HomeMy WebLinkAboutPermit Mechanical 1992-10-28ASSESSoRs uap' /?^Q1/-2 '2/----
IELt,
BLOCK:
sPll
LOT:
//
@ 9O
e-zilD
LOCATION OF PROPOSED WORK: -2
TAX LOT
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Olfice: 726-3759
JoB NUMBE a ?21:;>>'
225 Flf th Street
Sprlngfleld, Oregon 97477
SUBDIVISION:-
4z7BZIP:STATE:
OWNER
ADDRESS:
CITY:
NEW
---_
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
EXPIRES PHONEADDRESS
,oaazz_ 2-3/-2= ?y'6-/62/
CONTRACTOFI'S NAME
MEC}]ANICAL:
CONST.
CONTRACTOFI #
C EN ERAL:
PLUMBING
ELECTRICAL:
---_ OFFICE USE -
* OF BDBMS:
RANGE: -
ZONING CODE:
FLOOD PLAIN
WATER HEATER
LAND USE
IIEAT SOUNCE
QUAD AREA:
r OF BLDGST
OCCY GROUP:
# OF STORIES
# OF UNITS:
-
CONSTR. TYPE:
---
To request an lnspectlon, you must call 726-3769. Thls ls a24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be
macle the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPEbTIONS
[-l Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Final Plumbing - When all
plumblng work is complete.
Sile lnspectlon - To be made
after excavation, but prior to
settlng forms.
Rough Electrical - Prlor to Flnal Electrlcal - When all
electrlcal work is complete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrlcal Servlce - Must be
approved to obtain permanent
electrlcal power.
a Final Mechanlcal - When all
mechanical work ls complete,
Footlng - After trenches are
excavated.Fireplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Bulldlng - When all
requlred lnspectlons have been
approved and bulldlng ls
completed.Masonry - Steel location, bond
beams, groutlng.Framing - Prlor to cover.
OtherFoundallon - After forms are
erected but prlor to concrete
placement.Wall/Celllng lnsulatlon - Prlor to
cover.
Underground Plumbing - Prior
to filling trench.f-l Drywall - Prlor to taplng
MOBILE HOME INSPECTIONS
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Slove - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approval
and installation of unlt.
Blocklng and Set.Up - When ail
blocklng ls complete.
Floor lnsulatlon - Prior to
decklng.Curbcut &Approach - After
forms are erected but prior to
placement of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prlor to filling
trench,Electrlcal Connectlon - When
blocklng, set.up, and plumblng
lnspectlgns have been approved
and the home ls connected to
the servlce panel.
Slorm Sewer - Prlor to fllling
trench.
Sidewalk & Drlveway - After
excavatlon ls complete, forms
and sub-base materlal ln place.
Water Llne - Prior to fllllrrg
trench,
Fence - When completed.
Rough Plumblng - Prlor to
cover.
Street Trees - When all requlred
trees are planted.
Flnal - After all requlred
lnspectlons are abproved and
porches, sklrtlng, deeks, and
ventlng,have ti"een lnstalled;,j .
PHoNE: Ztt 7^T:
SECONDARY HEAT:
SQUARE FOOTAGE:
tl
fl
fl
tl
tl
E
E
E
r
E
E
fl
tf 11
Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Total height
; THE PROPOSED WORK IN THE
-HISTORICAL DISTRISI, OR ON
THE I.IIS]ORICAL REGISTER?
--lf yes, this application must be slgned
and apProved bY the Hlstorlcal
Coordinator prior to permit issuance.
APPROVED:
ln terior
Cdrner
--=- Panhandle
-
Cul-de-sac
GAR ACCP.L.HSE
N
S
E
I
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express conditiorr lhat the said
consiruction shall, in all respects, conlorm to the Ordinance
adopte<J l:y the City of Springlield, including the
Developrnent Code, regulating the constructlon and use of
bulldings, and may be suspenclecl or revoked at any tltne
upon violation of any provisions of said ordinances'
Plan Check Fee: ------
Flecelpt Number:--*-
DatePlans Fleviewecl BY
Date Paid
Received BY
BUILDING PERMIT
VALUE
(A)
SQ. FT. X $/SQ. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
SanitarY Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
FT.
FT.
FT.
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
MECHANICAL PERMIT;;;;.. Wr-ua z /72'*
Wood Stove/ lnsert/ Flreplace Unit
zZFA.
a/r>
&
(D)
No
/fi*
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permlt
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
lnformatlonhereonlstrueandcorrect,andlfurthercertify
that any and all work performed shall be done in accordance
wlththeOrdinancesoftheGltyofsprlngfield,andtheLaws
of the State of Oreqorr pr-'rtainlng to the work descrlbed
herein, ancl ttrat NO OCCUPANCY will be made of any
StructurewithoutpermissionoftheBuilc,lingsafetyDivislon.
lfurthercertifythatonlycontractorsandemployeeswho
are ln compliance with ORS 7O1'055 will be used on this
prolect.
ree to ensure that all required inspections are
the proper time, that each address is readable
t, tl'lat the permit carcl ls located at the f ront
of the ProPerty, and the aPProved
/?? L
I f urtlter ag
requested at
from the stree
set of Plans will, remain
struction"I times duon the site at
Slgnature
Date
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surchargo
Sidewall< ___- ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
-22*----/a--=aDATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBEFI
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)
Systems Developntent Charge is due on all undeveloped
properties withln the City limits which are being improved'
No
.^S
q>{
SP]IIN GFIELD
Address;2753 32ND ST
Description: TNSTALL GAS FURNACE
Urban Growth Boundary:
Owner: ROGER/MARY WTLSON
2753 NORTH 32ND STREET
SPRINGFIELD, OREGON 97478
Owner Phone: 247-7922
Contractor Phone:
General Contractor:
Plumbing Contractor:
E lectrica I Contraclor:
Mechanical Contractor HARVEY & PRICE
Design Contractor:
CITY OF SPRINGFIELD
BU|LD|NG DtytstoN JOB # 921507
Lot:
Divisio
Block:Value: $O.OO
Addition:
TaxLot 1702193100510 Started: 1}t2gt1gg Finated: 11t13t1ggz
Heat 1 FORCEDATRGAS Heat2: Zone:Water: Bldg: Flood plain: NoRange: Stories: Occ Grouplnsulatio Bedrooms:
n Path:
Units:
Category: NEW
Type: RESTDENTIAL
Land Use: STNGLE FAMtLy DWELLTNG
Status: Finaled
Quad Area: 3RNC
ETIT'IT.I
6
87
MECHANICAL
MECHANICAL ISSUAN
$15.00
$10.00
$0.75
$0.00
10t28t1992
10128t1992
6598
6598
520
TYPE REQUIRED PERMITS FEE VALUESURCHARGE DATE RECE!PT CATEGORY
SEQ
1
2
30
38
ROUGH GAS
FINAL GAS
COMMENTS EXP DATE ACT DATESEQ TYPE MINIMUM INSPECTIONS
1
2
11113t1992
11113t1992
30
30
39
30
38
ROUGH GAS
ROUGH GAS
FINAL MECHANICAL
ROUGH GAS
FINAL GAS
11t13t1992
11t13t1992
11113t1992
11t13t1992
11113t1992
WRONG
INSPECTION
OK
OK
OK
OK
1
2
3
4
5
RALPH SHAW
RALPH SHAW
RALPH SHAW
RALPH SHAW
RALPH SHAW
COMMENTS INSP DATE RESULT INSPECTORSEQ TYPE INSPECTIONS
1 1 I 1 0 I 2009 7'.28'.1 2 AM Page 1 of 1