HomeMy WebLinkAboutPermit Mechanical 1995-2-16
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RE:U~:Nmt;-
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.
LOCATION OF PROPOSED WORK: 3'0 I
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LOT'
BLOCK'
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JOB NUMBER
~<;'<o/92
225 Fifth Street
Springfield. Oregon 97477
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SUBDIVISION: ..L
PHONF'
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STATE: .
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DESCRIBE WORK' G<i..f
OWNER:
ADDRESS'
CITY:
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ZIP:_C(. lLQ9
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NEW REMODEL
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ADDITION
DEMOLISH
OTHER
PHONE
CONTRACTOR'S NAME
GENERA' .
PLUMBING'
MECHANICAL'
ELECTRICAl'
I'VLu c1 \tv I \ '../
ADDRESS
CONST.
CONTRACTOR .
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EXPIRES
CfIJI "F" s:tr~c.+-
CLdr-2-S l 't ()
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""1 '(/-, C(C(['"
QUAD AREA-
· OF BLDGS:
OCCY GROUP'
· OF STORIES:
WATER HEATER:
- OFFICE USE -
LAND USE:
. OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGF'
FLOOD PLAIN'
ZONING CODE:_
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an Inspection, ~'OU must CGl'.I1 726-3769. Thlc. :9 a ~t, hour recordIng. An Inspections requested before 7:00 a.m. will be
made the same working day, Inspections requested after 7:00 a.m, will be made the following work day,
o Temporary Electric
o SlIe Inspection - To be made
after excavation, but prior to
setting torms.
o Underslab Plumbing/Electrlcall
Mechanical - Prior to cover.
o Footing - After trenches are
excavated. ~
o Masonry - Steel location, bond
,beams. grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
o Undertloor PlumbIng/MechanIcal
- Prior to Insulation or decking,
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 Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
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.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - PrIor to cover.
i
o WafllC'elllng InsJlatlon - Prior to
cover.
o Drywall - Prior to taping,
o Wood Stove - After Installation,
o Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - Alter
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is completo, forms
and sub.base material In place.
o Fence - When completed.
o Street Trees - When all required
trees are planted. .
o Final Plumbing - When all
plumbing work Is complete,
. .
D Final Electrical - When all
electrical work Is complete.'
o Final Mechanical - When all
meChanIcal work 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 - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set.up, and plu",blng
Inspections have been approved
and the home Is connected to
the service panel.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
Lot faces
Lot sq, Itg.
Lot coverage
Topography
Total ljelght
Lot TYP.
Interior
Corner
Panhandle
Cul.de.sac
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_S THE PROPOSED WORK IN THE,
....HiSTORiCAL DISTRICT, OR ON
"THE HtSlORICAL REGISTER?
II yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Setbacks.
HSE GAR ACe' I
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BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT, ~ VALUE
Main
Ga(age
Carport
Total Value
,
Building Permll Fee
State Surcharge
Total Fee
(A)
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
.
Resldantlal Bath(s)
Sanitary Sewer FT.
, Water FT,
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
Issuahce
State'Surcharge
Total Permit
N'
(C)
N'
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(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcu t
It
Demolition
Slate Surcharge
Total Mlscallaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D. and E Combined)
FEE
/-5'. --
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:26. ~e:o
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the 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 Reviewed By
Date
Systems Development Charge is due on all undeveloped
properties within tho City limits which are being Improved,
ADDITIONAL COMMENTS
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By signature, I stato and agree, that I have carefully oxamlnod
the compleled eppllcatlon and do horeby cortlfy 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 Ordlnanc~s of the City of Springfield, and the Laws
of the State of Orogon pertaining to tho work describod
herein, and that NO OCCUPANCY wllf be made of any
structure without permission of the Building Safety Division,
I furthor 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
from the street, that the pormlt card Is located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
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VALIDATION:
RECEIPT NUMBER / L. '=? ? /'
DATE PAID :< -,./, ..1? ;s;-
AMOUNT RECEIVED --::?~, ':;?=
RECEIVED BY /':2"',..J,"
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