HomeMy WebLinkAboutPermit Mechanical 1994-10-26
LOl'
(i--UL'_. r?.AfI'/,?<:;~) -h,v #~/", ~<l_
JOB NUMB~R q41 ~S
225 Fifth Street
Springfield, Oregon 97477
#- /01, / }f/JA1t.1-1'~~n~~r-k )
C A ,../
TAX LOT: I ) _ ,
. SUBDIVISION'
.
RESIDENTIAL
PERMIT APPLICATION
Inspections: 728-3769
Olfice: 726-3759
LOCATION OF PROPOSED,'(JORK' c:2/.&;{; Lau.y~
ASSESSORS MAP' \ I I 0 .;:)~ } 10.,
s+
BLOCI<'
OWNER: ~\'rL t:\ V'J t\: -----R fl'Y"""'LL Mo.v+.' V1
ADDRF'"'' /J.'I.'1/', L Ll Ii rD -.:;-1- s.-. #.//;/-'
,
CITY- -S,"'......""'J..t,'n IX STATIO.' /)R
DESCRIBE WORK'
NEW
REMODEL
PHONE
CONTRACTOR'S NAME
GENERAl'
PLUMBIN(>'
ADDITION
. DEMOLISH
OTHER
PHONI=.
747- ~ "'16..5'
ZIP: 977 ht'J
,;L -h,n
1J/(9 LU/d &-rJ
ADDRESS'
CONST.
CONTRACTOR #
MECHANICAL:
ELECTRICAL:
() 1:0 {J<JY1
(J
Wecrh'ng l'j: (IN)I''h~ J:rlC'.
oL365 i=ra,,+ ( S+. NE,
EXPIRES
7 767,0
Sa) 1Y1"
.;I -) !? -q,j-
<173CJ_"5
,-?'J'./-J'7f. 7'
, . . .' .'::."\ . .... ',..,' . . -:" -,' ,,",;, .. ",:...., . ".'~ "
To request an Inspection, you must call 726.3769. This Is a 24'hour recordlng:"AWlnspectlons requeSted before 7:00 a:ni:wlllb.o':'
made the same working day, Inspoctlons requested alter 7:00 a.m. wlIl\be mad~ .the following ~ork,:ld'ay.' .," ,
REQUIRED INSPECTIONS
~~U9h M~chanlcal -:. Prior to
p ~'over.
QUAD AREA:
# OF BLDGS'
OCC'( GROUP'
# OF STORIES:
WATER HEATER'
)
o Temporary Electric
D Site Inspection - To be mado
after excavation, but prIor to
setting forms.
o Underalab Plumblng/Electrlcall
Mechanical - Prior to cover.
o Footing - After trenches are
excavated. . :
o Masonry - Steel location, bond
,beams. grouting.
o Foundation - After forms are
erected but prior to .concrete
placement.
o Underground Plumbing - Prior
to filling trench.
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.
D Storm Sewer - Prior to filling
trench. .
o Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
- OFFICE USE -
LAND USE:
# OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
D 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.
i
o Wail/Ceiling InsJlation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - After I~stallatlon.
o Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms Bre erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation IS complete, forms
and sub-base materIal In place.
o Fence - When CO,mpleted.
o Street Trees - When all required
trees Bre planted. .
FLOOD PLAtN:
ZONING CODE:
#, OF BDRMS:
SECONDARY HEAT:
*
SQUA~~ FOOTAGE:
" .'
'.;
o FInal Plumbing - When all
plumbing work Is complete.
, ,
o Final Electrical - \I\l.hen all
electrical work Is complete. C
1(/1 t:)'nnl Mechanical - When all
~ech8nlc81 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 Sat,Up - Whep all
blocking Is complete.
o Plumbing Connections - When
home has been connected to .
water and sewer.
o Electrical Connection - When
blocking, set-up, and pluroblng
Inspecllons 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 TYP.
Interior
Lot SQ. Itg.
Lot coverage
Corner
Topography
Total ~elght
Panhandle
Cul.do.sac
""'~' ':J::-.'\r:~'.':.
Setbacks.
'HSE'GAR'ACc'1
I
. .~.
I,
, PL.
IN
Is
Iw
IE
BVILDING PERMIT
ITEM SQ. FT. X $/SQ, FT. D VALUE
Main
Ga,age
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
"
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
, "
Residential Bath(s) N'
Sanitary Sewer FT.
. Water FT.
Storm Sewer FT.
Mobile Home
.,t;p.,1 - , 1.:p'~JL~.
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Slove/lnsert/Flreplace Unit
Dryer Vent
~~;t-8?V qt?1'c~d~J
Mechanical Permit
Issuahce
State :Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fl
Curbcut
fl
Demollllon
,. Siate:.S~rcharge
'. .. '."
"-'.'.
;'r-...
,..;/-
'-'
"'. ',. ;~.
"
Total Miscellaneous Permits (E)
TOTAL 'AMOUNT DUE (eXCludlng.'electrICal)
(A, S, C. 0, and E Combined), '
(B)
FEE
,.9.,/". 1,f,
I~CO
I~CO
1.rJ.CJU..
T.W
bih, '?'''.
~--
"
\,
Ii:.
(}1o.'t0
.IS THEPROPOSED WORK,tN THE,
".HISTORICAL DISTRICT, OR ON
....THE HISTORICAL REGISTER?
If yes, this application must be 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 condlllon that the said
construction shall, In all 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 Check Fee'
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properties within the City limits w~ich are being Improved.
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examined
the completed appllcallon 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 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 further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
....t
VALIDATION:
RECEIPT NUMBEf' 152-2-0
DATE PAID U).l-0.ctLf I)'
AMOUNT RECEI'~p{) . "~,, &.2{
RECEIVED BY ~ _)