HomeMy WebLinkAboutPermit Mechanical 1996-10-21
OWNER__a~ ~J'~
ADDRESS --il'l(#-:' -:- !III ~
CITY ___ -Slr~-:r1-"'.tl4--------
DESCRIBE WORI<: _~ 5 ~ II '~",,-t
NEW REMODEL ADDITION
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOT:
CONTRACTOR'S NAME
.
SPRINGFIELD
" , ~
BLOCI(: ___
STArE' /1 f2
/Jt>......../J.
r '
DEMOLISH
OTHER
"I
.
C\ lo\t?1
JOB NUMBER
TAX LOT:
SUBDIVISION'
o~r::.rr)
PHONE:
7/fb - Ji/QY
ZIP: :ht{~
-~~
~
GENERAL: __ __ ___________ ---------
ADDRESS
CON ST.
CONTRACTOR'
PHONE
PLUM8ING:__.________.____ _ _ -----.------
MECHANICAL _gM,' bWr"'--t..A..-b4:..-r---s~~-i~
ELECTRICAl' U
QUAD AREA:_
. OF 8LDGS:
OCCY GROUP: ._.
. OF STORIES:
WATER HEATER:
'1tJi)Uc-
- OFFICE USE -
LAND USE:
. OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE'
EXPIRES
Da ~'h 3f,1t/-;)I/~
FLOOD PLAIN.
ZONING CODE:_
. OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an inspection, you must call 726.3769. ThIs Is a 24 hour recording. Alllnspectlons requested before 7:00 a.m. will be
made the same working day. Inspections requested aUor 7:00 a.m. will be made the following work day.
f ] Temporary Electric
D
Site Inspection - To be made
alter excavation, I)ul pdo. to
selling lorms.
o
Undcrslab Plumbing' Electricall
Mechanical - Prior to cover.
o
Footing - Afler trenches arc
excavated.
o
Masonry - Steel location, 1J0nd
beams, grouting.
o
Foundatioll - After forms me
erected bul prior 10 concrele
placement.
o
Underground Plumbing - PriQr
to filling lrench.
o
Underlloor Plumbing/Mechanical
- Prior to insulation or decking.
o
Post and Beam - Prior to floor
insulation or decking.
o Floor Insulation - Prior to
docking.
o Sanitary Sewer - Prior to filling
Ireneh.
o
Storm Sewer - Prior to filling
Ironell.
o
Water line - Prior to flllino
trench.
o Rough Plumbing - Prior to
cover.
RyaulRED INSPECTIONS
rn ~ough Mechanical - Prior to
cover.
'-1 Rough Electrical - Prior to
L- c()vtJr.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
CI Frnmlng - Prior 10 cover.
o Wall/Ceiling Insulfltion - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - Aller installation.
o Insert - After IIreplaee approval
and Installation of unll.
o
Curbcul & Approach - After
forms are erected but prior 10
placement of concrote.
o Sidewalk & Driveway - Alter
excavation is complete, forms
and sub.base material in place.
D Fence - When completed.
o Streel Trees - Wilen all required
Irees arc planted.
o
Final Plumbing - When all
plumbing work Is complet.e.
D Final Electrical - When all
electrical work is complete.
~inal Mechanical - When all
mechanical work Is complete.
o Final Building - W'hen all
required Inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking is complelu.
o Plumbing Connections - When
home has been connected 10
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, sklrtlng, decl<s, and
venting have been installed.
"
Lot faces
.
Lot Type
Lot sq. IIg.
Interior
Lot coverage
Corner
Topography
Total height
Panhandle
Cui-dc-sac
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
Main
Garage
Carport
To tal Val uc
Building Permit Fcc
State Surcharge
Total Fcc
(A)
Setbacks
I P.L. HSE GAR ACC
~----
~----
W
~----
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
VALUE
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary Sewer
FT.
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/Insert/Fireplace Unit
l0t~~vmR
Mechanical Permi t
Issuance
-\- -~Plo
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
__Mobile Home
State Issuance
State Surcharge
Sidewalk
II
Curbcut
It
Demolition
State Surcharge
FEE
\ 'S pC>
l<').OO
c5H\~~
Total Miscellaneous Permits (E)
TOTAL AMOUNT PUE (excluding electrical) ~
(A, B, C, 0, and E Combined)
.
i. IS THE PROPOSEP WORK IN THE
. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes. this application must be signed
<:lntl approved by tile Historical
CoonJinator prior to permit issuance.
APPROVEf"
This permit is granted on the express conuilion that the said
construction shall, in all respects, conform to the Ordinance
adopted by Ihe Clly of Springfield, Including the
Development Code, re~Julating the construction and use 01
buildings, and may be suspended or revoked fl.l any time
upon violation of any provisions of said ordinances.
Plan CtlCck Fee:
Date Paid:
Receipt Number.
Received By:
-.--.--. ...
Plam; Heviewed 13y
Dille
Systems Development Ctlalge is due on ;111 undeveluped
properties within the City limits which are being illlproved.
ADDITIONAL COMMENTS
By sIgnature, I slate and agree, that I have carefully ex~mined
the completed application and do hereby certify that all
Information tlCreon Is true and correct, and Ifurtller 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 pertaining to the work described
herein, and that NO OCCUPANCY will .be made of any
structure wittlOut permission of the Building Safety Division.
I further certify that only contractors and employees WllO
are In compliance with ORS 701.055 will be used on tills
project.
I further agree to ensure that all required inspections arc
requested at tho proper time, that each address is readable
from the street, that the permit card is located at the front
of tho property, and the approved set of plans will remain
on the ~ilc ai iili times lhHing con~truclion.
Signalure _~1A tLd~'fL
/o,LLfI-9../ ~
Dale
VALIDATION: ~rs- r'JV
RECEIPT NUM[JER1,,-. r>4T----
DATE PAID \J A "'-1l n
AMOUNT RE'fEI~q "1J lD~rlD
RECEIVED ()y~~