HomeMy WebLinkAboutPermit Mechanical 1995-11-20
RESIDENTIAL
PERMIT APPLICATION
Inspeclions: 726,3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
/703
ASSESSORS MAP:
LOT:
NEW
.
SPRINGFIEL.D
(!.r,
~7
BLOCK:
.
JOB NUMBER 7' 5' I ~/7
225 Fifth Street
Springfield, Oregon 97477
, TAX LOT:
SUBDIVISION:
t"'9 :? 5' /'1l;
"
PHONE: 7~ 10 - 6{ g ()3
STATE:
012
OWNER HG/lJRY HOME-If.
ADDRESS :d3d.'/.,_jlf)ilA)~,/_,J!.-7'
CITY: SP~ /4l./3.E.L;::;'/.J) ______
DESCRIBE WORt( B.6PLAtlE Bits Fuf(fJA(J;6.. ADD AI R (lfl/>,JDr,//J JUEf2
REMODEL __ ADDITION
DEMOLISH
CONTRACTOR'S NAME
GENERAl.
-------.------.
_ ZIP:
10-; (j 7 I-f
OTHER
ADDRESS
CON ST.
CONTRACTOR N
PHONE
EXPIRES
PLUMBING'
MECHANICALQ,,'Q.~t-+ nOli) ~~Q..~ I q5l ::D\)f'l St. ~ltk J) / ~~f~\~ G,r\\.l '1 '7 ODq&D wh,/% ?~-D/{)t)
ELECTRICAL:
OUAD AREA:
. OF BLDGS:
OCCY GROUP:
. OF STORIES: __,______
WATER HEATEf1: _...__'_____,_,_
- OFFICE USE _
LAND USE:
N OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
FLOOD PLAIN'
ZONING CODE:__
. OF BDRMS:
SECONDARY HEAT:
SOUARE FOOTAGE: __
To requesl an Inspecllon, you musl call 726,3769. This Is a 24 hour recording. Alllnspecllons requested belore 7:00 a.m. will be
made the same worl<lng dny, Inspections requested after 7:00 a,m. will bo made tho (ollowlng work day.
D TornporOlry Electric
o Sito Inspection - To be mado
after excavation, but prIor \0
sellIng forms.
o Underslab Plumbing/Electrical I
Mechanical - Prior to cover.
o Fooling - After trenches are
excavated.
o Masonry - Steel location, bond
beams, groullng.
D Foundation - After forms are
erecled but prIor to concrete
placemont.
o Underground Plumbing - Prior
to fllIlnQ trcnctl.
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Post and Bca~ - PrIor to floor
InsulatIon or dCcldng.
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to fl/lIng
trench.
o Storm Sewer - Prior to filling
trench.
o
Wator Llno "'" Prior 10 filling
trench,
o Rough Plumbing - PrIor to
cover.
REQUIRED INSPECTIONS
o Rough Mochanlcal - PrIor to
cover.
o Rough Electr~cal - Prior to
cover. ,
o Eleclrlcal Service - Must be
approved to obtain permanont
olectrlcal power.
o Fireplace - Prior to (acing
materials and framing Insp.
o Framing - Prior to cover.
o Wall/C'elllng Insulallon - Prior to
cover.
D Drywall - PrIor to taping.
D Wood Stovo - After Instal/allon.
o Insert - After fireplace 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 materIal In place.
o Fence - When completed.
o Street Trees - When all required
trees Bre planted.
o Final Plumbing - When all
plumbing w9rl< Is complet,e.
~Flnal Electrical - When all
~ electrical work Is complete.
i'571' Final MeChanical _ Wh~n all
~mechanlcar 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
home has been connected to
water and sewer.
o Electrical Connoction - 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 faces
Lot Type.
Lot sq. Itg.
InterIor
I P.L.
IN
Is
Iw
IE
Setbacks
, HSE ' GAR' ACC I
I
I
I
-.J
.S THE PROPOSED 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.
Lot coverage
Corner
Topegraphy
Tolal height
Panhandle
Cul'de,sac
APPROVED:
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT. = VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
"
This permit Is granloeJ on the express condillon Ihat the said
construcllon shall, In all resp0cts, conform to tlle Ordinance
adopted by the City 01 Springlleld. including the
Development Code, regulating the cOr)$lruclion and use of
buildIngs, and may IJe suspended or revol~cd at any lime
upon violation of any provisions of said ordinances.
Main
Carport
Plan Check Fee:
Total Value
Dale Paid:
Building Perml t Fee
Recel pt Nurnber:.~_. _.___...h_______
State Surcharge
Received By:
Total Fee
(A)
Plans Reviewed 'By. --.----,--.
Dale
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Syslems Development Charge Is due on all undeveloped
propertlos within thn City limits which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s) N'
Sanllary Sewer FT.
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
~.......u?
MechanIcal Permit
J 5' ~o
/C)""O
12..0
24>.. 2vo
By signature, I stale <lnd agree. that I have ctlrefully examIned
the compleled application and do hereby certHy 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 Ordlnences ollhe City of Springfield, and the Laws
of the Slate 01 Oregon pertaining to the work described
herein, and thai NO OCCUPANCY will be made 01 aoy
structure without permission of the Building Safety Division.
I furlher cerllfy that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
prolect.
Exhaust Hood
Vent Fan
N'
Wood. Stovel Insert/Fireplace Unit
Dryer Vent
Issuance
State Surcharge /7)' t',.fF
Tetal Perml! (D)
Sidewalk
It
I further agroo to ensure thaI all required Inspections are
reQuested at Ihe proper lime, that each address Is readable
from tho street, thai the permit card Is localed at the front
of the property. and lhe approved set of plans will remaIn
on the site at all times during constructIon.
9,/-f.-f'f (}./)aZ;U
Date YhJ./~ c10, /095
-~
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Slgnalure
Curbcul
It
Demolition
.('7 /... .2.,,0
TOTAL AMOUNT DUE (excluding electrical) ~~_
(A, B, C, 0, and E Combined)
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
/ <JfO~7
!./f2D/Lr
2b~;' 0
.(/~
Slate Surcharge
Tolal Miscellaneous Permlls (E)