HomeMy WebLinkAboutPermit Mechanical 1993-2-8
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
SPRINGFIELD
LOCATION OF PROPOSED WORK: c!!) J l'
J ~ -() 3-1:r1-- Z-
OWNER: -j); e-yU-4- 80 m~lZe-l-6
A'DDRES~{\J(J'~\~ QJu\TQX\funD .\?-{ t--GL
'C;Ty:~5\ 1 'i-nL'~Urt -, S;ATE:' l\JJ\h() n ~
\ _~. L\ \ ~ " \
DESC~IB~WORK: S ..'~ __ P r
N~:V: 'i/ REMOD~-L 'ADDITION
- \.' '\' .
, CONST.
C~NTRACTOR'? N~ME . ,'. ", /[(, ,)A~?R,ESS ., .. 8,oN~RACTOR #
GENERAL-'. , I''! 3"'1 (!~/};j; I 7/7 (!~;f..f '4:: '.'~~' .~:z 9 Y'7
PLUMBING' U/.l t!G./L~. P(/ ~~.,
MECHANICAL: 4/it rec--# tZu~ ~
"'11 '/.) Id.- .3./ '7 tJ / W~:/ / j1- ~ ~ .
/
ASSESSORS MAP:
LOT:
4--5
ELECTRICAL:
. QUAD AREA: '" ~ S u.)
I
OCCYGROUP: ~~~_
# OF STORIES: !l
'c"~
# OF BLDGS:
WATER HEATER:
BLOCK:
DEMOLISH _.....::...__ OTHEF;!
- OFFICE USE -
LAND USE: rJ / f J
f
JOB NUMBER
q~/ 1-/
225 Fifth Street
Springfield, Oregon 97477
TAX LO-f, J a "c; ~
SUBDIVISION: Wtl/t'-mcdr::/ Ills
PHONE:
\4i-RlNt
ZIP: q\~\1
EXPIRES
t-1J
PHONE
7 '/7 8'7 ,(If/
"7 :L. "7 v.t 2 l'
4Jrs /~
0y;J-l3S3
FLOOD PLAIN:
ZO~ING CODE:.J.1),f )
# OF, BDRMS: '~'3 _
SECONDARY HEAT: :W
SQUARE FOOTAGEc:i(')T:7-/
To request an inspection, you must call 726-3769. Thls'ls 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, will be made the following work day,
f2(J Temporary Elect~ic
0: Site Inspection - To be made
after excavation, but prior to
setting forms.,
o Underslab Plumbing I Electrical/
Mechanical' - Prior to cover.
M Footing - After trenches are
~excavated. ,
o Masonry - Steel location, bond
beams, grouting, .
'tyl' Foundation - After forms are
~erected but prior to concrete
placement.
o U'~derground Plumbing - Prior
to filling trench.
REQUIRED.INSPECTIONS
K7l' Rough Mechanica('- Prior to,
~ cover, , :
l\71' ~oU9h Eiectrical -' Pri'o~ to
~cover,' ,_,
'".. '\
rv1 Electrical Service - Must',be
~approved to obtain ,permanent
electrical power,
o Fireplace - Prior to faci ng
materials and framing Ins'p.
~ Framing - Prior to cov~:, :
I'\./f'Walll Ceiling Insulation - Prior to
~ cover. .. ,
......
~ Drywall - Prior to }aPi~g",
; ~
1'vI1' Unde~f100~lumbin~chan~ M
~ _ Prior to Insulation or Ut;l;KJng. ~ Woos! Stove - After i~stallation.'
, -z:otW ~ F',IJ,
l'v-1' Post and Beam - Prior to floor
~ insulation or decking.
DI Floo~ Insulation -- Prior to
,~ decking,.
K:7f Sanitary Sewer - Prior to filling
~ trench, .
f"YYStorm Sewer...,.. Prior to filling
~ trench. .,;',
,
~Water Line - Prior t? filling ..
~ trench, .
'li)(1' Rough Plumbing '-priorto
~cove~ ;
. ..~-
o Insert - After fireplace approval
, . ?nd installation of unit.
o Curbcut & Approach -- After
. forms are erected but prior to
placement of concrete, .
D Sidewalk & Driveway - After
, excavation Is complete, forms
and sub-base material in place.
o Fence - When completed..-"
D. Street Trees - When ,all .required
trees are planted: . , '.; .'
,"
, , -" ,
1'><1 Final Plumbing - When all
~ plumbing work is complete.
.~' Final Electrical -) When all
~ electrical work is complete,
IVrFinal Mechanical - When all
~ mechanical work is complete,
~ Final Building - When all
~required inspections have been
approved and building is
completed.
o Other
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 ,Elect~ical 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, skirting, decks, and
venting have been installed.
Lot faces
/ . '-~~ '.
Lot Type
~ Interior
Corner
Setbacks
I P.L. HSE GAR ACC
IN
Is
THE PROPOSED WORK IN~_ E
HISTORICAL DISTRICT, q~, 0
THE HISTORICAL REGiStER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
Lo.t sq. ltg,
Lot coverage
Topography
Total height &5/
Panhandle
Cul-de'sac_
W
E
BUILDING PERMIT
tQ~ X $/~c;j() =q3AO~7
.\b i* So "'~LV7
ITEM
Main
Garage
Carport
~
~.~D
4S-I.$
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) -$lJrP
l
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s) NO ~
--
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
J22 -?O
Plumbing Permit
State Surcharge
9." :3
~?~~~
Total Charge
(C)
MECHANICAL PERMIT
-6~-
4.~O
--fl.. t;O_
J S4t:>O
,~~t>
Furnace
Exhaust Hood
Vent Fan
NO
-4
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
4r;..SO
/D.bO
2,q.3
$?..'53
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
ft
Demolition
State Surcharge
t?fA,.-) ~ 1 AW,
2~
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
7CJB!-~
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
2. 77. s-o
~ -~ -<::;' .?
Date Paid: ~ ....- ()
Receipt Number: 7#4-
Received By: ~.
~a'~~
Plan~Reviewed By .
27/ S-o
- '277 /$"0 -.,
,. d'tP
2, .
ol{e
3-//- )'1
Dille -
Plan Check Fee:
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved,
ADDITIONAL CQMMENTS
LN ~ f\ ~O'~ill (~J\ ~_~-h())\
,C.~Ql.fnU\t thY'-fn
\,[j~ k n \\(\(2 ~.,
PAT.H1
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certi fy 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 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 i1 ti~ring construction.
Signature "//l~
Date
~ -.(};-.-9 ~
VALIDATION: I) CC~
RECEIPT NUMBER 40 ....z...-,/
DATE PAID 0' \~ ,q.::s
o.LDLo
)
AMOUNT