HomeMy WebLinkAboutPermit Mechanical 1993-4-20
RESIDENTIAL
PERMIT APPLICATION
-.
Il1spedlol1H: 1:'1}.37()!J
Oflit.:e: l~~G<l/~l!J
LOCAlIOI~ OF I'I"lOf'OSED WOIlI<: __._
ASSESSOI1S ~IAP: __.________
LOT: ... ..___.. .
SI'JlING'':IEL[)
I]lOCK: _
_ ((.0..0_ hl\c h ,,,, VJ
_._~ J ?:,__._..R.. :.!..r:..!" -..-8 : \ U
.~..
OWNER: _____..
:'.
ADDRESS: _
CITY: ....___ _. .
DESCRIBE WOI1I<::k.c_sh II
NEW.._X.._ I1EMODEI. _._
_...D{!.__.
STATE: _."'O.JZ..
l-t1."'i: \- i- <:; I c> -=-GJo~c\ -e '^
ADDITION __ DEMOLISH
OTHER'
COf-nRAClOII'S NAME
GENEflAL: _.
..
JOB NUMBER _ Ct~o.<:;;;;;' f.o
22tl Flflh Slreol
Sprlnulle1d, O":UOII 9'1477
PL...
TAX LOT:
) ~ (')00
SUBDIVISION:
PHONE:
-, Y J...::::.. ,..1 '-t 1....__..._
ZIP:~J'-( 17_.......
rltl.....c
1'1'-5 p s.t-=-_~ Ci.}__..
--_6~~-fLtUf; _
AUDI1E~;S
CONST.
CONTRACTOI1 ·
PI lONE
---..-.....---..-...----..-..- -....-----.--
PLUMBING: _
MECIIANICAI. t'h~Lf~.~ JLL_J\"'Il-t-L~;$
.__.__.._._-_..,...._--_._,_.,._._---~---_..-
ELECTI1ICIIL: ._.____ .__
QUAD AIlEA:
. OF ElLDGS:
OCCY GIlOUI'
. OF STORIE~;:
WArER IlEAl 1:11: __~_..
l{'_~.l._G, .s-Teel
- OFFICE USE -
LAND USE: __.._
. OF UNITS: ___-,-
CONSll1. TYPE: ___..__
HEAT SOURCE:
RANGE: ___..._______
EXPIRES
~-lqo
\ ")./" , --.------
._~..__.._..__...__.n.__
( Y...l.1y:g-
FLOOD PLAIN: . ..__...._.
ZONING CODE: _________
. OF BDRMS:
SECOND~ HEAT: ____ _____
SQUAR1 FOOTAGE; _. :_ . .__ ____.___
To IcqlJc~jl an in~pec'l()rl, you Ill'.!!:! call 72(3.3769. Tille Is a 2,1 he'llr recording. Alllnspecllons requested hefore 7:00 a.m. will be
nw(lc tllU ::;11110 wOlklnu day, Im;pcctlons requesled aller 7:00 a.lIl. will be made the following worl( day.
o TempOlary Electric
D Silo Inspecllon - To be made
after eXI:avDllon, hul prior 10
seltlllU lulms.
o UndorslaIJ Plull1IJlno/Eleclrlcel/
Mechanical - Pllor to cover.
D Foallnu - Aller !ranches are
oxcavullHt.
D Musof1lv - Steel location, bond
beams, Uroutlng.
o Faundillfan - After forms me
erected but prior 10 concreto
placument.
D Undcruround Plumbing - Prior
10 flllln!.) !rench.
o Undcrlloor Plumbing/Mechanical
_ Prior to Insulation or decking.
o Post and Beam - Prior 10 floor
Insulalion or decldng.
o Floor Il1sulallon - Prior 10
dccldnu.
[-I SnnllalY Sewer - Prior to filling
-- Ifondt.
D 510rm Sower - Pllor to IIIlIng
lIench.
D Willer line - Prior to fllllflO
trench.
o naUU" Plumblnu - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior 10
cover.
D noug" Electrical - Prior 10
cover.
o Eleclrlcal Servlca - Musl be
approved 10 oblaln perrnanenl
electrical powor.
I~ Fhoploce - Prior 10 faclno
malerlals and framing Insp.
o Framing - PrIor 10 c,over.
D Wall/Cel.llno Insulation - Prior 10
cover.
D Drywall - Prior to taping.
o Wood Stove - Aller Installallon.
D Inserl - Aller fireplace approval
and Inslallallo~ of unIt.
I~ ClIIbcul & Approach - Aller
forms ore omclod bul prior 10
placement of concrete.
I~ Sidewalk & Driveway - Aller
excavation Is completo, lorms
and sub.base malerlal In place.
D Fonce - When comploled.
o Slreel Trees - When all required
treos are planted.
,.f
o Final Plulllblnu'':'''' Whell all
plumbing WQfI( Is complete.
D Final Eleclrlcal - When all
electrical worl( Is complote.
l:2r~lnal Mechanical - When all
mechanical work Is. completu.
D Final Building - When all
required Inspections have been
approved and building 19
completc(l.
B Olher ....c~_t:: E..______
"
MOBILE HOME INSPI;CTIONS
D Blocking and Sel.Up -:- When 011
blocking Is complolo. '.
'to..
',.
D Plumbing Connections - When
home has been connectud to
walor and sewer.
l--I Eleclrlcal Connecllon - Whell
- blocking. sot-up, and I'IUlllblllU
Inspoctlons have boon Dpprovnd
and Ihe homo 15 connected 10
Ihe servlco pan~r.
D FInal - Aller 011 re"!Jlmd
Inspecllons oro approved Bnd
porches, sId rUng, decl(s, and
venllng havo been Installed.
__ _f~~t>~~~__ __
..BL ills.. .QAf! AC~
1L-____
~--~
~---
.E._ .____. ___n_ _.
Lot faloes
Lot Type,_
Intorior
Lol sq. IIg.
Lot coveraue
Cornor
Topography
Tolal heigh I
Panhandle
Cul.do.sac
BUILDING PERMIT
ITEM SQ. FT. X $/sa. FT. = VALUE
Main.
'.
",
Garage
Car pori
,
,
Tolal Value
Building Permll Feo
Stalu Surcharue
Tolal Feo
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Flxlures
Aosldenllal Balh(s) N'
Sanllary Sewer FT.
Waler
FT.
FT.
.
'\\
Storm sewer'~;
Mobile Home
Plumbing !,ermll '
Stale Surchargo
Tolal Charge
(C)
MECHANICAL PERMIT
Furnace
Exhausl Hood
Venl Fan
'N'
Wood Slovo/lnsorl/Flreplace Unil
Dryer Venl
Mechanical Permit
\ c:, oC)
InDO
/5
;:.) 0:; '5
Issuance
Slale Surcharge
Tolal Pormll
(D)
MISCELLANEOUS PERMITS
Mobile Homo
Slate Issuance
Slale Surcharge
Sidewalk
II
Curbcul
II
Dumnllllon
Slalo Surchargo
Tolal Miscellaneous Permlls
(E)
TOTAL AMOUNT DUE (excluding eleclrlcal) _'::l 0:;. "_
lA, B, C, 0, and E Combined)
. _TIlE 1'F10POSEll WORI\ IN lIlE
""I"i1:nOIIlCAL DISTflICT, on ON
THE IIISTORICAL !lEGISTER? ______.o___
II ynu, this appllcallon mu~1 1m sluncd
anti approved by tho Hislorlcal
Coordinalor prior '0 pOl'lnll Issuanco.
APPROVED: __
BUILDING VALUE, PLAN CHECI<
AND BUILDING PERMIT
This permit Is granteel on Ihe express condition Ihat Ihe said
construction shall, In all respects, conform 10 lliu Ordinilnce
adopted by Iho Cily of Springfield, Including Ihe
Developmenl COde, rogulating the conslruclloll and usu of
buildings, and may be suspended or .evokell al any lime
upon viola lion of any provisions of said orcJin.ances.
Plan Check Foe: __..____ _...
Dale Paid:
Recelpl Nurnbcr:__._..___
Recelvcd By:
Plans Revlowed Oy
Dille
Syslems Oevclopmcnl Cllaruc Is <lue on all undevoloped
properties wllhll1 Ihe Cily limBs which am being implOved.
ADDITIONAL COMMENTS
By signature, I state and aoree, Ihalll1avc carefUlly examined
Ihe completceJ appllcallon and 00 hereby Cllllify Ihat all
Informallon hereon Is truo anti correcl, and lllllllier ccrtily
Ihal any and all work performed shall be dorlO in accordance
with Ihe Ordinances of the Ci Iy of Sprlnglleld, ;Hld Ihe Laws
of the Slate of Oregon pcrlalnlng to the woil( describod
herein, and !hal NO OCCUPANCY will bo mado 01 any
structure wlthoul permission of tho Building S.;llcty Division.
I further carlHy 'hal only conlractors and emplpyeo5 who
are In compliance willt OAS 701.055 will be uscd on Ihis
proJec!.
I further agree 10 ensuro thal all required Inspoctions are
roquested at tho proper lIrrw, lhat oach address Is readable
Irom Ihe slreel, Il1al Ihe permll card Is localed alll1e Ironl
ollho properly, and Ihe approved sel 01 plan:; will relllaln
on lho silo al all limes during construe lion.
Slgnaluro ____~~ iWN-.,/t't
Dale _. ~bo/.p,,"~ ------ ---
VALlDArION:
flECEIPr NUMIlEII__ _ _Sl.1~2___.._._.
DATE PAID __,"__n_. '":'bollf.-2._. --.. ---.
AMOUNT RECEIVED. _f.:i.s:..-_2s.-__
RECEIVED BY ...__ _ ____m D~_._.____