HomeMy WebLinkAboutPermit Mechanical 1998-10-12
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.
SPRINGFIELD
LOCATION OF PROPOSED WORK' 44.3
ASSESSORS MAP: I '1 n 5 <'3 4 / q
OWNER' -r:L!J :".l,~y : ~AA_
ADDRESS" '-I t/r~ Rid eJ2..U/ ~
CITY: <::rp -f I d lOlL..
DESCRIBEWOR~' ~~l1~~P ~e~~~ ~~~/~~
NEW REMODEL )(' . ADDITION DEMOLISH OTHER Tt/fd-eLJ !!~/.ve7-<;
LOT"
CONTRACTOR'S NAME
GENERAL: ---=-1 ~t2.1I
t'
K( u e.e- J( ec-p)
BLOCK'
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STATE: ...t:L D
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JOB NUMBERCl q 13q I
225 Fifth Street
Springfield. Oregon 97477
~(,vd
TAX LOT'
SUBDIVISION'
n376D
PHONF'
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ZIP: ~7l.,t 7f?"
ADDRESS
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CONST.
CONTRACTOR'
g~ .$f9--1/J.lLl<d
PHONE
PLUMBING'
MECHANICAl'
7) e / T-e.
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ELECTRIC" , .
QUAD AREA:
. OF BLDGS'
OCCY GROUP:
. OF STORIES:
WATER HEATER:
F.b, 6....", l/tb'2..-:l.. !FU4 '-:"JR
- OFFICE USE -
LAND U"".
. OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE'
EXPIRES .,.,
73~/"2..
,1/'7/ ,;zoo/
7l/1 "'f[t,I
"'''.{-=OIJS -
FLOOD PLAIN'
ZONING COD'"
· OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To requesl 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 8.m. will be made the following work day.
o Temporary Electric
o Site Inspection - To be mado
after excavation, but prior to
setting forms.
o Underslab PlumblnglElectrlcal/
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 Undorground Plumbing - Prior
to filling trench.
O Underlloor PlumblnglMechanlcal
- 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 mllng
trench.
o Water Line - Prior to IIll1ng
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
rv1 Rough Mechanical - Prior to
L,4J c7<: ~
6 tcC;h~'il1:nl ]?d~
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o WalllCefllng Insulation - Prior to
cover.
o Drywall - Prior to taping,
o Wood Stove - After Installation.
o Insert - After fireplace approval
and Installation of unll.
o Curbcllt & Approach - After
. ' forms are erected but prior 10
placement of concrete.
o Sidewall, & Drlvaway - After
excavation Is compictc, forms
and sub.base material In place.
o Fence - \OVhen corilpleted.
o Street Trees - When all roqulred
trees are planted. .
o Final Plumbing - When all
plumbing w9rl< Is complet.e.
D Final Electrical - When all
electrical work Is complete.
f17l FInal Mechanical - When all
~ mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
~Other 'A!<?TbfI2L>L &<4."_
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 10
the service panel.
o Final - After all required '
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
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"
L~t ~yp" ,'" ::... f":\,:;X:" 'IS THE PROPOSED WORK IN THE.
Lot faces Setbacks '
Lot sq, ftg, Interior I P.L, HSE GAR ACC I HISTOI;lICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTER?
lot coverage Corner If yes, this applloatlon must be signed
" Is I and approved by the Historical
Topography Panhandle Iw I Coordinator prior to permit Issuance.
Total height Cul-de-sac IE I
APPROVEf"
BUILDING PERMIT 'i ,,{
ITEM SQ. FT, X $/SQ, FT, = VALUE
Garage
Carport
"
. .',," ", "
BUILDING VALOE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the said
construct/on shall, In all respects, conform to the Ordinance
adopted by the City of Springfield, Including the
Dovelopment Code, regulating the construction and use of
oulldlngs, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Main
Plan Check Fee:
Date Paid:
Total Value
Building Permit Fee
Receipt Numb~r:
State Surcharge
Received By:
Tolal Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved,
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
FT.
FT.
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
State Surcharge
Total Permit
(D)
/s\ e>e>
, -
/<S'::-~
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By signature, I state 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 In accordance
with the Ordlnanc~s of the City of Sprlngfl~ld. and the Laws
of the State of Oregon perlalnlng to the work described
herein. and that NO OCCUPANCY will be made of any
structure without permission of the Building SC!~ety Division.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
Exhaust Hood
Vent Fan
N'
Wood StoveilnsertlFlreplace Unit
~;:~ I
~ 1#~/7t:P-'
Mechanical Permit
Issuance
Sidewalk
It
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 atnmts durl~n~~yuctlon.~ /:l
SlgnatuQ tLr)Jttf/ ~~y
Date / r _Ji /91 ~
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Curbcut
It
Demolition
State Surcharge
VALIDATION:
RECEIPT NUMBER ~ ~~
- -
DATE PAIP 1# '/'"2 -<9~
, ,
AMOUNT RECEIVED -;;z.A. S- t:"
RECEIVED BY / / ~..+-..
, ~l'
Total Miscellaneous Permits (E)
"
TOTAL AMOUNT DUE (excluding electrical)
(A. B, C, D, and E Combined)