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HomeMy WebLinkAboutPermit Mechanical 1993-9-29 ,'{; RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 .- SPRINGFIELD LOCATION OF PROPOSED WORK: ""5'tC.t!7c72' ASSESSORS MAP: /J?-C5>2' /cb ~;:.:-~...... "X"~~'..v-h>'--, (. _y ~~--. -:-z ~ " ., . . "")', ;;!n:1JC'-/~7,,!1 /~/5 ,(5v/f' 3 GCE :?/f-/?7& 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 Quote VfMA\-'Tf: d ~/~ d_~T, /'~ d ~1';-'7'i>.~~': .".~;;:---- ~ ?;''J2 ' 3J.' " -r T'"~I', , /j/ -':- ~'''''' O. 'D.' A\J. 9t ---r-,-,-".' .. ,~. f ~ ciJ'''~'' " " ~" :'-~--7 "... - " ", " . ",:', t' () , -=-\. ('-;---7'; _ .'....' , _..', l,...)'--' . '.l, 'I' ~:.~":..._.W~'_'~"~,, '~..., 01.. . 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