HomeMy WebLinkAboutPermit Mechanical 1997-4-11
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726-3759
.
SPRINGFIELD
LOCATION OF PROPOSED WORI<' /'73 t.j
ASSESSORS MAP: --110 ~'J.7 3~
V A L AR.T PJ-IJ LG!3
113t./- IfJ&NLD LOtJP
S Pf2/ /1/6 1=/!5LfJ
LOT:
OWNER'
ADDRE~~'
CITY'
DESCRIBE WORK: INSTf}.I-J..
NEW
REMODEL
CONTRACTOR'S NAME
GENERAl'
BLOCK:
STATE:
(J,(!.
J.J-r;.ltr P ()JrJp
SYSrE: Il7
ADDITION
DEMOLISH ___ OTHER
.tJ~
JOB NUMBEIl tf7() 53?
IY3?J'
225 Fifth Slreet
Sprlngflelcl, Oregon 97477
TA X LOT:
f) 170ii
SUBDIVISION'
PHONE: _'Ll./Jp - 3q'/.f(j
ZIP:
91tf1'1
ADDRESS
CONST,
CONTRACTOR'
PHONE
PLUMBING:
MECHANICAl ,il.nrJo\"+ !=bw 195\ "DOl) Sf Sie.. D ~~\d. ~'l4'l1
ELECTRICA' '
QUAD AREA'
. OF BLDGS'
OCCY GROUP:
. OF STORIES:
WATER HEATER:
- OFFICE USE -
LAND USE:_
H OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE: __
l,XPlllES
004~o
(p/;y,jq'l 7:J(g -P/~l)
r-LOOD PLAIN:
ZONING CODE:__
N OF SDRMS:
SECONDARY HEAT:
SQUARt'. FOOTAGE: u__..__
To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All inspections requested before 7:00 c:un. will be
made the Silme working dny, Inspectlons requested after 7:00 a.m. will be made the following worl( day.
D Tcmpornry Eloctric
o Site Inspection - To be made
after cxcavallon, bul prior to
. setting forms.
o Undcrslnb Plumbing/Elcctricnl1
McchnniClll - Prior 10 cover.
o Footing - After trenches arc
excavated.
"0 Masonry - Steel location, bond
beams, grouting.
o Foundotlon,- Aflcr (arms ore
erected but prior to concrete
placement.
o
Undcrground Plumbing - Prior
10 .filling trench,
o
Underlloor Plumblng/Mechonlcol
- Prior to Insulation or dccl<ing.
o Post nnd 80am - Prior to floor
Insulation or decl<lng.
o Floor Insutallon - Prior to
decking.
o Sanilnry Sewcr - Prior 10 filling
trench.
o Slorm Sewer - Pflor 10 filling
trench.
o Water Uno - PrIor to filling
trench.
o Rough Plumbing - Prior 10
cover.
REQUIRED INSPECTIONS
o Rough Mechnnlcnl - Prior 10
cover.
o Rough Electric.,1 - Prior to
cover.
o Electrical Service - Must be
approved 10 obtnln permanent
elcclrlcnl power.
o Flreplncc - Prior to ([Icing
materials and (rLuning Insp.
o Framing - Prlor to cover.
o WallfC'elling InsulntJon - Prior to
cover,
o Drywall - Prior 10 taping.
o Wood Stove - AHcr Installation.
o Inscrt - After flrcplace approval
and lnstall<ltlon of unit.
o Curbcul & ApproC'lch - Alter
'arms are erected bul prior 10
plncernent of concrete.
o Sidewalk & Drivcw:I,\' - Afler
CXCilvillion is complelc. forms
and 5ub.b;'1se mated..l In place.
o
Fencc - Wtlcn completed.
o
~ltrool Trecs - When nIl requlrcd
trees arc planted.
o
Finnl Plumbing - Wtlen all
plumbIng W9rl( is complel.c..
D Finnl Electrlcn! - When all
elcClrica' worl< Is complele.
~inal Mcchilnlcal - When all
~cchanical worl< Is complete.
o
Final Duilding - Wl1cn all
rcquircd Inspcctlons havc been
approvcd and builcllng Is
completed.
D Other
MOBILE HOME INSPECTIONS
o Blocking nnd Sct.Up - Whcn all
blockln~} Is complete.
o
Plumbing Connections - When
home 11il5 been connected to
willcr .1nd scwer.
o Electric:11 Conneclion - When
blor.l~inu, SCI.Up, ;Jnd ph.lmbing
fn~_;pcr:lio(J~ fl;we been opprOvCtl
antI the home is connected to
the scrvice panel.
o Finnl - Arter all rcquired
inspcctlons a.re approvcd and
porcl1Cs, skirting, dccks, and
vcnllno have becn Install cd.
Lot faces
Lot Type
Lol sq, fig,
Interior
Lot coverage
Corner
Topography
Tolal heigh I
Panhandle
Cul.(Jc.sac
BUILDING PERMIT
ITEM SO, FT, X S/SO, FT,
Main
Garage
Carport
Tolal Value
Building Permit Fec
State Surcharge
Tolal Fee
(A)
SctiJacl(s
I PL. r;:;;;;MR' ACC I
I
.
N
---.-
S
IStl pnOPOSED WORI<"lNTHE .
. "'HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, \l1is applicatlon must be signed
and approved by the Historical
Coordinator prIor to permit issuance.
E
_V':!.___ __ ____
APPROVED'
VALUE
"
SYSTE/V]S DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary S,ewer
Water
f'T.
FT.
Storm Sewer
FT,
Mobile Home
PlumbIng Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furni:lcc
Exhaust Hood
Vent Fan
N'
Wood. Slove/lnsertlFlrepriJce 'Unil
Dryer Vent
JMTV'\
Mechanical Permit
Issuance
Slale Surcharge f~Jt7
Total Permil
Ctit MM~
(0)
MISCELLANEOUS PERMITS
Mobile Home
Slate Issuance
Slate Surcharge
Sidewalk
fI
Curbcut
II
Domolltion
~tale Surcharge
Tolal Miscellaneous Permils (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
FEE
17-L(j()
-il1: ~
'Zt
Jjp,JD-
.
..b ,m
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on 111e express condition thai the said
construction shall, in 'all respects, conform to the Ordinance
adopted by the -City of Springfield, including the
Development Code. regula~ing the construcllon and use of
buildings, and may be suspended or >~evokod at any tIme
upon violation of any provisions of si:lld ordinances.
Plan Check Fcc:
Dale Paid:
Receipt Number.
Received By:
.-_. -.-------
Plans Reviewed Oy
Dale
Systgms Development Charge is due on all undeveloped
properties withIn lho City limits which arc being Improved.
ADDITIONAL COMMENTS
By slgnalure, I state <:Ind agree, that I have carefully examined
tho completed applicalion and do hereby certify that all
Information hereon is true and correct, and I further 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 perlainlng to the worl< described
herein, and that NO OCCUPANCY will be mado of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees. who
arc In compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required Inspections arc
requested althe proper time, thai each address Is roadable
from the street, that the permit card Is located at tho front
or the property, ilnd the approved set of plans will remain
on the site at all times durlng construction.
Slgnaturf' 0 //#/t.. Oo~
(/.f) (/
Dal"-~.d II, Ic;C;l
/ I
VALIDATION: c:...-
RECEIPT NUMBER ,J S.;z 7 f
I)-IIX( /
DATE PAIr>
AMOUNT RECEIVf'D JbjJ)
I~
FlECEIVED BY