HomeMy WebLinkAboutPermit Mechanical 1997-11-7
RESIDENTIAL
PERMIT APPLICATION
Inspeclions: 726.3769
Office: 726.3759
.
SPRINGFIELD
LOCATION OF PROPOSED WORK:
170 'J;)';}44017~
20 Hayden Bridge Way
ASSESSORS MAP:
LOT:
OWNER:J.J. & Sherry
20 Hayden
Hill
Bridge
ADDITION
BLOCK:
Way
STATE: Oregon
NEW
REMODELXXXX
Install Gas Furnace, Air Conditioner
. UG-P7
JOB NUMGER q 7 1St; c;"
225 Filth Street
Springlleld, Oregon 97477
TAX LOT.
SUBDIVISION'
PHON".
747-3451
ADDRESS:
CITY:
Springfield,
DEMOLISH
OTHEI1
ZIP: 97477
ADDRESS
CONST.
CONTRACTOR'
\
REQUIRED It'!SPECTIONS
D Rough Mechanic:!1 - PrIor 10
cover.
D
Rough Elcclric:l1 - Prior to
CQver,
DESCRIBE WORI<.
CONTRACTOR'S NAME
GENERA' .
PLUMBING.
I'XPII1ES
PHONE
- OFFICE USE --
LAND USE: _'_____
N OF UNITS:
CONSTR. TYPE: ___
HEAT SOURCE: __.._
RANGE: ___
.,
ELECTRICAl.
Comfort Flow Heating, 1951 Don St., Ste 0 Springfield 00460 6/28/98
726-0100
D TcmporMY Electric
D
Site Inspection - To be made
a(tcr cxcav:Jtlon. bllt prJor (0
setllng lorll15.
MECHANICAL.
QUAD AREA.
. OF BLDGS:
OCCY GROUP:
. OF STORIES: ____
WATER HEATER:
..LOOD PLAIN.
ZONING CODE:__
k OF BDRMS:
SECONDARY HEAT: "_,..,.
SQUARI' FOOTAGE: ""._.'_'
To requesl an Inspectlon, you must Celli 726.3769, Tills Is a 24 tlOur rccor<Jlng. ^lIln~ncCllon::; requested before 7:00 ::un. wilt bc
made tho snmc workIng day. Inspections requested aflcr 7:00 a.m. will bc mnoc the followIng worl< day.
o
Underslnb Plumbing/ Electricnl/
Mechanlcnl - Prior to cover.
o
Footing - Afler trenches arc
excavated.
o
Masonry - Steel locatIon, bond
beams, groutlng.
o
Foundntlon - Arter forms me
erected bul prior 10 concrete
placement.
o
Underground Plumbing - Prior
10 filling trench.
o
UnderfJoor Plumbing/Mechanical
- Prior 10 Insulation or dccl<lng.
o
Post nnd Oenm - Prior \0 floor
Insulation or decl<lng.
o Floor Insulation - Prior to
decking.
D
Snnitary Sewer - ~rior 10 filling
trench.
D
Storm Sewer - Pdor 10 filling
Irencl1.
o
Water line - Prior to filling
trench.
o
Rough Plumbing - Prior \0
cover.
o
ElcclricClI Service - Must be
approved 10 obtciln pcrrTl:Jncnl
electrlcal power.
D
FircplLlcc - Prior 10 f<lclng
malerlals and (ramlng Insp.
o
o
Frnmlng - Prior 10 cover.
Wall/C'ciling lnsulnlion - Prior to
cover.
o
Drywall - Prior to 13plng.
o
Wood Stove - Afler In5tallnnon.
D Inserl - Afler fireplace opprovl.ll
and Installation 01 unit.
o
CurbCllt & AplJrO,lCI1 - Afler
forms are erecled b\JI prior 10
placement of (;oncrcle.
o
Sidewalk & Drivew:l\, - Afler
excoviltion is complele. forlllS
nnel sub.base mi1!<:l'inJ in place.
D
Fence - WIlen completed.
o
~;troot Trees - WI1en all required
trees arc plnntcd.
D
Finnl Plumbing - When all
plunll)ing worl~ is complel.c.
D Fin::l/ Electric,,1 - VJllcn all
electrical worl( is complete.
~ehonieOI - When all
mechaniCal worl< Is complete.
o
Finrd Ouilding - When all
required In~pecllons have been
approved ond building is
completed.
o
Olher
MOBILE HOME INSPECTIONS
o
OIocking tlnd Set.Up - WI1en nil
bIQcl(ln~J is complcte.
o
Plumbing Connections - When
IWlne 11.1S been connected to
water antI sewer.
o
ElcctliGil1 COllllcction - WI1en
blocldnu. sel.up. and plumbing
ln~;pc(;lion:.; Il"'IVC been approvecl
illlCJ tile Ilome is connected to
the service panel.
o
Finill - After all required
Inspecllons are approved and
porches, sldrling, dccl~s, and
ventIng 110ve been Instilllccl.
Lol faces
Lol Type.
Lot sq, ftg.
Inlerior
Lol coverage
Corner
Topography
Panhandle
Total 110lght
Cul.de-sac.
BUILDING PERMIT
ITEM
so. FT.
X $/ SO. FT.
Main
Garage
Carport
Tolal Value
Building Permi I Fcc
State Surcllarge
Total Fcc
(^)
t, .' '. :" .l'r. " ., ~i-;t''T_ ,.<J.!;'.,. ".
.
\-
IS THE f'I'10POSED WORI< iN THE.
. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, Illis application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
Setbnclc>
~ HSE _GAR ACC I
N
~--
W
.----- --- ----
APPROVED.
..E-_____._
VALUE
.,
(0)
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
ResIdential BaUl(s)
N'
SLlnilary s~wer
FT
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharoe
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhau:ot Hood
Vent Fan
N'
Wood Stove/lnsertJ Flrepl<1cc "Unil
Dryer Vent
Mecllanical Permi I
Issuance
State Surcharge
Tolal Permit
(0)
MISCELLANEOUS PERMITS
Mobile HOnle
Stale Issuance
Slale SurcllJ.rgc
Sidewalk
I'
Curbcul
I'
DemolitIon
~tatc Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (exclu{ling electrical)
(A, e, C, 0, and E Combined)
FEE
t>/S". ----
rhQ~~
]S-+:_p
eX c,. "p-o
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on llle express conditIon Ihal the said
construction shall, in all rc~pccts, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction ,lnd use of
buildings, and m;lY be suspended or revol~od at any tIrne.
upon violation of any provision::; of said ordinances.
Plan Ctlecl~ Fee:
D.Jle Paid;
Receipl NWTlber:__.
Received By:
Plans Revicwed-"O-y-.--------
Date
Systems Development Chargo is due on all undeveloped,
properties wilhin the City limits whicll arc being improved.
ADDITIONAL COMMENTS
By sIgnature, I state and agree, tllall have CLlrcfully examIned
the completed application and do hereby certify that all
Information Ilcreon i:.; true and correct, and I further certify
that any and all work performed ~haJl be done in accordance
with tile Ordinances of the City of Springfield, <lnd the Laws
of tile Statc of Oregon pertaining to the worl~ described
hef.,;in, and that NO OCCUPANCY will be made of any
structure wilhout permission of the Building Safety Division.
I furUlcr certi fy thai only contractors and employees who
arc in compliance"with GRS 701.055 will be used on Ihls
proiccl.
I further agree 10 ensure that all required Inspections arc
requested at the Rr er lime, that each address Is readable
(rom IIle sire ,Ill 1C permit card Is located ilt the front
of ItlQ prop ty,' r the approved set of plans will remain
on the sit at times d ring~oft_ 'f;C~IO~. .. .
Slgnalur ~ V ~
1/ -1 ,Q1
Date
VAll Dt,TION:
RECEIf'T NUMBE'l_.&/2.. <:j.,
DATE PAin "( 00.' -. ~
AMOUNT RECEIVED $.;JJn ~
{LJ
\"1"1,
RECEIVED BY