HomeMy WebLinkAboutPermit Mechanical 1994-12-20
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
ASSESSORS MAP:
LOT:
BLOCK:
JOB NUMBER . '"9'~/'?9""~
225 FI fth Street
Springfield, Oregon 97477
TAX LOT: ~/~,--c..::::>
. SUBDIVISION:
OWNER:
" PHONE'
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- . .~ ____ . STATE,
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DESCRIBE WORK: { ;r __ ~___ _..
ADDRESS:
CITY'
NEW
REMODEL
ADDRESS.
CONST.
CONT~ACTOR #
PHONE
CONTRACTOR'S NAME
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DEMOLISH OTHER
ADDITION
GENERAl'
PLUMBING:
MECHANICAL~_"'?"'r~
ELECTRICA' .
ZIP:
?;;>y> ~
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--
~ "
EXPIRES
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QUAD AREA:
# OF BLOGS:
OCCY GROUP:
# OF STORIES:
WATER HEATER'
- OFFICE USE _
LAND USE:
# OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANG E:
FLOOD PLAIN:
ZONING CODE:
# OF BDRMS:
SECONDARY HEAT:
, SQUARE FOOTAG E: _
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 mad~ the following work day.
o Temporary Electric
O 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.
D Foundation - After forms are
erected, but- prior to 'concrete
placement.
o Underground Plumbing - Prior
to filling trench.
o Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking. '
o Floor Insulation .,... Prlorto
decking: .
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench. ,
o Water LIne -Prior to filling
trench. ' ,
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cpver.
o Rough'EIl:!ctrlcal ...,. 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 ?over.
o Wail/Ceiling InsJ'ation - Prior 'to
cover. ,
o Drywall - Prior to taping.
D Wood Stovo - Afti3r Installation.
o Insert - After fireplace approvl!ll
and Installallon of unit. ' '
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material In place.
O' Fence - When 60mpleted.
o Street Trees - When all required
trees are planted. " .
o Final Plumbing - When all
. plumbing w9rk Is complete.
o Final Electrical - \tV.hen all
.electrlcal work Is complete.'
/Xl Final Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
o Other
MOBilE HOME INSPECTIONS
o Blocking and Set-Up - Whep all
blocking Is complete.
o Plumbing Connections - When
home has been connected to '
, water andsew1r.
o Electrical .connection - When
blocking, :Set-up, and pluroblng
Inspections 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.
, ,
Lot faces Lot TYPE
Lot sq. Itg. Interior I' P.L.
IN
Lot coverage Corner Is "
Topography Panhandle. Iw
Total ~elght Gul.de-sac " IE
BUILDING PERMIT
ITEM sa. FT. x $1 sa, FT.
rv)ai n
Gatage
Carport
Total Val ue
Building Permit Fee
State Surcharge
Total Fee
(A)
.; ~ ~..'.;';:: ~j:;t",~1';:';~~'.~
.S THE PROPOSED WORK tN THE - .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the HlstQrlcal
, CQQrdinator prior to permit Iss'uance.
Setbacks .
HSE GAR ACC
VALUE
"
SYSTEMS DEV~LO'pMENT .CHA.RGE (SDCL
(B)
PLUMBING PERMIT
, ITEM
Fixtures
,
Residential Bath(s) NO
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
MQblle Home
Plumbing Permit
State Surcharge
..
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO
WQod StovellnsertlFlreplace Unit
Dryer Vent
~L /~~:''\~~y.
Mechanical Perml t
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Issuahce
State'Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
TQtal Mlscellar)eous Permits (E)
TOTAL AMOUNT DUE (excluding e'lectrlcal)
(A, B, C, D, and E CQmblned) ,
FEE
/~~
. -
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/ ~ . 7~'
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APPROVED:
BUILDING VALUE, PLAN CHECK,
AND BUILDING PERMIT,
This permit Is granted on the express cQnditlon that the said
constructi'Qn shall, In all respects, cQnfQrm to the Ordinance
adopted by the City. Qf ,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:
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Date
Systems DevelQpment qharge is due Qn all undevelQped
prQpertles within tho City limits which are being ImprQved.
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examined
the cQmpleted applicatlQn and do hereby certify that ali
InfQrmatlQn hereQn Is true and correct, and I further certify
that any and all work perfQrmed shall be dQne in accQrdance
with the Ordinances of the City Qf Springfield, and the Laws
of the State of Oregon pertaining to the wQrk described
herein, and that NO OCCUPANCY wlli, 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 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 prQperty, and the apprQved set of plans will remain
on the site at ~ time~--",~ng structlon./ .
Slgnatur~~""-, ~
" - ,
Date
/?-~o-9Y
VALIDATION:
RECEIPT NUMBER /~??6
DATE PAID /2.... - 7C:> ~7C:Y-
AMOUNT RECEIVED '2 L;.h 2C>
RECEIVED BY .~~......