HomeMy WebLinkAboutPermit Mechanical 1992-10-27
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
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ADDITION DEMOLISH -tj- OTHER G
CONST.
CONTRACTOR'
LOT'
DESCRIBE WORK:
NEW
ADDRESS
CONTRACTOR'S NAME
GENERAL:
PLUMBING: _
MECHANICAI_: QO ~ i t\(),U ~_~ )
ELECTRICA' . ~-6
QUAD AREAc:::~L~) U
. OF BLDGS'
OCCY GROUP:
. OF STORIES:
WATER HEATER'
l U :=s -1'1') f
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- OFFICE ,,\SE -
LAND USE: \ ,\ I
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. OF UNIT'"
CONSTR. TYP'"
HEAT SOURCE:
RANGF'
~OB NUMBER~
225 Fifth Street
Springfield, Oregon 97477
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TAX LOT: ()CcGl ( )(J
SUBDIVISION:
EXPIRES
PHONE
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D Final Plumbing - When all
plumbing work Is complete.
D Final Electrical - When all
electrical work Is complete.
D Fln.1 Mech.nlcal - When all
mechanical work Is complete.
D Final Building - When all
required Inspections have been
epproved and building Is
completed.
DOlhor
MOBILE HOME INSPECT:IONS
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[j Blocklng,and Set.Up - When all
. blocking Is c9mplete.
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To roquest an Inspection, you must call 726.3769. This Is a 24 hour recording. Alllnspeclfons 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
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D Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting (orms.
D Underslab Plumbing I Electrlc.1I
Mechanical - Prior to cover.
D FoOling - After trenches are
excavated.
o Masonry - Sloel location, bond
beams, grouting.
D Foundation - After forms arc
erected but prior to concrete
placement.
D 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. _
D Sanilary Sewor - Prior to filling
trench. _
D Storm Sewer - Prior to IIIl1ng
trench. .
D Waler Line - Prior to filling
trench.
D Rough Plumbing - Prior to
cover.
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o PlinnblngConnectlons - When
,~-.home .has ,been connected to .
water ,and sewer. .
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o :EI~ci~iifal,.c~~n~~ollc;m _ - When"
:blocklng, set.~p,.and .plumblng
. l,;specUO.Ds. ~avel).een; appr,oved
and the' nome Is' connected to'
'" ,the,.servlce panel.' '
D Fence - Whe\n completed, . :1; Jor, ~ '. \. . \ .,:: .." ,
. . .~':Flnal!-''';fter~all ~q'ul;~dJ
, , ,~": :' .~,~ ,'~<"!nSp.eo'tlon'~ a're,:ap~ro~eCt;\a~nd ..'
D Street Trees - When all required ' porches,'rskfrttng, cecks; arid' '
trees are planted. ':. "", .,',ventlng ,haye. been..lnstBlled: .
D Rough Mechanical - Prior to
cover, .
o Rough Electrical - Prior to
cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power,
o Fireplace - Prior to facing
materials and framing Insp.
D Framing - Prior to cover.
D Wall/C'elllng Insulation - Prior to
cover.
D Drywall - Prior to taping.
o Wood Stove - After I~sta"atlon.
o Insert - After fireplace approval
and Installation of unll.
D Curbcut & Approach - After
forms are"erected but prior to
placement of concrete.
D Sidewalk & Driveway - After
excavation Is' complete, forms
and sub.base material In place.
FLOOD PLAIN:
ZONING CODE: -WJ~."""
. OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE:
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Lot . face's'
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Lot sq. Itg.
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Lot coverage . ~
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Topography , .
Total height
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BUILDING PERMIT
ITEM sa. FT,
Main
. '
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
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":i. l P.L. HSE GAR
~ c~rner " I N
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_ 'Panhandle' '
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,: ":'L!9,t -Type,'.
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'Interior'
~ Cul.de.sac
X $/SO. FT. ~
VALUE
Total Fee (A)
SYSTEMS DEVELOPMENT dIAR~E'.(SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Resldenllal Bath(s) N'
Sanitary Sewer FT,
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
Stale Surcharge
Total Charge
MECHANICAL: PERMIT
Fu rnace
Exhaust Hood
Vent Fan
(C)
N'
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit ','
,(D) '.
MISCELLANEOUS PERMITS
Mobile Home
State'lssuance
State Surcharge
Sidewalk
It
Curbcut
':ft
Demolition
State Surcharge
FEE
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,C). "
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, .rD
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Total Miscellaneous Permits (E)
TOTAL AMOUNT OIUE (excluding electrICal)CV.:-s.'7-...")
(A, B, C, D, and E Combined)
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(.Tt-l.E PROPOSEDVVC?RKtNTHE' "
'''''I!!'i'STORICAL DI.STi'1.ICT,OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and' approved by the Historical
. Coordinator prIor to permit Issuance.
APPROVED: _'
BUILDING.:vALU'E, PLAN CHECK
AND BUILDING'.PERMIT
This permit Is granted on the express condlllon that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City of Springfield, Including the
Development Code, regulating the construcllon and use 01
buildIngs, and may b.a susponded or revoked at any time
upon violation of any provisIons of said ordinances.
Plan Check Fep'
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 slgnature,lstate and agree, that I have carefully examined
the completed application and do horeby certlfy that all
Information hereon Is true and correct, and I further certlfy
that any and all work performed shall be done In accordance
with the Ordlnanc~s of the City of Springfield, and the Laws
of the State of Oregon perlalnlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees WllO
are In compllanco 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 property, and the approved set of plans will remaIn
on the site at II times during cons ruction.
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Signature
Date
VALIDATION: c;!
RECEIPT NUMBER I (J q;;
DATE PAir 10 -7~7-q~
AMOUNT RECEIVE)? .~ .10
RECEIVED BY (~