HomeMy WebLinkAboutPermit Mechanical 1992-5-18
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Ollice: 726,3759
LOCATION OF PROPOSED WORK:
.
SPRINGFIELD
t:r
BLOCI"
ASSESSORS MAP:
LOT'
OWNER:_JI'N\..... J)Dn~l~
ADDRE'"'' Q ~ '10 R \\Jl eNl.
CITY SOf'\l'\.,\~\dd..
DESCRIBE WORK:
I-l-f:.A-r
W l \\\O..ms
&.
STAT'"
oe.
.
9::?C>7:a6
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
TAX LOT'
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SUBOIVISION:
PHONE:
'14 '7 - S'I 'tJ
ZIP:
q1l/1?
p tJl'{\ i>
3 +on - 3lD ,.DDD 't>1 U ~
REMODEL ~ ADDITION
NEW
CONTRACTOR'S NAME
GENERAl'
DEMOLISH
OTHER
ADDRESS
CONST.
CONTRACTOR'
PHONE
:;;~M:;::AL~l_o{'(\~or'~"r\ ~~-~~~;~
ELECTnlCAL: _'--'.
OUAD AREA:
. OF BLDGS:
OCCY GROUP'
. OF STORIES'
WATER HEATER:
~ ()c.jla.O
- OFFICE USE -
LAND USE:
. OF UNIT~'
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
EXPIRES
v./ ~OL q:J.'--i;;~--~:gi-o-J
FLOOD PLAIN:
ZONING CODE:_
. OF BDRMS:
SECONDARY HEAT:
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
ma(lc the same working day. Inspecltons requested after 7:00 a.m. will be made the following work day.
o Temporary Electric
I I Site Inspection - To be made
after excavation, but prior 10
setting forms.
o
Underslnb Plumbing/ Electricall
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o
Masonry - Steel location, bond
beams, Grouting.
o Foundation - Atter forllls are
erecte(! bul prior 10 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 L1no - Prior to fIlling
trench. .
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o 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.
o Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taPing.,
o Wood Stove - After installation.
o Insert - After flrep!lace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base malOr,lal In place,
o Fence - When corflPlctClL
o Street Trees - When all required
trces arc planted.
o Final Plumbing - When all
plumbing work is complete.
D Final Electrical - When all
electrical work is complete.
IE]
Final Mechanical - When all
mechanical worl~ is complete,
o Final Building - When all
required inspections have been
approved and building is
completed.
D'O'hcr
MOBILE HOME INSPECTIONS
o BlockIng and Se,t,Up - When all
blocking is complete.
o Plumbing Connections - When
home has been connected to
water and sewer,
o Electrical Conncclion - 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,
Lot laces
Lot Type.
Lol sQ. fig.
Interior
Lot coverage
Corner
Topography
Total lleight
Panhandle
Cul.de-sac
BUILDING PERMIT
ITEM sa. FT. \ X. $/SO. FT.
..
Main
GarilUC
Carport
Total Value
Building Permit Fee
Stale Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanilary Sewer
FT.
--~
Waler
FT.
Slorm Sewer
FT.
Mobile Horne
Plumbing Permit
Stale SUlchmuc
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnsert/Fircplacc Unil
Dryer Vent #
,~~@P. 'a?~~.-O
Mechanical Permi I
Issuance
Slate SUlchnrge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Slate Surcharge
Sidewalk
It
Curbeul
It
Demolition
State Surcharge
Tolal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding eleclrlcal)
(A, B, C. D. and E Combined)
_ THE PROPOSED WORK IN THE
~ISTORICAL DISTRICT. OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
S;oordinator prior to permit issuance.
Selbacks
I P.L. I HSE GAR ACC I
N
S
E
W .,
- "----- ~-----------
APPROVED'
VALUE
FEE
~I-~ -e>
/0. at?
-7:?
~~22
BUILDING VALUE, PLAN CHECK
I AND BUILDING PERMIT
This permit is qranted on tile express condition Ill;}t tile said
, .. ~ . ., t..
construction shalt. in allrc'sPccls,"confornf to tile Ordinance
adopted by. the Cily of 'Spri.nglield, includil1Q the
DeveloplIlent Code, re~lulating 'Iile con~~lhl<;lion and 'use of
buildin{js, and lTlay be ~;u~~pended or revoked al any time
upon violation or any provisions of snid ordinanccs,
Plan Checl< fee: ___
Date Paid:
Receipt NUlllbc'.'
Received By:
Plans Reviewed By
Date
. '':'Systems Developrpent 'Charge is due on all undeveloped
properties wj}hi~ ~hc,City limits w.hich;are being improved,
" ,.... ... . . 1
ADDITIONAL COMMENTS
By signatme, I stale and agree, that I have carefully examined
the completed application and do hereby certify that all
information 11Oreon is true and correct, and I furttlcr ccrllfy
that any and all work performed shall be done in accOIdnncc
with the Ordinances of lhe City of Springfield, and the Laws
or the State of Oregon pertaining to tile work described
IlCrein, and tlial NO OCCUPANCY will be rnade of any
structurc 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 furlher agree to enSlHe thaI all required inspeclions arc
requested at the proper lime. that each address is readable
from the slreet, thai thc permit card is located at the front
of Ihe property. and llle approved set of plans will remain
on the sile at all times during construction.
Signature
9~&aZJ
5-/4-IfcJ..
Dalo
VALIDATION:
t,<<.Bib
DATE PAID -!>Y.8-9"2
AMOUNT RECEIVED _:ZC;;:?;::;--
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RECEIPT NUMBER
RECEIVED BY