HomeMy WebLinkAboutPermit Mechanical 1997-2-28
OWNER' 001, U~ &A I
ADDRESS' II'J1J -1Ak~.J-fM.irvt'aw Or -SOP 5?
CITY: .~ v1~.T{4.lcl STATE: _!) 12
DESCRIBE WORK: ~ 1~.../zJ ttJ ~ #&rfw' Ii- ~
NEW REMODELU' ~ ADDITION / DEMOLISH OTHER
/
I
ADDRESS
CONTRACTOR'S NAME
GENERAl'
PLUMBING'
'MECHANICAL: ~tJM
ELECTRICAl'
PHON'" 7'17- 01;Z~
ZIP:.3 ""7f71
CaNST.
CONTRACTOR'
EXPIRES
PHONE
~/'t\~ :JJ1J W/J6'Ht~ '135'53
) 1O-Cj'-17
'-./
t(%'T-5'2:22
QUAO AREA:
. OF BLDGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER:
- OFFICE USE -
LAND USE:
. OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE: _
FLOOO PLAIN:
ZONING CODE:
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE: ___
To request an Inspccllon, you must call 726.3769. Ttlls Is a 24 hour recording. Alllnspectlons requested before 7:00 a.m. will be
made the same working day, Inspections requested aCter 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
D Tomporary Electric
O SlIe Inspection - To be made
after excavation, but prior to
setting forms.
D Underslab Plumbing I Electricall
Mochanlcal - Prior 10 cover.
D Footing - After trenches are
excavated.
D
Masonry - Steel location, bond
beams, grouting.
D
Foundation - After forms are
erected but prior to concrete
placement.
D
Underground Plumbing - Prior
to filling trench.
D
Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
D
Post nnd Beam - PrIor to floor
Insulation or deckIng.
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - f'rior to filling
trench.
o Water Line - Prior to filling
trench.
o Rough Plumbinu - Prior to
cover.
D Rough Mechanical - Prior to
cover.
D Rough Electrical - Prior to
cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
D
o
Framing - Prior to Cover.
Wall/C'elling Insulation - PrIor to
cover.
D Drywall - Prior to taping.
D Wood Stovo - After Instal/allan.
D Insert - After fireplace approval
and installation of unit.
o Curbcut & Approach - After
forms arc erected bllt prior to
placement of concrete.
o
Sidewalk & Dr/vew;"!\, - After
excavation Is complete, forms
and sub-base material in place.
D Fence - WtlCn completed.
o ~Hreol Treos - When all required
trees are planted.
D
Final Plumbing - When all
plumbing wc;>rl< Is complete.
Final Electrical - When all
electrical work is complete.
Final Mechanical - When all
mechanical work Is complete.
D Final Building - When all
required Inspections have been
approved and building Is
comPI~~~~ fj4 J
~Othor I / ~
l;
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - When all
blocking Is complete,
D Plumbing Connections - When
home has been connected to
waler and sewer.
o
Electrical Connection - When
blockIng, set-up. and plumbing
Inspections have been approved
and the home Is connected 10
the service panel.
D Final - After all required
Inspections are approved and
porches, sklrllng, decks, and
venting have been Installed.
Lot (aces
LoI Type .
Lot sq. flg.
Interior
Lot coverage
Corner
Topography
Tolal height
Panhandle
Cul-de.sac
BUILDING PERMIT
ITEM
SO. FT.
X $/SO. FT.
Main
Garage
Carport
Tolal Value
Bui/ding Permit Fcc
State Surcharge
Tolal Fee
(A)
I PL.
IN
Is
Iw
IE
VALUE
"
,., :'.
.-,.
~THE PROPOSED WORK IN THE
"'HISTORICAL DISTRICT. OR ON
THE HISTORICAL REGISTER?
II yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
Setbacks
IHSEIGARIACCi
I I I I
I ' I
I I
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition ttlal the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including Ihe
Development Code, regulating the construction and use o(
buildings, and may be suspended or revoked at any tIme
upon violation of any provi510ns of said ordinances.
Plan Check Fee:
Date Paid:
Receipt Number-
Received By:
Plans Reviewed By
Dale
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Resldenllal Balh(s)
N'
Sanitary S~wcr
Water
FT.
FT,
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
TOlal Charge
(C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Ffreplace Unit
Dryer Vent
'Mi'l\_
Mechanical Permit
Issuance
State Surcharge -t3'7# Cir At/nti""\.
Total Permit (D) .
MISCELLANEOUS PERMITS
Mobile Home
- State Issuance
State Surcharge
Sfdewalk
It
Curbcul
fl
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A. B, C. D, and E Combined)
FEE
J5jJ1J
J!LOD-
7i
.f";
Jt" 2 ()
~.Jf)
Systems Development Charge Is due on all undeveloped
properties within lhe City limBs which are being Improved.
ADDITIONAL COMMENTS
By signature, I atate and agree, that J have carefully examined
the completed application and do hereby certify that a/l
Information hereon is true and correct, and I further certify
that any and al/ work performed shall be done in accordance
with the Ordinances of the City o( Springfield, and the Laws
of the Stole of Oregon pertainIng to the work descrIbed
heroin, and thai NO OCCUPANCY will be made o( any
structure wllhout permission of Ihe BuildIng Safety DivisIon,
I further certify that only contractors and employees who
arc In compliance with ORS 701.055 will be used on thIs
project,
~I
VALlOATlON:
RECEIPT NU~ER 2c(=1.:<-;;
DATE PAID '-.J... - il& -17
AMOUNT RECEIVED 2.6..7rJ
RECEIVEO BY W