HomeMy WebLinkAboutPermit Mechanical 1999-4-16
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726,3759
ASSESSORS MAp.
LOT"
OWNER:
t. indo:,
CITY:
CONTRACTOR:S NAME
GENERAl-
SPRINGFIELD
,JOB NUMBER q~~ Y
~~ 225 Filth Street
~JI Sprlnglleld, Oregon 97477
0ew g /i/d.
BLOCK:
STATE: ---L2r .
TAX LOT:
SUBDIVISION.
~.~.b
PHONF.
79<6 ~7~/
Rc:>\~"cA
ADDRESS:. 6 3;l.. C . r'1 ' (//41 c..\J E!vd.
S-- ~J.'1 /1(?f J.> ;',' k./
, ,,/
DESCRIBE WORK: h:z;Z:>~.,A:' k~- ~ ~A-~__ ~'721Y' ~~ ~ .-;>-.
NEW REMODEL ADDITION DEMOLISH OTHER
ZIp.
97~:?7
ADDRESS
CON ST.
CONTRACTOR'
C>
rn Rough Mechanical - Prior to
. '"Pier. /'
~ /~,,~ ,-?/;r
o Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wallle'elling Insulation - PrIor to
cover.
o Drywall - Prior to tapin~.
o Wood Stovo - After Installation.
o Insert - After fireplace approval
and Installation of unIt.
o Curbcut & Approach - After
:. (orms are erected but prior to
~ placement of concrete.
o Sidewalk & Driveway - Afler
excavatIon Is compiete, forms
and sub-base material in place.
o Fence - When completed.
o Street Trees - When all required
trees are planted.
EXPIRES
PHONE
PLUMBIN'''.
MECHANICAL: Gd....i b.fJ ~t"v1.e ~1 IV ~(1. E",~e # 7'V>5~!) /.JJ.J~ I sff'02 ~cPl
ELECTRICAl.
- OFFICE USE -
OUAD AREA- LAND USE: FLOOD PLAIN:
. OF BLDGS. . OF UNITS: ZONING CODE:_
OCCY GROUp. CONSTR. TYPE: _ . OF BDRMS:
. OF STORIES: HEAT SOURCE: SECONOARY HEAT:
WATER HEATER: RANGE: _ SOUARE FOOTAGE:
To request an Inspection, you must call 726-3769, This Is a 24 hour recordIng. Alllnspecttons requested before 7:00 a,m. wi" be
made the same working day. Inspections requested aller 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
o Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o
Underslab Plumbing/ Electrleal/
MechanIcal - Prior to cover.
D Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms are
erected-but prior to concrete
placement.
o
Underground Plumbing - Prior
to filling trench.
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking,
o Post and a'eam - Prior to floor
Insulation or deckIng, "
.,
o Floor Insulation - Prior to
decking. ..
o Sanitary Sewer - Prior to f111'ing
trench.
o Storm Sewer - Prior to filling
trench.
O Water line - Prior to filling
. trench.
o Rough Plumbing - Prlo'r to
cover.
o Final Plumbing - When all
plumbing worl< Is complete.
. .
o Final Electrical - When all
electrical work Is complete.
~ Final Mechanical "- When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and buildIng Is
completed,
I1tI Other ~~ ~(4 ~ .~~
L,CJ ~ <"~ 1/// d'
"'/ - ,,'-1'7 ~I
MOBILE HOME INSPECTIONS
o Blocking and Set-Up - When all
blocking Is complete.
o Plumbing Connections - When
tlOme has been connected to
water and sewer.
o Electrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home 15 connected to
the service panel.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed,
,-
~ .,. ,: "i~ .. .
Lot faces Lot Type Setbacks
Lot ~q.' ftg. Inferior I RL. 'HSEIGAR'ACCI
- IN , I
Lot coverage Corner
Topography Panhandle !' Is I
"~~~'~ I
Total height Cui-dc-sac
, _J
f~
THE PROPOSED WORK tN THE.
...HISTORICAL DISTRICT, OR ON
THE HtSTORICAL REGISTER?
It yes, this application must be signed
and approved by the Historical
Coordinator prior io permit issuance,
.1
APPROVED.
X $ISO. FT.
VALUE
BUILDING v~Llk PLAN CHECK
AND BUILDING PERMIT .
,'![
BUILDING PERMIT '
ITEM SO. FT.
;, .1
Garage
"
This permit is granted oh the express condition that the said
construction shall,' In all respects', conform to the Ordinance
adopted: by the ..City .of .Sprlngfleld, ~Includlng the
Development Code, regulating the construction and' use of
oulldings, and may be suspended or ravo'ked at "any 'time
upon violation of any provIsions of 'sald ordinances.
Main
"
Carpo'rt.
,
Plan Check Fee'
Dale Paid:
Total Value
Receipt Number;
Building Permit Fee
Received By:
Stale Surcharge
Total Fcc
(A)
Plans Reviewed By
Dat~
: SYSTEMS DEV,ELOP.MENT CHAi~GE (SDC)
.,. ... '. . .:-.... , ..' -. ;.
'. (B)
PLUMBING PERMIT
. '. ,
. .
. '~ystems"'Developmcnt Charge Is due on~all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
ITEM
FEE
Fixtures
ReSidential Bath(s)
N'
Sanitary S~wer
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
./ Furnace
Exhaust Hood
'.
By signature, I state and agree, that I have carefully examined
the completed application and do hereby .certify that all
Information hereon Is true and correct, ":lnd 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 tho work described
herein, and that NO OCCUPANCY will be made of any
structure wIthout permission of the Buildlryg Safety Division.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
Vent Fan
NO
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Issuance
M/# /~. ,t:>
-//::>. .,..,
j.~ . '.~
~
(D) 2~. 20
I further agree to ensure that ail required inspections are
requested at the proper. time, ~hat each, address is readable
from the street, that the permit card Is located at the front
of the property, and the ap' ov (j set of plans will remain
on the site at all times rl constr ctlon.
,
Mechanical Permit "
State Surcharge
Total Permit
MISCELLANEOUS PERMITS
Mobile Home
State Surcharge
Signature
State Issuance
Sidewalk
It
Date
~/99
Curbcut
It
Demolition
State Surcharge
VALIDATION:
Total Miscellaneous Permits (E)
~3~
DATE PAIr> 7'~"9"3
AMOUNT RECEIVED .z:;; . -:::;:>0,.
RECEIVED BY . /?/".=~~ - .
,"-~/P~
RECEIPT NUMBER
TOTAL AMOUNT DUJ; <excluding electrical)
(A, B, C, D, and E C<!mblned)