HomeMy WebLinkAboutPermit Mechanical 1999-5-19
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726,3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP: / z:, D 2-
LOT:
OWNER' J!1lE.{J"- :ie,r-z:.
ADDRE!"S" /tJ61 &-rZJ...Et./
CITY: .s'p~/,j("I='IEU'::> J
.
j I? /" 7 );/"7/ Z- /..L.(
o /'/? '24
BLOCK'
''"I
STATE: '
OP
DESCRIBE WORK' ::Z;;Sfi.l.j..,f~O"j .!JF" r.;~kmr-
NEW
REMODEL
CONTRACTOR'S NAW
GENERA" ~~M~~1f~
PLUMBING:
MECHANICA' '
ELECTRICA"
ADDITION
DEMOLISH
OTHER
.
'\
990079,
JOB NUMBER
225 Fifth Street
Sprlngllald, Oregon 97477
TAX LOT: _"'" ,?, t:. ~ //
SUBDIVISION'
PHON~'
y...z.L -tJ64'O
ZIP'
9/f-!1.?'
v
ADD~ES~~ r
..!j?i! AJ,J/ - ~J~
CONST.
CONTRACTOR'
/tP3/1t.
EX!:'IRES ':7' PHONE
.5#5- :7"/'".;2,_
- OFFICE USE -
QUAD AREA' LAND USE: FLOOD PLAIN'
. OF BLDGS' . OF UNITS: ZONING CODE:_
OCCY GROUP' CONSTR. TYPE: . OF BDRMS'
. OF STORIES: HEAT SOURCE: SECONLlARY HEAT:
WATER HEATER' RAN~c, SQUARE FOOTAGE: V'
To request an Inspecllon, you must call 726,3769, This Is a 24 hour recording, Alllnspecllons raquested b. lore 7:00 a,m, will b.
made the same working day. Inspections requested after 7:00 8.m. will be made the following work day.
REQUIRED INSPECTIONS
o Temporary Electric
o Site Inspection - To be mado
after excavation, but prior to
setting forms.
o Underslab Plumblng/Electrlcalf
Mechanical - Prior to cover.
o Footing - After trenches are
excavated. .
o Masonry - Steal locallon, bond
baams, groullng,
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling tranch, I
o Underlloor 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 Llna - Prior to filling
trench. l
o Rough Plumbing - Prior to
cover.
/
o Rough Mechanical - Prior to
cover,
o Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
elactrlcal power,
o Fireplace - Prior to facing
materials and framing lnsp.
o Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover.'
o Drywall - Prior to t~ping,
o Wood Stovo - After Installation.
,I
o Insert - After fireplace approvel
and Installation 01 unit,
o Curbcul & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Drlvaway - Aftar
excavation Is compiete, forms
and'sub-base material In place.
o Fence. - When COiy\pleted,
D Street Trees - When all required
trees are planted, -..., . :
o Final Plumbing - When all
plumbing w9rl< Is cemplet.e.
o Final Electrical - When all
electrical work Is complete,
~ Final Mechanical - When all
~chanlcal work Is complete.
o Final Building - Whan all
required Inspections have been
approved and building Is
com plated.
,
~Olhar .G'M b.J2P 6<?T",~c/'?(..
,
MOBILE HOME INSPECTIONS
o Blooklng and Sat.Up - Whan all
blocking 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 raqulred
Inspections are approved and
porch os, skirting, decks, and
venting have been Installed,
('"
,.
Lot faces
~t'~y.
Interior
Lot sq, ftg,
Lot coverage
Corner
Topography
Total haight
\'
Panhandla "
Cul.de,sac
BUILDING PERMIT '/,
:;~ 'If
ITEM
sa, FT,
X $/so. FT. =
Main
Garage
Carport
Tolal Value
Building Permit Fee
State Surcharge
Total Fee
(A)
~~..', i l"'~':;'~""}:f,:~~.;{~~ff1:~',i~t:,
.:~.;~ '~";.: : ' . . .' " ~~'" ',;:;1:1('1"'.'
,:..~,..,~. ." Setba'cks',
I ;P.L. HUE GAR ,ACC'!
IN
Is
~---
,E
VALUE
"
, ,
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM FEE
Fixtures
Residantlal Bath(s) N'
Sanitary S~wer FT.
Water FT,
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge (0)
MECHANICAL PERMIT
Furnace
/
Exhaust Hood
Vent Fan N'
Wood StovellnsertlFlreplace Unit
Dryer Vent
_/-'AS /~cl F?: $&ieF JJMIL
, I
Mechanical Permit /t;"dQ
Issuance lOP";;
State Surcharge 1?)r,~F /,'/'O
:2-,?;)...O
Total Parmlt (D) "',
MISCELLANEOUS PERMITS
Mobil. Homa
State Issuance
Stat. Surcharge
Sidewalk ft
Curbcul It
Demolition
State Surcharge
Tolal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding elactrlcal) 2k, ~O
\. lA, B, C, D, and E Combined)
'_IS THEPROPO~ED WORK'IN THE,
""HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must b. signed
and approved by the Historical
Coordinator priOr to permit Issuance,
APPROVEf"
BUILDING VAU1E, PLAN CHECK
AND BUILDING PERMIT
This parmit Is grantad on the express condition that the said
construction shall, In all respects, conform to the OrdInance
adopted by ,the City 0.1 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 Chack fea'
Date Paid:
Receipt Number'
Received By:
, '
, ,
Plana Reviewed By
Dete
Systems Davalopment Charga Is due on all undevelopad
properties within the City limits which ara baing Improved,
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carofully 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 tha Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
haraln, 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 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 straat, that tha permit card Is located at tha front
of tha property. and the approved set of plans will remain
on the site at all ti es Juri c structlo,
'i-;,lgnatura'Jl\ 1"(1 )
Date J:/;-91
VALIDATION:
RECEIPT NUMBER
~fo 74-
S-/;,,}/Y'l
'( '~ 10
~~
t
DATE PAID
AMOUNT RECEIVED
RECEIVED BY