HomeMy WebLinkAboutPermit Mechanical 1996-11-26
.
SpnlNGFIELD . .~..". .
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726,3759
LOT:
BLOCK:
OWNER U\,,\;+~J.. f~(#?{'dSf;l1 (' /,uLyrJf\
ADDRESS:~ <~i:fP...e-t-
CITY: ~c;M 1'^-.V'jA -/!. _~l ~ __'_ STATE
U \.1 'n
:::RIBE WO:~ODEL - .q, 3~~~~::L1SH
GENERA' '
CONTRACTOR'S NAME
PLUMBING'
frUJ!tlOf
MECHANICA' '
ELECTRICAl'
QUAD AREA'
. OF BLDGS:__
OCCY GROUP:
. OF STORIES: ___
WATER HEATER:
(Jr
OTHEI1
.
q {{J / 1f;2. q
,
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
TAX LOTO/tl-(7rj
SUBDIVISION'
PHONE__2Cf?, -P{</)Cf.-
- ,
ZIP:
ADDRESS
CONST,
CONTRACTOR'
PHONE
~~U~II,RM~~'~~C~~ ~~~~~t~ S
~over,
o Rough Electrical - Prior to
CQver.
o
Electrical Service - Mll~l be
approved \0 obtaIn permanent
electrical power.
- OFFICE USE -
LAND USE: _,___'___
/I OF UN liS:
CONSTR, TYPE:__
HEAT SOURCE:
RANGE:_
~
EXPIF1ES
['LOOO PLAIN:
ZONING CODE: __,
. OF BDRMS:
SECONDARY HEAT: ____
SOUARE FOOTAGE: ,___
To request an InspectIon, you must C' II 726-3769 ThIs Is <l 24 'hour recording. All Inspections requested before 7:00 a.m. will be
made the sarne working day, In~;pcclio sled DCter 7:00 a.m. will be made [he following worl< day.
o Temporary Eloctric
o
Sile Inspection - To be made
after excava\lon, bu\ prior lo
setting forms.
o
Undcrslab Plumbing! Electrical!
Mechanical ~ Prior to cover,
o
Footing - After trenches are
excavated,
o
Masonry - Sleel location, bond
beams, grouting.
o
Foundation - Afler (orms are
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to filling trench.
o
Underlloor Plumbing/Mechanical
- Prior to Insulallon or decldna.
o
Post and Beam - Prior to floor
Insulallon or decldng.
o
Floor Insulation - Prior 10
decking.
o
Sanitary Sewer - Prior to filling
trench.
o
Storm Sewer - Pdor 10 filling
trench.
o
Water Line - Prior 10 lilling
trench.
o
Rough Plumbing - Prior to
cover.
o
Fireplace - Prior to (acing
materials and framing Insp.
o
Framing - Prior to cover.
o
WalllCdling Insulation - Prior to
cover.
o
Drywnll - Prior ,0 taping.
o Wood Slove - After Installation.
o Inserl - Afler (,replace approval
and installation of unit.
o
CurbcllI & Appl:J<.tch - Afler
rOflllS are erected blll prior 10
placement 01 concrete.
o
Sidewalk & Drhcw:l.\' - After
excavation Is complete, forms
anel sub.base Iiatcrial In place.
o
Fence - WI)Cri complcled.
o
~itroot Troos - When all required
lrees are planted.
o
Final Plumbing - When all
plumbing wC;:Hl( is complet.c.
o Finrl! Eleclrical - When all
electrical worl( is complete.
I~ Pilwl Mechilnical - Wilen nIl
y\ mechanical worl( Is complete.
o Final Building - When all
required Inspections have been
approved and building is
completed.
MOther (Bu0 ~ ~L,
~ ll-VlVlTEt;;;
()
-
MOBILE HOME INSPECTIONS
o
Olocking and Set.Up - When all
blockinl,J is complete.
o
Plumllinu Connections - When
home 1)1)5 been connected to
waler :'lnd sewer.
o
Electrical Conneclion - When
bfoc!<inU, set-up, and plumbing
inspections h.3ve been approved
and the home is connecled 10
Ihe service panel.
o
Final - After all required
Inspec\iol1s ore approved and
porclles, skirting, decks, and
venting have been Installed.
Lol (aces
Lot Ty'pe
.
Lol sq. IIg.
Inlerior
Lot coverage
Corner
Topography
Panhandle
Total height
CuI-de-sac
BUILDING PERMIT
ITEM
so, FT
X $/50. Fr.
Main
Garage
Carport
Total Value
Building Permit Fcc
Stilte Surcharge
Tolal Fcc
IA)
Se t baclc;
'_E PI10POSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this appllcatlon must be slgned
and approved by the Historical
Coordinator prior to permit issuance. '
....!:L HSE GAR ACC
N
S
W
E
VALUE
IB)
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
FlxlUres
Residential BaIl1(s)
N'
Sanitary S~wcr
Water
F1:
FT,
Storm Sewer
FT.,
Mobile Home
Plumbtng Permit
State Surcharge
Total Charge
IC)
MECHANICAL PERMIT
Furnace
Exhau~t Hood
Yent Fan
N'
Wood Stove/lnsertlFlreplo.ce Unil
Dryer Yent
-Il^ I ^
FEE
15);1)
Mechanical Permi t
Issuance Jf)~
Stale Surcharge t3"loC'/y Ad/Mi~Fu ].20
Total Permit (D) J..ft; #Jt2
MISCELLANEOUS PERMITS
Mobile HomQ
State Issuance
Slate Surcharge
, Sidewalk
II
Curbcut
II
DemoJltion
Slate Surctlarge
Tolal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, S, C, D, and E Combined)
,.jjh:diJ
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction stlall, in iJll respects, conform 10 the Ordinance
adopted by Ihe City 01 Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of Dny provisions of said ordinances.
Plan CllCCI~ Fcc:
Date PiJid:
Receipt NlJrTlber:__.._
Received By:
PIDI1S Reviewed l3y
Dale
Syslems Development Charge is due on all undeveloped
propertics withIn the City limits which arc being improved.
ADDITIONAL COMMENTS
By slgnoture, I 5tale and D9ree, t11c:lt I have carcfully examined
the completed applicDtion and do hereby certIfy that all
Information hereon is true and correct, and I further certify
that Dny and all work performed shall be done in accordance
with the OrdinDnccs of U1C City of Springfield, and the Laws
of the StDle of Oregon pertaining to the work descrtbed
herein, and that NO OCCUPANCY will be made of any
slructure without permission of Ihe Building SDfety Division.
I further certify that only contractors and employees who
arc In compliance with ORS 701.055 will be used on thIs
proiecl.
I further agree 10 ensure that all required inspections are
requested Dtthe proper time, that each address Is readable
(rom tl1e slreet, that the permit card Is located at the front
of tt1C property, and the approved set of plans will remaIn
on the site at all times during constructl
Signature ( .- "~' ~ (
Date ~/-c24.
r
VALIDATION: 7 _
RECEIPT NUMBER 1....'2f1 / r
DATE PAID .Jt~
~MOUNT RECEIVE?, --:-_,2Jo .)0
RECEIVED OY VJ:?---