HomeMy WebLinkAboutPermit Mechanical 1993-3-31
v
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PflOPOSED WORK'
ASSESSORS MAP'
LOT'
/"'7 n Z
-
Travis Lamb
OWNER:
ADDRESS' 1565 Kellogg
, Springfield,
CI ry: _____._.___._____
. :
.
SPRINGFIELD
1565 Kellogq
7 d 2- 2...--
BLOCK'
STATE: OR
. (60,000 STU\
DESCfllBE WOflK'
Install qas furnace
x
DEMOLISH OTHER
NEW
REMODEL
CONTRACTOfl'S NAME
C.ENEflAL: .___....______.. ._________u__..
ADDITION
ADDRESS
CON ST.
CONTRACTOR'
3900
.
q 3V24'6
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
/? /h?
I
.1
I
SUBDIVISION'
PHONE:
744_141"
"'_"'7L-~
EXPIRES
PHONE
PLUMBING: .____.____u__
.----...----------..--.--. .---..------.- .----------..--
MECHANICAL:
Comfort Flow Heatino 85JLW.. 1"T.. Flln,mp
nn.il6(l
ELECTRICAL'
QUAD AREA:
/II OF ElLDGS:
"
ocqy GROUP:
. OF STORIES:
WATEfl HEATER:_
- OFFICE USE -
LAND US".
"
. OF UNITS'
CONSTR. TYPE:
HEAT SOURCE:
RANGF'
h'2l./ q1
-3..4?-R1 n1
FLOOD PLAIN'
ZONING CODE: _
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To roquc~t an inspection, you must call 726.3769. This Is a 24 hour recording, Alllnspccllons requested before 7:00 n.m, will be
made the same working day. Inspections requested after 7:00 a.m. will be made tho (ollowlng work day.
o Tcmpor;ny Eleclrlc
I 1 Slto Inspection - To be made
after excavation, but prior to
selling forms,
o Undcfslab Plumbing/Electrical/
Mechanical - Prior to cover.
o Footing - After trenches arc
excavated.
o
Masonry - Steel location, bond
beams, uroullng.
o Foundation - After forms are
erected but prior to concrete
placement.
. 0 Undorground Plumbing - Prior
to filling trench.
o Underlloor Plumbing/Mechanical
. _ Prior to Insulation or decking,
o
Post and Beam - Prior to floor
Insulation or decldng,
,-
o Floor Insulution - Prior to
decking.
o Sanitary Sewer - Pfior to filling
trench. .
o Slorm Sewer - Prior 10 filling
lrench.
'.
o Water line - Prior to. filling
trench. .
o Rough Plumbing - Prior to
cover. .
REQUIRED INSPECTIONS
[5<.f Rough Mechanical - Prior to
J ,over.
15<1" Rough Electrical -' Prlor'to
j. _over. ,
.
o Electrical Service - Must be
approved to obtain permanent
electrical power,'
o Firepl.ace - Prior to facing
. materials and framing Insp.
o Framing - Prior to. cover.
o ~a~~/r~eiling Insulallon ~: Prior to
o Drywall - Prior to taping.
o Wood Stove - After Installallon.
o Insert - Alter fireplace approval
and Installation of unit.
o Curbcut & Approach - After
(orms are erected but prior to
placement 01 concrete.
o Sidewalk & Driveway - Aftor
. excavation Is complete, (orms
and sub.base material in place.
o Fenco - When completed.
o Street Trees - When all required
trees are planted. ,- - .
o Final Plumbinu -Wtwn ~lll
plumblno worl< Is cornplel.e.
~ Final Electrical - When all
~Iectrical. work Is complete.
~ Final Mcchnnlcnl - When ~II
~mcchanlcal work Is complete,
o Final Building - When all .
required Inspections have been
approved and building is .
completed,
~lher
L7A< ;:/.4/,8"
.
MOBILE HOME INSPECfIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected 10
watcr and sewer.
o Electrical Connection - Whon
blocking, sot.up, and plumbing
inspections have been approvod
and the home Is connecteu to
the service panel.
o Final - Aftcr all required
Inspections are approved and
porches, skirting, decks"and
venting have been Installed.
. ,1/'
! Lot "r~u:CG
Lol Type .
LOI sq. Itg.
Interior
Lot coverage
Corner
Topography
Panhandle
Tolal helghl
Cul.de-sac
. BUILDING PERMIT
ITEM sa. FT. x $/SO. FT.
Main
Garage
Carport
Total Value
Building Permil Fee
Stale Surchm{]e
Total Fee
(A)
.'THE PI~OPOSED WOHK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
:111<.1 npprovccJ by lllO. Historical
CoonJina1or prior 10 perrnll issuance.
Setbacks
-,-1--1
P.L. HSE GAR ACC
---r-- --
N
-----
__S__ ____ ___ __
W
.._~-_..__._. ---
VALUE
(B)
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
Residenlial Balh(s)
N'
Sanilary Sewer
FT.
Water
FT.
FT.
Storm Sewer
Mobile Horne
Plumbing Per!nlt
Slato Surcharge
Total Charnc
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Venl Fan
N'
-.--.-....-..
Wooo SlovullnGcrl/Flreplace Unil
Dryer Venl
__CA<;; /./l(Jc~._~.._--
Mechanical permi I
/?1/-O,
Issuance
Stale Surcharge
Tolal Pennll
(D)
MISCELLANEOUS PERMITS
Mobile Home
Slate Issuance
State Surcharge
Sidewalk
II
Curl>cul
II
Demolition
State Surcharnc
Total Miscellaneous Permlls (E)
TOTAL AMOUNT DUE (excluding eleclrlcal)
(A, B. C, D. and E Combined)
FEE
.-0~-
__.z~:
J'5.d-v
/O~O
.7.r.
/.5,7.)
7.c:;.7~
APPROVEf"
. .
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condillon that the s~id
construction shall, in all respects, conform to the Ordlnancc.',.
adopled by Ihe Cily 01 Springfield, Including Ihe'
Development Code, regulating thc construction, and use of
buildings, and may be suspended or revoked at any time,
upon violation or any provisions of said ordinances,
I
.1.
Plan Check Fcc:
Dale Paid:
Receipt Number'
Received By:
_..__.__~_,.__...___.._' _.___. _n_ ____
Date
Plans Fleviewcd By
Systellls Development Charge is due on all undeveloped." .
properties wilhln the City limits which me bein~'in;prov~(1. f
ADDITIONAL COMMENTS
~~/.t~-_.~ /,m~-Z
;< A?~/I:S7'3) , .' .
Oy slgnalure,l state and a~]ree, thai I have carerully examined
tho compleled opplication amJ do he~eby ce~1I fy 'hat nil
Infonnation hereun i~_~ truc ilnd correct, :JI1<.!1 rOllller cerllfy
lha~ any and all work perforlTled :;hall be done in iI~cord.l!1CC
wilh the Ordinances of tho City of Springfield, o1ndll1e Laws
of Ille Slain of Ore!lon pertaining to Ihe worl\ <.Ic~crib(}(ll
hClcin, ilnd lhal NO OCCUP^NCY will IJC nwde of any
structure willlOut permission or the Building Safely Division.
I Curtllo!' ccrlily tl1at only contractors and employees ~ho'
arc in compliance wilh ORS ./01,055 will be used on, this
project.
II! l
I
I furlher agree to ensure Ihat all required inspecti"ons are
requested at the proper time, that each address Is read blc
. ,'I
from the street, that the permit card is located at the ront',
of the property, anJ! the approved sel of plans will r ma!~
~"::~:::. "tmo ""ZZ:'"O. .. '
Daln ~V' J- J;' 1.7 . ,
-,
I
VALIDATION:
IIECEIPT NUMIJEII ....._7.'2.0 () -.-.------.-...
DA~E PAID _____........_3 - J / -: 5' J __........:..-__._
7 ),7r
~
. I
AMOUNT RECEIVED
RECEIVED BY
,