HomeMy WebLinkAboutPermit Building 1996-7-9
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
..
SPRINGFIELD
j
,
,
ASSESSORS MAP'
LOCATION OF PROPOSED WORK' 7275
IIn7'2...t::. ~y
Daisy
--~
LOT:
OWNER'
Aaron Balkan
7275 Daisy
Springfield
ADORee-c.
CITY:
BLOCt<.
STAT~'
Oregon
5~?1(
~OB NUMBJ.R q 0nq 2 <6
225 Fifth Street
Springfield, Oregon 97477
TAX LOT: t'.Ji2ilnfit')
SUBDIVISION:
PHONF'
746-0805
ZIP'
97478
DESCRIBE WORK'
Replace existing air handler and add heat pump.
NEW
REMODEL
ADDITION
DEMOLISH
OTHER
ADDRESS
CON ST.
CONTRACTOR'
PHONE
- OFFICE USE -
LAND USE:~t@ III \
. OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGF'
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover.
D Rough Electrical - Prior to
cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
D FIreplace - Prior to facing
materials and framing Insp.
D Framing - Prior to cover.
o Wall/e"alling Insulallon - Prior to
cover.
D Drywall - Prior to taping.
D Wood Stovo - After Installation.
D Insert - After fIreplace approval
and Installation of unIt.
D
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
CONTRACTOR'S NAME
GENERAl'
PLUMBING:
MECHANICA' .Comfort Flow Heating 1951 DOn Suite D, Spfld 97477 00460 6/27/97 726-0100
ELECTRICAl'
QUAD AREA: .!il S &
. OF eLDGS'
OCCY GROUP:
. OF STORIES:
WATER HEATER:
EXPIRES
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. All Inspections requested before 7:00 a.m. will be
made the same working day, Inspectlons requested after 7:00 a.m. will be made the following work day.
D Temporary ElectrIc
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D Underslab Plumblngl Electrlcall
Mechanical - Prior to cover.
D Footing - After trenches are
excavated.
D Masonry - Steel location, bond
,beams, grouting.
D Foundation - After forms are
erected but prior to concrete
placement.
D
Underground Plumbing - Prior
to filling trench.
D Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking.
D Floor Insulation - PrIor to
deckl ng.
D Sanitary Sewer - Prlor to filling
trench.
D Storm Sowor - Prior to filling
trench.
D Water Line - Prior to filling
trench.
D Rough Plumbing - Prior to
cover.
D Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material In place.
D Fence - When completed.
D Street Trees - When all requIred
trees are planted.
D
Final Plumbing - When all
plumbing w9rk Is complet.c.
D Final Electrical - When all
electrical work is complete.
~ Mechanical - When all
mechanical work Is complete.
D Final Building - When all
required Inspections have been
approved and buildIng 15
completed.
DOthor
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - When all
blocking Is complete.
D Plumbing Connections - When
home has been connected to
waler and sewer.
D
Electrical Connection - When
blocking, set.up, and plumbing
inspections have been approved
and the home Is connected to
the service panel.
D Final - After all required
InspectIons are approved and
porches, sklrtlng, decks, and
venting have been Installed.
selb~c~~. ;;'.'&\\ 'IS THE PROPOSED WORK IN THE.
HSE GAR I ACC' - '-HIST08ICAL DISTRICT, OR ON
I THE HISTORICAL REGISTER?
I If yes, this application must be signed
and approved by the Historical
I w I I I Coordinator prior to permit Issuance.
LL~
APPROVED'
.~
Lot faces - '1 Lot TYP.
Lot sq. ltg. InterIor
Lot coverage Corner
Topography Panhandle
Total height Cul-de.sac
I PL.
IN
Is
BUILDING PERMIT
ITEM sa. FT. x $/sa. FT. _ VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
"
This permit Is granted on Ihe express condlllon that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City -of Springlleld, Including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Main
Carport
Plan Check Fee:
Total Value
Date Paid:
Building Permit Fee
Receipt Number:
Slate Surcharge
Received By:
Total Fcc
(A)
Plans Reviewed By
Dale
SYSTEMS DEVELOPMENT CHARGE (SDC)
Systems Development Charge Is due on all undeveloped
properties within the Cily limits which are being Improved.
(B)
PLUMBING PERMIT
ITEM FEE
Fixtures
Rcsldenllal Bath(s) N'
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Tolal Charge (C)
MECHANICAL PERMIT
Furnace
Exhaust Hood "-
Vent Fan N'
ADDITIONAL COMMENTS
Total Permit
(D)
~5:OV
[5 ()O
10-0-0
[. '2-0
2Co .:J-(J
By signature, I state and agree, thatf have Carefully examined
the completed application 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 Ihe Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and thaI NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
Wood Stovellnsert/Flreplace Unit
Dryer Vent /
kttl+- ,?AM-9 lM~
Mechanical Perml t
Issuance
State Surcharge
State Surcharge
Signature
I further agree to ensure that all required Inspections Bre
requested at the proper time, that each address Is readable
from the street, that the permit card Is located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
CJ~eoak
IJ-lf;-9?
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Sidewalk
It
Date
~
Curbcut
fl
Demolition
State Surcharge
VALIDATION:
RECEIPT NUMBER :!. ;21.{'!J 0
7-q -q Co
AMOUNT RECEIVEI) :J(n .2..(')
RECEIVED BY J.KJ. _ -===-
DATE PAID
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and' E' Combined)