HomeMy WebLinkAboutPermit Mechanical 1993-1-4
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Oltice: 726.3759
LOT'
.
BLOCK'
OWNER: I. j){\( 11 ~ ' </=)l!.lJJ ---..
ADORES'"'-41 \Q (~LrhajRIU
CITY" '- ')P+/ f!1- STATE:
DESCRIBE WORK: l O'llP rf)-j-T JjUJrl,D /
I I
NEW REMODEL ADDITION DEMOLISH
.
q ?()(Yf),
JOB NUMBER
\
225 Filth Street
Springfield. Oregon 97477
TAX LOT:
()( Y/()/~
SUBDIVISION:
PHONF'
'~
(U~'PJ)i~
- (I
OTHER
ZIP:
CV)<r / I)
ADDRESS
CON ST.
CONTRACTOR'
PHONE
CONTRACTOR'S NAME
GENERA' .
PLUMBING'. .., n.
MECHANICAL:(f\{lJJJJI j):t:J!L1 JJ}j .
ELECTRICAl'" (I -
8L) \S I\\~it-
EXPIRES
'(';{y) 7 7 .
(r)..~/.c{) rff;1v.'
. . ,
- OFFICE USE -
QUAD AREA- LAND USE: 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. Thl~ Is a 24 hour recO"rdlng. All Inspections requested before 7:00 a.m. will be
made the same workl':lg day. Inspections requested after 7:0a a.m. will be made the following work day.
o Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o
Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.
o Footing - After trenches afe
excavated.
o
Masonry - Steel location, bond
beams, grouting'.
,
D Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
D 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 flIllng
trench. .
o Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
\fA RO~9h MechanIcal ~ Prior to
\ cover. ;
o 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.
o Framing - Prior to c~ver..
D Wail/Ceiling Insulation - Prior to
cover.
o Drywa!I.- Prior to taping.
o Wood"Stove - After installation.
D Insert - After fireplace approval
. and Installa~lon of un!t.
"0 Curbcut & Approach - After
forms are erected but prior to
placement of concreto.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material In place.
o Fence - When com.pleted.
.0 Streot Trees - When all required
trees are planted.
o Final Plumbing - When all
plumbing w9rk Is complet.e.
D Final Electrical - When all
electrical work is complete.
m Final Mechanical - When all
\ mechanical work Is complete.
o Final Building - When all
required InspectIons have been
approved and building is
completed.
DO'her
MOBILE HOME INSPECTIONS
D Blocking and Set. Up - When all
blocking Is complete.
D Plumbing Connections - When
home has been connected to
water and sewer.
D 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, skirting, decks, and
venting have been installed.
\ : . . ~ . ~ .~ .
,. .j.. . . ,",. ~. '. ,J,. .,~ " _
~ : .'." "\--',' ..". 1,. \. ,'':) 41"
, , '~\:" "I
Setbacks
I PL. HSE GAR ACC I
I N I
I S I
Iw I
I E I
Lot faces
~ "I
lot ;ypett
Interior
lot sQ. fig.
Lot coverage
Corner
Topography
Total height
Panhandle
Cul-dc.sac.
BUILDING PERMIT
ITEM sa. FT. x $/SO. FT. ~ VALUE
Main
Garage
"
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(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 Stove/lnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
/S,CQ
10 OU
. /)~ ")
~lL'S
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
fI
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical) &0-,. ')5
(A, B, C, D, and E Combined)
'. 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.
<,
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 Ihe City 01 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 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 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 01 any
structure without permission 01 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 all tlmi:r::;:~O~r ~
/ - 4-93
VALIDATION: ()
RECEIPT NUMBER f) I,eo
DATE PAID \,'-4~C{~ '7'::::'"
AMOUNT RECElv"n ,.Q J . I
RECEIVED By'PK \ [) ~
~