HomeMy WebLinkAboutPermit Mechanical 1997-9-9
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.
SPRINGFIELD
LOCATION OF PROPOSED WORK'
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ADDRESS' 3 Z 7 '7 ~~" 5"-""- -t
CITY' S"~./"""'" ,(2"..f/
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LOT:
OWNER'
BLOCK'
STATF'
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NEW
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GtIJ S FU/ J1 ^-U-
DESCRIBE WORK'
REMODEL
CONTRACTOR'S NAME
GENERA' . An.., S'
ADDITION
DEMOLISH
OTHER
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JOB NUMBER 9"//3';>"")
225 Fiitll Street Cf7tlJ/ '3 3 ?-
Sprlnglleld, Oregon 97477
TAX LOT: ~':';:;>d1e:s
SUBDIVISION'
PHONE:_74'/ - 55j'1'~
ZIP:
97~ 17
ADDRESS
~"T"7 II h
CONST.
CONTRACTOR'
<:,/.? ".?9 6'
EXPIRES .C> PHONE
<;/6/-7/0/
PLUMBING'
MECHANICA' .
5J1~<;
fled~/.(('
/O/Cl ~,;,,, sY'".I?",
ELECTRICAl'
QUAD AREA'
. OF BLDGS'
OCCY GROUP'
. OF STORIES:
WATER HEATER:
- OFFICE USE -
LAND USE:
· OF UNITS'
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
7"7J"l1f'
<;/..<~ /0'/
FLOOD PLAIN'
ZONING CODE: _
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request 8f" Inspe"::tlon, you must call 726.3769. This Is a 24 hour recordIng. All Inspections requested before 7:00 a.m. will be
made the same working d~y. Inspections requested after 7:00 a.m. will be made tho followIng work day.
REQUIRED INSPECTIONS
D Temporary Electric
D Silo Inspection - To be made
after excavation, but prior to
seltlng forms.
D Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
D Footing - After trenches are
excavated.
D Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms are
erected but prior to concrete
placement.
D Underground Plumbing - Prior
to filling trench.
D Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulallon or decking.
D Floor Insulation - Prior to
decking.
D Sanitery Sewer -. Prior 10 filling
trench.
D Storm Sewer - Prior 10 filling
trench.
D Water Line - Prior to filling
trench.
D Rough Plumbing - Prior to
cover.
o Rough Mochanlcal - Prior to
ver. .6
)' 1'.5
Rough Ele~lrlcal - 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 - P~lor to cover.
D Wall/C'elllng Insulallon - Prior to
cover.
D Drywell - Prior to taping.
D Wood SIOVD - After Installallon.
D Insert - After fireplace approvlSl
and Installation of unit.
D Curbcut & Approach - After
forms are erected but prior to
placemont of cone rote.
D Sidewalk & Drlvewav - After
excavation Is complete, forms
and sub.base mat~rlar In place.
D Fence - When completed.
D Slreel Treos - Whun all required
trees are planted.
D Final Plumbing - When all
plumbing W9rl( Is complet.c.
D Final Electrical - When all
electrical work Is complete.
~ Final Mechanical - When all
mechanical work Is complete.
D Final Building - WhOrl all
required Inspections have been
approved and building Is
completed.
!Xl Other r/~ 6r
,..-~ ~Y.:"C..,..-
----.""> - ..
MOBILE HOME INSPECTIONS
D Blocking end Set.Up - Wilen all
blocking Is complete.
D Plumbing Connecllons - When
home has been connected to
water and sewer.
(
D Electrical Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and tile home Is connected to
the service panel.
D Final - After nil required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
Lol faces
e.
;-.'.' :'.'
e
Lot Type
,'; ,
LOI sQ. fig.
Interior
Setbacks
P.L. I HSE ~R ' ACC ,
----
IS THE PROPOSED WORK iN THE.
"'HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, Ihls appllcallon must be sIgned
and approved by Ihe Hlslorlcal
Coordinator prIor 10 pennll Issuance.
lOI Coverage
Corner
~----
Topography
TOlal height
Panhandle '
S
~-=ij
APPROVED:
CUI.de.sac
BUILDING PERMIT
ITEM SO, FT. X $/SO, FT. _ VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Main
Garage
CarpOr!
"
ThiS permit Is granled on Ihe express condillon Ihalthc said
construcllon shall, In all respecls, conform to lhe Ordinance
adopled by the Clly 01 Springfield, Including the
Development Code, regulaling the conslrucl/on and use of
buildings, and may be suspended or revoked at any time
upon violalion of any prOVisions of said oreJin<lnccs.
Plan Check Fee:
TOlal Value
Dale Paid:
Building Permit Fce
Receipt Number:
Slale SUrCharge
Received By:
Tolal Fee
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
(A)
Plans RevlcWCCIiiY--'-
Date
PLUMBING PERMIT
ITEM
Syslems Developmenl Charge Is due on all undeveloped
propertles wllhln the City limits WhiCh are beIng Improved.
Fixtures
FEE
ADDITIONAL COMMENTS
Resldenllal Bath(s)
N'
Sanllary S~wer
Water
FT.
FT.
FT.
Storm SeWer
Mobile Home
Plumbing Permll
Slate SurCharge
TOlal Charge
Furnaco
MECHANICAL PERMIT
(C)
Exhaust Hood
State Surcharge
?~.
/5;-
--0
//.7.
.~-
.. <07-=;,
'26.:<.e:>
By signature, I otBto and agreo, that I have carofully oxamlned
the completed application and do hereby eartHy that 011
Information hereon Is Irue and correct, and I further cerllfy
that any and all work performed shall be done In accordance
with the Ordlnencus of tho Clly of Springfield, and the Lews
01 tho Slate of Oregon pcrlalnlng to tho worl( doscrlbed
herein, and thai NO OCCUPANCY will be made 01 any
structure without porrnlsslon of Ihe Building Snfoly DivIsion.
I further certify that only contractors and employees who
are In compliance with OAS 701.055 will be used on this
project.
I further agree to (lnsuro that all required Inspections are
requested allhe propor time, Ihat 09ch addreas Is readable
from tho Slteel, thot tho pormlt cord Is locatod at Ihe front
of Ihe property, end lhe epproved eel 01 plene will remain
on the sit"U:~trucllon.
Signature ,_.
"l- ~- =; )
Date
Vent Fan
N'
Wood SlovellnsertlFlreplece Unit
Dryer Vent
Mechanical Permit
Issuance
Total Permit
(0)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcul
II
I
Demolition
Slate Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
lA, B, Co 0, and E Combined)
VALIDATION:
RECEIPT NUMBER '7?:'3c/~
DATE PAID ""7 -<7 -5;,..
~.
AMOUNT RECEIVl"D~~
RECEIVED BY . , _