HomeMy WebLinkAboutPermit Mechanical 1995-7-21
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Ollice: 726.3759
,
SPRINGFIELD
.
l1li: t@
ASSESSORS MAP'
/7/9'7.,
LOCATION OF PROPOSED WORK: _ 7~ ..:5,,?~ ~ 4/'--'-A
Z 7 2-4
,
LOT
BLOCK:
e
JOB NUMBER
Y 5/2/.2
225 Fifth Street
Springfield, Oregon 97477
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TAX LOT:
O.2..'7CZ:!D
SUBDIVISION:
OWNER: --:-'" _J;,.j-./:?' /~: '"
ADDRESS: -_...._-.._..2.~_ "JU?f2{.(;;i/~
~~':~r-->~. 07{
CITY:
DESCRiBE WORI<:
NEW
PHONE:
7~/- ~7z.4-
STATE:
&'?1
--""----.-----.-
Zlp:-9.7'777
IlEMODEL __ ADDITION
DEMOLISH
CONTRACTOR'S NAME
GENERAL'
PLUMBiNG:
OTHER
#'-,.r ~ ~ -7/' ~.P
ADDRESS
CONST.
CONTRACTOR'
PHONE
/:,
1.
MECHANiCAL: _
/~d /,-,,-1" /,/z
V' ' Ii
,/j,i? F/.PJ.
'."1>Jo L
~07H#Y
J'?'<>.::.~~ .2'.:..:.!... R/ '>..
eY / /CI
Gl?'/":;~'Y(4
. ., 3.,..s~ ?-S'~
ELECTRICAl.
- OFFICE USE _
QUAD AREA: .
. OF BLDGS: ___
OCCY GROUP: _._
. OF STORIES:
WATER HEATER: _.
LAND USE:
N OF UNITS:
CONSTA. TYPE:
HEAT SOURCE:
RANGE: _
EXPIRES
FLOOD PLAIN'
ZONING CODE:
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE: ___
To request an Inspection, you must caii 726.3769. This is a 24 hour recording. Ali Inspections requested belore 7:00 a.m. wlii be
made the same working day, Inspections requested after 7:00 a.m. will bo made tho (ollowlng work day.
o
Tempornry Electric
o
Sito Inspection - To be mado
aflcr excavation, but prior to
setting forms.
o
Underslab Plumbing I Electricall
Mechanical - Prior 10 COVer,
o
Fooling - After trenches are
excavated.
o
Masonry - Steel location, bond
beams, grouting,
o
Foundation - After (orms are
erected but prior to concrete
placement.
o
Undorgroulld Plumbing - Prior
to fJllInQ lrQnctl.
o
Underlloor Plumbing/Mechanical
- Prior to Insulation or deckIng,
o
Post and Boa~ - PrIor to floor
InsulatIon or dccl~lng.
o Floor Insulatlon - Prior to
decKing.
o Sanitary Sewer - Prior to filling
trench,
o
Storm Sewer - Prior to filling
trench,
o
Water Line - Prior to IIlling
trench.
o Rough Plumbino - Prlor 10
cover,
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
b1' Rough Electrical _
~ cover. ,
Prior to
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior 10 facing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stovo - Afler Installation.
o Insert - After fireplace approv."
and Installation of unll. .
o
Curbcul & Approach - After
forms are erected but prIor 10
placemont of concreto.
o
Sidewalk & Driveway - After
excavation Is complete, forms
and sub'base malerlal In place,
o Fence - When completed.
o Street Troes - When all requIred
trees Bre planted.
o Final Plumbing - When all
plumbing w9rl< Is complet.e.
l2?! ~.I~al Electrical - When all
~trlcal work Is complete.
~nal Mechanical - Wh~n all
~echanlcal work Is complete,
o
Final Building - When ali
required Inspections have been
epproved and buliding Is
complelod,
OOth.r
MOBILE HOME INSPECTIONS
o Blocking llnd Sot.Up - When all
blockIng Is complele.
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 connecled 10
the service panel.
o
Final - Alter all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed,
.. I THE PROPOSED WORI< IN THE
Lot faces Lot Type e Setbacks
I P.L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON
Lot sq, Itg. Interior IN I THE HISTORICAL REGISTER?
Lot coverage Corner il yes, Ihis applicallon must be signed
Is I nnd approved by Ihe Historical
Topography Panhandle Iw I Coordinator prior to permit Issuance.
Totai height Cul.de.sac IE I
APPROVED:
BUilDING PERMIT
iTEM SQ, FT. X $/SQ. FT.
VALUE
Main
Garage
'.
Carport
Total Value
Building Permit Fee
Slale Surcharge
Tolal Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Resldenllal Bath(s)
N'
Sanitary Sewer FT.
Water
FT.
FT.
Storm Sewer
Mobile Home
Plumbing Permit
Slate Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace )I,/.
Exhaust Hood
b<;'<'
Vent Fan
N'
Wood. StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
J 500
/0-
/,2.0
'7 /_ 2..<:>
Issuance
State Surcharge .7J+,'fYJ
Total Permit (D)
MISCEllANEOUS PERMITS
Mobile Home
Slate Issuance
Stale Surcharge
Sidewalk
It
(I
Curbcul
Demollllon
Slale Surcharge
TOlal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding eleclrlcal)
(A, B, C, D, and E Combined)
"/,-< :l"
..- -..........
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is grantc(J on ale express condition that the said
construction shall, in all respects, conform 10 U1e Ordinance
adopted by the Cily 01 Springfield, including the
Development Code, regulating the cOr"Jslruction and use of
buildings, and may be suspended or rcvol<cd at any time
upon violation of any provisions of si'lid ordinances.
Plan Check Fee:
Date Paid:
Recel pt Nurnbcl':__~. ___w
Received By:
Plans Revie-wcd -'8y~ ....--------
Date
Systems Development Charge Is due on all undeveloped
properties within thn City llmils which arc baIng Improved.
ADDITIONAL COMMENTS
-------..---------.--
,
5~~-g~~;?, ~o:::,;<; AeyJ) .
By signature, I alate and agree, thDI I 11ave carcfully examined
the completed application and do hereby certlry thai all
InformatIon hereon Is true and correct, and I furthcr certlly
that any and all work performGd shall be done in accordance
with the Ordinances of Ihe City of Springfield, and Ihe Laws
of the Stala of Oregon pertaining to the work described
heroin, and Ihat NO OCCUPANCY will be mado of any
structure without permissIon of the Building Safely Division.
I further certHy that only contractors and employees who
are In compliance with ORS 701.055 will be used on thIs
project.
I further agroe 10 ensuro thaI all requited lnspcctlons are
requested at the proper time, that oach address Is readable
from tho streel, that Ihe permit card Is localed al the (ronl
of the property, Clnd the approved set of plans will remaIn
on the slle at all times during c )
Signature /..&
Dale ~ 7-C-~"/~
VALIDATION:
RECEIPT NUMBER / S We;,
DATE PAID ----7-/~--L-h
:2 2.~
AMOUNT RECEIVED __.____<:D r ___
RECEIVED BY -1l!7~-