HomeMy WebLinkAboutPermit Mechanical 8-5-13
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:
/'7c; ~
;~.
"
BLOCK:
OWNER:
ADDRESS:
CITY:
J/~ /~t"'.L ,
/40 A-?'~ t1/P
L "" .. - ..... r
S/r-i
, (
STATE:
tJ?( .
.
JOB NUMBER
/1JCJf75
225 Fifth Street
Springfield, Oregon 97477
TAX LOT: ^ F" ? /'_
l-' ___ ,
SUBDIVISION:
PHONE:
_?crLc; -~(?, 7
p7~7/
(( ,
Au) -1L'c- f ~ ~~~,
ZIP:
DESCRIBE WORK: b~F:vA"~/ t/ ;<#/ -J,F/.Lf!..1
REMODEL ADDITION DEMOLISH OTHER
NEW
CONTRACTOR'S ~AJAE
GENERAL: y~
PLUMBING: ' t/I
--..-I MECHANICAL: ---,fc/v-tIf../?AA..'
ELECTRICAL: t/
CONST,
J /, AD~RESS , II::;) CONTRACTOR #
~~Jt:IAJd-)J/-~ ' 0 t)>9,C;- 7-
I
Ue~/ ~ rI- Jl/C_/~ S' (jd:(ft1. /l..J.,,1- A"
1',:" "/ -. ~
QUAD AREA:
# OF BLDGS'
OCCY GROUP:
# OF STORIES:
WATER HEATER'
FLOOD PLAIN: - ,'r.E \NO?'''
"\01\C~.. 7r.\Nl,..\rf~~\~;' \~~~\ \S ~O'
\ ?tW\\,'9\P'lll-~~\S \"t::\
,WS?E: .( ~MS: ~.l'\cn rO~
O~\7..rc.\J ~~~~\JV' -
~\\,~ ~~iJlJfY HEAT:
" "AW\rc.~Ct:.V .-r.:l\()\)
CO\'4\ \)wP~~~OOTAGE:
ftN ~8()
......1
- OFFICE USE -
LAND USE:
# OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE: _
EXPIRES ,~ PHONE
Z/-~P Y'7V"'92Y.F
..
~}2 e~OA.e_
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, Inspectlo~s requested after 7:00 a.m. will be made the following work day.
o Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumblng/Electricall
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 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.
D Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
D Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
k.7r10U9h Mechanical - Prior to
~cover,
~ Rough Electrical - Prior to
~ cover,
D 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 fireplace approval
and Installation or unit.
D Curbcut & Approach - After
rorms are erected but prior to
placement or concrete.
o Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material In place,
o Fence - When cOi"lpleted.
D Street Trees - When all required
trees are planted.
D Final Plumbing - When all
plumbing worl< is complete.
15<1 Final Electrical - When a/l
, ",Iectrlcal work is complete,
'K! Final Mechanical - When all
, ""echanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
MOther ~'*' T~~T (t./~)
~ ~ S~t/~
MOBILE HOME INSPECTIONS
D Blocking and Set-Up - When al/
blocking is complete.
D Plumbing Connections - When
home has been connected to
water and sewer,
D Electrical Connection - 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, skirtlng,decks, and
venting have been Instal/ed,
Lot faces
Lot TY~
Lot sq. ftg.
Interior
Lot coverage
Corner
Topography
Total height
Panhandle '
Cul-de-sac
BUILDING PERrt111T 'i
ITEM SO, FT.
':,
"
'i'
X $/SO. FT.
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
t;,~ ~;, ..~~ ~:
~:"t. ~:
Setbacks
P.L. HSE GAR ACC
N
S
IS 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,
E
w
---.--------
APPROVED:
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
FT.
Storm Sewer
FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMJ~
Furnace -f ~ (!.,
Exhaust Hood
Vent Fan
NO
Wood Stove/lnsert/Flreplace Unit
&~,U4/C
-e-.J"" ,1"""
-W/tf I ~~ (F#,
Mechanical Permit
Issuance
State Surcharge I,Otb + ,~)
Total Permit (D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
fl
Curbcut
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
FEE
J2.~
:Z~
7,,>0
2/.>,C)
- , .
-L~,~
/,73
'? .3 ,'.3
3J !-3
BUILDING if A Lti E, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
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:
Date Paid:
Receipt Number:
Received By:
Plans Reviewed By
Date
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
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 Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made 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 to ensure that all required inspections are
requested at the proper time, that each address Is readable
(rom 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 at&eJ1d..:;.ri~ncons r tlon.
~nature ff~ /; 7~
r\SI~ v - V"
~i/--?y
Date
VALIDATION:
RECEIPT NUMBER
2-971'0
S-//i17C
( - J..']
.7..., _
~~
DATE PAID
AMOUNT RECEIVED
RECEIVED BY