HomeMy WebLinkAboutPermit Mechanical 1999-9-13
~
LOCATION OF PROPOSED WORK: 85D ~ ~\.\ '(\)-- Qd
ASSESSORSMAP:-</)7~~,.,/~ ~
~ it,;
RESIDENTIAL
PERMIT APPLlCATIO~~
Inspections: 726-3769
Office: 726-3759
LOT-
BLOCK:
OWNER~, .~'r\ P Q d "\J 8 ~~.R c... tb .
ADDRE~ :.()"1i ~Z:. ,;:::1\ - p\ve.,f\v(
CITY' ()( H CAxld
DESCRIBE WORK:
NEW
REMODEL
CONTRACTOR'S NAME
GENERAl'
PLUMBING:
MECHANICAL' Wnf\f<'^,-\ It S;", 1'\
ELECTRICAl.
QUAD AREA:
, OF BLDG'"
OCCY GROUP'
, OF STORI"'"
WATER HEATER:
JOB
q9/"17~
225 Fifth Street
Springfield, Oregon 97477
~(\ rq~&\ ~l'-\ll
TAX LOT: ./:52Y~
SUBDIVISION:
PHONE. \~S03-'J-39s -3,,)
p.O DD'L ~d.\~i..p
o ( .e !?P () ZIP: q'l ';l. ~ ~
REQUIRED INSPECTIONS
I!.EI Rough Mechanical - Prior to
6~!~
Cover.
0: Electrlcal Ser~lce - Must be
. approved to obtain permanent
'electrIcal power.
Of Fireplace' - Prior to facing
,materials and framing Insp,
o Framing - PrIor to cover.
t
O'Wall/celllng Insulation - Prior to
. cover.
o Drywall - Prior to taRing,
I q,-! : .
O'WOOd s~ci~o - After Installation.
o Insert - After fireplace approval
and Installation of unit.
O:Curbcut & Approach - After
forms are eructed but prior to
,placement of concrete.
o Sldowalk & Driveway - After
'excavation Is compiete. forms
and sub.base material In place.
o Fence - When completed.
o Street Trees - Whan all required
Ilrees are planted. .
OTHER
EXPIRES .-:-- PHONE
('f'J5 st.,; '1:( rl-
FLOOD PLAIN'
ZONING CO'DE:
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an Inspectlon,-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 made the following work day,
,
STAT'"
ADDITION
DEMOliSH
o Temporary E1eclrlc
o Slle Inspection - To be made
after excavation, but prior to
seltlng forms.
o Underslab Plumblng/Eleclrlc~II"
Mechanical - Prior 10 cove~';. :
~t. .... _,-a-" 'Ny;';::;
D FooUng - After Irenches are'
exca~aled. I
o Masonry - Steel location, bond,
be~. grouting. '
, ,
o Foundation - After forms are.
erecled bul prior to concrele ."
place~e.,L ; ~ ~ , ;,'
o Underground PlumbIng - Prior
to filling trench.
. ~Uf~~hl.t%~.., "')': I .~{: ~"'.
o Underlloor. Plumblrtgl Mes.Jtanlcal
- Prl~r Ig!?~,ulaUon or:decklng.
. - /'
o Post and.Beam -prlo/to floor'
Insuletlonor deckJng.
o Floor Insu~ll!lon - Prior to
decking.
D Sanitary Sewer - Prior to filling
trench.
o Slonn Sewer.- Prior to mllng
trench.
o Waler Line - Prior to filling
trench. .., ' :"'.
.. -. .. .... -
o Rough"Plumblng ....; Prior 10
cover. __,. ...1
ADDRESS
CONST,
CONTRACTOR.' ,
L\ lo9[) \lrl' (\ >;-h-u.... t
l-:
- OFFICE USE -
LAND USE:
# OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
o Final Plumbing - When all
plumbing warl' Is complet.e,
o Flnel Electrical - When all
electrical work.ls complete.
rVl Final Mechanical - When all
y>-' mechanical work Is complete,
\,
o Final Building - When all
required Inspections have been
approved and buHdlng Is
completed.
~Olherh#L~r~-7 _
~~ ., v JI./C~
MOBIL~ HOrylE INSPECTIO.NS
o BlockIng and Se/.Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been con nected to
water and sewer.
o Electrical Connection - When
blocking, set.up. and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Final - After all required
Inspections are approved and
porchos,' skirting, decks, and
vent,Jng hav,e been Installed. ,
.ti
Lot faces
Lot sq. Itg.
Lot coverage
_ Corner
Topography
Total height
,.
Panhandle
Cul-de-sac
BUILDING PERMIT.~. r. .~
ITEM Sa. FT. X $/SQ. FT. _
Main
Garage
Carport
Tolal Value
Building Permit Fee
Stale Surcharge
Tolal Fee
(A)
N
Setbacks
PL. HSE QAR ACC
~)'; .'; 1: '
S
IS TH';r;::iOSED WORK tN THE.
HISTO '.'1iDISTRICT, OR ON
THE HIS RICAL REGISTER?
II yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
_"'1_ __ _____
..L_
\
VALUE
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
'*/~ /.r;-:~
., -
77~--/O.
"t-~~I .05'
(D)' ::?~. ~
PLUMBING PERMIT-
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary S!'wer
Water
FT.
FT.
Storm $ewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhausl Hood
Vent Fan
N'
Wood Slave/Insert/Fireplace Unit
Dryer Vent p
~I/~~
Mechanical Permit
Issuance
State Surcharge
Total Permll.~;
,.
"
,-P
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surc:harge
Sidewalk
;~,
It
It
Curbcut
Demollllon
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A. B, Co 0, and.E qomblned)
FEE
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on Ihe express condition that the said
constru'ction shall, In all respects, conform to the Ordinance
adopled by the City of Springfield, Including the
Development Code, regulating Ihe construcllon 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
properties within tho City limits which are being Improved.
ADDITIONAL COMMENTS
By signature, I stale and,agree, Ihat I have carefully examined
the completed application and do hereby cerllfy that all
Informa.tlon hereon Is true and correct. and Ilurther certify
that any and all work performed shall be done in accordance
with the Ordinanc"s 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 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 ensure that all required tnspectlons are
requested at the proper time, that each address Is readable
from the street, that the permlt'card Is localed at the fronl
of the properly, and the approved set 01 plans will remain
:~g:~~~~1~~
Date q ~ l 3 - 9 q
VALIDATION:
RECEIPT NUMBER -q ~7 ~
DATE PAir' .i;,/ :::?~ '7 ~
AMOUNT RECEIVE~ ,~. ~
RECelVEDBY ~f;:-~~
-;