HomeMy WebLinkAboutPermit Mechanical 1992-6-10
RESIDENTIAL
PERMIT APPLICATION
Inspcclion,;: 7?il.3760
Olli{:t:: 7~n':I/~,I~1
LOCATION OF PROPOSED WORK'
ASSESSOIlS 1',IAP: _1..2L23
LOT: __ _-
.
SPRINGFIELD
2-7
/0
BLOCK:
~
, OWNER:__tlMG4I"T r/!'////
ADDRESS:_ I ;J.. SO ?-,4 04'71. .:;Z/ /1
CITY ....:.-sLA' /#(/- t-&i-A tJ4 ~
fI ~t'fT ,/C//If'//
DESCRIBE WORK:
NEW ____ REMODEL
ADDITION
CONTRAC10rfS NAMI,
CENERAL:
STATE y....d.~
DEMOLISH
OTHER
tIIl3 NUMBER _cz.l..a.~ 22-__
225 Fifth Street
tiPllllUlllll<l, OWUUIl 0747'1
TAX LOT: _~:..1!..r2:C)----
SUBDIVISION'
PHONE: 7yr~-C;; goy
",-q*
ADDRESS
CON ST.
CONTRACTOR ·
EXPIRES
PHONE
Pl.UMOIN(i: .
. // ' -d
MECHANICAL' !/.4""/8!Lff~T/Hv _.t:.707 01 S;>'
ELECTRIC/IL: c,. tl".#' c~.nt'dl"'cC F'Ec-//f~L
--- -.----------
'705f,/S-
OUAD AREA:
" OF BLOCS:
OCCY CIlOUI"
/I OF STOr~IE:-):_,
WATER HEArloR:
- OFFICE USE -
LAND USE:
P OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
/'J.-?/-12
~ f!'.9'-7y"~~
FLOOD PLAIN:
ZONING CODE: __ __ .-
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an Inspectlon, you Illust call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will bo
made Hie ~;alllt': workinn day. Inspections requested after 7:00 a.m. will be made the following work day.
, 1 Tern pOl :lIY Elcctrie
D Site In~;pectlon - To be mnde
aile, e:'.ci.lvalion, hut plio' 10
scuillO {o/tm;.
D
Underslab PIUllIbing/Electricall
Mectlilllical - Prior to cover.
o
Footin~J - Allt~' Irenches ate
excav;) It ~(I.
CI
Mmwn,y - Steel localion, bond
t)callIS, tlrOllling.
CI Foulldillion - Aller fOl'llls Lire
t)fcctO(l Dut plio/' 10 concrete
plaCI~IlI(~nt.
o
Underground Plumbing - Prior
to fillinu trencll.
o
Undcrfloor Plumbing/Mechanical
_ Pdor to insulation or <lecking.
o
Post aud Beam - Prior to floor
insulatllm or (lccldng.
o Floor Insulation - Prior 10
dccl\inU.
o
Sanitary Sewer - Prior 10 filling
lIondl.
o
Storm Sewer - Prior to fillinU
Irendl.
.'
D
Water Uno - f'lio/ 10 filling
trenell.
,.
O ROlJUh Plumbin~ .- Prior 10
cover. ~ ..
REQUIRED INSPECTIONS
tv( Rough Mechanic..1 - Prior to
~cover.
'i...."""'7'f Rough Electrical - Prior to
~ cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
[J
Fireplace - Prio. to facing
materials and frallllng Insp.
[J
Framing - Prior 10 cover.
o Wall/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - After installation.
o Insert - After fireplace approval
an(l Installation of unit.
o
Curbcut & Approach - After
fOllns are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation is complele, torms
and sub-base material in place.
D Fence - Wilen completed.
o Street Trees - When all required
trees are planted.
o Final Plumbing - Wilen all
plulIIlJinu WQII, Is cOlllplule.
'f:::::;( Final Electrical - When all
~clrical wo.l< is cOlllplUIe.
'i.....--71" Final Mechanical - Wilen all
~lCchanical work is complete.
o Final Building - When all
required inspections have been
approved and buildinU is
completed.
DOther
MOBILE HOME INSPECTIONS
o [)locking and Set.Up - Wilen all
t)locking is complete.
o Plumbing Connections - Wllt~n
Ilome has been connected to
water and sewer.
o
Electrical Connection - Wilen
blocking, :.iCt.up, and plulIlbinO
inspections lwvc been appn)vlld
and tile home is COnrhJGlcd ll.l
the service panel.
o Final - Alter all required
inspections are approved and
porctlCs, skirting, decl,s, and
venting have been installed.
Lot faces Lot Typo .. Setbacks .E PROPOSED WORI< IN THE
Lot sQ. fig, . Interior I P.L HSE GAR Accl ' ORICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTER?
Lot coverage Corner Is 1 If yes, this application must be signed
Panhandle and approved by Ihe Historical
Topography Iw I Coordinator prior to permit Issuance.
Tolal height Cul.de.sac
IE I APPROVED'
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
VALUE
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM FEE
Fixtures
Rosldontial Bath(s) N'
Sanitary Sewer FT.
Water FT.,
Storm Sewer FT,
Mobile Home
Piumblng Permit
State Surcharge
Total Charge (C)
MECHANICAL PERMIT /'500
Furnace ,I?J//{/
Exhaust Hood
Vent Fan N'
Wood Stove/lnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
-I-Cl ~~
7r
7G) 7F
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
Stale Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (axcludlng eloctrical)
(A, B, C, 0, and E Comblnod)
9~C;. 7~-
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the said
construction shall, In all respects; conform to the Ordinance
adoptod by tho City of Springfield, Including the
Development Code. regulating the construction and U50 of
buildings, and may be suspended or revoked al o.ny time
upon violation of any proVisions of saId ordinanC€!5.
Plan Check Foo'
Dalo Paid:
Receipt Number.
Received 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 State of Oregon pertaining to the work described
I]ereln, 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 street, that the permit card Is located at lhe front
of the pro pert , nd thef;roved set of plans will remain
on the site at al times u ng cfitructlon.
/ X;:naturp I t ~~
/'
Date
(p -('tJ-?;Z..
VALIDATION:
RECEIPT NUMBER
5az::> 7
~d5'2.
I f 7r
-::;><\,
~
DATE PAIr>
AMOUNT RECEIVEI'
RECEIVED BY