HomeMy WebLinkAboutPermit Mechanical 1995-5-16
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RESIDENTIAL
,PERMIT APPLICATION
. Inspections: 726-3769
Office: 726:3759
SPRINGFIELD
LOCATION OF PROPOSED WORK: 1943 "I" Street
ASSESSORS MAP: \f) D~6lo \1 --" .
LOT:
OWNER:
ADDRESS:
CITY:
Ken Byrd
1943 "I" Street,
Springfield
BLOCK'
STATE'
OR
NEW
REMODEL
ADDITION
Install heat DumD system
OTHER
DESCRIBE WORK:
CONTRACTOR'S NAME
DEMOLISH
JOB NUMBER
q ~D1i
225 Fifth Street
Springfield, Oregon 97477
TAX LOT: D?ffD
SUBDIVISION:
PHONE:
726-0812
ZIP:
97477
new heatina system
ADDRESS
CONST.
CONTRACTOR #
PHONE
GENERAl'
PLUMBING:
MECHANICAl' Comfort Flow Heatina 855 W. First. Euqene 97402
ELECTRICAL:
(will be done bv C&S)
EXPIRES
00460
6/17/95
342-8101
- OFFICE USE -
QUAD AREA: LAND USE: FLOOD PLAIN:
# OF BLDGS: # OF UNITS: ZONING CODE:
OCCY GROUP: CONSTR, TYPE: # OF BDRMS:
# OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANGE:_ 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, Inspec~ions requested after 7:00 a.m, will be made the following work day.
REQUIRED INSPECTIONS
o Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical/
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 Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking,
o Floor Insulation - Prior to
deckl ng.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench, '
o Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover,
czJ R~U9h Mechanical - Prior to
, cover,
o Rough 'Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp,
o Framing - Prior to cover.
D Wall/Celllng Insulation - Prior to
cover.
o Drywall - Prior to taping,
D Wood Stove - Alter Installation,
D Insert -, After fireplace approval
and installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material in place.
o Fence - When completed.
o Street Trees - When all required
trees are planted. . ,
o Final Plumbing - When all
plumbing work is complete,
o Final Electrical - When all
electrlca( work is complete.
g Final Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
, approved and building is
completed.
o Other
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 - 'Alter all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Lot faces
Lot TYPL
Lot sq. ftg,
Interior
Lot coverage
Corner
Topography
Total height
Panhandle
Cul-de.sac
BUILDING PERMIT
ITEM SQ. FT. X $/SQ, FT,
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) NO
Sanitary Sewer FT.
Water FT,
Storm Sewer FT.
MObile. Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO
Wood Stove/lnsertlFireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge +~O
Total Permit (D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
Demolition
State Surcharge
Total Miscellaneous Permits, (E)
TOTAL AMOUNT DUE (excluding electrical)
(A; B, C, D, and' E' Combined)
I P,L.
IN
Is
Iw
IE
VALUE
"
FEE
/5.V
mOO
~ (.'g.o
&o.dD
~I){ 0 /X)
Setbacks
IHSE'GAR'ACcl
I I
I I
I
I
IS THEPROPOSED WORK tN THE '
,. HISTORICAL DISTRICT, OR ON
THE HISTORIC,j\L REGISTER?
If yes, this application must be sIgned
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
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 viOlation 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
properties 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 further 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 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 set of plans will remain
on the site at all times during construction.
9:~ fbJabJ
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Signature
Date
VALIDATION: t. ~ J..
RECEIPT NUMBER, \1- ~ \
DATE PAID l?l ~ \ · l
~.~
RECEIVED BY