HomeMy WebLinkAboutPermit Mechanical 1999-6-14
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
.
.
JOB NUMBER
Q4/??q~
, ,
225 Fifth Street
Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:.:J S- ~d.ro..J6.ci ridP U h \1
ASSESSORS MAP: j?~ ~- -:::>-;r- ?-. '";;:. _ L- TAX LOT: &p-::...:.....>::;;
OWNER.-:Jn~(f' _ (2..,rrYJ'fC.-pJ
ADORE"".' '7~ HO.\Jden If, ricltJe'
~pri 113-hpJ d "
DESCRIBE WORK. Tn <'ctn I \
LOT:
CtTY:
NEW
REMODEL
CONTRACTOR'S NAME
BLOCt<.
IAh\l
STJE: '
0'/1...
~ I yo (')QCP
ADDITION
DEMOLISH
OTHER
SUBDIVISION:
PHONE:
51-11- 747-30 7{)_
ZIP:
q 74_7 'i)
Ne/iJ
a C:,S <;;;;eMct:
ADDRESS
CONST.
CONTRACTOR'
EXPIRES .", PHONE
GENERA' .
PLUMBING:
MECHANICAl- mo("<.YvJ II S l-bltH1a
v
ELECTRICAl.
,)
QUAD AREA:
. OF BLDGS.
OCCY GROUp.
. OF STORIES:
WATER HEATER.
LlIIO Ol(l.trlo!'r,
#0- &mg6
, - OFFICE USE -
'..." J
LAND USE:
. OF UNITf'.
CONSTR. TYPE:
HEAT SOURCE:
RANGE: _
Sofd
747-744S-
FLOOD PLAIN:
ZONING CODE:_
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an Inspection, you must call 726.3'/69. ThiS is a 24 hour rocordlng. 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.
REQUIRED INSPECTIONS
o Temporary Electric
o Slto Inspection - To be made
atter 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.
D Foundation - After forms are
erected but- prior to concrete
placement.
o Underground Plumbing - Prior
to IlIlIng trench.
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
, ,\.,.'
D Floor Insulation - Prior to .
decking.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to Hlllng
trench.
o Water Line - PriOr to filling
trench. . __
o Rough Plumbing - Prior to
cover. '..
[Z] Rough Mechanical - Prior to
)<'~~~ ~
o Rough 'Electrical - Prior to
cover. .
o Electrlca' Sarvlce ~ Must be
approved to obtain permanent
electrical power.
o Fireplace - 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 Installation.
o Insort - After fireplace approval
, and Installation of unit.
o Curbcut & Af'proach - After
, forms are erected bul prior to
placemont of concrete,
o Sidewalk & Driveway - Alter
excavation Is comp;oto, forms
and sub.base material In place.
...0 Fence - When" compl~ted.
.. ,
o Street Trees - When all required
trees are planted.
o Final Plumbing - When all
plumbing work Is complete.
. .
D Final Electrical - When all .
electrical work Is complete.
IV1 Final Mechanical - When all
l..4J mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
I2IOther ~$~ -5~
~~..;- 7~WCP
MOBILE HOME INSPECTIONS
o Blocking and Set-Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and Sewer.
o Electrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Final - After all required
Inspections are approved and
porchos, skirting, decks, and
venting have been Installed.
Lot faces
..
"'..,.
~.:
Lot Type . Setbacks
I PL. HSE GAR Accl
Interior IN I
Cprner
Panhandle '{ Is I
Cul.de.sac W I
,E I
. i.HE PROPOSED WORK tN THE.
HISTOI;lICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?'
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Lot sQ. flg.
Lot coverage
Topography
Total height
A~PROVED:
BUILDING PERMIT
ITEM SO. FT.
"(
X S/SO. FT. -
VALUE
. ..- '_ 'I
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
Carport
"
ThIs permit Is granted on the express condition that the said
construction shall, In all respects, conform 10 the Ordinance
adopted by the City of Springfield, Including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Main
Plan Check Fee.
Total Value
, '
Date Patd:
Receipt Number:
Building Permit Fee
Received By:
State Surcharge
Total Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
PLUMBING PERMIT
ITEM
FEE
ADDITIONAL COMMENTS .I:O-
\ lo.llJ::.. .$ C)L/ro 9.
I
Fixtures
Residential Bath(s)
N'
SanItary S~wer
Water
FT.
FT.
FT.
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Totar Charge
(C)
MECHANICAL PERMIT
Furnace
Mechanical Permit
~..# /~.-
". ,/~.--
93'+ :~
~.2?'
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 ORS 701.055 will be used on this
project.
Exhaust Hood
Vent Fan
NO
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
Issuance
State Surcharge
Total Permit
(D)
I further agree to ensure that all required Inspections are
requested at the proper time, that each address Is readable
(rom tlie street, that the permit card Is located at the front
of the property, and the approved set of plans will remain
on the site at all t1me~ during co~structlon.
Signature ;(z;MA.\.P AJJ Nf^J
tI' 6 ~V(.ilr
Date
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sldawalk
fl
Curbcul
fl
Demolition
Tolal Miscellaneous Permits (E)
VALIDATION:
RECEIPT NUMBER ? V9"~.?
DATE PAID ~'/'f'~
AMOUNT RECEIVED ~....;::2"
RECEIVED BY -. ,4,.4'" ~- -
~'z::
I"
State Surcharge
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)