HomeMy WebLinkAboutPermit Mechanical 1992-6-29
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SPRINGFIELD
.
RESIDENTIAL
PERMIT APPLICATION
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JOB NUMBER
225 Fifth Streel
Springfield, Oregon 97477
Inspections: 726.3769
Olliee: 726.3759
9_2Cb.77
y.7~
SUBDIVISION'
BLOCK:
LOT:
OWNER: U)a...It~r ctpl~
ADDRESS _~~;)., s.~ ~ ~ rO r
, f: /'loA; "n j) UJc;l
clrv:_~~
P!-IONF'
I'll{
ZIP: _CU-1.[27
SlATE:
Iv1.(.j-"Y.L/-hlat ()~- ~lfoa(l-brtLS
DESCRIBE WORK:
OTHER
DEMOLISH
ADDITION
REMODEL
NEW
CONST,
CONTRACTOR .
PHONE
EXPIRES
ADDRESS
CONTRACTOR'S NAME
GENERAl'
PLUMBING:
~j.q..truJ I-\~ 855 tA.L/'Sl h/~_H , ()O<lC,O
o o~--
aV:J...-f/IDI
MECHANICAl'
ELECTRICAL'
- OFFICE USE -
FLOOD PLAIN:
LAND USE: _
OUAD AREA:
ZONING CODE:_
. OF UNITS:
. OF BLDGS:
. OF BDRMS:
CONSTR. TVPE:
HEAT SOURCE:_
OCCV GHOUP:
SECONDAHV HEAr: _ u_
SQUARE FOOTAGE:
II OF STORIES: __
RANG~'
WATER HEATEH:
To request 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. Inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
o Final Plumbing - When all
plumbing work is complete.
o Rough Mechanical - Prior to
cover.
o Temporary Electric
o Rough Electrical - Prior to
cover.
o Site Inspection - To be made
after excavation, but prior to
setting forms.
D Final Electrical - When all
electrical work is complete.
~ Final Mechanical - When all
I,LU mechanical work is complete.
Underslab Plumbingl Electricall
Mechanical - Prior to cover.
o
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Final Building - Wilen all
required Inspections have been
approved and building is
completed.
o Footing - After trenches are
excavated.
o Fireplace - Prior to facing
materials and framing Insp.
o Masonry - Steel location, bond
beams, Urouting.
o Framing - Prior to cover.
o Other
o Foundation - After forms arc
erected but prior to concrele
placemenl.
o Wall/Ceiling Insulat,ion - Prior to
cover. .
Underground Plumbing - Prior
to filling trencll.
o
o Drywall - Prior t~~ taping.
MOBILE HOME INSPECfIONS
Underlloor Plumbing/ Mechanical
_ Prior to insulation or decking.
o
o Wood Stove - After installation.
o Blocking and Set. Up - When all
blocking Is complete.
o Post and Beam - Prior to floor
insulation or decking.
o Insert - After fireplace approval
and Installation at unit.
o Plumbing Connections - WIlt.m
home has been connected to
water and sewer,
o Floor Insulation - Prior to
decking.
o Curbeut & Approach - After
forms are erected but prior to
placement of concrete.
o Sanitary Sewer - Prior to filling
trench.
o Electrical Connection - When
blocking, sel.up, and plumbing
in~pections have been approved
and the home is connectcd to
th'c service panel. '
o Sidewalk & Driveway - Alter
excavation is complete, forms
and sub.base material in place.
o Storm Sewer - Prior to filling
trench.
o Fence - When completed.
o Water Line - Prior to filling
trench.. '.
o Final - Alter all required
inspections are approved and
porches, skirting, decks, and
venting have be~n installed.
o Street Trees - When all rcqulred
trees are planted.
Rough Plumbing - Prior to
cover.
o
J
--'
Lot f<lces
Lot Type ,
j
., THE PROPOSED WORK IN THE
~ISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by ttw Historical
Coordinator prior to permit issuance.
Lot sq. Itg.
Interior
Selbacks
P,L. HSE GAR ACC
Lot coverage
Corner
N
Topography
Panhandle
_L-___
W
Tolal heigllt
Cul.de.sac
IE
BUILDING PERMIT
ITEM SQ, FT., X $1 SQ, FT.
VALUE
Main
Garage
Carport
Total Value
Building Permit Fce
State Surcllarge
Total Fcc
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential 8aIl1(s)
N'
Sanitary Sewer
FT,
Water
FT,
Storm Sewer
FT,
Mobile Home
Plumbing Permit
State Surcl1ar~Jc
Total Charge
(C)
MECHANICAL PERMIT
Furnace #~ ~/?7? :?~-
Exhaust Hood
Vent Fan
N'
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
/?;/Pf'- /S---
_~t:J. - .....
,~
(D) ?: s.: ...-?
Issuance
Slate Surcharge
Total Permit
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
II
Curbcut
II
Demolllion
Slate Surcharge
r
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, Bo Co Do and E Combined)
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shalt, in all respects. conrorm to Ole Ordinance
adopted by the City of Springfield, including the
Development Code. regulating the construction and use of
bllildln~Js, and may be suspended or revoked ill any time
upon violation of any provisions of said ordinanccs.
Plan Check Fcc'
Date Paid:
Receipt Number
Receivcd By:
Plans Reviewed By
Date
Systems Development Chargc is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
By signature, I state and agree. that I have carefully examined
the completed application and do hereby certify that all
Information hereon Is true and correcl, and I furthcr certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of Ihe Stale of Oregon pertaining to the worl< described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify ttlat only contractors and employees who
are In compliance with ORS 701.055 will be used on this
proiec l.
I further agree to ensure thai all rCQuired inspcctions arc
requested at the proper time, that each address is readable
from the street, thai the permit card is located at the front
of the property. and }lle apytrov d set of plans Will remain
on the Sile) a all 1l")fj; conSlructio7'
Signature ~ Ih-lz ~
Dale ;;. J..e;t..Cf2-
VALIDATION:
RECEIPT NUMBER
~ "'3'/9'
C -29 - "3' <-.
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DATE PAIP
AMOUNT RECEIVED
RECEIVED BY