HomeMy WebLinkAboutPermit Mechanical 1994-8-30
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
ASSESSORS MAP:
LOCATION OF PROPOSED WORK: 515_Colonipl n~
\ -,()~ 2212 -0 r 000
LOT:
OWNER:
Fred Bovkin
515 Colonial Drive
Springfield,
ADDRESS:
CITY'
BLOCK'
~
.
/-I/3J~
\
STAT'"
DR
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
SUBDIVISION:
PHON'"
744-9145
ZIP: 97477
DESCRIBE WORK:
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NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERA' .
DEMOLISH
OTHER
ADDRESS
CON ST.
CONTRACTOR'
EXPiRES
PHONE
REQUIRED INSPECTIONS
~ROUgh Mechanical - Prior to
~over.
rv( Rough Electrical - Prior to
~over.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
\
o
Fireplace - Prior to facl ng
materials and framing Insp.
PLUMBING:
MEGHANICAL: Comfort Flow HP.Atiog.Jl.Q.5_w'Jir.st_Euge/lp. OR Cl74n? Jj004RO
ELECTRICAL.
RI?7/q~ 342-8101
. .
- OFFICE USE -
QUAD AREA' LAND US". FLOOD PLAIN'
. OF BLDGS: . OF UNITS' ZONING CODE:
OCCY GROUP: CONSTR. TYPE: . OF BDRMS:
. OF STORIES: HEAT SOURCE: SECONDARY HEAT'
WATER HEATER: RANGE: SQUARE FOOTAGE:
To request an In:;pcction, you must call 726-3769. nlls is a 24 hour iCr:ording. All Inspections requested before 7:00 a.m. will be
made the 5ame working day, Inspections requested after 7:00 a.m. will be made the following work day.
o Tompornry Electric
D Site Inspection - To be made
nfter excavation, but prior to
setting forms. ~
o Underslab Plumbing/Electrical/' .
Mechanical - Prior to cover. "
,
o Footing - After trenches are
excavated.
o
Masonry - Sleel location, bond
beams, grouting.
o Fl")undation - After forms are
..:rcc~cd but prior to concm!'=!
placement.
o
Underg:-ound Plumbing - Prior
to filling trench.
D
Underfloor Plumbing/Mechanical
_ Prior to insulation or decking.
D
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 fBling
trench.
O Water Line - Prior to filling
trench.
D Rough Plumbing - Prior to
cover.
.~
o Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o
Wood Stove - After Installation.
o Insert - After firep!?ce apploval
and Installation of unit.
o Curbcul & Approach - After
fOJ/ns are erected but prior 10
placement of concrete.
o Sidewalk & Driveway - After
_1 UX(:ilVu.U::m is complete. forms
and sub.base mater:al in place.
o Fence - V'~'I1t::~, completed.
o Street Trc~s -- Wh:.:n cili rsquired
trP.e~ me pl::1r:wd.
o Final Plumbing - When all
plumbing work Is complet.".
~Final Electrical - When all
~electrical work is complete.
~inal Mechanical - When all
/"",-mechanical ~ork Is complete.
o Fina', Building - When all
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 Connections - When
home has been connected to
water and sew~r.
o Electrical Connection - When
blocking, set.up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
o Final - After all required
I inspections are approved and
porches, sk!rllno, d~cks. and
vuntlng have been installed.
Lot faces
Lot sq. fig.
Lot coverage
Topography
Total height
BUILDING PERMIT
ITEM
sa. FT.
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
Lot Type .
Interior
Corner
Panhandle
Cul-de-sac
X $/SO. FT.
(A)
I P.L.
IN
Is
Setbacks
i HSE GAR ACC'..
"
\ . THE PROPOSED WORK IN THE
, HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
. _ If yes, this application must be signed
'aq;d approved by the Historical
Coordinator prior to permit issuance.
I
~L-~__'~
APPROVED'
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall. in all respects. conform to the 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.
. ,
Plan Chec~ Fce:
Dale Paid:
Receipt Number:
HcceivccJ By:
~
Plans Reviewed By
Date
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)
N'
FT.
FT.
FT.
(C)
Dryer Vent
Wood Stove/lnsert/Fireplace Unit
N'
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fl
Curbcut
fl
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE <excluding electrical)
(A, B, C, 0, and E Combined)
Systems Development Cilarge is due o'n all undeveloped
properties within the City limits which are being improved,
FEE
ADDITIONAL COMMENTS
-50?~ a&.1:/~A1~r/~
A"~~)_
AdJ,
/5~
/[) <>-.:J
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2(~ 2-D
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that al/
information hereon is true and correct, and I further certify
that any and all 'fork performed shall be done in accordance
with the Ordinaricus of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and tllat NO OCCUPANCY will be made of any
structure witllOut permission of the Building Safety Division,
I further certify that only contractors and employees who
arc 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 properly. and the approved set of plans will remain
on the site at all times during construction,
O.li Ltf' /J AJ oW
(JR- SfJ-q!j
Signature
Dale
VALIDATION:
RECEIPT NUMBER
J~~3?)
~',/~b/9t
?f~~O
~~
DATE PAID
'7./-. 2..0
-. ,
AMOUNT RECEIVEf1
RECEIVED BY