Loading...
HomeMy WebLinkAboutPermit Mechanical 1995-11-27 . ~.. -. , SPRINGFIELD RESIDENTIAL PERMIT APPLICATION 9s- I ~s..s- JOB NUMBER Inspections: 726-3769 Office: 726-3759 225 Filth Street Springfield, Oregon 97477 LOCATION OF PROPOSED WORK' /).21 /703 TAX LOT:_/")7,c, ~'? SUBDIVISION: 27 ASSESSORS MAP: LOT: BLOCK' OWNER' I{;A}.I}, It L 1/ ).i;";ft%/ ADDR"CC,' /.:J %.J ;A IH/VU , :')MtJ CITY:' --A (J./>/Injfotltf., - I / DESCRIBE WORK: JM1A/h1 'lJRIIA&/J. du.1/JAi; { ,(k;ftuilLN'i(lu7/.Ju NEW REMODEL ADDITION DEMOLISH OTHER 7/f/-7.2.J'() PHONE: 979-77 A It\. W o.e STATF' ZIP: CONST. CONTRACTOR' 13%cJC, CONTRACTOR'S NAME GENERAL: ~l3e f A~~ PLUMBING: MECHANICAl' ELECTRICAl' ADDRESS to. kd~;P'fMI. EXPIRES 5/9(, PHONE 931-39j!,- - 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' RANGF' SQUARE FOOTAGE: To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m.,wlll be made the same working day, Inspections requested after 7:00 a.m. will be made the following work day, "- REQUIRED INSPECTIONS o Temporary Electric I"x1' Rough Mechanical - Prior to ~over. o Final Plumbing - When all plumbing w<;Hk Is complet.e. D Site Inspection - To be made after excavation, but prior to setting forms. D Rough Electrical - Prior to cover. D Final Electrical - When all electrical work Is complete. ""R71' Final Mechanical - When all ~echanlcal work Is complete. o Underslab Plumblng/Electrlca" Mechanical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Footing - After trenches are excavated. o Final Building - When all required Inspections have been approved and building Is completed. o Fireplace - Prior to facing materials and framing Insp. o Masonry - Steel location, bond beams, grouting. o Framing - Prior to cover. ;g( Olh~r ~~ U,oE F4t~ G~ r D Foundation - After forms are erected but prior to concrete placement. o Wail/Ceiling Insulation - Prior to cover. D Underground Plumbing - PrIor to (1Il1ng trench. o Drywall - Prior to taping. MOBILE HOME INSPECTIONS D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. o Wood Stovo - After Installation. o Blocking and Set.Up - When all blocking Is complete. o Post and Beam - Prior to floor Insulatlon or decking. o Insert - After fireplace approval and Installation of unit. o Floor Insulation - Prior to decking. o Plumbing Connections - When home has been connected to . water and sewer. o Curbcut & Approach - After (orms are erected bllt prior to placement of concrete. o Sanitary Sewer - Prior to fllllng trench. o Electrical Connecllon - When blocking, set-up, and plumbing Inspections have been approved and the home Is connected to the service panel. o Sidewalk & Driveway - After excavation Is complete, forms and sub.base material In place. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. . o Fence - When completed. o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. o Rough Plumbing - Prior to cover. o Street Trees - When all required trees are planted. . r-, Setbacks I P.L. 'HSE GAR I N I I S I Iw I I I I lLLLl.J Lot faces Lot sq. flg. Lol Typee Interior Lot coverage Corner Topography Total hel ght Panhandle .- Cul.de.sac BUILDING PERMIT ITEM SO. FT. X $ISO. 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 Hnme ~ Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood StovellnsertlFlreplace Unit Dryer Vent .;:;~ UIIJ~ .F."o. /JJsOttT/ . '.. . .' ~If. ?n/AJ, It:::; &ro //)~ ~.20 26 ?-to " Mechanical Permit Issuance State Surcharge ,7<) T .-IJ'" Total Permit (D) MISCELLANEOUS PERMITS Mobile Home Slate Issuance State Surcharge Sidewalk fl Curbcut fl Demolition Slate Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) ?~.2--0 (A, B, C, D, and' E. Combined) ;;.i,\.....:::...::: ....... ~ 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. '. ACC I I I APPROVED: - BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on Ihe express condition that the said construction shall, In all respects, conform to the Ordinance adopted by the City. of Springfield, Including the Development Code, regulating the construct/on and use at 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 Hy 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 appllcallon and do hereby cerllfy that all Information hereon is true and correct, and I further certify thai any and all work performed shall be done In accordance with the Ordinances of Ihe City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and thai NO OCCUPANCY will be made of any structure without permission of the Building Safety DivisIon. I further certHy 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 re9ulred Inspections are requested at the proper time, that each address Is readable from the street, that the permit card Is located at the fronl of the property, and the approved set of plans will remain on the site at all times during construction. , Signature 'x:' ("7 ~ ~ Date h-~" ---9 rt/' . VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY / 9 ~ f?;2- jI/; 0)- I -z...::; ..2. 0 ,,~,