HomeMy WebLinkAboutPermit Mechanical 1995-9-18
Inspections: 726.3769
Office: 726,3759
LOCATION OF' PROPOSED WORK: _~ ;t?/~ ~4C5 k
ASSESSORS MAP' / /-.t9y.. ~ 9'-/ 5"
.OWNER: ;?~~/ I'.A7.pr ! kR-CY"'f/5
ADDRESS' . "X/h" I /-S"~ dJ?~ 6 h '
'5;z::>~c..lJ STATE:~' ZIP: '5i? 'Y::> ":>
DESCRIBE WORK' .~.?LELL::c...,,/"'l~ ~~ ~A-...y/~5i-5
REMODEL V
RESIDENTIAL
PERMIT APPLICATION
LOT:
CITY'
NEW
ADDITION
CONTRACTOR'S NAME
-
SPRINGFIELD
-
,..f
95'/V/~
,
BLOCK:
DEMOLISH
OTHER
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
~
SUBDIVISION'
PHON'"
'7 sI / -/0 g-;:>
, ,
ADDRESS
CON ST.
CONTRACTOR #
EXPIRES -. PHONE
REQUIRED INSPECTIONS
o Rough Mochanlcal - Prior to
cover.
D 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.
GENERAl.
PLUMBING' ",,,L
~ ~2;L :~:c'~~K
MECHANICA~/ .r~//~ ..s~~-~~. ,/:$?/?fil:j;. "9-~~ -;>~<7~::n
ELECTRICAl'
- OFFICE USE -
QUAD AREI'. LAND USE: FLOOD PLAIN:
# OF BLDGS: # OF UNITS' ZONING CODE:_
OCCY GROUp. CONSTR. TYPE: # OF BDRMS'
# OF STORIES: HEAT SOURCE: 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,
o Temporary Electric
D Site Inspection - To be made
after excavatlon, but prior to
setting forms.
o Underslab Plumbing/Electrical I
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 Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - PrIor to
decking.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
D Rough Plumbing - Prior to
cover.
o
Framing - Prior to cover.
o Wall/C'elllng Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stovo - After Installation.
o Insert - After fireplace approv~1
and Installation of unIt.
o
Curbcut & Approach - After
forms are erected bllt prior to
placemont of concrete.
o Sidewalk & Driveway - After
excavation Is compiete, forms
and sub.base materIal In place.
o Fence - When completed.
D Street Treos - When all required
trees are planted. _
o Final Plumbing - When all
plumbing work Is complet,e.
D Final Electrical - When all
electrical work Is complete.
r77l Final Mechanical - When all
lJl:-1 mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building is
completed.
DOthor
MOBILE HOME INSPECTIONS
o Blocking and Set,Up - When all
blocking Is complete.
o Plumbing Connections - When
hqme 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 - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
I PL.
IN
Is
Iw I I I I
~I
Lot faces
Lot-sq. fig.
lot Tye
Interior
Lot coverage
Corner
Topography
Total height
Panhandle
Cul-de:sac
BUILDING PERMIT
ITEM SQ, FT. X $/SQ, FT.
VALUE
Main
Garage
"
Carport
Total Value
Building Permit Fee
State Surcharge
Tolal Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
.-,<
FEE
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
N'
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit /11/# / -?'.-:?
,
/tf? -
Issuance ~ ~~
State Surcharge
Total Permit (D) '26, ::20
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fI
Curbcut
It
Demolition
Slate Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding elect.,rlcal)
(A. B, C, O. and E Combined) .
.0.2~~
.":',; ;-.
~ IS THE PROPOSEO WORK IN THE,
"HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prIor to permit Issuance.
Setbacks
HSE GAR
Ace I
I
APPROVED: ,
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express conditIon that the said
construction shalf;--In all respects,"conform to the Ordinance
adopted by the City 01 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 stale 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 I n accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and thai 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.
Slgnature~Yh, J~
/
Date 9~/1'-?S- .
VALIDATION:
RECEIPT NUMBER /'9aS"'7
.:7-/.R-95;-
. .
76- 2P'
a~
DATE PAID
AMOUNT RECEIVED
RECEIVED BY