HomeMy WebLinkAboutPermit Mechanical 1998-1-23
.
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Ortice: 726-3759
SPRINGFIELD ...", ,
L~ .
'i
JOB NUMBER
q~ j/
,
~
(lLJrra.J DR.
225 Fifth Street
Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: c9l./-S (p
ASSESSORS MAP: / '/ ~3 ~~... f/ :3
OWNER: MR~. ~ RYIJw^,
ADDRESS: cJJf56 & yra) DI?
\ C:pn ilrfl'eJd
DESCRIBE WORK: IfJSlttl/ lIat l!u.mp J'ys-le.m
REMODEL V- ADDITION
LOT'
CITY:
NEW
CONTRACTOR'S NAME
GENERAL'
TAX LOT: ~::>?~
BLOCK:
SUBDIVISION:
"
PHONE:
1'17-t19J1
STATE:, fJR
ZIP:
CfllfV
DEMOLISH
OTHER
ADDRESS
CONST,
CONTRACTOR /I
PHONE
EXPlf~ES ~
PLUMBING: ,
MECHANICAL: &rn/Orl FlDW~q5llJtJfII\-}/.~.1 /)
ELECTRICAL:
QUAD AREA:
/I OF BLDGS:
OCCY GROUP:
/I OF STORIES:
WATER HEATER:
fJJ%O
6-2i/~ qf
'J2i;-IJ//XJ
- OFFICE USE -
LAND USE: ,"-,
FLOOD PLAIN'
/I OF UNITS:
ZONING CODE:
CONSTR. TYPE:
/I OF BDRMS:
HEAT SOURCE:
RANGE:
SECONDAFlY HEAT: ______
SQUARE FOOTAGE: ,___,__,__
To request an Inspection, you must call 726-3769, Tills Is a 24 hour recording, All Inspections requesled before 7:00 a,m, will be
made the same working day. Inspections requested after 7:00 a,m. will be made the following worl< day,
o Temporary Electric
o
Site Inspection - To be made
after excavation, but prior to
setting forms,
o Underslab 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.
o
Underground Plumbing - Prior
to filling trench,
o
Underlloor Plumbing/Mechanical
- Prior to Insulation or decl<ing.
o
Post and Beam -:- Prior to floor
Insulation or decl<lng,
o
Floor Insulation - Prior to
decking,
o Sanitary Sewer - Prior to filling
trench,
o
Storm Sewer - 1'1'101' to filling
trench,
o
Water Line - Prior to filling
trench.
o
Rough Plumbing' - Prior to
cover,
REQUIRED INSPECTIONS
o Rougll Mechanical - Prior to
cover,
o
Final Plumbing - When all
plumtJing worl< is complete,
o
Rough Electrical
cover,
Prior to
D
Final Electrical - When all
electrical worl< is complele,
o
Ji!l
Final Mechnnical - When all
mechanical worl< Is complete,
Electrical Service - Must be
approved to obtain permanent
electrical power,
D Fireplace - Prior to facing
materials and framing Insp,
o
Final Building - When all
required Inspections have been
approved and building is
compleled,
o Framing - Prior t~. cover,
o Other
o WalllCeiling Insulatiol'l -;- Prior to
cover, _,
. ,
.,',.
o Drywall - Prior to taping,
':'.
MOBILE HOME INSPECTIONS
o Wood Stove - After Installation,
o Insert - Arter fireplace approval
and installation of unit.
o Blocking and Set.Up - Wilen all
blocl<lnD is complete,
'.
0 Plumbing Connections - When
0 Curbcut & Approach - After tlOme has been connected to
forms are erected but prior to water antI sewer,
placement of concrete,
0 Electrical COllnection - When
0 Sidewalk & Driveway - After blocl<inU. set.up. <:lnd plumbing
excavation is complete, forms inspections t):-Ive been approved
and sub.base material in place, and the tlOrne is connected to
tile service panel.
0 Fence - Wilen completed,
0 Final - After all required
Inspections are approved and
0 Street Trees - When all required porches, skirting, decl<s, and
trees are planted, venting tl<:lve been installed,
Topography
Total height
Panhandle
I P.L
IN
Is
Setbacks
I I I I
HSE GAR ACC
I
I
\, '-HE 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.
Lot faces
Lot Type
.
Lot sq, rtg: ..
Interior
Lot coverage
Corner
Cul,de.sac
W
-.---..- ._-- ----
E
APPROVED:
ITEM
SQ, FT,
X $/ SQ, FT. =
VALUE
, .
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
BUILDING PERMIT
,
,
This permit is granted on tile express condition that the said
construction shall, in all respects, conform to tile Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances,
Main
Garage
Carport
Plan Check Fee:
Dale Paid:
TolDI Value
Receipt Number'
Building Permit Fcc
Received By:
State Surcharge
Total Fcc
(A)
_. .--_. --.---
Plans Reviewed By
Date
SYSTEMS DEVELOPM,ENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within tho City limits which are being Improved,
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
NO
SDnitmy S~wer
FT.
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Total Permit
(D)
/.tS. ~
r - ~
-H!L -/~..~
.~ . ~5""
2~ 7e>
By signature, I stale 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 worl< described
herein, and lhal NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division,
I further certify that only contractors and employees who
are in compliance'wilh ORS 701,055 will be used on this
project.
Exhaust Hood
Vent Fan
NO
Wood Stove/lnsert/Flreplace'Unil
Dryer Vent
I.c/~ /jk-~)..~ ~~?..
H}l';J'~ , J ~ -/~ /'
Mechanical Permit
Issuance
State Surcharge
Slale Surcharge
Signature
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
, Sidewalk
It
Date
c-
,'Curbcut '
ft
Demolition
Total Miscellaneous Permits (E)
VALIDATION:
RECEIPT NUMBER _ ~~
DATE PAID /- < "3-c;7S
AMOUNT RECEIVED _ 2~ "2<:::>
RECEIVED BY _____~ '"'
?tate Surcharge
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)