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Home My WebLink AboutPermit Mechanical 1992-10-27 ,. ;I RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . SPRINGFIELD LOCATION OF PROPOSED WORK' q-;;;;>8~ /A-<:?2. ->:::9.S-" "2 '-71 ASSESSORS MAP: LOT' BLOCK' OWNER: -/{1~~ ~1/'~/C#.. ADDRESS: '-:z:~ /s-.~~ /7 * .;z>C,-_._-- CITY: .-.>P~ STATF' '/ ~;p. . 7 ~S'Z!:5 2.. JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT' ~aoC:> SUBDIVISION' PHONE' 7<./')-52,~ ZIP' '7;?y;:;>:::::> , I I , DESCRIBE WORK' ~~ i ~~ r~~;,-;-.t/~/~~ ~~~)--- ~ I ADDITION DEMOLISH OTHER I NEW REMODEL CONTRACTOR'S NAME GENERA' ' ADDRESS CONST, CONTRACTOR' EXPIRES PHONE PLUMBING' ~ / ~~ I ~ . ~ /ve /",..... ,....'"':'r.>:: ~ ~/'?'~ MECHANICAL. ~. -~-- -~7'i-' - ,.. ~ ~r'" ~. ELECTRICA' ' OUAD AREA' . OF BLDGS' OCCY GROUP: . OF STORIES: WATER HEATER' - OFFICE USE - LAND USE: . OF UNITS' CONSTR. TYPE: HEAT SOURCE: RANGE: 7~~), , //..,.?7-- 7~9'~ , , FLOOD PLAIN' ::N~:::~:E: ~~ SECONDARY HEAT:--.f~ SQUARE FOOTAGE: To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be made tho same working day. Inspections requested after 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 sottlng forms. o Underslab Plumblng/Electrlcall Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel IOGatlon, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. 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 In5ulotloo',- Prior to decking, _ o Sanitary Sower - Prior to filling trench. ~ o Storm Sewer - Prior to filling trench. .' o Water L1no - Prior to filling trench. . o Rough Plumbing - Prior to cover. . @ Rough Mechanical - Prior to 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. o Framing - Prior to cover. o Wall/C'elllng Insulation - Prior to cover. . o Drywall - Prior to laplng. o Wood Stove - After l~sta"at'lon. 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 -'When completed. , , . o Street,Jrees ...:. When 'alf required trees are planted. o Final Plumbing - When all plumbing work Is complete, D Final Electrical -' When all electrIcal work Is complete. , , .. ' ., \ ,< ri7l Flnai Me~i,a~lcal ~ Whe'n '~II ~ mechanical work Is complete. '.. ," o Final B'ulldlng ,- When all . requlred,lnspectlons have been approved and building Is . , 'completed.' !Xl Other ~./f'~7e:.-~.#C ~q r:b?f t::?;Y/T 5'"~?~/?7' MOBILE HOME INSPECTIONS " o Blocking and Set,Up - When all blocking Is complete. , > D Plumbing Connections - When home has been. connected to water'and sewer. ;0 D 'Electrlcal. Connection - When blocking: :set'up, ,arid, plumbl ng , In'spectlons have been approved and the. home. is"connected.,to the serVice 'panel. ".~' . .; 'l:".':.~ :~"'~rL..~... ':,,::", 0' M. Final ,"';;:After.all,requlreii', ' ~'.lnspectlons'\a-re'ra'r{p"'rQved 'a'nd, I. ,- ::?"' ., ~porChe9~~Skiru'n'g~:de"c~siland ~ _I venting have: been,lnstalled:- t:ot T~P~:;.~' !. , '-,- ;~terlor:' I P.L. HSE GAR '6~rn.~;"" .IN' ls Iw I ~--~ Lot faces '~'. ..." Lot 'Sq'. 'ftg, -'~.:. , " Lot coverage Topography Total helghl Panh~~dle Cul.dc.sac Setb"cks BUILDING PERMIT ITEM sa. FT. x $/SO. FT. VALUE Main \ < ' Garage Carport J Total Value Building Permit Fee Slate Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC), (6) PLUMBING PERMIT ITEM Fixtures Residential 6ath(s) N' Sanitary Sewer FT. Waler FT. Storm Sewer FT, Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT :2 ? /.?~- Fu mace , Exhaust Hood Vent Fan N' Wood Stove/lnserUFlreplace Unit Dryer Vent ~..~h~ Mechanical Permit Issuance State Surcharge Tolal Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curb'cut II Demolition Stale Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) , FEE 7.~ 7-5l? '7........,.. /? ..,p /P~- .95 2:7.~ .. ,. Accl I I CeHE .PROPOSED WqRK I~ THE "'HISTORICAL:DISTf\ICT, OR ON THE HISTORICAL REGISTER? " yes, this application must bo signed and approved by the Historical Coordinator prior to permIt Issuance. . APPROVED: BUILDING VALUE. PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition thai the saId constructlon shall, In all respects. conform to lhe Ordinance adopted by the City of Springfield, Including the Development Code, regulating the construction and uso of buildings, and may be suspended or revoked at any timo upon vlolatlon of any provisions of said ordinances, Plan Check Fee: Date Paid: Receipt Number' Received By: Plans Reviewed By Dato Systems Developmenl Charge 15 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 certi fy that all Information hereon Is true and correct, and I further certify that any and all work performed shall be done in accordance with lhe Ordlnancus of the City of Springfield, and the Laws of tho State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I furlller certify that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required Inspections arc requested at the proper tlm~; that each address Is readable from the street, that the 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... Slgnature\~ '1,"") ~~ft..LAA ) Dat~ / t) -.;; 7- '7'.;:l... VALIDATION: RECEIPT NUMBER ? ~-:7 2- /0-27 --:72 AMOUNT RECEIVEn .:;;:::?: &;:;- d//7_ _ - ./' DATE PAIP RECEIVED BY . . . ~,,/ . . , ,~ "\........--,.. = -~irt \ l~pcoD M.G~ . - --' - -.. -- ..:::..- =- - _ *,12- \ 1JP 1U'>Jct. '~>5hv~ ~{i-- ~ shJo# , -. %"',.r~ ~ t .. "" , Plelee rl( . ~ P"''''' ?1~~ :- / ""l""'~". 'f~ 1 " wf~ I'~"-- I B 1cu.Jt. ,'..eM.. 1'; ~t' I tI~ ~ IrA. I&''' k sv"'~ 10'1 ," ~ I ~ ,. ~.~ '"'3 '5 ,. , '" '", '" fMJ re~~,' ----- .... - : 1,> (1- I <t;'h...f I ~ '/:J./ 130" r; J301J - 9) -- I sa' I -r kf1 Loqu-L rJtJlS fJ(/J~~ 'l'- 'dO ~0, . <". 'U,l-LuJJ/,.. 0r--t1/tt.h c:iJG-' .Ltt # 7J.r/OS ~ (~. ~.;2.. '" . '" . ~ --. 77J r(1 / &"01 .. '0 un.,'011S ~ S ~T- c){)() 'Q.. +"lell 30 'I ;;?;; -,,",' .