HomeMy WebLinkAboutPermit Mechanical 1992-7-14
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ADDRESS. ~(O t-oc/f" /Pt~l"AI n
:;'/'#/1 r/'C~
RESIDENTIAL
PERMIT APPLICATION
Inspections: 720,3709
Olliee: 726,3759
LOCATION OF PROPOSI:D WORK: --tlfO
ASSESSORS MAP' 1/[)-:>''2;1z,.~
LOT:
OWNER:
0(;,/,4"';/
CITY'
DESCRIBE WORK'
/ /r/ 57.# C{
NEW
REMODEL
ADDtTION
CONTRACTon's NAME
GENERAl'
PLUMBING:
.
SPRINGFIELD
t~ U"'A;'
BLOC~'
STATE: _~ f"?
/!,PA';r /{/~/
DEMOLISH
OTHER
, Is NUMBER --Q_w_1r.lL .
225 Fifth Street
Springfield, Oregon 97477
TAX LOT'
?5'?_dn
SUBDIVISION'
PHONE:
7t/7-3.y //
ZIp. ?7',v77
ADDRESS
CONST.
CONTRACTOR N
EXPIRES
MECHANICAl'
{brt4'-.6fy
r:,4a(~"d,(L
//_?/#~ '/.)07
~{cc-?d;C
wcr"'P'.
7o~r>
ELECTRICAL:
OLlAD AREA:
N OF BLDGS: ___
OCCY GROUP:
II OF STOnIE:~: ,
WATER HEAlER:
- OFFICE USE -
LAND USE:
N OF UNtTS'
CONSTR. TYPE:
HEAT SOURCE:
RANGF'
1;:;-.7/-9' ~
~ r'7~vV
FLOOD PLAiN:
ZONING CODE:
N OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an in~pection, you must call 726.3769, This Is a 24 hour recording, All Inspections requested before 7:00 a.m. will be
made Hw saine working day, Inspections requested after 7:00 a,m, will be made tho following work day,
o Tcmpor:lI'Y Electric
D
Site Inspection - To be made
alter cx(;avation, but prior to
setting forllls,
o
Undcrsl.lb Plumbing/ Electrical/
Mechanical - Prior to cover.
O Footing - After trenches are
excavated,
D
Masonry - Steel location, bond
beams, urouting,
D Foundation - Aller forms are
crcclctl but plior to concH;:le
placenwnl,
o
Underground Plumbing - Prior
to fillinU trench,
o
Undcrlloor Plumbing/ Mechanical
- Prior 10 Insulation or decking.
o Post and Bcam - Prior to floor
Insulation or decking,
o Floor Insulation - Prior 10
decking,
f 1 Sanitary Sewer - Prior to filling
, ~.trench,
,..
O-'Storm Sewer - Prior 10 filling
. trench,
o
Water Lino - Prior to filling
trench,
o Rough Plumbing - Prior 10
cover,
REQUIRED INSPECTIONS
o Rough Mechanical - PrIor to
cover,
D Rough ElecHical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power,
o Fireplace - Prior to facing
materials and framing Insp,
D Framing - Prior to cover,
o Wall/Ceiling Insulation - Prior to
cover,
o Drywall - Prior to taping,
o Wood Stove - After installation,
o Insert - After fireplace approval
and Instalialion of unit,
o Curbcut & Approach - After
forms arc lHc<;tecJ but prior to
placement of concrete,
o Sidewalk & Driveway - After
ex<;avatlon is complete, forms
and sub,base material in place,
D Fence - Wilen completed,
o Street Trees - When all required
trees are planted,
o
Final Plumbing - When all
plumbing work is complete,
D Final Electrical - When all
electrical worl< .is complete.
o
Final Mechanical - When all
mecllanical work is complete,
o Final BUilding - Wilen all
required inspections have been
approved and buileJinu is
completed,
DOthcr
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete,
D Plumbing Connections - When
home has been connected to
water and sewer,
D Eleclrical Connection - When
blocking, sel-up, and plumbing
inspections havc been approved
and thc home is connectcd to
the service panel.
o
Final - After <.lit rCQuirt:d
inspections are approved and
porches, skirting, decks, and
venting have been installed,
Lot faces
Lot Type.
Interior
Lol sq, ltg,
Lot coverage
Corner
Topography
Total heiglll
Panhandle
Cui-dc-sac
BUILDING PERMIT
ITEM sa, FT. x $/SO, FT,
Main
Garage
Carport
Total Value
Building Permit Fee
Stale Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
Systems Development Charge is due on all undevcloped
properties within the City limits which arc being improvcd,
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath{s)
N'
Sanitary Sewer
FT,
FT.
FT.
Water
Storm Sewer
Mobile Home
Plumbing Permit
Stale Surctlargo
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood StovellnsertiFireplace Unit
Dryer Vent
-fit p r.~01.(MAJ_
I '
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stata Surchargo
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (exctuding electrical)
(A, B, C, 0, and E Combined)
Setbacks
II'L. I HSE GAR I ACC I
IN 1
I s I
Iw I
~--~
.S THE PROPOSED WORK IN THE
HISTORiCAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Hlsloricai
Coordinator prior to permit issuance.
APPROVED'
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition lllilt the said
construction shall, In all respects, conform to Ole Ordinance
adopled by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked al any time
upon violation of any provisions of said ordinances,
Plan Check Fee:
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Dale
ADDITIONAL COMMENTS
FEE
/~,OD
/6.(50
io.6D
,15
2h.70
By signature, I state and agree, that I have carefully eX(J.mincd
the completed application and do hereby certify thai illl
information hereon is true and correct, and I further certify'
that any and all work performed shall be done in accord(J.nce
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work dC5crlbed
herein, and that NO OCCUPANCY will be made of any
structure without permission of 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, thatJhe permit card Is located at the front
of the property, ahd lhe approved set of plans will remain
tz II
on the sile at a'! ~: du:i~J cons~lon,
Slgnalurn 71~.I//L
7 -;C/.-72--
Oat'"
7fJ, 1~
VALIDATION:
RECEIPT NUMBER t?01tf7
DATE PAID '7-14 -1 Z-
AMOUNT RECEIVEr> 2J?,7.!5
RECEIVED BY tf...Nv n