HomeMy WebLinkAboutPermit Mechanical 1996-5-30
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.
SPRINGFIELD
LOCATION OF PROPOSED WORK: 57//
ASSESSORS MAP.I9.n2 () 011 Lj
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LOT'
OWNER'
ADDRESS'
CITY:
DESCRIBE WORI"
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERAl'
PLUMBING:
MECHANICAL:
ELECTRICA' .
OTHER Heaf PUA/!-1l1fJ
CON ST.
CONTRACTOR'
BLOCK'
en?
DEMOLISH
ADDRESS
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~A/r./k.Z
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Q00225
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JOB NUMBE~
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225 Fifth Strcet
Springflcld, Orcgon 97477
.
$", ,'n-I~ /:",,// 07/1
/' TA'h6T: 0 I (~()fJ
SUBDIVISION:
PHONF'
'7...2~ - .2cq J
ZIP: q 7~7 'if
EXPIRES
PHONE
g~,,<I
- OFFICE USE -
, QUAD AREA' LAND USE: FLOOD PLAIN:
. OF BLDGS: . '. OF 1)NITS' ZONING CODE:_
OCCY GROUP: CONSTR. TYPE: . OF BDRMS'
. OF STORIES: HEAT.SOURCE: SECONDARY HEAT:
WATER HEATER' RANGF' SQUARE FOOTAGE:
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 8.m. will be made the following work 'day.
o Temporary Electric
D Site Inspection - To be made
after excavation, but prIor to
setting forms.
o Underslab Plumbing/Electrical/
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.
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 Waler Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
D 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.
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - After Installation.
o Insert - After fireplace approvlll
and Installation of unIt.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Drlyeway - After
excavation Is complete. forms
and sub.base material In place.
o Fence - When completed.
o Street Trees - Whan all required
trees are planted.
o Final Plumbing - When atl
plumbIng worl< Is complete.
. .
D Final Eloct..-lcal - When all
electrical work is complete.
~I Mechanical - When all
mechanical work Is complete.
o Final Building - Whcn all
requIred Inspections have been
approycd and building Is
completed.
OOthor
MOBILE HOME INSPECTIONS
o Blocking and Set-Up - When all
blocking Is complete.
D 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 rcqulred
Inspections are approved and
porches, sklrtlng, decks, and
venting have been Installed.
.,',' ;'~
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Lot TY. I: . .,
Lot faces Setbacks IS THE PROPOSED WORK iN THE.
I P.L. 'HSE GAR' ACC I ... HiSTORICAL DISTRICT, OR ON
Lot sq. flg. Interior IN THE HISTORICAL REGISTER?
Lot coverage Corner If yes. this application must be signed
Is I and approyed by the Historical
Topography Panhandle Iw I Coordinator prior to permit issuance.
Total height CuI-de-sac IE I
APPROVED:
BUILDING PERMIT
ITEM SO. FT, X $/SO. FT.
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition thatlhe said
construction shall, In all respects, conform 10 the Ordinance
adopted by the City of .Sprlngfleld, including the
Deyelopment Code, regulating,the conslructlon and use of
buildings, and may be suspended or reyoked at any time
upon violation of any provisions of said ordinances.
Main
Garage
'.
Carport
Plan Check Fee:
Total Value
Date Paid:
Building Permi t Fee
Receipt Number:
State Surcharge
Received By:
Total F;ee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Resldentlai Bath(s)
N'
Sanitary S~wer
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
.'
Furnace
Mechanical Permit
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\tJ ::>0
\ . '2Q.
By signature, I state and agree, that I have carofully examined
the completed application and do hereby certify that all
Information hereon Is true and correct, and I further certify
that any and aU 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 wi thout 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.
Exhaust Hood
Vent Fan
N'
Wood StoyellnserllFlreplace Unit
Dryer Vent
Issuance
State Surcharge
Total Permit
(D)
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 permit card Is located at the front
of the property. and lhe approved set of plans will remain
on the site at all times during construction.
Signature ~~~~~
"" ;-: :::~/Y-~ (;l
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
fl
Demolition
VALIDATION: I) '(\ \~
RECEIPT NUMBER \~C\.Gf\ y
DATE PAIl" S-:J:)- c.\ b -
. . r Jr::.., '2.._\.)
AMOUNT R?9~I\/",O _ t't.-,
RECEIVED B~\ )' ~ 9. "--- ::-
State Surcharg~
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)