HomeMy WebLinkAboutPermit Mechanical 1992-8-27
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Olliee: 726.3759
LOT:
.
SPRINGFIELD
BLOCK:
OWNER: L-- yt-JA! PBlGf,<,{il.J /
ADDRESS 2--5'j 2-- 'Nt" '7--"7 io/
~'E-fd/I/Gb.ec--Ji / STAT~
P ~/flf ~
CITY:
DESCRIBE WORK'
NEW
REMODEL __ ADDITION
..
JOB NUMBER -WJ!l C,
225 Filth Street
Springfield. Oreoon 97477
TAX LOT:
n~~~rr )
.. ~
SUBDIVISION'
PHONE:
746- N~2
o~
;<. f..-'P
ZIP:_q'74'-~
l/6/
DEMOLISH
OTHER
EXPIRES
S-/If..q <.
~
PHONE
CON ST.
CONTRACTOR'lfAME ADDjSS @ CONTRACTOR #
GENERAL ---~-f-tt~-l/gj()Jf4S)tJ _____n 136 &cmYfPk 60/-J6
I'LUMBING ,6eMr:z1f ~c1.~0t1___n___--..
MECHANICAL _6!~k~_~{fOA
ELECTnlCAL: __ \ {/de." 1'..- / ? 11((...()O S
S!t.4. :z 6
V
q //4)....4?
- OFFICE USE -
OUAD AREA: LAND USE: FLOOD PLAIN:
. OF BLDGS: # OF UNITS' ZONING CODE:_
OCCY GROUP: CONSTR. TYPE: # OF BDRMS:
1/ OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANG~' SOUARE FOOTAGE:
To request an inspection, you must c?" 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.
D Tcmpormy Electric
D Site Inspection - To be made
after excavation, but prior to
settino forllls.
D
Underslab Plumbingl Electricall
Mechanical - Prior to cover.
o
Footing - After trenches are
excavaled.
D
Masonry - Steel location, boml
beams, grouting.
D Foundation - After forms are
erected bu I prior to concrete
placcmcnt.
o
Underground Plumbing - Prior
to filling trench.
D
Underlloor Plumbingl Mechanical
_ Prior to Insulation or decking.
D
Post and Beam - Prior to floor
Insulation or decl<lng.
o Floor Insulation - Prior to
decking.
l=:l Sanitary Sewer - Prior to filling
trencll.
O Storm Sewer - Prior to filling
trenell.
D Water Line - PrIor to filling
trench.
~ Rough Plumbing - Prior to
~ver.
REQUIRED INSPECTIONS
~ 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 facing
materIals and framing Insp.
~ Framing - Prior to cover.
o WalllCeiling Insulation - Prior to
Gover.
~ Drywall - Prior to taping.
D Wood Stove - After Installation.
o Insert - After fIreplace approval
and Installation of unit.
o Curbcut & Approach - After
forms arc erected but prior to
placement of concrete.
D Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material In place.
D Fence - When completed.
D Street Trees - Wtlen all required
trees are planted.
r\7l Final Plumbing - When all
~PIUmblng work Is complet.c.
D Final Electrical - When alt
electrical work Is complete.
M Final Mechanical - When all
~ mechanical work Is complete.
~ Final Building - When alt
requIred Inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Conncctions - When
home has been connected to
water and sewer.
D Electrical Connection - Wtlen
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, decl<s, and
venting have been installed.
Lot facos
"
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type.
Interior
Corner
Panhandle
Cul-de.sac
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fec
(A)
.IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes. this application must be signed
and approved by ttle Historical
CoorcJin;::;tor prior to permit issuance.
_ Setbacks __
PL. HSE GAR ACC
N
~----
W
----
-~ -- -' ---
APPROVED'
VALUE
3X=O
....1A'.5:?
1-013
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
(B)
3
NO
FT.
FT.
FT.
(C)
Dryer Vent
Wood Stove! Insert/Fireplace Unit
NO
Mechanical Permit
Issuance
State Surcharge
Total Permit
Mobile Home
MISCELLANEOUS PERMITS
(D)
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
FEE
.:::c; ,00
3?~O
J ..so
3 I, .so
IS.OO
IS,OO
-t./J .00
Ie;
2.5 . 75
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
i/ico >?
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit i:; {Jrantcd on the express condition Ihat Il'le said
conslrucllon ~~tlall, in all respects. conform to ttle Ordinance
adopted uy the City of Springfield. including the
Development Code. regulating ttle construction and use of
bllilcJin~ls, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Ctlcck Fee:
Date Paid:
Receipt Number'
Received By:
'pinnsR'ev'i-e-wCd8y-------.-~.---
Dale
Systems Development CtlClfge is due on ;)11 undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
By signature. I state and agree, Ihall have carefully ex?mincd
the completed application and do hereby certify that all
Information hereon is true and correct, and I further certify
. ttlat any and all work' perforrned shall be done in accordance
with the Ordinances of the City of Springfield. and the Laws
of the State of Oregon pertaining to the worl< described
herein, and Ihat NO OCCUPANCY will 'be made of any
structure wilhout permission of tile Building Safely Division.
I furttlN cerUfy that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
I further agree 10 ensure ttwt all uired insp' ctions are
. requesled at the proper time, t teach add res is readable
from the street, that tile perm t card is locate at the front
of the proper . and the appr ved set of pia s will remain
all tirnes durin constructio .
Dale
I \
- ).1 - ~_C--:J '
VALIDATION:
RECEIPT NUM8ER lP.6i.{7
DATE PAin ';? - 2.7 - C;'?
AMOUNT RECEIVEr> f?'-02'
r;~
RECEIVED 8Y