HomeMy WebLinkAboutPermit Mechanical 1991-12-6
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
.
SPRINGFIELD
ASSESSORS MAP-
LOCATtON OF PROPOSED WORK' 1427 Ouinalt
t'i 002-727 Z-
LOT:
Letta & Frank Hallock
OWNER-
ADDRESS: 1427 Quinalt
Springfield
CITY'
Heat pump system
DESCRIBE WORK:
NEW REMODEL X
BLOCK'
STAT~-
OR
ADDtTtON
DEMOLtSH
OTHER
.
q/l L{ci)
JOB NUMBER
225 Fifth Street
Sprtngfletd, Oregon 97477
TAX LOT'
SUBDtVtSION'
o 2..-l-Cl:>
PHON~'
746-4174
ZIP-
97477
ADDRESS
CaNST.
CONTRACTOR'
PHONE
CONTRACTOR'S NAME
GENERAl'
PLUMBtNG-
MECHANICAl- Comfort Flow Heating 855 W. First
ELECTRtCAI' ('~S bleC.!:l'6c-
0460
EXPtRES
6/30/92
342-8101
- OFFICE USE -
QUAD AREA: LAND US~' FLOOD PLAIN:
. OF BLDGS: . OF UNtTS' ZONING CODE:
OCCY GROUP' CONSTR. TYPE: . OF BDRMS'
. OF STORtES: HEAT SOURCE: SECONDARY HEAl'
WATER HEATER: RANGE: SQUARE FOOTAGE:
To request an Inspection, you must call 726-3769. Thts Is a 24 hour recordtng. 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.
D Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D Underslab Plumbing/Electrical I
Mechanical - Prior to cover.
D Footing - After trenches are
excavated.
D
Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms are
erected but prior to concrete
placement.
D
Underground Plumbing - Prior
to filling trench.
D
Underlloor Plumbing/Mechanical
- Prior to insulation or decking.
D
Post and Beam - Prior to floor
Insulation or decking.
D Floor Insulation - PrIor to
deckl ng.
D Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior to fillIng
trench.
D Water Line - Prior to fltllng
trench.
D Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
I"Vl Rough Mechanical - Prior to
lCJ cover.
~ Rough Electrical - Prior to
cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
D
Fireplace - Prior to facing
materIals and framing Insp.
D
Framing - Prior to cover.
D Wall/Ceiling Insulation - Prior to
cover.
D Drywall - Prior to taping.
D Wood Stove - After Installation.
D Insert - After fireplace approval
and Installation of unit.
D 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.
D Fence - When completed.
D Street Trees - When all required
trees are planted.
D Final Plumbing - When all
ptumblng work Is complete.
~Flnal Electrical - When all
electrical work is complete.
~
Final Mechanical - When all
mechanical work Is complete.
D
Final Building - When all
required Inspections have been
approved and building Is
completed.
DOther
MOBILE HOME INSPECTIONS
D Blocking and Set-Up - When alt
blocking Is complete.
D Plumbing Connections - When
home has been connected to
water and sewer.
D Electrical Connection - When
blocking, set.up, and plumb,lng
Inspections have been approved
and the home is connected to
the service panel.
D Final - After all requtred
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Lot faces Lot Type. Setbacks . THE PROPOSED WORK tN THE
Lot sq. ftg. Interior I P.L. HSE GAR ACC I HISTORtCAL DISTRICT, OR ON
IN I THE HtSTORICAL REGtSTER?
Lot coverage Corner If yes, this application must be signed
Is I and approved by the Historical
Topography Panhandle Iw I Coordinator prior to permit Issuance.
Total height Cul.de.sac IE I
APPROVED:
BUILDING PERMIT
tTEM sa. FT. x $/SO. FT.
VALUE
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s) NO
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Totat Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/Insert/Fireplace Unit
Dryer Vent
~.Ucr fR\'VVP
Mechanical Permit
IS.OD
[0.0'0
.7!J
2-6. 7-!?
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
doS./S
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 Springfietd, 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:
Recei pt 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 wttl 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
from the street, that the permit card Is located at the front
of the property, and the approve?d set of plans will remain
on the s~lte at all times during constru tlon.
Slgnatu/r ~
'/ -
Date '/A.--I, -1'/
VALIDATION:
RECEIPT NUMBER
~).0S-
1').f-:,YlI
~<:'.J<:)
'G)f'>
DATE PAt"
AMOUNT RECElv~n
RECEIVED BY