HomeMy WebLinkAboutPermit Mechanical 1997-2-24
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3rS9
ASSESSORS MAP:
LOT:
~.
SPRINGFIELD'
.
Q70;(S7
BLOCK'
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
___ TAX LOT:
SUBDIVISION:
I ( I.il{)
PHONE:
7Vir~~~k
ZIP: ~
OWNER' 'flO.l...,-J~V'\.e.... \~e.r
ADDRESS" 1~4.:J yY).4ttIS t.J~1 j
c:. pr \ V'\~)'kdaD
DESCRIBE WORI<' Ine;,~ lla..+t~
CITY'
STATE: _/,,)Q
~j>ild
'0, q '(
NEW
REMODEL
EXPIRES -. PHONE
o..C. e ~ P \. r--- / LJ c... <hv h eC\.1h!. ...-
ADDITION
DEMOliSH
~
OTHER
ADDRESS
CON ST.
CONTRACTOR'
CONTRACTOR'S NAME
GENERAl'
PLUMBING: ("U<"+O"'" ff'Ll..1.1V\ Dlll.j
MECHANICAL: ,,::fD,^v\ l~j I If->
ELECTRICAl'
3..21J8/(e"ruoc"o &.-.
76'-/0\
JI-<t7
.
4 B~.--II'-I f_
...3 Yo;;: 7\'7'9
QUAD AREA:
. OF BLDGS'
OCCY GROUP:
. OF STORIES: _'__
WATER HEATER:
- OFFICE USE _
LAND USE:
. OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGF'
FLOOD PLAIN:
ZONtNG CODE:_
. OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE: _
To request an Inspectlon, you must call 726.3769. This Is a 24 hour recordIng. All Inspections requested before 7:00 8.m, wI/I be
made the same working day, Inspections requested after 7:00 a,m. will be made the following work day.
o Temporary Eloctrlc
. 0 Site Inspoctlon - To be made
after excavation, but prior to
setting forms.
o Underslab Plumblng/Electricall
Mechanical - Prior to cover,
o Footing - After 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 Insulatlon or decking.
o
Post and Boam - Prior to floor
Insulallon or decking.
o Floor Insulation - Prior to
. decking.
O Sanitary Sewer - Prior to filling
trench.
o Slo~m Sewer - fJrior 10 filling
trench.
O Waler Llno - Prior 10 filling
trench,
o
Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior 10
cover.
o Rough Electrical - Prior to
cover.
o Electrical Servlco - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to. facing
materials and framing Insp,
o Framing - Prior to cover.
o Wall/C"clllng Insulatlon - Prior to
cover,
o Drywall - Prior to taping.
o Wood Stovo - After In~ta"atlon.
DInseI'I - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Drlvew'-lV - After
excavation Is complete, forms
and sub.base material In place,
o Fence - WtlOn completed,
\\0 Streot Treos - When all required
!- trees are planted.
A<:inal Plumbing - When all
~l.umbing w9rl< is complet.e.
D Final Electrical - When all
electrical work is complete.
~al Mechanical - When all
~~chanical work Is complete.
o Final Building - Wilen all
required Inspections have been
^ )~~~~:t1;nd building Is
~ Othor ~~w~
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blockIng Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set-up, and plumbing
Inspections 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
..... ,. I.HE PROPOSED WORK iN THE
. .....
',:
Lot Type Setbacks i
I P.L. Accl ,..,. HISTORICAL DISTRICT, OR ON
HSE GAR
Interior IN I THE HISTORtCAL REGISTER?
Corner II yes, this application must be signed
Is I and a p proved by the Hlstorlcat
Panhandle I Coordinator prior to permit issuance.
Cul.de.sac W
E I APPROVED'
Lot SQ. ftg.
Lot coverage
Topography
Total height
ITEM
SO. FT.
X $/SO. FT.
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
BUILDING PERMIT
Garage
"
This permi! is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by thc City 01 Springfield, including the
Development Code, regulating the construction and use of
buIldings, and may be suspended or revoked at any lime
upon violation of ony provisions of said ordinances.
Main
Carport
Plan Check Fcc'
Date Paid:
Total Value
Receipt Number:
Building Permit Fcc
State Surcharge
Received By:
Total Fee
(A)
Plans Reviewed Oy
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties withIn the City limIts whIch are being Improved,
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
N'
Sanitary S~wcr
Water
FT.
Storm Sewer
FT.
FT.
Mobile Home
V\A\V'--
lli..:. tn )
Plumbing Permit
State Surcharge
-(3"l0 C-~ Avivwt"'-
(C)
< ((tJ
)t", :70
Total Charge
MECHANICAL PERMIT
Furnace
Issuance
Stale Surcharge 'i)'fo C~ ~11v\...
Total Permit (D)
,7'7_ -.
.I{t.,
{~,jO
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certHy that all
InformatIon hereon Is lrue 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 Ihe Laws
of the State of Oregon pertainIng to the work described
herein, and'tha1 NO OCCUPANCY will be made of any
structure wIthout permission of the Building Safety DivIsion.
I further certify that only contractors and employees who
arc In compliance with OAS 701,055 will be used on this
project.
Exhaust Hood
Vent Fan
N'
Wood Stove/lnsertlFlreplace Unit
Dryer Vent
W\,~
/6.,,-n
Mechanical PermIt
Sidewalk
It
I further agree 10 ensure that all required Inspectlons are
r9Quested at the proper lime, that each address Is readable
from the street, that the permit card Is located at the front
of the properly, ilnd the approved set of plans will remain
on the site at II mer d7,constructlon.
/J~-
2-Vv-cr;
(
MISCELLANEOUS PERMITS
Mobile Home
. State Issuance
State Surcharge
Date
Curbcut
II
Demolition
State Surcharge
VALIDATION:
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
3:2 - "I()
RECEIPT NUMBER
DATE PAID '1- 21f-q7
AMOUNT RECEIVED -9:2, 110
RECEIVED BY W.-'"
Total Miscellaneous Permits (E)