical Connection - When
blocking. set.up, and plumbing
Inspections hnvc been approved
and the home is connected to
the service panel.
o
Final - After all required
Inspections are approved and
porches, sl<lrting, decks, and
venting have been Installed.
LOI faces
Lot Type
Lol sq. fig.
Interior
Lot coverage
Corner
Topography
Total height
Panhandle
Cul.dc-sac
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
Main
Garage
Carport
Total Value
Building Permit Fcc
Slate Surcharge
Total Fcc
(Al
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N"
Sanitary S~wer
FT.
Water
FT.
Storm Sewer
Fl'.
Mobile Home
PlumbIng Permit
Slale Surcharge
Jotal Charge
(C)
MECHANICAL PERMIT
Furnncc
Exhaust Hood
Vent Fan
N'
Wood StoveflnsertlFlreplace Unit
Dryer Vent
~A:J UL.//"'-
Mechanical Permit
Issuance
Slate Surcharge
,7rr."c.F
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stale Surchnrgo
. Sidewalk
It
Curbcut
II
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT OUE (exclu{llng electrical)
(A, 0, C, 0, iJncJ E COlllblnc<l)
.
/
Setbacks
r PL: I HSE;;~R ' ACC I
I N I
I S I
I
.'~1-'1
VALUE
"
FEE
,IJ?;,V
~~,
/5"&0
1&"'-0
/<0
2..0 .2-0
.,u'!{),
tHE PROPOSED WORK iN THE
"HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
. \
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction st-i'alr>inall respects. conform to the Ordinance
adopled by the City oi Springlield. 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 Chccl< Fcc:
Date Paid:
Receipt NlJrnbcr:_~.
ReccivecJ By:
Plans Reviewed Oy
Dale
Systems Development Charge ,Is due on all undeveloped
properties within the City limils which are being improved.
ADDITIONAL COMMENTS
By sIgnature, I state Dnd Dgree, thai I have carefully examined
the completed appllcalion and do hereby certHy 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 Sprlngfleld, and the Laws
of ttle State of Oregon perlainlng to tho work described
herein, and thai NO OCCUPANCY wlll be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
arc in compliance with ORS 701.055 will be used on thIs
project.
r further agree to ensure that all required Inspections are
requested at the proper time, lhat each address Is roadable
from the street, that the permit card Is located at the front
of the property, and the approved set of plans will remaIn
on ~~~ ali li)(!' during c:;<:ctlon.
Slgnature/ l., /^ .;'F~
- I .. --
Date
;(-/9-'70
,
VAliDATION:
RECEIPT NUMBER ()d3 '(.57
DATE PAID I,,... /J7') -Cj (-7
~MOUNT RE'C~tvED.t&-l ( 17 . ?V
IIECEIVED DY -O..:uuI'f13chGri 0