HomeMy WebLinkAboutPermit Mechanical 1993-8-10
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.
SPRINGFIELD
LOCATION OF PROPOSED WORK: _ c:..So ~,fi',r" u~
1"/ O~"J.7 I~
c...o,\fe_V'\ ""LA...."'...
L()..uJl ,.., (!mlhtb, A ~
,'7"50 /.J1d:;/1tlt/tho...
.3 ~'f-',',d,J IJR
I 1/ 1/ 1!..-r- .
~fkLI~
ASSESSORS MAP'
LOT
OWNER:
ADDRESS:
CITY:
DESCRIBE WORK:
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERA' '
PLUMBING:
BLOCK:
9'll/77 STATE:
tJfl.
?, ~T ,{} (h../J
J' II
DEMOLISH
OTHER
.
JOB NUMBER..93 IIR~
225 Fifth Street
Springfield, Oregon 97477
TAX LOT'
o ISoo
SUBDIViSION:
PHONE: _'11,1"/" oJ. '1~
ZIP:
9?~77
A
~
ADDRESS
CONST,
CONTRACTOR #
EXPIRES
PHONE
MECHANiCAL:
!lJ.M,.61J&Liff~. ~Z-0.sZ; ~''l'
cJJs 7- LCJ t,) 1/
'l/)fJ 41:)'
ELECTRICAl'
OUAD AREA:
# OF BLDGS'
OCCY GROUP'
# OF STORIES:
WATER HEATER'
- OFFICE USE -
LAND USE'
# OF UNITS:
CONSTR, TYPE:
HEAT SOURCE:
RANGE:
/:JJ ~<
<j ('(I-:l~
FLOOD PLAIN'
ZONING CODE:
# OF BDRMS'
SECONDARY HEAT:
SOUARE 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 atter 7:00 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 PlumblngJ ElectricalJ
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 - Prior
to filling trench.
o
Underfloor Plumbingl 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 filling
trench.
o Water L1ne'- Prior to filling
trench.
o 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
Fireplace - Prior to facing
materials and framing Insp.
o
Framing - Prior to cover.
o WalllCciling Insulation~- Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - After Installation.
o In~ert - After fireplace approval
and installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material in place.
o Fence - When completed.
D Street Trees - When al: required
trees are planted.
o Final Plumbing - When all
plumbing work is complete.
~Inal Electrical - When all
electrical work Is complete.
~nal Mechanical - When all
mechanical work is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When atl
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, sklrttng, decks, and
venting have been Installed.
J
.
Lot faces
Lot Type
Lot sq, ltg,
Interior
Lot coverage
Corner
Topography
Total height
Panhandle
Cui-dc-sac
BUILDING PERMIT
ITEM SO, FT, X $/SQ, FT,
Main
Garage
Carport
Total Val ue
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath{s)
N'
Sanitary Sewer
FT,
Water
FT,
Storm Sewer
FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Fireplace Unit
Dryer Vent
Mechanical Permi t
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
..
IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
Setbacks
I PL HSE GAR ACC
IN
Is
Iw
IE
VALUE
FEE
IS,oO
~f) ,00
,IS-
-;:2C::;-.I$'"
~~,I<
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permi l is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Cocle, regulating the construction and use of
uuildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Checf~ Fcc:
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
5' p t(.-t.Jv. r a 1. f L v ,^,:.-L
/\Lkl.J~J
1/
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 ttlat NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify lIlal only contractors and employees who
arc in compliance with QRS 701.055 will be used on this
project.
I further agree 10 ensure 1I1at all required inspections are
requested at the proper time, that each address is readable
from tile street, Ihat the permit card Is located at the fronl
of the properly, and the approved set of plans will remain
on the site at all times during construction,
Si9~\
~~d~
'8 J tOle/,?.,
Daln
VALIDATION:
q~\
~lt[)1 q""o
tS';lc;-.jS
AA
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVEn
RECEiVED BY