HomeMy WebLinkAboutPermit Mechanical 1994-2-16
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726,3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP'
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LOT:
OWNER:
Art.hllr Mphlh"ff
ADDRESS:
1282 Lawnridqe
5orinofield
CITV'
..
SPRINGFIELD
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9~o/9S'
1282 Lawnridge
BLOC~'
STATE: Ore')nn
JOB NUMBER
225 Fifth Streel
Springfield, Oregon 97477
TAX LOT'
SUBDIVISION:
C') 3-~
PHONE: _746-6407
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ZIP:
~ill7
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DESCRIBE WORK:
Reolace aas furnace and install air corditionina unit
NEW
REMODEL x
ADDITION
CONTRACTOR'S NAME
GENERA' .
DEMOLISH
OTHER
ADDRESS
CONST,
CONTRACTOR'
EXPIRES
PHONE
REQUIRED INSPECTIONS
o Rough Mechanical - PrIor to
cover.
D Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved 10 obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - PrIor to cover.
o Wall/Ceiling Insul,ation - Prior to .~
cover.
o Drywall - Prior to taping.
o Wood Stove - After Installation.
o Insert - After fireplace approval
and installation of unit.
o
Curbcut & Approach - After
forms arc erected but prior to
placement of concrete.
PLUMBING:
MECHANICAL: ~omfort Flow Heatioa 855 w',Js.t--_E..usena._9?40? #00460 6/27/~4 34?-R101
ELECTRICA' '
- OFFICE USE -
OUAD AREA' LAND USE: FLOOD PLAIN'
. OF BLDGS: . OF UNITS' ZONING CODE:_
OCCV GROUP' CONSTR. TVPE: . OF BDRMS'
. OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER' RANG~' SQUARE FOOTAGE:
To request an inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections 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
D Site Inspection - To be made
nfter excavation, but prior to
setting forms.
o
Underslab Plumbing/Electrical I
Mechanical - Prior to cover.
o Fooling - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - Arter 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 to filling
trench.
o
Storm Sewer - Prior to flltlng
trench.
o
Water Line - Prior to filling
trench.
o Rough Plumbing..:... Prior to
COV(;r.
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 work Is complet,e.
D Final Electrical - When all
electrlcal work is complete.
IX!
Final Mechanical - When all
mechanical work is complete.
o Final Building - When all
required inspections have been
approved and building Is
completed.
DOlhcr
MOBILE HOME INSPECTIONS
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
InspectIons are approved and
porches, sklrtlng, decks, and
venting have been Installed.
~ .!jSE GAR AC~
J'l__ __ ___
Ji__._
W
--.----- ---
Lot faces
Lol TYP.
Setback::>
Lot sq, flg:
Interior
Lot coverage
Corner
Topography
Panhandle
Total heighl
Cul.dc.sac
-L-._
BUILDING PERMIT
ITEM SQ. FT. X $/SQ, FT.
VALUE
Main
Garage
Carport
Total Value
Building Permit Fec
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(S).
N'
Sanitary Sewer
FT.
Water
FT.
FT.
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
y~~.-
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
~~ /~~
-/&. -
-22
(D) -:z?':~
MISCELLANEOUS PERMITS
Mechanical Permit
Issuance
State Surcharge
Total Permit
Mobile Home
State Issuance
State Surcharge
Sidewalk
fl
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
.IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
1
,
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 condition that the said
construction shaH, in all respects, conform to Ole Ordinance
adopted by the City of Springfield, including the
DevelolJlTlent 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 Fcc:
Date Paid:
ReccilJI Number.
RcccivceJ 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 amJ agree, that I have carefully examined
the cOlllplulccl application and do hereby certify Ihal all
information hereon is true and correct, and I further certify
that any and all work performed shall be done in accordance
with tile Ordinances of the City of Springfield. and the Laws
of the State or Oregon pertaining to the work described
herein, and Ihal NO OCCUPANCY will be made of any
structure wittlOut permission of the Building Safely Division.
I furlller certify Hlat only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
J 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
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VALIDATION:
RECEIPT NUMBER _iJ{':;; ~
DATE PAID '?":/....:,.:;;J~.
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AMOUNT RECEIVED ~ ~ S"
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RECEIVED BY