HomeMy WebLinkAboutPermit Mechanical 1992-7-31
RESIDENTIAL
PERMIT APPLICATION
.
Inspections: '126,3769
Office: 726,3759
LOCATION OF PROP'i~)f' \~\()~
ASSESSORS MAP: t I~;J, ~
LOT:
~
BLOCK'
..
JOB NUMBER
q Q ID8,Q
225 Fifth Street
Springfield. Oregon 97477
TAX LOT'
U(JdrD
SUBDIVISION'
PHONE: 14l{r4~q!J.
&; \ llLn.,~ J Qt-
~ '--~. -~~AT~:-~
'* ~ fum0
\
OWNER: _
CITY:
DESCRIBE WORI<" ('(\~ c{\ ill. J1ft!' Q
NEW REMODEbJ A~nON DEMOLISH
CONTRACTOR'S NAME
GENERAl'
OTHER
ZIP:
4r-411--
ADDRESS
CONST,
CONTRACTOR #
EXPIRES
PHONE
- OFFICE USE -
\ \1\.\
LAND USE:
" OF UNITS:
CONSTR, TYPE:_
HEAT SOURCE: j::~'(:J
RANG to:
QUIRED INSPECTIONS
PLUMBING: _
MECHANICAL MlLUG...L.'<"'t'..2tn 4loK4JrIffi.JU -..'56(o8!2 Q,fq3 rtb-7la7_7-
ELECTRICAL: ~:-<;- U
QUAD AREA:
\ ~\\ ')lD
# OF BLDGS:
OCCY GROUP: ____
# 01' STORIE';: ,__
WATER HEATER:_
FLOOD PLAIN:
ZONiNG CODE: W,P
-
)
II OF BDAMS:
SECONDARY HEAT: _ _._. _.._.
SQUARE FOOTAGE:
To request an inspection, you must call 726.3769. This 15 a 24 Ilour recording. All Inspections requested before 7:00 a.m. will I)e
made Hie samc working day. Inspections requested 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
Undcrslab Plumbingl Electrical I
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - Alter forms are
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to filling trench.
o
Underlloor Plumbing/Mechanical
_ Plior to Insulation or decking.
o
Post and Beam - Prior to floor
insulation or decking.
o Floor Insulallon - Prior to
decking.
o Sanitary Sewer - Prlor to filling
trench.
o Storm Sewer - Prior to filling
trench.
o
Watcr Lino - Prior to flltlng
trench.
O Rough Plumbing - Prior to
cover.
Rough Mechanical - Prior to
cover.
D Rough Elcctrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrlcal power.
o Fireplace - Prior to facing
materials 3mJ framing Insp.
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 fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material In place.
o Fence - W~en completed.
o Street Trees - When all required
trees are planted.
o
Final Plumbing - When all
plumbing worl~ is complete.
o Final Electrical - Wilen all
electrical work is complete.
~al Mechanical - Wilen all
/ ~ ~,echanical work is complete, ,
o Final 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 complele.
o Plumbing Connections - When
home has been connected to
water and sewer.
o
Electrical Connection - WtlCll.
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
porches. skirting, decks, and
venting have been inslattee!.
Selbacks
I P.L. HSE GAR ACC
IN
Is
Iw
IE
Lot faces
Lol Type,.
Lot sq, ftg,
Interior
Lot coverage
Corner
Topography
Panhandle
Tolal height
Cul-de-sac
BUILDING PERMIT
ITEM
so, FT.,
X $/SO, FT.
VALUE
Main
Garage
Carport
Total Value
Building Permit Fec
Slate Surch::trgc
Total Fec
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
N'
Sanitary Sewer
FT,
Water
FT.,
Storm Sewer
FT.
Mobile Home
Plumbing Permit
Stale Swdl<lrge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Ext,aust Hood
Vent Fan
N'
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
1St})
J ( ). !D
AS,r IS
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
Stale Issuance
Slate Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical) rQ~."1S
(A, 8, c, D, and E Comblnod)
as THE PROPOSED WORK IN THE
-"'IISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior 10 permit issuance.
APPROVED: -
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition thai the said
construction shall, in all respects, conform to Ihe Ordinance
adopted by tile City of Springfield, including the
Development Code, regulating the construction and use 01
buildings, and may be suspended or revoked at any lime
upon violation of any provisions of said ordinances.
Plan CtHick Fee"
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Dale
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
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the Slate of Oregon pertaining to the worl< described
herein, and that 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 with CRS 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 < e property, and the approved set of plans will remain
o g~::u:~e1AJics fJjJiill~n
Uau 8(, /Qq;)
()
VALIDATION: f144
RECEIPT NUMBER~~_
DATE PAin rC.'lS!J.5 ~ ~
AMOUNT RECEi~ D ' ) ,?1( .y,' L-4.
0.' "^ I '
RECEIVED BY "L,&JV\ _ --