HomeMy WebLinkAboutPermit Mechanical 1992-11-17SPRI}.GFIELE,
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Otfice: 726-3759
JOB NUMBER *z#a
225 Fif th Street
Springf ield, Oregon 97477
LOCATION OF PROPOSED WORK: ---,?zq ,y'
TAX LOT:ASSESSORS MAP:
LOT:BLOCK SUT]DIVISION
OWNER:Pl-t()N E 216"&3a L
ADDFIESS
I on. -_ _22CITY:STATE:ztP
DESCRIBE WORK:
NEW --- FIEMODEL ADDITION DEMOLISII OTHER
CONTRACTOR'S NAME ADDRESS
CONST.
coN-r[{AcTor] ,EXI]IRES PIIONE
GENERAL:
--PLUMBING
MECHANICAL:
o' .*--{3-7-- ---2:z/-q3 226:rcs/
ELECTFIICAL
_ OFFICE USE _
OUAD AREA:
* OF BLDGS:
LAND USE:FLOOD PLAIN:
ZONING CODE:
-
OCCY GROUP:
# OF UNITS: -----
CONSTFI. TYPE:
-
HEAT SOURCE: -- -
RANGE:
Y OF BDRMS:
# OF STOFIIES:
---
SECONDNRY HEAI-:
SQUAHE FOOIAGE:WATER HEATER:
To request an inspection, you must call 726-3769. Thls is a 24 hour recording. All inspections requested before 7:00 a.m. will be
made the same worklng day, inspections requested after 7:00 a.m. will be made the following'worl< day.
REOUIRED INSPECTIONS
[--'l Temporary ElectlicLI
Rough Mechanical - Prior to
cover.
I -l firrat Plumbirrg - When allt-J plumlring work is corrrplete.
Site lnspection - To be rnade
af ter excavation, but ltrior to
setting forms.
Rough Electrical - Prior t<;L]Final Electrical - When all
electrical work is cornplete.cover.
Underslab Plumbing / Electrical /
Mechanical - Prior to cover.
Electrical Service - Must lro
approved to obtain Portrt;rnertl
electrical power.
L&Final Mechanical - When all
meclranical work is cornplete.
Footing - After trenches are
excavated.Fireplace - Prior to facirrg
materials arrd fratnlng lns1r.
L]Firral Building - Wlrerr all
required inspections have becn
approvcd an<l buil<lirtrl is I
completed.Masonry - Steel location, bond
beams, grouting.l--l Framing - Prior to covcr
Foundalion - After forms are
erected but prior to concrete
placement.
f_l other
Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Slove - After irrstallation
Post and Beam - Prior to floor
insulation or decl<ing.lnsert - After fireplace aPProval
and installation of unit.
Blocking and Set.Up - When all
blocking is cornplete.
Floor lnsulation - Prior to
decking.Curbcul & Approach - After
fortns are erected but Ptior to
placement of concrete.
Plumbing Conneclions - When
home has been connected to
water and sewer.
Sanilary Sewer - Prior to f illing
trench.| -l Electrical Conneclion - WhcnU blocking, set-up, and pluntbing
inspections lrave becn approved
and lhc home is connecto(i lo
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & DrivewaY - Af ter
excavation is comPlote, forms
and sub-base material in pl;tco.
Waler Line - Prior to filling
trench.
Fence - When corn[)letc(!.
Stroel Treos - Whcn all requirr:rl
trees are planted.
Final - Aftcr all recluired
inspections are approved and
porches, skirtine, decks, and
ventirrg have been iltstalled.Rough Plumbing - Prior to
cover.
om
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fl
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tl
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fl
l-_l Drywall - Prior to taping.
[l
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,^-,^
Lot faces
Lot sq. ftg.
Lot coverage
Topograplty
Total height
Lot ,)€
lnterior
Corner
Panhandle
Cul-de -sac
Selbacks
HSE GAR
, THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER? -_--,
lf yes, this application rnust be signed
ancl approved by t he H istorical
Coordinator prior to permit issuance.
APPROVED:
PL.
N
S
t:
ACC
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This perrnit is granteci on the express concJition tlrat tlle said
construction shall, in;rll respects, confornt to the Ordinance
adopted by the City of Springfield, irrcltrding the
Dcvr:loprnent Coclc, rt:-cltrlating the construction ;rncl trsc of
buil<lin1;s, anci trt;ty bc suspcncled or revol(ed at arly tilne
r,rpon violation of atny 1-lrovisions of saicl ordinarrces.
DatePlans Rcvir-'wed By
Plan Checl< Fee:
Date Paid
Rcceipt Number:
Rcceivecl By:
BUILDING PERMIT
VALUE
(A)
SQ. FT. X $/SO. FT.ITEM
Main
Garage
(larpor t
Total Value
Builcling Porrrrit Feo
statc surcharg-'
Total Fee
Systems Developnrent Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
'Storm Sewer
Mobile Home
FEE
NU
l=T.
(o)
PLUMBING PERMIT
ITEM
FT.
[.T.
Plumbing Pertrtit
State Surch;rrge
Total Charge
MECHANICAL PERMIT
ir*."u (o.'/Jh"-r-)
Elhaust I,,rr,, W06 l'e'
Wood Stove/ lnsert / Fi replace Unit
Dryer Vent
(D)
€O
N0
,f c.r. z<
Vent Fan
Zffi
Mechanical Perrnit
lssuance
State Surcharge
Total Permit
/-5
/Q-,E
By slgnattrre, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
irrformation hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springf ield, and the Laws
of the State of Oregon pertaining to the worl< described
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Building Safety Division.
I {urther certity that only contractors and employees who
are in compliance witl'r ORS 701.055 will be used on this
project.
I f urther agree to ensure that all required inspections are
rectuested at the proper time, that each adclress is readable
from the street, that the permit card ls located at the f ront
of the property, ancl the approved set of plans will rerrtain
on tlre site at all titrres during constru
Signat
Date ?,L
c on.
MISCELLANEOUS PERMITS
Mol.lile Horrtc
lititte lsst-tattr;c
State Surcltarge
Sidcwalk ft
Curbcul . -,. ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
VALIDATION:
RECEIPT NUMBER 67%
DATE PAID //:/2:2?
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, ;rnrl E Cornbineci)
AMOUNT RECEIVED
NECEIVED BY
-a-