HomeMy WebLinkAboutPermit Mechanical 1994-3-3
RESIDENTIAL
PERMIT APPLICATION
.
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPO~Ep...,WORI<" 4\ c:\.\
ASSESSORS MAP: \ ooaCJ~ ~ ~
OWNER: ( \ \I\. 0 +- . ~ \1\ 01\0 fu~ :? '\ PHONF'
ADORE'"'' ,~\~ \ ~~\..Z\\\A.-CL) ::\ ;7
:~:c,"~\ Qill Q ~ t I STATE:-L~ )
NEW REMODEL ADDITION DEMOLISH OTHER
LOT'
CONTRACTOR'S NAME
GENERA' .
PLUMBING' ~"--..
MEC~ANICAi_: \L\ \\'t\ Q
ELECTRICAL'
BLOCK'
.
C1o\AloLl.
JOB NUMBER
cmm
SUBDIVISION'
-
ZIP:
-
cn~-I'T)
ADDRESS
CONST.
CONTRACTOR'
PHONE
\~,-},\t0\
U. \
~ \ \eft
',- OFFICE USE -
EXPIRES
to 'C)'0 ~+ C:YtS.2-~32i)
QUAD AREA' LAND USE: FLOOD PLAIN'
. OF BLOGS' . OF UNITS' ZONING CODE:
OCCY GROUP' CONSTR. TYP'" . OF BDRMS: ..w
. OF STORIES' HEAT SOURC'" SECONDARY HEAT: .
WATER HEATER' RANG'" 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, Inspections 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 Plumbing/Electrical I
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'
placemer'!t.
D Underground Plumbing - Prior
to filling trench.
D Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking.
"
D Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior to filling
trench. .
I
D Water Line -' Prior io filling
trench.
D Rough Plumbing - Prior to
cover.
~RE?UIRED INSPECTIONS
Rough Mechanical - Prior to
ove~ .
o 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.
o Framing - Prior to cover.
D Wail/Ceiling Insulation -'Prlor to
cover. .
D Drywall - Prior to taping.
D Wood Stove - After I~stallat'lon.
D Inaert - After fireplace approval
and. Installation of unit,
D Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
,
D Sidewalk & Driveway - After
. excavation Is complete, forms
and s:ub.base material In place.
D Fence - When completed.
D Street Trees - When 'all requlied
. trees are plante...d.' .
D Final. Ptumbtng - When all
plumbing work Is complete.
D Final Electrical - When all
electrical work Is complete.
~nal Mechanical - When all
L ~"chanlcal work Is complete.
D Final Building - When all
requIred Inspections have been
approved and building Is
completed.
DOther
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - When all
blocking Is complete.
D Plumbing Connections - When
home has been connected to
water .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 app'roved and
porches. skirting, decks, and
venting have been Installed.
"~~
Lot 'face's' , Lot Type. Setbacks 'S THE PROPOSED WORK IN TH~
Lot sq. ftg. I P.L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON
~ Interior IN I THE HISTORICAL REGISTER?
Lot coverage Corner Is I If yes, this application must be signed
and approved by the Historical
Topography Panhandle Iw ,I Coordinator prior to perml,t issuance.
Total height -'-- Cul-de-sac IE ' I
. APPROVED:
BUILDING PERMIT:
,
ITEM sa. FT. x $/so. FT.
VALUE
Main
Garage
Carport
Total Val ue
Building Permit Fee
State Surcharge
Total Fee
(A)
, . '
SYSTEMS D~VELOPMENT c;HARGE (SDC)
: (B)
PLUMBING PERMIT
ITEM I
FEE
Fixtures
Residential Bath(s)
N'
Sanitary Sewer I
Water
FT.
FT.
Storm ~ewer
Mobile Home
FT.
Plumbing Permit,
State Surcharge I
Total Charge
(C)
MECHANICAL PERMIT
Fu mace ~
Exhaust Hood
Vent Fan
N'
I
Wood Stove/lnsert/Flreplace Unit
I
Dryer Vent
Mechanical Permit
(~,m
I()~
. ')\.')
&,,->.')~
Issuance
State Surcharge
Total Permit
(D)
,
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge,
Sidewalk
ft
Curbcut
ft
Demolition
State Surcharge
Total Mlscellanepus Permits (E)
TOTAL AMOUNT. DUE (excluding electrical)
(A, B, C, 0, and E Combined)
,
I
,
rY~0SS
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City of Springfield, Including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon vlolatlon of any provisions of said ordinances.
Plan Check Fee:
Date Paid:
Receipt Number'
Received 'By:
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
pr'lpertles within the City limits which are being Improved.
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
Information hereon is true and correct, and I furth~r certlfy
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 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.
I further agree to ensure that all required Inspections are
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 ~plans will remain
:~g::~~72/;/~ ~~
Date 1 '8-3?<Z 0
j ~'
~
\,!l~ , _
DATE PAID ,:/J-3f), Cf<(
AMOUNT (~I e{)S. 'i:.\
RECEIVED B~r /JQ )
./
VALIDATION:
RECEIPT NUMBER