HomeMy WebLinkAboutPermit Mechanical 1993-2-17
RESIDENTIAL
PERMIT APPLICATION
.
Inspections: 726.3769
Office: 726,3759
SPRINGFIELD
OWNER: _)&'~/;/ '/ - LhV~.4:::.R;::;,/#,.
ADDRESS:' :?~
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DESCRIBE WORK: -J#-1r;~~ ~ ,;z:;,.-"-,,*,,?
NEW X REMODEL ADDITION DEMOLISH
ASSESSORS MAP'
LOT'
CITY:
CONTRACTOR'S NAME
GENERAl'
BLOCK'
STATE:~
OTHER
.
~
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
TAX LOT'
ot.l?c:::::::>o
SUBDIVISION'
PHONE: 7crh -a.6?.&::"
ZIP'
4' ?Y? 7
-~~
P .'t
"
EXPIRES
ADDRESS
CONST.
CONTRACTOR #
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Rough Electrical - Prior to
cover.
D 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 WalllCeiling Insulation - Prior to
cover.
o Drywall - E'rlor to taplng.
o Wood Slove - After Installation.
o Insert - After fireplace approval
and Installation of unIt.
o
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
PHONE
PLUMBING: '
~ '2.~#2,.r;-.:;,.F;r ~
MECHANICAL:~!/P!".. ,m/'~ ~ "':.....r.,,~~ ~?::;/a??L7~ ?~g~.
ELECTRIC" , .
- OFFICE USE -
OUAD AREA' LAND US". FLOOD PLAIN'
# OF BLOGS: # OF UNITS' ZONING CODE:
OCCY GROUP' CONSTR. TYPE: # OF BDRMS'
# OF STORIES' HEAT SOURCE: SECONDARY HEAT:
WATER HEATER' RANGF' SQUARE FOOTAGE:
To request an inspection, you must call 726.3769. This Is a 24 hour recording. Alllnspectlons requested before 7:00 a.m. will be
made the same 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 Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o
Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms arc
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to filling trench.
o
Underlloor Plumbingl 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. . .
I
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material in place.
o Fence - When completed.
o Street Trees - When all required
trees are planted.
o
Final Plumbing - When all
plumbing work Is complet.e.
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.
DOther
MOBILE HOME INSPECTIONS
o Blocking and Set,Up - When 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 required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
Lot faces Lot Type . Setbacks I.E PROPOSED WORK IN THE
I P.L. IHSE ACC I I ,ORICAL DiSTRICT, OR ON " .
Lot SQ. ftg. Interior GAR
IN THE HISTORICAL REGISTER?
Lot coverage Corner II yes, this application must be signed
Is and approved by the Historical
Topography Panhandle Iw Coordinator prior to permit issuance.
Total height Cul.dc:sac IE
APPROVED:
BUILDING PERMIT
ITEM SO. FT. X $fSO. FT.
Main
Garage
Carport
Total Value
Building Permit Fec
State Surcharge
Total Fee
(A)
VALUE
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) NO
Sanitary Sewer FT,
Watcr FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANlhRMIT
Furnace '7 &A,A'
Exhaust Hood ~~ 11-
Vent Fan
N'
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
;HI///'-
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A. 8. C. D. nnd E Combined)
FEE
-
~Lf2;~
__t'?>o ~
,25:
~~.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shan, in alt 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 Chcck Fce:
Date Paid:
Receipt Number'
Rccei ved 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
that 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
hcrein, and that NO OCCUPANCY will be made of any
structure without pcrmission of the Building Safety Division.
I further ccrtify 1I1at only contractors and employees who
are In compllancc with QRS 701.055 will be used on this
project.
[ further agree to ensure that all required inspections arc
requested at the proper time, 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
:~g~~,:u~~e ];:1:t:::2t/~9~'
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Dalp
VALIDATiON:
RECEIPT NUMBER 7 5.?3f>
"'2. -/7 --9 ::-
AMOUNT RECEIV~" -:;? $:7- S-
/7 .--=~
/;,/...-
,.
DATE PAIr>
RECEIVED BY
I'.'
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___ _________.n.____._.___
Harvey & Price Co.
~r~"WO.~K ORDER, .
. '
Sm. Job TOM HART
19. Job RESIDENTIAL
Dept./Phos~ 87
Date
2-16-93
Approx. Start Dote
2-18-93
Job No. ROl ~1
Job Name JERRY & LINDA HODGIN
Phone
H- 74(,-009(,
Address
531 LAKSONEN LOOP
w- ?4/'.-lR?Q
City
SPRINGFIELD
. State
ORF:mN
Zip 9747?
Bill to
JERRY & LINDA IDDGIN
:Ji; ~:,~
.'
Phone
736=009(,
Addres'
531 LAKSONEN LOOP
City
SPRINGFIELD
State
OREGO~
Zip 9747R
Att;!ntion
Your Purchase Order No.'
Billing Description
't ..
Permit
I
. No.
Contr.
Call For Insp.
Contr.
Job Description:
INSTALL CARRIER 2 TON HEAT PUMP SYSTEM
1 .. REPLACE EXISTING ELECTRIC FURNACE WITH FAN OOIL UNIT FB4ANA
030-000 WITH 10KW HEATER WITH CB KFAEH-1501-C10
2 - INSTALL mOR UJ"1Jlli~;:,ING UNIT 38YKB024- 301
3 .. THERMOSTAT/SUB - BASE 99TZ-9oo-401 PACKAGE
4 .. OUTDOOR PAD, REFRIGERANT LINE SET W/ FILTER-DRYER
5 - ADAPI NENI FAN COn, TO EXISTIN:; DUCTIlORK
6 - REMOVAL & DISPOSAL OF EXJ~TING FURNACE INr:TJmFn
Special Instructions:
7 - INSTALL NEWTRON ELECTRO STATIC AIR CLEANER .\SSY.
8 - INSTALL SAFETY BARRIER TN FRom OJ? llNT'l'
-HIGH VOLTAGE ELECTRIC BY Sr.OJ?1?TF'TD F'T.J?r'1'lHr-
Job Name __
No.
Quot.
$3,449,00
Terms
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