HomeMy WebLinkAboutPermit Mechanical 1997-10-31
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ADDRESS: 235' '5~~~~ _~/~....
CITY: ]~L.z;> STAT~'
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DESCRIBE WORK' .f!/~<.t" ~~~ ~~ ,r&/lJ 6~ /0"1~~C.cot-
NEW REM6~ ~c!o:T10N DE~L1 OiHER .
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
ASSESSORS MAP'
LOT'
OWNER:
,
CONTRACTOR'S NAME
GENERAl'
PLUMBING'
MECHANICAL: a..-~ ~
ELECTRICA' .
.
,
BLOCK'
~7?
- I .
.
JOB NUMBER 97~Y'
225 Filth Street
Springfield, Oregon 97477
TAX LOT' O~/"P
SUBDIVISION'
PHONE:
7~~-~AC~
ZIP'
~?&/> -:::.
- - '
ADDRESS
CONST.
CONTRACTOR'
EXPIRES '" PHONE
- 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' RANG~' SQUARE FOOTAGE:
To request an Inspeellon, you must eall 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.
o Temporary Electric
D SUe Inspection - To be made
after excavatIon, but prior to
setting forms.
o Underslab Plumblng/Electrlcel/
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 Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior 10 filling
trench.
o Storm Sewer - Prior to tnllng
trench.
o Water Line - Prior to filling
trench.
D Rough Plumbing -:- Prior to
cover. .
REQUIRED INSPECTIONS
c:fl Rough Mechanical - Prior to
r. ~
Rough Eleclrlcal - Prior to
cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover. .
D,Drywall - Prior to taping.
o Wood Slovo - After Installation.
o Insert - After fireplace approvel
and Installation of unit.
o Curbcut & Af>proach - After
forms are erected but prior to
placemont of concrete.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material In place.
o Fence - When co....pleted.
D Street Trees - Whtm all required
trees are planted.
o Final Plumbing - When all
plumbing worl( Is complete.
, ,
D Final Electrical - When all
electrical work Is complete.
rIA Final Mechanical - When all
~ mechanical wo~ complete.
Y /9,.?"ft- ._/;"'5
o Final Building - When all
required Inspections have been
approved and building Is
completed.
(EJ Other
/C~ .....--~V/C-e:,..
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MOBILE HOME INSPECTIONS
D 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 plumbing
Inspecllons 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.
1 " /. ' 'Ii,
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.I'_"'...",.v .::)}t~.\.., ,
.... . ....,
L~t ~y. "..
Lot faces
I P.L.
Lot sq, Itg. Interior IN
Lot coverage Corner
Topography Panhandle ~ Is
Iw
Total height Cul.de-sac
IE
BUILDING PERMIT 'j
ITEM sa, FT,
"
X $/SO. FT. -
VALUE
Main
Garage
Carport
Total Value
Building Permit Fee
Stale Surcharge
Total Fee
Setbacks,
I IS THE PROPOSED WORK tN 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.
HSE GAR ACe' I
I
I
I
I
'i
"
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
SanItary S~wer
Water
FT.
Storm Sewer
FT.
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
FEE
Furnace
r=vk...,tl HeeP.t~~ ~.
v~~~ NO
~lInsert/FlrePlace Unit
Dryer Vent
~c; /~~~
MechanIcal Perml t
Issuance
State Surcharge
Total Permit (0)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
II
Curbcut
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
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/tP. -.
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.,2,/, .2.:::>
APPROVED:
'....I'\. "
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that Ihe said
construction shall, In all respects, conform to the Ordinance
adopted by the City of Sp'rlngfleld, 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
properlles 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 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 thai NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
I further agree (0 ensuro (hat all required Inspections are
requested at the proper time, that each address Is readable
from the street, that the permit card Is loeated at the front
of the property, and the approved set of plans will remain
on the site II times during construction.
. ;J b[l.muYA.t'ILJ5
Datp d 'M/cf7
VALIDATION:
RECEIPT NUMBER -:2 /~/~
DATE PAIP //J-,?V,-??'
AMOUNT RECEIVED -2~, <-
,;;1~~
RECEIVED BY
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