HomeMy WebLinkAboutPermit Mechanical 1998-7-17
RESIDENTIAL . SPRINGFIELD I".", ,
PERMIT APPLICATION
Inspections: 726,3769
Office: 726,3759
',/ LI
:,
ASSESSORS MAP'
LOT' BLOCK:
1(;~ "
,
ADDRESS' '4';;1..17 Z ~t)
C:;,..-? rl ":) ~
#~1l-b';S/ Lkj,,,.<;
OWNER'
~-chlYrJ
CITY:
DESCRIBE WORt<'
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERAl'
PLUMBING'
MECHANICAl' JdvAP CC^:hrt:-
ELECTRICAL'
.
QUAD AREA:
. OF BLDGS'
OCCY GROUP:
. OF STORIES: ___
WATER HEATER:
~b-~
STATE: -0--
DEMOLISH
OTHER
.
q~o gC/O
JOB NUMBER
225 Filth Street
Springfield. Oregon 97477
TAX LOT:
SUBDIVISION'
Oo;'-I6n
PHON""
7~1..-~'19 ."
ZIP: q -'u ;> r'
ADDRESS
CONST,
CONTRACTOR .
EXPIRES ,~ PHONE
7 tt L>s CL<--r
,f'lll..f/
IJ"?
'3 liS'. .>f ~<,(
- OFFICE USE -
Lm1tce:
FLOOD PLAIN:
.. m3JIilEfWIT SI-IAII !=1IPII:lI: I~ TI-IE WORI<zONING CODE: _
c\!lblSlllEil,Rtifw:UMlEfl TI-II~ PFRMIJ IS NOT. OF BDRMS:
H&~ffiDlQ&P. OR IS ABANDONED FOR SECONDARY HEAT:
R~~~~~O DAY PERIOD,
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.
o Temporary Electric
O Slto Inspection - To be mado
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
o Footing - Alter trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench,
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking,
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking,
o Sanitary Sewer - Prior to tilling
trench.
D Storm Sewer - Prior to filling
trench.
o Wator Line - Prior to filling
trench.
I
o Rough Plumbing - Prior to
cover.
INSPECTIONS
hanlcal - Prior to
o Electrical Service - 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 Insert - After fireplace approvel
and Installation of unit.
o Curbcut & Approach - After
forms are CrHcted but prior 10
placemont of concrete.
o Sidewalk Be Driveway - After
excavation Is complete, forms
and sub-base material In place.
o Fence - \tVhcn co.y'pleted.
o Street Trees - Whun all required
trees are planted.
o Final Plumbing - When all
plumbing work Is completo,
o Final Electrical - When all
electrical work Is complete.
~'
chanlcal - When all
97cal work Is complele,
o Final Building - When all
required Inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connoctlons - When
home has been connected to
water and sewer.
o Electrical Connoctlon - When
blocking, set-up. and plumbing
Inspecllons have been approved
and the home Is connected to
the service panel,
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
.
Lot faces Lot 'TYpe
Lol sQ, ltg, Inlerlor I P,L.
IN
Lot coverage Corner
Topography Panhandle ;' Is
I
Tolal height Cul,de-sac WI
,E
BUILDING PERMIT '; t
ITEM SQ, FT., X $/SQ, FT. VALUE
Main
Garage "
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
./...,
Sanitary S~wer
Water
FT,
,I I"
Storm Sewer
FT,
FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(e)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood StovellnsertlFlreplace Unll
Dryer Vent
/.kl/Co/J~
/
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
II
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Pennlts (E)
TOTAL AMOUNT DUE (excluding electrical)
IA. B. C. D. and E Combined)
FEE
, ,
/5. () ()
-1!.. {)v
<-ld7[
2(. U
~".~ . ~.:,~,,;r \: :.
~S THE PROPOSEO WORK IN THE.
''''HISTOFlICAL DISTRICT, OR ON
THE HISTOFlICAL REGISTEFl?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Setback. '
HSE GAR Accl
I
,_,_.J 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, 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 Fee:
Date Paid:
Receipt Number"
Received By:
Plans Reviewed By
Dale
Systems Oevelopment Charge Is due on all undeveloped
properties within tho City limits which are being Improved.
ADDITIONAL COMMENTS
,l
. .il.'
~,
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 r furl her 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 wllhout permission of the Building Safety Division.
I further certl ty that only contractors and employees who
are In compllanco with ORS 701,055 will be used on this
project.
I further agree to ensure that all required Inspections are
roquested at the proper time, that each address Is readable
from the street, that the permit card Is located al the fronl
of the property, and the approved set of plans will remain
on the site at all tlme.s dU. rlng~ )
Signature ~/&. ~
~-/~-~/ ~
. (}if
Date
VALIDATION:
tJ 3 9<g--oS-
7/n/1ff
. 7..0. 7..'- 17
_-;JJ__r,J ~
RECEIPT NUMBER
OATE PAID
AMOUNT RECEIVED
RECEIVED BY __,_..,