HomeMy WebLinkAboutPermit Mechanical 1997-1-16
OWNER' De'{\n~5. M. ~ Mo.I'U
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ADDRESS' c...CJ. Z. \0 - - u r'
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DESCRIBE WORK' r Y\sb..U. f'\Cl-.fur~ J c<.s h<!"Q +e-r-
NEW REMODEL 'I--. ADDITION. DEMOLISH
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
ASSESSORS MAP'
LOT'
CITY:
CONTRACTOR'S NAME
A0.--fo VY"\CL-\1 c.
GENERA' .
PLUMBING'
MECHANICA' .
ELECTRICAl'
,;.
SPRINGFIELD
.
(\f/Dl3G?
BLOCK'
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I
STAT~'
()~
JOB NUMBER
225 Fifth Street
SprlngfLeld. Oregon 97477
SprlnqiUJd
TAX LOT' n. ~ rY )
SUBDIVIStON:
PHONF'
'72..6 - 0704
OTHER
Zlp0r7C(.71- (beV
ADDRESS
+kat
CONST.
~~~R .
n EXPIRES '.... PHONE
I .~<::l .en l~hll O~
- 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: 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.
REQUIRED INSPECTIONS
/'
~ Rough MechanIcal - Prior to
cover.
o Temporary Electric
O Site Inspection - To be made
after excavation, but prIor to
setting forms.
o Underslab Plumblng/Electrlca"
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
D 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
decking,
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.
D Rough Electrical - Prior to
cover.
o Electrlca' Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials antt framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping,
D Wood Stovo - After Installation.
o Insert - After fireplace approval
and Installation of unit,
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Drlvewav - 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 worl<. Is complete.
, .
D Final Electrical - When all
electrical work is complete.
./
gFlnal Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
em S ~ ro'(.e...-
[B"Other zj
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 - After al/ required
Inspections are approved and
porches, skirting, decks, and
venting have been installed.
Lot faces Lot TYPO.
Lot sq, flg. Interior I P.L.
IN
Lot coverage Corner Is
Topography Panhandle Iw
Total height Cul-de.sac IE
BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT, - VALUE
Main
Garage
Carport
'.
Total Value
Building Permit Fee
Slate Surcharge
Tolal Foo
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Rosldonllal Bath(s)
N'
Sanitary S~wer
Water
FT.
Storm Sewer
FT.
FT.
Mobile Home
Plumbing Pormlt
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
N'
Wood Stovollnsort/Flroplaco Unll
Dryer Vent
Mechanical Permit
I~,W
to.cD
./"I)()
dJ/o/)f)
Issuance
Stato Surchargo +~
Total Pormlt (D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stato Surchargo
Sldowalk
fl
Curbcut
fl
Domolltlon
State Surcharge
Total Mlscollaneous Permits (E)
TOTAL AMOUNT DUE (oxcludlng oloctrlcalOO .;;)()
(A, B. C, D, and E Comblnod)
.' '. ~:::' tk \:,~i; \~:,
. '
( IS THE PROPOSED WORK iN THE,
. .'HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER7
II yos, this application must bo slgnod
and approved by the Historical
Coordinator prior to permit Issuance.
Setbacks
HSE GAR Accl
APPROVED:
. ", '. '!,
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
constructlon shall, in all respects, conform to the Ordinance
adopted by the Cily of Sprlngflold, Including tho
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:
. Dato Paid:
Receipt Number
Recoived By:
Plans Rovlowod By
Date
Systems Development Charge Is due on all undeveloped
proportlos within tho City limits which are being Improvod.
ADDITIONAL COMMENTS
By signature, I stalo and agree, that I havo carofully examlnod
tho comploled application and do horeby 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 tho Laws
of the State of Oregon pertaining to the work described
horoln, and that NO OCCUPANCY will be mado 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 10 ensure that all required Inspections are
requested at the proper time, that each address Is readable
from tho street, that tho permit card Is located at tho front
of the propor~y., and the approvod sot of plans will remain
::,:~'/It~O~
Datp
VALIDATION: 11
RECEIPT NUMBER N 4-m
DATE PAID I . / I (; . qrr
AMOUNT RE:t1;-f' cf)0. .!l.r)
RECEIVED BY .l)lM _ ....,