HomeMy WebLinkAboutPermit Mechanical 1997-1-27
RESIDENTIAL
PERMIT APPLICATION
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Inspections: 726.3769
Office: 726.3759
LOT:
SPRINGFIELD
BLOCK'
.
JOB NUMBER 17011\3
225 Filth Street
Springfield, Oregon 974;M. .
TAX LOT' T
SUBDIVISION' 050UU
OWNER' 0(\ ~ \'fY'~ \-\;\f\-\:? - PHONE: JfLI - L\ I L\ q
ADDRES~t'\ VU tJr\{~\dc't"_
CITY: ' , ~ ,-,-\C\ STATE: CV) ZIP: Q-nll !
DESCRIBE WORK: 3. '(\"-~ ~J 0{1~h U uratl.
NEW
.REMODEL
ADDITION
CONTRACT?~'~ NAME
GENERAL: \:*\.A\\ }D L\t-~
PLUMBING'
MECHANICAl'
ELECTRICAl.
QUAD AREA'
. OF BLOGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER:
DEMOLISH
OTHER ~
ADDRESS ,
, 4tdi1) 1\'(1 , AI\
CONST.
CONTRACTOR'
~d
EX~RES . PHONE
,;:;Pf{17 74/o-7ltJ)'7
- OFFICE USE -
LAND USE:
. 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 recordlng. Alllnspectlons requested before 7:00 <l.m. will be
made the same working day, Inspecllons requested ofler 7:00 a.m. will be made the followIng work day.
o Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumblngl Electricall
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 - Prlor
to filling trench.
o
Underlloor Plumblngl Mechanical
_ Prior to Insulation or decking.
o Post and Boam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench.
O Water Line - Prior to filling
trench.
D Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
D Rough Electrical - Prior to
cover.
D 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 Wallle'clllng Insulation - Prior to
cover.
D Drywall - PrIor to taping.
D Wood Stove - After InstallaHon.
. D Insert - After fireplace approval
and Installation of unIt.
o Curbcut & Approach - After
forms are erected but prior to.
placement of concrele.
o Sidewalk & Drivew:w - After
excavation Is completc, forms
and sub.base material In placc.
o Fence - When completed.
D Street Treos - When' all required
trees are planted.
o Final Plumbing - When all
plumbing wc;>r\< Is complet,e.
D Final Electrical - When all
electrical worl< is complete.
~Inal Mcchanlcal - When all
~ ~cchanical worl< Is c,omprCle.
o Final Building - Whon all
required InspectIons have been
approved and building Is
completed.
~thor
MOBILE HOME INSPECTIONS
o Blocking and Sel-Up - Wilen 011
blocklntl 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 connecled to
the servIce panel.
o Finnl - Arter all required
Inspections are approved and
porches, skIrting, decks, and
venting have been Installed,
'. c,. ~ THE PROPOSED WORK iN THE.
Lot faces Lot TYP. Setbacks
Interior I PL. HSEIGAR ACC tSTORICAL DISTRICT, OR ON
Lot sQ. fig. IN THE HISTORICAL REGtSTER?
Lot coverage Corner " yes, this application must be signed
Is I and approved by the Historical
Topography Panhandle 'Iw I Coordinator prior to permit Issuance.
Total height Cul.de.sac IE J
APPROVED:
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
VALUE
Main
Garage
"
Carport
Total Value
Building Permit Fcc
State Surcharge
Total Fcc
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Resldenllal Bath(s)
N'
Sanitary S~wcr
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
Slalo Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/Insert/Fireplace Unit
Dryer Vent /All {~
Ie;, (}()
Mechanical Perml t
Issuance
State Surcharge -/ 370 Ct~ MUt)V\
Total Permit (0)
jO.OO
,75"
'u,
;) ~ .;;fD
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
II
Curbcul
ft
Demolition
State Surcharge
Tolal Miscellaneous Permils (E)
-20 .27J)
. - -
TOTAL AMOUNT DUE (excluding electrical)
lA, B, C, D, and E Combined)
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 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:
Recei veu By;
Plans Reviewed By
J
Date
Systems De:ve1opmcnt Charge Is due on aH 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 cerll fy 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 Safely Division.
J further certHy tl18t only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
I further agree to ensuro 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 Sit~ at~1 times du '~c'Yls\ruc \iO~
Slgnatur~V\ ')\If')( ~
~-- t ~ .
Date!0l-N1-lQi '
VALIDATION: .<'1
RECEIPT NUMBER ..L. ytf/ ;7
/-J7-97
AMOUNT RECEIVED f_yt_,:27J
RECEIVED BY !ji::?
DATE PAID