Loading...
HomeMy WebLinkAboutPermit Mechanical 1994-7-28 RESIDENTIAL PERMIT APPLICATION . SPRINGFIELD ...., Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSER '?'.!2HK: ",f.iPQ._ ASSESSORS MAP' \' 1 U~ C\ ~"'36 LOT' )G .. . ~!V~'5<\ JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 (,...Av Tlx LOT: ffi ~cCi ) BLOCK: SUBDIVISION' OWNER: ("('1"'.11'0 ~'1I'v:\ ADDRESS-' -tJ 12. \-\~vrkn br\J:ti - I l U CITy:~...LJl ~I STAT~' (')r DESCRIBE WORK: 1:.~iiJ,llj NEW REMODEL+ (k~ -hLm.i;' Ir(p( Aft__ I I ADDITION DEMOLISH CONTRACTOR'S NAME CENERAI. PLUMBING: MECHANICAL: (-kr~tfr) ELECTRICAl' QUAD AREA: ~~ . OF BLDGS: OCCY GROUP' " OF STORIES: WATER HEATER- OTHER PHONE: 7'1 h37q1 ZIP: 17y77 ADDRESS CONST, CONTRACTOR' EXPI RES PHONE REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. D Rough Electrical - Prior to cover. D Electrical Service - Must be approved to obtain permanent electrical power. 'r . . .., ," ..- . ." D Fireplace - P~jor to -ja~'lng materials and Imming Insp. D Framing - Prior to cover. o Wall/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. o Wood Slove - After installation. 'a(]] W Sf"'.-Ll L. * 76 5lt'1 34lf-]<t8/ - 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. All inspections requested before 7:00 a.m. will be made the same working day, Inspections requested after 7:00 a.m. will be made the following work day. D Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing' ElectricalJ Mechanical - Prior to cover. D Footing - After, trenches, are excavated. ", . ", . , D Masonry - Steel location, bond beams, grouting, D Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. D Underlloor Plumbing/Mechanical - Prior 10 insulation or dockin'J. D Post and Beam - Prior to floor Insulation or decking. D Floor Insulation - Prior to decking. D Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. D Wat~r Llne.- Prior to t!lPng trench. D Rough Plumblng - Prior te: cover. o Insett'- After fireplace approval and installaiion of unit. o Curbcut to. A.pproach - After form!: are f~rec!cd but prior to p:acer:lC!lt Of r.oncretc. D Sidewalk &. :Jd'Jew3Y - Afte, cxcovatior. i: comptele, forms Clnn s~b.basc material in place. fJ i=,:?;lce - Vlr..;.n ~orr.pt:}',"'ld. ;-----.1 .$t;'-aet Tree,; - Wl~.:;-~ ;~ll rC~luired . ' ~ ~rces are :::1:1t'lf(:d. D Final Plumbing - When all plumbing work is complete. o Final Electrical - When all electrical work is complete. D Final Mechanical - When all mechanical work Is complete. D Final Building - When all required Inspections have been approved and buildIng is completed. ~ Other eQ.(f, h ~ ~ .J.Ak MOBILE HOME INSPECTIONS r-l Blocking and Set.Up - When all blocking Is complele. D Plumbing Connections - When home has been connected to water and sewer. D Electrical Connection - When blocking, set.up. and plumbing inspectIons have been approved and the home is connected to the service panel. r -.l Final - After all required ... Inspections are approved and perches, Skirting, decks, and VCntl;1g have been installed. Lot faces Lot Type . Lot sq, ltg, Lot coverage Topography Total height Inlerior Corner PQn~and~c CuI-de-sac BUILDING PERMIT ITEM SO. FT, X $/SO, FT, Main Garage Carport Total Val ue Building Permit Fee Stale Surcharge Total Fee (A) , ~THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed ond approved by the Hislorical Co:.rdinator prior :0 p.,?rmit j;'jsu<::.ncc. Selback,; r-;;;::-T;:;SE I GA; ACZ IN ~-I---,-- , I :1 j_I== ~~-= BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT VALUE SYSTEMS DEVELOPMENT CHARGE (SDC) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home ( Plumbing Permit State Surcharge ..,../" Total Cllarge /' (C) /" MECHANICAL PERMIT / Furnace /~st Hood /vent Fan NO Wood Stovellnsertl Fireplace Unit Dryer Vent Mechanical Permit (6) FEE ~ \ ISsP / -in .cp AS ~ - lt2 2J.d'1() \ Issuance ~te Surcharge T"'.tal,Permit (D) " "- ~ MISCELLf.NEOUS PERM!TS- Mobile Home .~~-: -- State Issuance State Surcharge Sidewalk lt Curbcut lt Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, 6, C, 0, and E Combined) aID.?O APPROVED: This permit is granted ~m the express condition that the said construction sllall, ill all respects, conform to the Ordinance adopteJ by ttw City of 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. Plan Check Fcc: Date Paid: Receipt Number' Received By: Plans Reviewed By Date SYS:Cill~~ Devclopnwnl Ctw10e is (iuc on all undoveloped properties wittlin 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 lhat all \ information hereon is true and correct, and I further certify 1 that any and all work performed shall be done in accordance I with the Ordinances of the City or Springfield, and the Laws ! of the Slate of Orc~Jon 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 ttlal only contractors and employees who arc in compliance willl ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper lime, that each address is readable !ro;n Ih:- stre~t, thaI Ihr:- r~rmit Gard 1s 10r:-atcd.l11 Ihe front of the property, and the approved set of plans will remain on the site at all times during construction. Signature ~ M.A+t.1. Date tJ7-~ - qlf VALIDATION: \^ 'N"\(t RECEIPT NUMBER ~\M"\ DATE PAID f ) "r\CAq~ AMOUNT f1ECE~D ~ RECEIVED BY ~.t:0- '