HomeMy WebLinkAboutPermit Mechanical 1995-3-23
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SPRINGFIELD
RESIDENTIAL
PERMIT APPLICATION
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JOB NUMBER
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Inspecl/ons: 726.3769
Ottlce: 726.3759
225 Fifth Street
Springfield. Oregon 97477
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lOCATION OF PROPOSED WORK'
XASSESSORS MAP' .171) 3
'<LOT'
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TAX lOT:
SUBDIVISION:
BLOCK:
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APn-(Y~T
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OWNER:
ADDR~SS:
CITY'
7-11:. - 79,~/
PHONE:
97~77
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STATE:
ZIP:
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DESCRIBE WORK:
NEW
REMODEL
ADDITION
DEMOLISH
OTHER
CONST.
CONTRACTOR'
CONTRACTOR'S NAME
.-7 GENERAL'
PLUMBING:
ADDRESS
EXPIRES
PHONE
/'la;...n7<2
MECHANICAL'
t
ELECTRICA' .
- OFFICE USE -
QUAD AREA' LAND USE: FLOOD PLAIN:
. OF BLDGS' · OF UNITS' ZONING CODE:__
OCCY GROUP' CONSTA. TYPE: . OF BDRMS:
. OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANG~' SQUARE FOOTAGE:_
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. Alllnspecllons requested belore 7:00 a,m, will be
made the same working day, Inspections roquested after 7:00 a.m. will be made the following work day,
REQUIRED INSPECTIONS
D Temporary electric
D Rough Mochanlcal - Prior to
cover.
D Flnol Plumbing - When illl
plumbing worl< Is complete.
D Site Inspection - To be made
after excavation, but prIor to
setting forms.
D Rough Eloctrlcal - Prior 10
cover. ,
D Final Electrical - When all
electrical WOrk Is complele.
D Underslab Plumblngl Electrlcall
Mechanleal - Prior to cover.
o ElectrIcal Servlco - Must be
approved to obtaIn permanent
electrical power.
D Final Mechanical - When all
mechanIcal work Is complete.
o Footing - After trenches are
excavated.
o Flnol Building - When all
required Inspections have been
approved and building Is
completod.
o Fireplace - Prior to 'acing
materials and framing Insp.
o Masonry - Steel location, bond
beams, grouting.
o Framing - Prior to cover.
o Foundation - After forms are
erected but prior to concrete
placement.
o Other
o Wall/Celllng Insulation - Prior to
cover.
O Underground Plumbing - Prior
to flfllng trench.
o Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
D Underlloor Plumbing/Mechanical
- PrIor to Insulation or decking.
D Wood Stovo - After Installation.
D Post and Beam - PrIor to floor
Insulation or decking.
D Blocking and Set.Up - When all
blockIng Is complete.
D Insert - After fireplace s"pproval
and Installation of unit.
o Floor Insulation - Prior to
decking.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Curbcut & Approach - After
forms are erected but prior 10
placement of concrete.
D Sanitary Sewer - PrIor to filling
trench.
o Electrical Connection - When
blockIng, set.up, and plumbing
Inspectlons have been approved
and the home Is connected to
the service panel.
o Sidewalk & Driveway - Alter
excavation Is compiclo, forms
and sub-base materIal In place.
D Storm Sewer - Prior to fillIng
trench.
o Water line - Prior to 1IIIIng
trench:
D Fence - When completed.
D Final - After all requIred
Inspectlons Bre approved and
porches, skirting, decks, and
ventlng have been Installed.
D Rough Plumbing - PrIor to
cover.
D Street Trees - When al/ required
trees are planted.
~
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LOI Type. . .::'i
Lot faces Setbacks ' IS THE PROPOSED WORK tN THE.
I PL. IHSE .., HISTORICAL DISTRICT, OR ON
LOI sq. Itg. Interlor GAR ACC
IN I THE HISTORICAL REGISTER?
Lot coverage Corner If yes, this application must be signed
Is I and approved by the Historical
Topography Panhandle Iw I I I I Coordinator prior to permit Issuance.
Total height Cul.de.sac LLLLJ
APPROVED: ! I
BUILDING PERMiT
ITEM SO. FT. X $/SO. FT.
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
"
This permit Is gran led 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 construction and use of
buildings, and may be suspended or revoked at any time
upon vlolatlon of any provisions of saId ordInances.
Plan Check Fee:
Main
Carport
Total Value
Date Paid:
Building Permit Fee
Receipt Number'
Received By:
Stato Surcharge
Total Fee
(A)
Plans Reviewed 8y
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
FEE
ADDITIONAL COMMENTS
Fixtures
Residential Bath(s) N'
Sanitary Sewer FT.
Water FT.
Storm Sower FT.
Mobile Home
Plumbing Permit
Stato Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
?~H <tM r.;1
4'. S"O
I
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
In(ormatlon hereon Is true and correct, and I further certify
that any and all work performed shall be done In accordance
with the Ordinances 01 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 without permission of the Building Safety Division.
I further certify thai only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
Van t Fan
N'
Wood Stovellnserl/Flreplace Unit
Dryer Vent
Mect,anlcal Permit
Issuance >4-~'1 ~~
State Surcharge ,2...' -I- ' 1'*"'/
(D)
.37
4-.~?
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 fronl
of the property, a he approved set of plans wllf remain
on the site all tlm s dur~; co~u/7' -I'
'Signature u?,J ~~
,
Total Permit
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Datp
~/z Yf"/
Sidewalk
It
Curbcul
It
DemolitIon
State Surcharge
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and' E' Combined)
4~7
I
VALIDATION:
RECEIPT NUMBER
DATE PAIP
AMOUNT RECEIVED
RECEIVED BY
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'1/23hi
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Total Miscellaneous Permits (E)