HomeMy WebLinkAboutPermit Mechanical 1995-12-19
OWNER: H(//?f'/.I~-L/ rJ. / /O/l/A
ADDRESS' 'J/~ I /-,KluRFI Sr-
CITY' sf/? IN/.?,c /E L n
RESIDENTIAL
PERMIT APPLICATION
,
I
I
II
Inspections: 726.3769
Oftlce: 726-3759
LOCATION OF PROPOSED WORK:
X"ASSESSORS MAP' /7 /.? ~
XLOT'
.
2/~/
2"'7 //0
BLOCK:
-r- t'J LJj)
STATF'
Q/?
I:
REMODEL
DESCRIBEWORK:/1./"7J'!L/ CAS S/'et///".c Tn
II F l;T"rPP r
OTHER
NEW
ADDITION
DEMOLISH
4C:;4
.--
JOB NUMBER CJ5/9~
225 Fifth Street
Springfield, Oregon 97477
r
TAX LOT' r) / 'E;; 0;[)
SUBDIVISION'
"
PHONE: 'ry ~ :-> - :2 A'Y?
iIP:..J..2u? "/
*
II'
CONTRACTOR'S NAME
GENERA' .
~
,
PLUMBING:
MECHANICAL: ..::,lb
ELECTRICAL:
!,,!,--= ~_...r~
ADDRESS
CONST,
CONTRACTOR'
EXPIRES
PHONE .
~,
- OFFICE USE -
I QUAD AREA: LAND USF' FLOOD PLAIN'
. OF BLDGS' . OF UNITS' ZONING CODE:_
OCCY GROUP: CONSTR, TYPE: . OF BORMS:
· 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. Alllnspecllons requested belore 7:00 a.m, will be
made the same working day, Inspections requested after 7:00 a,m, will be made the lollowlng work day,
o Temporary Electric
O Site Inspection - To be mado
afler excavation, but prior to
settIng form~.
o Underslab Plumbing/Electrical I
Mechar:alcaJ - 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.
. 0 Underground Plumbing - Prior,
to filling trench.
o Undeflloor PlumbIng/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
.
o Floor Insulation - Prior to
decking, '
,0 Sanitary Sewer :- Prior to IIl1lng
trench.
o Storm Sewer - Prior to filling
trench. .
o Waler Line - Prior to flIII~g: .
trench. "', '.
'0 Rough Plumbing - Prior to
cover. .. . ", ,
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Rough' Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Final Plumbing '- When 011
plumbing w9rk Is complet.o,
D Final Electrical - When all
electrical work Is complete.
~ Final Mechanical - When all
~ mechanical wor1<;: Is complete.
o Final Building - Whon 011
required Inspections have been
approvad and building Is
completed,
I. ,''''..
o Framing - Prior to cov:r. L }
,>:~Othor6...-1tf /-o~ ~
o Wall/C'elllng Insulation '- Prl,or to ~ ,H..,J~~~
cover. ~
o Fireplace - Prior to facing
materials and framing Insp.
o Drywall - Prior to taping,
LJ Wood Stovo - After Installation.'
o Insert - After fireplace approvel
and Installation 01 unit.
, 0 Curbcut & Approach - After
'. forms are erected but prior to
placemont of concrete'i",
o Sidewalk & Driveway - After
excavation Is complete, (orms
and sub-base material In place.
o Fence - When completed.
o Slreel Trees - When all requlrea
trees are planted. '
~
, '
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - Wilen 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 10
the service panel.
o
Final - After 011 required
Inspections are approved and
porches, skIrting, deCks, and
venting have been Installed.
Lot faces Lot Type. Setbacks \. TI;IE PROPOSED WORK IN THE.
, I PL. HSE GAR ACC I '~HISTORICAL DISTRICT, OR ON
Lot ,sq. Itg. Interior IN I THE HISTORICAL REGISTER?
'\
Lot coverage Corner If yes, this application nnust be signed
Is I and approved by the His torlcal
Topography Panhandle Iw I Coordinator prior to permit Issuance.
Total height Cul-dc.sac IE I
APPROVED:
BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT.
',j
VALUE
Main
Garage
"
Carport
Tolal Value
. Building Permit Foe
Slate Surcharge
Tolal Fcc
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
FIxtures
Residential Balh(s)
N'
Sanitary S~wer
Water
FT,
FT,
FT.
Storm Sewer
Mobile HOf'T!e
Plumbing Permit
Slato Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnserllFlreplace Unit
Dryer Vent
t::/'K bDl! ~ Q.. A"4"~
Mechanlcal'Permlt /?J'/-tJ,
II. IX>
/5.~
A9,~
/.2&J
:;zt- 2..0
Issuance
, 7 r 1-' f..!"
,
State Surcharge
" Total Permit
(0)
MISCELLANEOUS PERMITS
Mobile Home
,
State Issuance,
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excludll1g electrical)
(A, B, C, 0, and E Combined)
7~ 2,0
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition thai the saId
construction shall, in all respects, conform to the Ordinance
adopted by the City of Sprlngflel~, including the
Development Code, regulating the constructiO'n 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:
Recei pt Number"
Received By:
Plans Reviewed By
Dale
Systems Development Charge Is due on all undeveloped
properties withIn tho City limits which are being Improved.
ADDITIONAL COMMENTS
By signature, I stato and agree, that I have carofully 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 accordanca
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
struclure wltho~t permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance wllh ORS 701.055 will be used on this
project.
I further agree lo ensure that all required Inspectlons are
requested at the proper time, that each address Is readable
from the street, that the permit card Is locatod at the front
of the property, ,and the approved set of plans will remain
on the slle at all times durIng construction.
~natureJ~-///D .~
Date /..y/ YJ r
VALIDATION:
RECEtPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
/171>40
/2//r/fr
Vi? 1- C
~~~