HomeMy WebLinkAboutPermit Mechanical 1992-11-13?z/5zzSPR
/6 rz
SUBDIVISION:
TAX LOT
LOCATION OF PRO
ASSESSORS MAP:
RESID ENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Olflce: 726-3759
LOT:
---
BLOCK:
225 Flfth Street
Sprlngfleld, Oregon 97 477
. JOB NUMBER
oe /67/AOr?l// S PHONE:
O.-STATE:
5a ,/6 r'ay A./
s?F2CITY:
ADDRESS
OWNER:
I
ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NEW=--- REMODEL
EXPIRES PHONEADDFIESS
,4/
CONTRACTOR'S NAME
CONST.
CONTBACTOR #
ELECTRICAL: ------
M EC HAN ICA,. K.T&. -T_Sfr
GENERAL:
PLIJMBING:
I OF BDRMS:
OUAD AREA:
- OFFICE USE -
FLOOD PLAIN
WATER HEATER:
ll OF STORIES:
, OF BLDGSi
-
OCCY GBOUP: -----
RANGE:
SECONDARY HEAT:
SQUARE FOOTAGE:
CONSTR. TYPE
HEAT SOURCE:
LAND USE;
/ OF UNITS ZONING CODE:
To request an inspecllon, you must call 126-3169. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a'm. wlll be
made the same worklng day, inspections requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED TNSPECTIONS
[-l rurnnorarY Electrlc x.Rough Mechanlcal - Prior to Final Plumbing - When all
plumblng work ls comPlete.cover.
Sile lnspectlon - To be macJe
af ter excavation, but Prior to
setting forms.
Rough Electrical - Prior to Flnal Electrlcal - When all
electrlcal work is comPlete.cover,
Underslab Plumbing/ Eleclrlcal /
Mechanical - Prior to cover.
Electrical Servlce - Must be
approved to obtain Permanent
electrlcal power.
X Final Mechanical - When all
mechanlcal work is complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsP.
Flnal Bulldlng - When all
requlred lnspectlons have been
approved and building ls
completed.tl Masonry - Steel locatlon, bond
beams, grouting.Framlng - Prlor to cover,
Foundatlon - After forms are
erected but Prior to concrete
placement.
,Ef o,n".
Wall/Ceiling lnsulation - Prlor to
cover.
Underground Plumblng - Prior
to filling trench.[--l Drywall - Prlor to taolng.
MOBILE HOME INSPECTIONS
Underlloor Plumblng / Mechanlcal
- Prior to insulatlon or decklng.[-l wood Stove - After lnstallatlon.
Blocklng and Set-Up - When all
blocklng ls complete.Post and Beam - Prlor to floor
lnsulation or decklng.lnsert - After flrePlace aPProval
and lnstallatlon of unlt.
Floor tnsulation - Prlor to
decklng.Curbcut &ApProach - After
forms are erected but Prior to
placement of concrete.
Ptumblng Connecllons - When
home has been connected to
water and sewer.
Electrlcal Connection - When
blocking, set-up, and plumblng
lnspectlons have been aPProved
and the home ls connected to
the servlce panel.
Flnal - After all requlred
lnspectlons are apProved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
Storm Sewer - Prlor to fllling
trench.
Sidewalk & Driveway - After
excavatlon ls complete, forms
and sub-base materlal ln Place.
Water Llne - Prlor to fllllng
trench,
Fence - When comPleted
Street Ttees - When all reqUlf€d
trees are Planted.
Rough Plumblng - Prlor to
cover.
l
i,
ztPt 77/-7,
Ztt/,t/*t/*za2c.
E
E
r
E
E
tl
tl
E
tl
Sanltary Sewer - Prior to filling
trench.tl
E
tl
d
Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Total height
Lot Type
lnterior
Corner
--
Panhandle
-
Cul-de-sac
P.L.HSE GAR ACC
S
E
S THE PFIOPOSED WORK IN THE
-HrsToRrCAL DISTRIGI OR ON
THE HISTOBICAL FIEGISTER?
-
lf yes, thls appllcation must be slgned
and appt'oved bY ttre Hlstorlcal
Coortjinat<;r prior to pelmit lssuance.
APPROVED:
BUILDING PERMIT
ITEM
Main
Garage
Carport
SQ. FT, X $/SQ. FT.VALUE
Total Value
Building Permit Fee
State Surcharge
Total Fee (A)
BUTLDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit ls 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 CocJe, regulating the construction and use of
buildings, and ntay be suspended or revoked at any time
upon violatlon of any provisions of said ordlnances'
Beceipt Number:-
Received By:
Plans Reviewed BY Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developtnent Charge is due on all undeveloped
properties withirr the City limits which are being improved.
PLUMBTNG PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
No
FT.
FT.
FT.
Plumbing Permit
State Surcharge
Total Charge (c)
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Flreplace Unl t
,Grfi"#n: s
74/E B va0r
-ao
3.o o
Mechanlcal Permlt
lssuance
State Surcharge
Total Permlt
27hUt /5,!2
/o oo
,7r
(D)25,t{
By slgnature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
lnformatlon hereon is true ancl correct, and I f urther certify
that any ancl all worl< performed shall be done in accordance
wlth the Orciitrances of the Clty of Springfield, and tlte Laws
of the Statc of Oregon pertalning to the work described
hereln, an<J tlral NO OCCUPANCY will be made of any
structure witlrout pcrtltisl;ion of tlre Buildlng Salety Divislon'
I further certify tlrat only contlactors and employees who
are ln com;>llance witlt OFIS 701.055 will be used on this
proiect.
I further agree to ensure that all required inspections are
requested at tlre proper time, that each address is readable
from the street, t
of the property,the ap of plans wlll remain
on the site at I duri n.
Signatu
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut __.--- ft
Demolition
State Surcharge
Total Miscellaneous Permlts (E)
VALIDATION:
FIECEIPT NUMBEFI , .o75/
DATE PAID L
<- ll fAMOUNT RECEIVED.
FIECEIVED BY _,-_-.
,-,------
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Comblned)
? 5.78
I
)
Plan Check Fee: . .
Date Paid:
the permit card ls located at the front
N