HomeMy WebLinkAboutPermit Mechanical 1995-3-3
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SPRINGFIELD ,
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726,3759
LOCATION OF PROPOSED WORK' /t./"7' '7 p-~~~~.~"
ASSESSORS MAP' /) 'O~ ~.02: y-? ~ .
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JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
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TAX LOT:
LOT:
BLOCK'
SUBDIVISION'
OWNER: /' ~~~ ~~J' L./L E"
ADDRESS:' / "9? ~~
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DESCRIBE WORK' 6/ ;'-b-/ ./
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PHON'"
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CITY:
STATE:
ZIP:
NEW
REMODEL
ADDITION
DEMOLISH
OTHER
CON ST.
CONTRACTOR .
CONTRACTOR'S NAME
GENERAl'
PLUMBING'
ADDRESS
EXPIRES
PHONE
MECHANICAl' ~.hA'/;~"-r
~
ELECTRICA' .
- OFFICE USE -
QUAD AREA: LAND USE: FLOOD PLAIN:
. OF BLDGS' . OF UNITS: ZONING CODE: _
OCCY GROUP' CONSTR. TYPE: . OF BDRMS'
. OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER' RANGE: SQUARE FOOTAGE:
To requesl an Inspection, 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 day. Inspectlons requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
D Temporary Electric
o Rough Mechanical - Prior to
cover.
o Final Plumbing - When all
plumbing w9rk Is camplet.e.
D Site Inspection - To be made
after excavation, but prior to
setting forms.
o Rough Electrical - Prior to
cover.
o Final Electrical - When all
electrical work Is complete.
o Underslab Plumblng/Electrical/
Mechanical - Prior to cover.
rt7I Final Mechanical - When all
l,.Aa-.J mechanical work Is complete.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Footing - After trenches are
excavated.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
o Other 0~ ,~~t:;:;
o Fireplace - Prior to facing
materials and framing lnsp.
o Masonry - Steel location, bond
beams, grouting.
o Framing - Prior to cover.
o Foundation - After forms are
erected but prior to concrete
placement.
o Wail/Ceiling Insulation - Prior to
cover.
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 Set-Up - When all
blocking Is complete.
o Insert - After fireplace s'pprovlll
and Installation of unit.
o Fioor Insulation -' Prior to
decking.
o Plumbing Connections - When
home has been connected to
water and sewer.
"~
. 0 Curbcut & Approach - After
forms are erected bllt prior to
placemont of concrete.
D Sanitary Sewer - Prior to filling
trench.
o Electrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material In place.
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
o Fence - When completed.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
o Rough Plumbing - Prior to
cover.
o Street Trees - When all required
trees are planted.
.' .1'.;,- III
LOl TYP. " "(': ".~:
Lot faces Setbacks . IS THE PROPOSED WORK tN THE _
IHSE ACC I .. HISTORICAL DISTRICT, OR ON
Lot sq, Itg. Interior p.L. GAR
I I THE HISTORICAL REGISTER?
Lot coverage Corner N If yes, this application must be signed
Topography Panhandle Is I I and approved by the Historical
Iw I I I I Coordinator prior to permit Issuance.
Total height Cul.de-sac lLLLL. I
APPROVED:
BUILDING PERMIT
ITEM SQ. FT. X $/SQ. FT.
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
"
This permit Is granted on the express condlllon thalthe 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:
Main
Carport
~
Total Val ue
Date Paid:
Building Permit Fee
Receipt Number:
State Surcharge
Received By:
Tolal Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properlles within the City limits which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
N'
Sanitary Sewer
FT.
Water
FT.
FT.
Storm Sewer
Mobile Home
Plumbing Permli
Slale Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Issuance
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.06
2./6
By signature, I state and agree, that I have carefully examined
Ihe completed application and do hereby cerllfy that all
Informallon 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 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 Safely Division.
I further certify thai only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
Vent Fan
N'
Wood Stovellnserl/Flreplace Unit
Dryer Vent .
.fh~ 70 ,?f?7/ /~~.
Mechanical Permit -:::::'_
State Surcharge
Total Permit
(D)
I further agree to ensure that all re~ulred Inspections are
reQuested at the proper lime, that each address Is readable
from the street, that the permit card Is located at the fronl
of the property, and the approved set of plans will remain
on the site at all limes dur ng
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk fl
Slgnatu
.--
Date '":'3....... ~ '"' 9s
Curbcut
It
Demolition
State Surcharge
VALIDATION:
Tolal Miscellaneous Permits (E)
DATE PAID
RECEIPT NUMBER ~/h:5'" c::> ~
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TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D. and. E' Combined)
AMOUNT RECEIVED
RECEIVED BY