HomeMy WebLinkAboutPermit Mechanical 1992-5-28
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 72G,3759
LOCATION 01' PROPOSED WOIlI<: __-+65 ~dei I I" 6/ r?t J
ASSESSOIlS MAP: /'7/7'2., "2.."7 J ~
LOT:
OWNER: _ ..~~J-.7' A
ADDRESS: ~ 4~-~
CITY: _ _ ~r-""A
BLOCK'
/../ TZ-
'SOu 7) dLo..J
STATF'
DESCRIBE WORK: -.z12/J /1~'A"i'P' /ttfr-;,.<:::J
NEW __, REMODEL ADDITION DEMOLISH
CONTRACTOI<'S NAME
GENERAL: ,_
OTHER
.0 NUMBEH_c;!201~1-
225 Fifth Street
Springfield, Oreuon 97477
TAX LOT: _~~ t!77?
SUBDIVISION:
PHONE:
ZIP:
ADDRESS
CONST,
CONTRACTOR'
PHON"
PLUMBINC:, _,_ __" --
MECHANICAl.: _~ l &'~A.J__1!6.e.t- n.,.t7,,-e/7I"A;
ELECTRICAL ~~.I" )~~
OUAD ARFA:
/I OF BLOGS: _
OCCy cnc 1111'
. OF STOHIE:::
WATER HEAr I~R: ____
5~'2.-
425S0
- OFFtCE USE -
LAND USE: _.
. OF UNITS:
CON:;TR. lYI'I,:
HEAl' SOURCE:
RANGE:
EXPIRES
~.v::76P~--?"-(;;;7<G 71-
~~,2.. r..~2- ~-t..,j
FLOOD PLAIN:
ZONING CODE:
"OF BORMS:__
SECONDARY HEAT:_
SOUARE FOOTAGE:_
To request an inspection, you IllUst call 726-3769. This Is a 24 hour recording. All inspections requested before 7:00 n.m. will be
made the :,Lllrlt~ working day, inspections requested after 7:00 a.m. will be made the following work day.
D Tcmpormy Electric
D Site Inspection - To be made
after e).'.(;avation, I.lut prior to
setlinn IOfms.
D Undelsl,lb Plurnbing/Electrical/
Meclwllical - Plior to cover.
D Footino - After trenches are
excav3Il:cJ.
D
Masonry - Stef~l location, bond
boalll:.j, !Jroutinu.
CI
Foulld:llion - Afler forms are
croclO{1 hut plior to concrete
plaCClIl(:nt.
D
Undel{Jround Plumbing - Prior
to filling trench.
D
Underlloor Plumbing/Mechanical
_ Prior to insulation or decking.
o Post and Beam - Prior to floor
insulation or clecking.
D Floor Insulation - Prior 10
deckinu.
D
Sanilary Sewer - Prior 10 filling
tronch.
D
Storm Sewer - Prior to filling
trench.
D Water line - Prior to flII1ng
trench.
D Rough Plumbin{) - Prior 10
cover.
REQUIRED INSPECTIONS
l'\7f Rough Mechanical - Prior to
~ cover.
i\7r 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 - Pdor to cover.
D Wall/Ceilin{J Insulation"":' Prior to
cover. .
D
Drywall - Prior to taping.
D Wood Stove - After installation.
o Insert - After fireplace approval
ancllnstallation of unit.
D Curbcut & Approach - After
forms are erected but prior to
placemenl of concrete.
D Sidewalk & Driveway - After
excavation is cumplete, forms
and sub.base material in place.
D Fence - When completed.
D Slreet Trees - When all required
trees are planted.
D Final Plumbing - Wilen 0.11
plumbing worl< Is complete.
-;;::::;;1' Final Electrical - Wilen all
~elcctrical WOfk Is cOlllplete.
'f:::7f Final Mechanical - When all
?{mechanical work Is complete.
o Final Building - When all
reQlllred Inspections llavl~ been
approved and builclinn is
completed.
DOther
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - When 011
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 approvecl
and the home is connected to
the service panel.
D Final - After all required
Inspections are approved anel
porches, skirting, decks, and
venting have been In:.>talled.
~ J:0E GA~ ACC
~-----
...L- _ ____
~--~
Lot f<lees
Lot Type.
Interior
Lot ~~q. flO.
Lol coverage
Corner
'I(Jp()~lrapllY
Panhandle
Tutal 11CiUht
Cul.de-sac
~1_,I~_nl_J
APPROVED: _
BUILDING PERMIT
ITEM
SQ, FT,
X $/SQ, FT.
VALUE
M;lin
Galauc
Carporl
To\al Value
Building Perflli I Fcc
::;I:II!: SlllCll,lI!lC
Tulal Fcc
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM FEE
Fixtures
Rc~;idcntial 8ath(s) N'
Sanitary Sewer FT,
Water FT.
SIOIITl Sewer FT,
Mol.dlc Horne
Plumbing Permit
Slale SUlchargc
"I()I;II Cilaruc (C)
MECHANICAL PERMIT -(b-"~ ~
FllIllacc !f14.
l.:.xll:l\Jst Hood
Velll Fan N'
W(")(,d SlovcllnscrtlFircplacc Unit
I)IYI~1 Vellt
Mcclwnical Permit
/4/~,
/ S ,t>>
/0,00
ISSllililce
51.JIC Sun;h::uge
;2. 5",75
Tolal Permit
(D)
MISCELLANEOUS PERMITS
Mobile Homo
Stale Issuance
SlatlJ Surcharge
Sidewalk
It
CuliJGut
It
DI)IIlOlitiol1
St;lle SlllCh:IIOc
'If)!al Mi~;cellancou5 Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, n, C, D. and E Combined)
"2.'5,75
Setb(lck~;
-t~'-'
.s THE I'nOPOSED WORI< IN THE
lISTORICAL DISTRICT, on ON
THE HISTORICAL REGISTER'!
II yes, 1I1i5 application mw~l be signed
,1IHI approved by the Hisloricnl
Coordin<ltor priur to pennil i:~~H1ancc.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is gmnted on tile express condition 1I1at the si'.Iid
construclion shall, in all respects, conform to tile Ordinance
adopted by the City of Sprinnfield, including the
Development Code, regulating the construc'lion and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordin:mces.
Plan Check Fee:
Date Paid:
Fleceipt Numbct:_____
rlcceived By:
Plans Reviewed By
DatrJ
Sy:;;tems Developlllcnl CIl;uUe is due on"alllll1dcveloped,
properties within the City limits which ;He beiliU i/llproved.
ADDITIONAL COMMENTS
l3y sIgnature, I st;lle and a~W~rJ. that I tlave careflllly examined
the completed application and do hereby cCl'lily that all
information hereon h. true ami cancel, and I "Irlller ccrlify
that any and all work flcdonll0.d shall be done ill :Iccorclnnr:c
wilh the Ordinances of Ihe City of Sprin!llicld. ..1l(Jlbe Laws
of the Slate 01 Orc~lon p0.11:lininn 10 tile W{lI1\ dc~;criiJcd
hClcin, and that NO OCCUPANCY will be In:llk 01 :my
structure without perlllission of the Building S;lI']ly Division"
I further certify 1I1at only contraclors and employees who
are In compliance with GRS 701.055 will be used on ttlis
project.
I
I further agree to ensure 1I1al all requircd insPl:clions arc
requested a the proper time. that each addref,~~ is readnble
from the sir ct, thai the permit card I:t' located at the front
of the prop ty, a approved set f plan~; will remain
t . tall tim " 0 -t - elien.
. nature _ _
~ ~:2.z
Date
VALIDATION:
HECEIPT NUMBER
RECEIVED BY __._