HomeMy WebLinkAboutPermit Mechanical 1994-6-2
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
.
SPRINGFIELD
LOCATION OF PROPOSID~~~-, 954 9!Jinalt S.trp.p.t.
ASSESSORS MAP' \' JUt") rl.\(ft-~
. ",.. .
LOT-
OWNER:
ADDRESS-
CITY-
Jerr~1 I; c:::t.lOT'
954 Quinalt Street
SDrinafield.
DESCRIBE WORK- Install heat Duma
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
CENERAI-
BLOCV-
STATE:
nrpnnn
.
q~\~'
(2 tan)
DEMOLISH
OTHER
JOB NUMBER
225 Fifth S'reet
Springfield. Oregon 97477
TAX LOT:
()()\()n
.
SUBDIVISION-
PHONF-
741-4739
ZIP:
97477
ADDRESS
CONST_
CONTRACTOR'
EXPIRES
PHONE
PLUMBING-
MECHANICA" Comfort Flaw Heatina 855 W First. Euaene 97402 00460
ELECTRICAL:
6/27/95
342-8101
- OFFICE USE -
OUAD AREA: LAND USE: FLOOD PLAIN'
. OF BLDGS: . OF UNITS' ZONING CODE:_
OCCY GROUP- CONSTR. TYPE: . OF BDRMS:
. OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER- RANG~- 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
made the same working day. Inspections requested after 7:00 a.m. will be made the following work day.
, ~u~~RM~~h~~c~~E~:~~t~S
!2Sl ~~~cr.
o Temporary Electric
o Site Inspection - To be made
after excavation, but prIor to
setting forms.
o
Undcrslab Plumbing/Electricall
Mechanical - Prior to cover.
o
Fooling - 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
Underlloor Plumbing/Mechanical
_ Prior to insulation Or decl<ing.
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 fitling
trench.
o
Water Line - Prlo~ to filling
trench.
o
Rough Plumbing - P~ior 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 (raming Insp.
o Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
cover.
o Drywall - P~ior to ta;:tng.
o Wood Stove - After installation.
o Insert - After fireplace approval
and Installation of unit.
rl Curbcut & Approach - After
--l forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sLib-base materia! m place.
D
Fence - Whon cC'.mplcted_
...--.
U
Sirer.t Tre-c!:i - When all reQuired
Iret~S CITe planted.
o Final Plumbing - When all
plumbing work Is complete_
o Final Electrical - When all
electrIcal work is complete.
C:8( Final Mechanical - Wheo all
mechanical work is complete.
o 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 - Wilen
home has been connected to
water and sewer.
o 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, skirting, decks, and
venting have been Installed.
Lot faces
Lo' Type.
.S THE ;ROPOSED 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 sq. ftg.
Interior
Setbacks
P.L. HSE I GA~ ACC
Lot coverage
N
Corner
Topography
Total height
S
Panhandle
Cul.de.sac
W
E
BUILDING PERMIT
ITEM sa. FT. x $/SO. FT.
VALUE
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fcc
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
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/Fireplace Unit
Dryer Vent
Mechanical Permit
~~
to.
_A S - ..-,::::,
~ fJro-~
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Slate Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneou~ Permits (E)
.......1,... !y ,
TOTAL AMOUNT DUE (excluding electrical~~
(A, B, C, 0, aod E q,ombioed)
J==
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This perIni! is granted on the express condition that ttle said
construction shall. in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
DeVl'~loprnenl 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'
RcccivceJ 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
tho completed application and do hereby certify thai 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 tl1at NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
arc in compliance with ORS 701.055 will be used on this
~roiecl.
I further agree to ensure ltlat all required inspections arc
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 times during construction.
Sigoa'ure 9.~ ~
Da'p trJ- Jl1
VALIDATION: I")..
RECEIPT NUMBj'R _ \..:..J. \
DATE PAID I () .~ riD:
~~' !)
AMCUNT RECE~ . n .
RECEIVED BY ( 1\\