HomeMy WebLinkAboutPermit Mechanical 1993-8-13
ESIDENTIAL
ERMIT APPLICATION
"PIlINGFIELD
nspections: 726.3769
llice: 726-3759
OCATION OF PROP9S.Ii..D ~11(" ,c9. I QO C.
SSEssClRS MAP: \ I IV::> f)..f \jJJ
LOT:
i CITY:
~ DESCR'IBE WORK: J.J1D1<'1 ~ U.
,
JOBNUMBER~
225 Flflh Slreet
Springfield, Oregon 97477
TAX LOT'
SUBDIVISION'
m:-\.( Y'1
STATE:
PHONF'
ZIP:
\ G\G Q\ .t-;I~l)u IYl{j)
ADDITION _ DEMOLISH _\__ OTHER
*
NEW_
REMODEL _
CONTRACTOR'S NAME
ADDRESS
CONST,
CONTRACTOR'
EXPIRES
PHONE
GENERA' '
;LUMBING: \. ~ '2)'-\\ la-\; Lo .QSJ~L\ f:A'dLf{i,
M'C","~Ctla:N ~ ~L~ 'Pf8)JJ! ,11~llr,WI(lIOo,~ l'm It , yrQIIQ.
ELECTRICAL:~~B-~ ~ ~ ) JL- G (5-
, ~
QUAD AREA'
. OF BLDGS: -
OCCY GROUP:
. OF STORIES'
WATER HEATER:
_ OFFICE USE -
LAND USF'
. OF UNITS'
CONSTR, TYPE:
HEAT SOURCE:
RANGE:
FLOOD PLAIN'
ZONING CODE:_
. OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an inspection, you must call 726-3769, This Is a 24 hour recording, Alllnspecllons 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 Inspecllon - To be made
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrlcall
Mechanical - Prior to cover.
o Footing - After trenches arc
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 Underfloor 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 10 filling
trench.
o Storm Sewer - Pr!or to fillIng
trench.
o
Water Line - Prior 10 filling
trench.
o
Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Rough Elccldcal - 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 Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to t?-plng.
o Wood Stove - After Installation.
o Insert - After fireplace approval
and installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concreto.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material In place.
o Fence - Wilen completed.
o Stroot Trees - When all reQulrod
trees are planted.
o
Final Plumbing - When all
plumbing work Is complete.
o
Final Electrical - When all
electrical work Is complete.
!;ZI.7Final Mechanical - When all
/ mechanical work Is complele,
o Final Building - When all
required Inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Sel.;;p - When afl
blocking Is complete.
o Plumbing Connections - When
Ilome has been' connected to
water and sewer.
o Electrical Connection - When
blocking, sel,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, nnd
venting hnve been Installed.
,
"
Lol laces
Lol Type
1',
;i
I P.L.
LOI sq, fig,
Interior
Lot coverage
N
Corner
Selbacks
HSE GAR ACC
,
IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes. (his applicalion musl be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Topography
Tolal height
I
~_ I
,L- u_ ___I
Panhandle
S
Cul,de,sac
BUILDING PERMIT
ITEM SQ, FT. X $/SQ, FT,
VALUE
Main
Garage
Carport
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construclion shall, in all respects, conform to the Ordinance
adopled by Ihe Cily 01 Springfield, Including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked al any time
upon violation of any provisions of said ordinances.
Plan Check Fee:
Date Paid:
Total Value
Receipt Number"
Building Permit Fcc 'I
I' Received By:
State Surcharge
-----..
Total Fee (A) Plans Reviewed By Dale
:;
I;
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Resldenlial Bath(s)
N'
Sanitary Sewer
FT.
FT.
Water
Slorm Sower
FT,
Mobile Home
Plumbing Permit
State Surcharge
Tolal Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
/o',co
/0, eX)
/)C-
. ,)
(,:\15,'75
Issuance
Slale Surcharge
Tolal Permit
(0)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stale Surcharge
Sidewalk
II
II
Curbcul
Demolition
Slate Surcharge
Tolal Miscellaneous Permlls (E)
_"J'~ f/..'-
'TOTAL AMOUNT DUE (exclud'ng eloclrlcal)CV0, .J
(A, B, C, 0, and E Combined)
Systems Developmenl Charge Is due on all undeveloped
properUes withl." the CUy limits which arc being improved.
ADDITIONAL COMMENTS
By signature, I stale and agree, that I have carefully cxa~jned
tho completed application and do hereby certify lhat 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 tho ClIy of Springfield, and the Laws
of the Stale of Oregon pertaining to the work described
horein, and thaI NO OCCUPANCV will be made 01 any
struClure wllhout permission oJ Ihe Building Safety Division.
I further cerll fy thai only contraclors and employ~es who
arc In compliance wllh OAS 701.055 will be used on this
project.
,
I further agree to ensure thai all required inspecllons arc
requested at the proper lime, that each address is readable
from the street, 1I1at the permit card Is located at the front
of lhe properly. arid the approved sel of plans will remain
on the sile at all times during construction.
Signatu're -&/ff;Acr,. - -=:::::>_
Dale 'if" - /3 -M
v
VALIDATION: ~f74(?'\
RECEIPT NUMBER '-"\ _)
DATE PAID A, C ,~~~
AMOUNTRECE~ED,~,C).I)_')
RECEIVED ova J./Y) )
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