HomeMy WebLinkAboutPermit Mechanical 1993-11-4
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP'
LOT:
.
SPRINGFIELD
,,bL
BLOCK'
OWNER: _ Y"v-:r. \ !0n(v{\).')flV',/-1rv
ADDRESS' I. J n ':prAA..<,/Vtff'V
CITY: ~/,j STATE:
DESCRIBE WORK: {l~...a ~ d- ,t g pf fA r L
NEW REMODEL ADDITION DEMOLISH
CONTRACTOR'S NAME
GENERAl'
()o.
OTHER
.
JOB NUMBER
C]?:, J (O{/7~
225 Filth Street
Springfield, Oregon 97477
TAX LOT:
SUBDIVISION:
OOLlni
PHONE:..::J L/-?'r O,j;:,5?
ZIP:
910....;77
ADDRESS
CONST,
CONTRACTOR'
EXPIRES
PHONE
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.
PLUMBING:
MECHANICAL: C1~~('&",,^--, lJOcL'L (.2~Ic'M~ ,Y~n) c:"IJ.fPl, f:f7l ~:ll
ELECTRICAL:
'7q ~ q c:.. '-/ - 'i i.a<2t:
- OFFICE USE -
QUAD AREA' c::; LAND USF' FLOOD PLAIN:
. OF BLDGS: . OF UNiTS: ZONING CODE:_
OCCY GROUP: CONSTR. TYPE: . OF BDRMS:
. OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANGE: SQUARE FOOTAGE:
To request an inspection, you must call 726-3769. Tills 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. wilt be made the following work day.
o Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o
Underslab Plumbingl Electrlcall
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 fllling trench.
o
Underlloor Plumbing/Mechanical
_ Prior to Insulation or decking.
o
Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
aecking,
I,
I
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to fllling
trench.
o Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
o
Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - After installation.
o lnserl - After fireplace approval
and installation of unit.
o
Curbcut & Approach - Aflcr
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - AHcr
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 work Is complete.
D
Final Electrical - When all
electrical work is complete.
o
Final Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required inspections have been
approved and building is
completed.
o Other 1/A/J
jYh~,
MOBILE HOME INSPECTIONS
o Blocking and Sel-Up - When all
blocking Is complele.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set-up, o.nd 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.
i
;
'I
I'
I:
Lot faces
LOI Type
Lot sq, ltg,
Interior
Lot coverage
Corner
Topography
Panhandle
Total height
Cul-dc.sac
BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT,
Main
Garage
Carport
Total Value
I
I
Building Permi t Fee
State Surcharge
Total Fee
(A)
I,
Setbacks
I P.L. HSE GAR ACC
IN
Is
\W
IE
.
VALUE
(B)
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary Sewer
FT,
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood StoveJlnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
I
I',
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
FEE
Ie., o()
1(") () 0
IS
f> ;;}'::::..... 'I c:::
~s,J~
'THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in aU respects, conform to the Ordinance
adopted by the City 01 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 CUy limits which are being improved.
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examined
the compleled application and do hereby certify that all
Information hereon is true and correct, and I furlher 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 Safely 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
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 at all ~// during 7~uctJon.
Signatu~~d'ffi
Date //-c/Yf
VALIDATION:
RECEIPT NUMBER
I bllO
/II L..i10'J.,
dS.,c"
6JP.,
DATE PAil)
AMOUNT RECEiVEr>
RECEIVED BY