HomeMy WebLinkAboutPermit Mechanical 1993-9-29
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
.-
SPRINGFIELD
LOCATION OF PROPOSED WORK: ""5'tC.t!7c72'
ASSESSORS MAP: /J?-C5>2' /cb ~;:.:-~......
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77?L-~- STATf=' ~~ '
DESCRIBE WORK: \' JA\L1XnJ)JL \J_~Jj\tJl_1 )\.C\C,\;DQ
NEW REMODEL ADDITION DEMOLl~' OTHER
. J
V
LOT'
OWNER'
ADDRESS:
CITY:
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL: &-~):C=y/~C~_
ELECTRICAL: d~&:,7{
BLOCK:
JOB NUMBER 93/Y~
225 Fifth Street
Springfield. Oregon 97477
?-.
/jP
TAX LOT:
0/ t::> t::5 /
SUBDIV.ISION:
PHONE:
7~.?&C/>7
ZIP: q?y~
---
ADDRESS
CONST.
CONTRACTOR 1/ '
EXPIRES
PHONE
<tC?/5/Y~4.e760"'r , .
~~;..~_ '57z<=-7' _~?/
, I r r /'
- OFFICE USE -
/4!'~;?/-~3"
7~~2/~
~;.:
QUAD AREA: LAND USE: FLOOD PLAIN:
1/ OF BLDGS: II OF UNITS' ZONING CODE:
OCCY GROUP: CONSTR. TYPE: 1/ OF BDRMS:
1/ OF STORIES: HEAT SOURCE: ('r( '/ 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 a.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
Under-slab 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.
.0
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
Water Line - P~iorto fililng
trench.
o Rough Plumbing :;:-.'prio,f. to
cover. , "
REQUIRED INSPECTIONS
D Rough Mechanical, - Prior to
cover.
D Rough Electrical - Prior to
cover.
D
Electrical Service - Must be
approved to obtain permanent
electrical power.
D
Fireplace - Prior'to faci ng
materials and framing Insp.
o
Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
cover.
D Drywall - Prior to taping.
D Wood Stove - After installation.
D Insert - After fireplace approval
and installation 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 completed.
o
Street Trees - When all required
trees are planted.
o
Final Plumbing - When all
plumbing worl< is complete.
D
Final Electrical - When all
electrical work is complete.
rn
Final Mechanical - When all
mechanical work is complete.
o Final Building - When all .
required inspections have be~n
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
D Blocking and Set-Up - When all
blocking is complete. .
o Plumbing ConneCtions - When
home has bee,n connected to
water and sewer.
DElectrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
D
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Lot faces
Lot Type
Lot sq. Itg.
Interior
Lot coverage
Corner
Topography
Panhandle
Total height
Cul.de.sac,..
BUILDING PERMIT
ITEM
sa. FT.
X $1 sa. FT.
Main '0. -:;':,,\
-'/~
Garage
Carport ': -,....." ..
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
."- -,:s:.: --..
I
I
I-~
,,:; THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes. this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
"I
.
Setbacks
PL. HSE GAR ACe
N
S
Iw
\.~
VALUE
~ SYSTEMS DEV,ELOPMENT CHARGE (SD.C)' .
,--... .'~: 'J'~' ~,;--~_...~ ,_' ~'-'" _ J:'" -.,-.._.,:_--
. (8) ,,' , .
PLUMBING PERMIT
ITEM
Fixtures
'.:i
Residential Bath(s)
NO
'i
Sanitary Sewer
FT.
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
'"'"
(C)
MECHANICAL PERMIT
Furnace 3 7! 5(!? ~
Exhaust Hood
Vent Fan
NO
Wood StovellnserttFireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge.
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
FEE
'i \
,;'.J
/5":..-r:i-
/ d? ~ c-e:T
-:?S-
2S::: ::0"
, .APPROVED:
BUILDING VALUE;' PiAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition tllatthe said
>construclion shall, in all respects, conform to the Ordinance
adopted oy the "':ciiy of Sp'ringfield',~i~cluding the
Development Code, regulating the construction and use of
buildings, and may be suspended'or revoked at any time
upon violation of any pro,!isio~s,~! 'said ordinances.
'. '
Plan Check Fee:
Date Paid:
Receipt Number:
Received By:
Plans Reviewed By
Date
" SystE!ms'-Development Charge is due' on all undeveloped
.-:---.... '-. ... '. -
.,,:," properties,wi thin the City l,imits whi~r ar\being improved.
I' "!", ",
ADDITIONAL COMMENTS '''~ I
By signature, 1 state and agree, that I have carefully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I further certify
that any and all 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 Witllout 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 property, and the approved set of plans will remain
on the site at all. times during construction.
Signature fj~p ~~ ~~tJ~
() 9 - J.-.'7 -CJ3 1/ (J
Date
VALIDATION:
/?> tf3 0
"'7- <,9-9?
AMOUNT RECEIVED 25:../ 5-
a~
y p'
RECEIPT NUMBER
DATE PAID
RECEIVED BY
~
'.
WORK ORDER
~.: .~ ..; .
Sm. Job
Harvey & Price Co.
Lg. Job
Dept./ Phase
8r-
DYt~SeD-93
Approx. Start Date
10-5-93 Or Before
lob No.
81023
Job Name ---R.oJ1o...t- R. 1 n; c RlI...hoA
Phone 7_47-A4S4
Address
3&505 Bran~ S. Rd.
jJ?6.2. --/0 'c:;::e,. ,/ ~ I O't:? I
City
3...,~"y; ~t:iJ, EI,.t:yulI
7747b
State
Zip
Bill to
~;2- <?', b
Phonf"
/ It /-tFt:llt
Robert & L01S Burbee
Address
Sa.e as B1ll ing
City
Sa.e as Billing
State
Zip
Att:3ntion
Your Purchase Order No.
Billing Description
Carrier 2.5 Ton Heat Pu.p Syste.
Permit
No.
Contr.
Call For Insp.
Contr.
Job Description:
Tho I~... ~nd M~tp~;~lc t-~ ;nc~ll t-~p following'
Major Equip.ent:
~) ~utdoor Condensing Unit 38YKB030-30~.
2) Fan/Coil Unit FB4ANF-030-000 w/10Kw Heater w/CB KFAEH-1501-C10.
:;) ";"1,,,,,. .":>LaL;S,,,L La:>"" :::~ ~1 ;;a",;'ayt:'.
Accessary Ite.s:
It} uu~aoor paa, Kerr1gerant L1ne ~et W/~llter-Dryer,
a~d Condensate Drain; - As Needed.
5) Adapt To Existing Supply Air Duct Syste..
&) Install 1 High Side Wall 30x10 Return Air Grille.
----.----
~
Sped61 Instructions:
.~
, ,
In1s lS_H MOD1le Ho.e Lhange-Uut.
20x20x2" Newtron In Rack Above Fan/Coil-NO FILTER ASSEMBLY.
Custo.er Will Provide Door To Enclose Indoor Unit.
Custo.er's Son "John" Will Nh'JIlaldoJt-Thev Will Need "By Owner" RBr.Iil.
Phil Stutchel (H & P Eaployee) Is A Longtiae Faaily Friend.
sW c;B ~ Terms CCyv\.ptcdc~ o~ C3~YY\r~'\)Yl
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