HomeMy WebLinkAboutPermit Mechanical 1996-8-9 (2)
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.
SPRINGFIELD .l...,
lIII:~
LOCATION OF PROPOrED WORK' 1033 Oondea
ASSESSORS MAP: \ ~ otnl 0 I~ .
LOT'
OWNER'
Snell & Mary Prince
1033 Dondea St.
ADORESf"
CITY:
SprinQfield
St.. .
BLOCK'
STATE:
OR
7735
..'/....,.
.
JOB NUMBER 010 \mE;
225 Fillh Slreel
Sprlnglleld, Oregon 97477
TAX LOT:
SUBDIVISION'
OY!:, ~O()
PHON"'
746-4591
_ ZIP: 97478
NEW
REMODEL
Install heat pump system (includes ductwork)
DESCRIBE WORt<.
CONTRACTOR'S NAME
ADDITION
DEMOLISH
OTHER
ADDRESS
CONST.
CONTRACTOR'
EXPIRES -. PHONE
- OFFICE USE -
LAND USE:_.
. OF UNITS:
CONSTR. TYPE:__
HEAT SOURCE:
RANGE: __
REQUIRED INSPECTIONS
~U9h Mechanical - Prior to
cover.
D Rough Electrlcnl - Prior to
cover.
o Electrical Servlco - Must be
approved to obtain permanent
electrical power.
o Flreplaco - Prior to facing
materIals and fmmlng Insp.
o Framing - Prior to cover.
o Wail/Coiling Insulation - Prior to
cover.
o Drywall - PrIor to taping.
o Wood Stovo - After Installation.
o Insert - After fireplace approv~l
and Installallon Of unIt.
o Curbcut & Approach - Afler
forms arc erected but prior to
placement of cancrolc.
o Sidewalk & Orlvew3V - After
excavation Is complete, forms
and sub-base malerlal In place.
-0 Fence - Wrlcn completed.
o Streel Treos - When all requIred
trees are planted.
GENERA' .
PLUMBING'
MECHANICA' . Qrnfort FJ.o..; Heat:irg 1951 DOn St., Ste D, Spfld 97477 00460
6/27/97 726-0100
FLOOD PLAIN:
ZONING CODE: __
. OF BDRMS:
SECONDARY HEAT:
SOUARE FOOTAGE:_
To requesl an inspecllon, you must call 726.3769. Tills Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be
made the same working day, Inspections requested ofter 7:00 a.m. will be made the following work"day,
o
Final Plumbing - When all
plumbing w~HI( Is cemplet,c.
ELECTRICAl.
QUAD AREA:
o
. OF BLDGS:
OCCY GROUP'
. OF STORIES: ___
WATER HEATER:
o Temporary Electric
o Slto Inspoctlon - To be made
after excavation, but prIor to
setting forms.
o U,;dcrslab Plumblng/ElectrlcalJ
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel Iceatlon, bond
beams, grouting.
o
Foundation - After forms are
erected but prior to concrete
placement.
p
Underground PlumbIng - Prior
to filling trench.
o
Underlloor Plumbing I Mechanical
- Prior to Insulation or decking.
o Post and 80am - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking.
O Senltary Sewer - Prior to filling
trench. ';,1
o Storm Sower - Prior to t1lllng
trench. f .
o Waler Line - PrIor to filling
. trench.
o Rough Plumbing - .Prlor to
cover.
o
Final Electrical - When all
electrical work is complete.
~al Mochanlcal - When all
mechanical work Is complete.
o Final Building - Wilen 011
required Inspections have been
approved and building Is
complelod.
OOtller
MOBILE HOME INSPECTIONS
o Blocking and Sel.Up - When all
blocking Is complete.
o Plumbing Connections - When
homo has been connected to
waler and sower.
o
Electrical Connection - When
blocking, sel.up, and plumbing
Inspections havo been approved
and ttle homo Is connecled 10
the servIce panel.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
Lot faces Lot Type. Setbacks Ws THE PROPOSED WORK IN THE.
Lpt SQ. ftg. Interior I P.L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON .
IN I THE HISTORICAL REGISTER?
Lot coverage Corner II yes, lhis applicallon must be signed
Is I and approved by the Historical
Topogrephy Panhandle Iw I CoordInator prIor to permIt Issuance.
Total height Cui-dc-sac IE I
APPROVED:
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
VALUE
Main
Garage
Carport
"
Total Value
Sul/dlng Permit Fee
State Surcharge
Tolal Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Resldenlial Balh(s) N'
Sanltery Sewer FT.
Water FT.
Storm Sewer FT.
Moblie Home
Plumbing Permit
State Surcharge
Totel Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood SlovellnserllFireplace Unit
Dryer Vent
MechanIcal Permit
l5,C:V
cq:u
cf211J .!)..V
Issuance
State Surcharge -/30}a
Total Permit (0)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sldewelk
II
Curbcul
It
Demolition
"
Slate Surchargq
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrICal)C:;:;;Cp fj{)
(A, B, C, 0, and E Combined)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permills granted on lhe express condition lhalthe said
construction shall, In all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulatlng the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee'
Date Paid:
Receipt Number'
Received By:
Plans RevIewed "By
Dale
Systems Development Charge Is duo on all undeveloped
properties within 1110 City limits whlct1 are being Improved.
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carofully examined
lhe completed eppllcetlon and do hereby certify that ali
InformatIon hereon Is true and correct, and I further certify
lhat eny and all work performed shali be done in accordance
with the Ordinances of lhe City of Springfield. end the Laws
of lhe Slale of Oregon perlalnlng 10 the work described
heroin, and lhal NO OCCUPANCY will be made of any
structure without permission of the Building Safely Division,
I further certify that only contractors and employees who
arc In compliance wllh ORS 701.055 will be used on this
project.
I furthor agree 10 ensuro that all required InspectIons are
requested at the proper time, that oach address Is readable
from tho 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.
9 A.' /7:<~ (l.//CfTxY
fI-1!!q~
SIgnature
Datp'
VALIDATION: '\ f\<6"~1)
RECEIPT NUMBB r).. Cl.
DATE PAIr> CJ 4. Clh
AMOUNT REC~~ ~~. 5n
RECEIVED BY