HomeMy WebLinkAboutPermit Mechanical 1996-10-18
=,.
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
j7 O~?:J117
ASSESSORS MAP:
LOT:
OWNER'
Jack Clark
AODRE~~' 71q ~~Anir~ P'~rp
CITY:
<;nri n"fie ld
SPRINGFIELD
.
kt@
739 Granite Place
BLOCK'
STATE:
OR
NEW
ADDITION
DESCRIBE WORV' ~_ Jn~t~ll oas furnace and air conditioner
OTHER
REMODEL
CONTRACTOR'S NAME
DEMOLISH
.---
f6/Cf2fj
JOB NUMBER
225 Fil1l1 Slreel
Springlleld, Oregon 97477
TAX LOT:_/~"2On
SUBDIVISION'
PHON~' 741-7724
ZIP'
97477
ADDRESS
CONST.
CONTRACTOR #
PHONE
EXPIRES
GENERAl'
PLUMBING:
MECHANICAl' ~r.omfort Flow Heatina 1951 Don St Ste D, Sprinqfield 97477 00460 6/27/97726-010(
ELECTRICAL'
QUAD AREA:
# OF BLDGS: ~___
OCCY GROUP:
# OF STORIES:__
WATER HEATER:
- OFFICE USE -
LAND USE:_
# OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE: _
FLOOD PLAIN'
ZONING CODE: _
# OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE: _
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. AI/Inspections requested before 7:00 a,m. wIll be
made the S8me working day, Inspecllons requested oHer 7:00 a.m. will be made the (ollowlng worl(day.
D Temporary Eloctrlc
o
Slto Inspection - To be made
after excavation, but prIor to
setting forms.
D
Underslab Plumbing I Electrlcall
Mechanical - Prior to cover.
D Footing - After trenches are
excavated.
D Masonry - Steel location, bond
beams, groutIng.
D Foundation - Atter forms are
. erected but prIor to concrete
placement.
D Underground Plumbing - Prior
. to filling trench.
D
Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
D
Post and Boam - Prior 10 floor
Insulallon or decking.
D Floor Insulation - Prior to
decking.
D Sanitary Sewer - Prior 10 1IIIIng
trench.;.'
D Storm Sewer - Prior to filling
trench. .
D Water LIne - Prior to filling
. trench.
D Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
rfA Rough Mechanical - Prior to
r-'r;t8U ~ ~
~.~g~le ~~al - Prior to
CQver. e!J
D
Electrical Service - Must be
approved to obtai n permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp,
D Framing - PrIor to cover,
o WallfColllno Insulation - Prior to
cover.
o Drywall - Prior to taping.
D Wood StovD - After Installation.
D Insert - Arter fIreplace approv~r
and Installation 01 unit.
D
Curbcut & Approach - After
forms are erected bllt prior to
placement of concrete,
D
Sidewalk & Driveway - After
excavation Is complete, (orms
and sub.base material In place.
o
Fence - Wt10n completed,
o
Streot TroQS - When all required
trees are planted.
D Final Plumbing - When all
plumbing worl< is complete,
. .
o Final Electrlcnl - When all
electrIcal work is complete.
MFlnal Mechanical - When all
~echanlcal work Is complete.
D Final Building - When all
required Inspections have been
approved and building Is
completed.
~thor ~~
~- ( J .
MOBILE HOME INSPECTIONS
D Blocking and Sel.Up - When all
blocking Is complete.
D
Plumbing Connections - When
home has been connected to
waler and sewer.
D
Electrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and tl1e home Is connected to
the service panel.
o
Final - After all required
Inspectlons are approved and
porches, skirtIng, decks, and
venting have been Installed.
Lot faces Lot Type. Setbacks . itl THE PROPOSED WORK IN THE.
Lot sq. ftg. Interior I P.L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTER?
Lot coverage Corner II yes, this application must be sIgned
Is I and approved by the Historical
Topography Panhandle Iw I Coordinator prlor 10 permit Issuance.
Total height Cul-de.sac
IE I APPROVEi""
Garage
"
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permills gran led on the express condlllon Ihat the said
construction shall, In all respects, conform to the Ordinance
adopled by the City or 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.
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT. = VALUE
Main
Carport
Plan Check Fee:
Date Paid:
Total Value
Building Permit Fee
Recelpl Number:
Received By:
Slate Surcharge
Total Fcc
(A)
Plans Reviewed 8y
Dale
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Resldenllal Bath(s) N'
Sanitary S~wer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Wood StoveflnsertlFlrcplace Unit
Dryer Vent
YVI;~
/17,00
By signature, I slate and agree, Ihat I have carefully examined
the completed application and do hereby certlly 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 Ctty of Springfield. and the Laws
01 Iho Slalo 01 Oregon portalnlng to tho work described
horoln, and thai NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I rurther certify that only contractors and employees who
arc in compliance with GRS 701.055 will be used on this
project.
Exhaust Hood
Vent Fan
N'
Issuance
Total Permit
(D)
I further agreo to ensure lhat all required Inspections are
requested at the proper time, that each address Is readable
from tile street, that the permit card Is located at the front
of tho properly, and tho approved sel of plans will remain
on the site at all limos during conSlrucllon.
SlgnatureV 0 l~_(J/Jdm
I [I -
Dalo X; /d -I rf - b
(
MISCELLANEOUS PERMITS
Mobfle Homo
State Issuance
State Surcharge
Sidewalk
II
Curbcut
It
Demolition
'.
State Surchargt:
VALIDATION:
RECEIPT NUMBER 1~S:;...r)
/I) -4rr., f{&;
'2t1J ~ 2(}
DATE PAID
Tolal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (oxcludlng eloclrlcal)
(A, B, C, D, and E Combined)
AMOUNT RECEIVED
RECEIVED BY W./