HomeMy WebLinkAboutPermit Mechanical 1996-11-6
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
'.
SPRINGFIELD
01..,1
LOCATION OF PROPOSED WORKj:f:/~O !:IIJ-faf"",. Dndeo
ASSESSORS MAP,l, () ~ UO 0
OWNER' .1- IS c.. RrJ.,er+<
ADDRESS:' ;{/(,.,(") ~vd;v -hrl~'"
CITY' ~/d' {j
n
LOT:
S(Ah
BLOCK:
$.vb,
STATE:
(Y)R
OESCRIBE WORK'
NEW
LAJ.4/tNC:
ADDITIOJ
c;.-a. "'-
o DEMOLISH
OTHER
REMODEL
CONTRACTOR'S NAME
-
_b..II--..c?S
GENERAL:
~:.-
MECHANICAl'
ELECTRICAl'
f:'u. .... AJ G..,CP
..
I}(<h
q (0 ( 5t()
JOB NUMBER
225 Fifth Streot
Sprlnglleld, Oregon 97477
TAX LOT;
(j-rJl1 (rn
SUBOIVISION:
PHONE: _2!L/o - 0'1.$ 7
ZIP:
7/'-/ ') 7
AODRESS
da-f,)~
CONST, :391';. 3k/z?
. CONTRACTOR' </7. 'l!XPIRES /..:j' PHONE
'PD~2c.,~ '.
&C 0,,) p. f?f1'j,'~ /VcP'7
(j
'")R ~/""r.k,r
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 roquest an Inspccllon, you must call 726-3760, Tills Is a 24 tlOur recording. AlIlnspccllons requested before 7:00 a,rn. will be
made tho samo working day. Inspections requested after 7:00 a.m. will be made the (ollowlng work day.
o Tomporary Eloctrlc
D Slto Inspoctlon - To be mado
after oxcavatlon, but prior lo
sellIng forms.
o Underslab Plumbing/Electrical!
Mochanlcal - PrIor to cover.
D Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grou1lng.
o Foundation - After forms arc
erected but prior to concrele
placemont.
o Underground Plumbing - Prior
to filling trench.
o UnderUoor Plumbing/Mechanical
- Prior to Insulation or decking.
o Posl and Boam - Prior to floor
Insulation or decking.
D Floor Insulation - Prior to
decking,
o Sanitary Sower - Prior to filling
trench.
D Storm Sower - Prior 10 filling
trench.
D Waler Line - Prior to'filllng
trench.
D Rough Plumbing - Prior 10
cover.
'UIRED INSPECTIONS
Prior to
o Electrical Servlco - Must be
approved to obtain permanent
electrIcal power.
o Fireplace - PrIor to facIng
materials and framing Insp.
o Framing -', Prior to cover.
o WalllC'elling Insulation - Prior to
cover.
D Drywall - Prior to taping.
o Wood Slovo - After Installation.
o Inserl - After fireplace approvlll
and Installation of unit.
o
Curbcut & Approach - After
forms are erocted bul prior to
placemont of concrct(!.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material In place.
D Fenco - Wt1en completed.
o Slreol Treos - When all required
trees arc planted.
o Final Plumbing - When' all
plumbing w9rl< is complet.e.
~al Electrical - When all
~ectrlcal work is complete.
~~~I Mechanical - When all
:/ ~hanlcal work Is complete.
D Final Building - When all
requlrecllnspectlons have been
approved and building is
completed.
DOther
MOBILE HOME INSPECTIONS
D Blocking and Sot.Up - When all
blocking Is complete.
D Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set-up. and plumbing
Inspections have been. approved
and the home Is connected to
the service panel.
o Final - After all required
Inspectlons are approved and
porches, sklrllng, decks, and
venllng have been Installed.
Lot faces
Lol TYP.
LOI sq, IIg,
Interior
Lot coverage
Corner
Topography
Total height
Panhandle'
Cul-de.sac
BUILDING PERMIT
ITEM
SQ, FT,
X $/SQ, FT,
Main
Garage
Carport
Total Value
Building Permit Fcc
Slate Surcharge
Tolal Fcc
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Resldenllal Bath(s)
N'
Sanitary S~wer
Water
FT.
FT,
Storm Sewer
FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
~~NICAL PERMIT
Exhaust Hood
..::." :.;.;:.....;:\>
~; I .
'IS THE PROPOSED WORK IN'THE '
""HISTORICAL DISTRICT. OR ON
THE HISTORICAL REGISTER?
II yes, Ihls appllcallon must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Setbacks
I PL HSE GAR ACC I
I N I
Is
I
, ;I~,--,--.J
VALUE
'.
FEE
"lA'V\ .I C;, on
Vent Fan
N'
Wood Stove/lnsert/Flrcplace Unit
Dryer Vent
Mechanical Permit
Issuance
Stale Surcharge t3'1c Cny ~iv\.
Total Permit (0)
'MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk It
Curbcut
It
Demolitlon
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A. B, C, 0, and E Combined)
i~.on
.JD .()()
[,20
JJo .;)f)
APPROVED:
BUILDING VALUE, 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 City of Springfield. Including the
Development Code, regulallng the construction' and use 01
buildings, and may be suspended or revoked at any lime
upon violation of any provisions of said ordinances.
Plan Check Fee'
Date Paid:
Recel pt Number'
Received By:
Plans Reviewed Oy
Date
Systems Development Charge is due on all undeveloped
properties within 1110 Cily limits which arc being improved.
ADDITIONAL COMMENTS
, I I
,Wd117fll
(2A1V1Aib ~
By signature, I state ilnd agree, that J have carofulty examined
the completed application and do hereby certHy Ihat all
Information hereon Is true and correct, and I further certify
thaI any ilnd all work performed shall be done In accordance
with the OrdInances of the City of Springfield, and the Laws
of the State at Oregon perlalnlng to the work described
herein, and Ihat NO OCCUPANCY will be made of any
structure wllhout permissIon of the Building Safoty Division.
J further certify that only contractors and employees who
arc In compliance with ORS 701.055 will be used on this
project.
Date
. ....-Y/ /
r -.-=L--L/"
//-r'O-9c,
VALIDATION: ,4
RECEIPT NUM~r~ 237 ~ 1
OATE PAID -.l [0 - q ( /I
I .
'J,Jn.7-..U
AMOUNT RECEIVEO
\/0/
RECEIVED BY