HomeMy WebLinkAboutPermit Mechanical 1998-8-6
RESIDENTIAL, .-
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.
LOCATION OF PROPOSED WORK: t.J~/3-
I "'362-D 5' I].
ASSESSORS MAP'
LOT:
OWNER'
ADDRESS'
9-~r-/1 -'1"\: )..1,'/ If'='
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CITY:
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BLOCK:
STATE: -A~
NEW
REMODEL
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DESCRIBE WORt<.
CONTRACTOR'S NAME
GENERA' .
PLUMBING:
MECHANICA' ~~ fl,.,.,&l M{,
ELECTRICA' '
QUAD AREA:
ADDITION
DEMOLISH
OTHER
.
JOB NUMB~R qto Z()l,
225 Fifth Street
Springfield, Oregon 97477
TAX LOT'
SUBDIVISION'
f'JS"~OO
PHONF' 7t7-C-'9v.2...
ZIP: 97Y? y
ADDRESS
CONST,
CONTRACTOR'
EXPIRES ,'" PHONE
')pt L)SL4r-
YI/ /1..1/
l/~
~;>-.)r,~r
- OFFICE USE -
LAND USE:
FLOOD PLAIN'
. OF BLD<JJ' . OF UNITS' ZONING CODE:_
OCCY GRQI,J}!S' flCE: _ CONSTR. TYPE: ATTENTlON:Ore!lP8,ta!i'd'AiU!ires vou to
I HI PERMIT SHALL EXP/R IUII~W ~U1es adopted by the Oregon Utility
. OF STO~II1T' E IFTH/fEWoRRuRCE: NOllllcAlrn" r.enter, ~1'i~Ya~~ (
WATER H HUH/ZED UNDER THIS PERMIR.I&~". ~n.OAR 952-001-001g~RFl~~~'.oo~'~ .
OO!tf~II:N(';l:D OR ,~ .Aj:I.AMn"",..." F- VVl:tU, TOU rflay obtam coeies of the rulA" hv
.!\NX l11n _. ."- ;:;.:; ..all'''!,! me cenler INote' ~~~I" h
To request '3 Itisp~fbR~lDti).ust call 726.3769. This Is a 24 hour recl'faffl!leNbf'lfflfl'/}gns r~q~l1 ro IJ'Jltf~OO a,m. will be
made the same working day, Inspections requested after 7:00 a.m. will be m"e%rme fOfjolrt~ \1181 9.tlflcatlon
. REQUIRED INSPECTIONS ells - -332-2344).
o Temporary Electric
D Site Inspection - To be mado
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical/
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 Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
deckl ng.
o Sanitary Sewer ~ Prior to filling
trench.
D Storm Sewer - Prior to filling
trench.
O Water Line - Prlorto filling
trench. ~" \
. , .
D Aoug~ Plumbing - Prior to
cover.' ',J' _'.j '.
o Rough Mochanlcal - Prior to
cover.
D Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Flraplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping,
o Wood Stovo. - After Installo.non.
o Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavat'lon Is completc, forms
and sub-base material in place.
o Fence - VVhen completed.
D Street Troes - When all requIred
tree,s are planted.
o Final Plumbing - When all
plumbing work Is complete.
. .
,.
I-EJ~rlcal - When all
electrical work Is complete.
~ Final lnlcal - When all
~tl~ork Is complete.
~
o Final BUfldlng - When all
required Inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set-up, and plumbing
Inspecllons 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.
Lot faces
Lot sq, ftg.'
L~l ~yp.
Interior
Lot coverage
Corner
Topography
Total height
.
Panhandle
Cul-de.sac
BUILDING PERMIT "I
ITEM sa, FT,
'.
!~
't
X $/SO. FT.
Main
Garage
Carport
Total Val ue
Building Permit Fee
State Surcharge
Total Fee
(A)
.,.
, ...'., :!;li<~;i!\:;
Setbacks
I P.L, HSE GAR ACC'
IN
Is
.S THE PROPOSED WORK IN THE.
"HISTOI;lICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance,
W
---
.E
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Balh(s)
N'
Sanitary S~wer
Water
FT.
FT.
FT.
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood StovellnsertlFlreplace Unit
Dryer Vent
IAKT.+/(
/t!(
Mechanical Perml t
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Slate Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Tolal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
FEE
If: (Iv
I/), au
-,
2(,1'1-0
APPROVED'
< ...... '.. "
BUILDING VALtiE, 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 the Cily of Springfield, in'eludlng 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:
Recei pi 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 of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance with OAS 701,055 will be used on this
project.
I further agree to ensure that all required Inspections are
reque ted at the proper time, that each address Is readable
from t street, that the permit card Is located at the front
"-
of the pr erty, and the approved set of plans will remain
on the site t all limes during con cllon.
Date
~
VALIDATION:
RECEIPT NUMBER
03/U2'{
~ / f.,f1<;-
2C 2-~ /1
WW~
DATE PAID
AMOUNT RECEIVED
RECEIVED BY