HomeMy WebLinkAboutPermit Mechanical 1995-5-18
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
SPRINGFIELD
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LOCATION OF PROPOSED WORK' 2155 Laura Street
ASSESSORS MAP' \lr{l.~\~C\
LOT-
OWNER:
ADDRESS:
CITY:
Don Vincent
2155 Laura Street
Sprinqfield.
BLOCK'
STATF'
DR
NEW
REMODEL
ADDITION
Install cas furnace system
OTHER
DESCRIBE WORK'
CONTRACTOR'S NAME
DEMOLISH
.
q~to 1'1-
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
TAX LOT: -0 \ '1 rn
SUBDIVISION:
PHONF'
744-0152
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N
ZIP: 97477
ADDRESS
CONST.
CONTRACTOR'
PHONE
EXPIRES
GENERA' -
PLUMBING'
MECHANICAl' Comfort Flow Heatinc 855 W. First. Eucene. 97402
ELECTRICAl'
00460
6/27/95 342-8101
QUAD AREA:,,~~t\)\t) - OFFICE USE -
LAND US~- FLOOD PLAIN:
-
. OF BLDGS' . OF UNITS' ZONING CODE:_
OCCY GROUP' CONSTR. TYPE: . OF BDRMS'
. OF STORIES' HEAT SOURCE: SECONDARY HEAT:
WATER HEATER' RANGE: ~ SQUARE FOOTAGE:
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. AlIlnspecllons 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 Electrl~
D Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumblng/Eleclricall
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
10 filling trench,
o
Underlloor Plumbing/Mechanical
- Prior to InsulatIon or decking.
D
Post and Beam - Prior to floor
Insulation or decking.
o Floor Insula lion .;... PrIor to
decking.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench.
o Weter Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
~~U9h Mechanical - Prior to
cover.
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.
D FramIng - Prior to co~er.
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping,
o Wood Stove - After Installatlon.
D Insert - After fireplace approva,l
and Installatlon of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
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 wc;>rk Is complet.e.
D Final Electrical - When all
electrical work Is complete.
~inal Mechanical - When all
mechanical work Is complete.
o Ftnal Building - When all
requIred Inspections have been
approved and building Is
completed.
DOthe'
MOBILE HOME INSPEGrIONS
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
Inspectlons are approved and
porches, skirting, decks, and
venting have been Installed.
I PL. HSE GAR
IN
Is
Iw I I I
~
Lot faces
Lot TYP~.
Lot sq. ltg,
Interior
Lot coverage
Corner
Topography
Total height
Panhandle
Cul-de-sac
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT. ~ VALUE
Main
Garage
"
Carport
Total Value
Building Permit Fee
Slate Surcharge
.
Total Fcc
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s) N'
Sanitary Sewer FT.
Water FT,
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
lsm
10.00
(.'2.()
dl...{), w
Issuance
State Surcharge t ~
Total Permit (D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
ft
Demolition
State Surcharge
Tolal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrICal)r\-1n .00
(A, B, C, D, and' E' Combined)
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.S THE PROPOSED WORK IN 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.
Setbacks
ACC I
I
I
APPROVED:. '
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
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 tho 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
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.
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 the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
Signature () /~-:tl} IJaLV
Date .6' -f?Al:5
VALIDATION:
RECEIPT NUMBER
DATE PAID
RECEIVED BY