HomeMy WebLinkAboutPermit Mechanical 1992-5-29
RESIDENTIAL
PERMIT APPLICATION
Inspections: 7:'().3769
Ollice: 726.3759
.
SPRINGFIELD
LOCATION OF PROPOSE9~P9J<' G, 71-
ASSESSORS MAPj,C\U.,:)~~41 G-.
(P4'A,y~TC=
LOT:
BLOCK:
OWNER: ~{/c. III?iY~
ADDRESS: ~7J- c,,4~~/?C /'Uct:::-
CITY ..-ZL,If /'AJ' E~du?/-
STATE:
04-,:
'B NUMBER _Q? j)lJolP
225 Fifth Street
Sprtnglield, Drctlon 97471
TAX LOT:
SUBDIVISION:
,(),n(')
PHONE: ....?..,'Ic" -S77'V
ZIP: _~7 f/?_Z___
DESCRIBE WORK' If( -r"4/ r;.A.s F'Nf""~c,/
~A.s /,-/~;.~, --r- :;:z. 7"O/fr -"? c
NEW ____' Rr:MODEL
CONTRACIOIl'S NAME
Cr:NIORAL:
PLUMBING:
ADDITION
DEMOLISH
OTHER
ADDRESS
CON ST.
CONTRACTOR'
EXPIRES
PHONr:
MECHANICA'
f~d~/~ 1!~/;;--;;20i"~__~__. ;-zd
..Ccf-i?tfL5...C( GC~cT,-r;c
7 os-r S-
;;2 -? z _ __ -SYY...-.2ytJI
ELECrnICAl.:
QUAD AREA:
. OF BLDCS:
OCCY GROUI"
II OF STOHIES-
WAlEn Hr:ATL'-l:
- OFFICE USE -
LAND USE:
. OF UNITS'
CONSTR. TYPE:
HEAT SOURCE:
RANG'"
FLOOD PLAIN:
ZONING CODE: ____,__
. OF BDRMS:
SECONDARY HEAT: __.
SQUARE FOOTAGE:
To 'cquC~jl an ill~pection, you must call 726.3769. Tills Is a 24 hour recording. All Inspections requestcej before 7:00 n.m. will he
made Ihe saHlt: wOIking day. Inspections rCQuestc(j after 7:UO a.m. will be made the following work day.
CI Tcmpof.lIY Electric
I -I Site In~;PQclion - To be IIlClcle
after ,'~>'c:lVation, hut prio, 10
SCllifl{J !':HnlS.
[]
Undersl;.b Plumbing/Electrical/
Mechanical - Prior to covcr.
o
Footinn - After ttenches are
exc~lvaI0~1.
o
MasolllY - Steel location, boml
l)C,lI11S, fJroutinu.
[]
FOLJl1d'ltiOIl - AlIur forms arc
orcctee] hut priol to concrete
placement.
o
Undcrg!'Ound Plumbing - Prior
to filtin~l trench,
o
Undeflloor Plumbing/Mechanical
_ Pliol to insulation or (lccklng.
o Post and Beam - Prior to lIoor
insul;llion or clecl\ing.
o Floor Im;ulatioll - Prior to
dcd\in~l.
o Sanitary Sewer - Prior to filling
trench.
o
Storm Sewer - Prior to filling
trench.
o
Water Lille - Priol 10 filling
trencll.
o Rough Plumbing - Prior to
COVtH. .
REQUIRED INSPECTIONS
I~ Rough Mechlmical - Prior to
cover.
I~ Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved 10 obtain permanent
electrical power.
o Fireplace - Prior to facIng
materials and framing Insp.
I~ Framing - Prior to cover.
'.
I~ Wall/Ceiling Insulation :- Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - After Installation.
o Insert - After flreplacc approval
amI Installation of unit.
I~ Curbcut & Approach - After
forms arc erected but prior to
placement 01 concrete.
D Sidewalk & Driveway - After
excavation is complete, forms
and sub-base mah.:rlal in place.
I~ Fence - Wlwn completed.
o Street Trees - Wtlen all req~ired
trees are planted. '\ .
,.
D
Final Plumbing - WIl.::n all
plumbing woll.. is cOlllplclC.
o Final ElcctJ'ical - Wilen all
electrical worl< is cOllljJletc.
o
Final Mechanical - WIlen alt
lOeclwnicaJ work is cOlnplcle.
o
f-'inal Building - Wilen .111
lequired inspections IlaV(~ beclI
approved and building is
completed.
~Othcr
(
?Jw
MOBILE HOME INSPECTIONS
o Dlocking and Set-Up - When ;dJ
blocking is complete.
o Plumbing Connections - WI1'~ll
Ilome lias been connectu(1 10
water and sewer.
o
Electrical COllnection - WI\I.:rl
blocking, set-up, ami plultlbinU
inspections Ilave been approvi!(1
and the home is connected 10
I he service panel.
o Final - After all' require(j
inspections arc approved ami
porches, skirting, decl<s, and
venting have !Jeen installed.
Lot facos
lOI Type.
lot SQ. fig.
Interior
Lot coverage
Corner
Topography
Panhandle
Total height
Cul-de-sac
BUILDING PERMIT
ITEM SQ. FT. X $/SO. FT.
Main
Garage
Carporl
Total Value
Building Permit Fce
Stale Surcharge
Total Fcc
(A)
as THE PROPOSED WORK IN THE
~ISTORICAl'DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historlcnl
Coordinator prior to permit isr;uance.
I :L.
Selb"~ks
IHSE GARIACC
S
W
~---
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
VALUE
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 Stove/Insert/Fireplace Unit
Dryer Vent
Mecllanical Permit
Issuance
Slate Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fI
Curbcut
It
Demolition
State Surcharge
FEE
15,CD
1n.CV
I 17_c)
c05.1~
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical) r(,F.') . ri5
(A, B, C. D. and E Combined)
APPROVED:
This permit Is granted on tile express condition tllal Ole Selid
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield. Including the
Development Code, regulating the construction and u~e of
bu!ldings, and may be suspended or revoked al any time
upon violatlon of any provisions of said ordinances.
Plan Check Fee:
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properlies within the City limits which are being improved.
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully cX<lmined
the completed application ?nd do hereby certify thaI nil
Information hereon is true and correcl, and I furl her certify
that any and all work performed shall be done in accordance
with the Ordinances of Ihe City of Sprlnuficld. <lntl Ihe Lawr.
of the Stato. or Oregon perlillnlng to Ihe wl.llk df~:;clih(:d
herein, and that NO OCCUPANCY will be Inaf.h: of ~IIlY
structuro without permission of the Building Safely Divir.lon.
I further certify that only contractors and employees WllO
are In compliance with ORS 701.055 will be u:;cd on tllis
project.
I further agree to ensure that all required inspections arc
requested at the proper time, that each address is readnble
from the street, that the permit card Is located at the front
of lhe property, and n~(J:Pproved set of plans will remain
::,~::;7"~"0;)1;;~A-
Date;X (;- 1-9-'17-
VALIDATION: 4 q I ~
RECEIPT NUMBER '~~K----'--'--- -
DATE PAID 0 .1.",C( 11
AMOUNT RECEIW'D A,S', _____
RECEIVED BY<:5r"~ )
J -