HomeMy WebLinkAboutPermit Mechanical 1994-6-2
D~
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Ollice: 726.3759
LOCATION OF PROPq~~~~ 1915
ASSESSORS MAP: ....a...JdJ.Q.lt
LOT: BLOCK'
OWNER'
Gene Brvan
3915 Jasper Rd..
50rinqfield
ADDRESS:
CITY'
SPRINGFIELD
.I~"rpr Rd,
STATE: -DR
.
a4lB~
JOB NUMBER
225 Fifth Street
Springfield. Oregon 97477
TAX LOT.
\(~r()
SUBDIVISION'
PHONE:
747_1?11
ZIP: <17471>
DESCRIBE WORK:
Install qas pack (gas heatino/elect.r1c coolin" nAro<'1,;prl IIni.:t.) 3 ton
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERA' .
DEMOLISH
OTHER
ADDRESS
CONST,
CONTRACTOR #
EXPIRES
PHONE
~~~~ RM~~h~~C~~~~:~~I~S
cover.
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.
PLUMBING'
M ECH AN ICAL: Comfort -Elow--Heating_B55-ILlsLEugene,-0r-97402 004.60
ELECTRICAL'
fi/27/~t;
. .
':l4?-1ll(11
- OFFICE USE -
OUAD AREA: LAND USE: 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 inspection, you must call 726.3769. This is a 24 hour record.lng. All inspections requested before 7:00 a.m. will be
made the same working day. Inspections reQllested after 7:00 a,m. will be made the following work day.
o Temporary Electric
o
Site Inspection - To be made
after excavation, but prior to
setting forms.
o
Underslab PlumbinglElectrical1
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
pI acemen t.
o
Underground Plumbing - Prior
to filling trench.
o
Underfloor Plumbing/Mechanical
- Prior to insulation or decking.
o 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 filling
trench.
o
Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
o
Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
D Wood Stove - After installation.
o Insert - After fireplace approval
and installation of unit.
o Curbcut & Approach - After
forms are erec;lcc but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
o Fence - W,hcn completed.
o Street Trees - When all required
trees are plantp.d.
o Final Plumbing - When all
plumbing work 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.
OOthsr
MOBILE HOME INSPECTIONS
o Blocking and Set. Up - When all
blockin9 Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
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
inspections are approved and
perches, skirting, decks, and
venting have been installed.
Lot faces
.
lot Type
~S rHE 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 sq. Itg.
Inlerior
Se I bac ks
-\ . I
~ HSE GAR ACC
N
Lot coverage
Corner
Topography
Total height
S
--
Panhandle
Cul-de-sac
W
I-L-___,_J
APPROVED'
BUILDING PERMIT
ITEM
X $/SO, FT,
VALUE
SO, FT.
Main
Garage
Carport
Total Val ue
Building Permit Fee
State Surcharge
Total Fcc
(Al
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s) NO
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnsert/Fireplaco Unit
Dryer Vent
Mecllanical Permit
l5.~
AS 'n..
(D) ~-(n ~
Issuance
State Surcharge
Total Permit
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
~L 11 _ !.If .....
TOTAL AMOUNT DUE (exc!uding elcctrical)~
(A, B. C. D. and E Combined)
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 Check Fee'
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Date
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
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, and I further certify
lhat any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the Stale of Oregon pertaining to the work described
IlCrein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
J lurlllet" certify tllat only contractors and employees who
are in compliance with ORS 701.055 will be used on ttlis
project.
I further agree 10 ensure Ihat all required inspections arc
requested at the proper time, that each address is readable
from the street, that tile permit card Is located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
Signature .n f!JJrJf.,:?
Datp& -;).-q<l
~:~:I::ONNUMBEFi ,\1::l.Sch
DATE PAID (O.oJ ~-i~r_
AMOUNT RECEIVED&' (a . fJ.U
RECEIVED BY r:::I{(J.)ffi-.)