HomeMy WebLinkAboutPermit Mechanical 1995-8-2
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726.3759
.
SPRINGFIELD
ASSESSORS MAP:
LOCATION OF PROPOSED WORK: 1366 Pleasant
no~~s:)S.
Street
LOT'
OWNER'
Phillio Jenkins
1366 Pleasant Street
Springfield
ADORE"'"
CITY:
BLOCt<'
STATF'
OR
NEW
REMODEL
ADDITION
Tn~tA 11 OR~ fllrnRr.p. Rn.tf ;:t; r rnnrli t.; nn ~vc::.t.F!m
OTHER
DESCRIBE WORK:
ELECTRICA' '
DEMOLISH
.
q5~QJ~
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
TAX LOT: ()lc(:(T~
SUBDIVISION'
PHONE:
741_nR47
ZIP:
97477
ADDRESS
CONST,
CONTRACTOR'
PHONE
REQUIRED INSPECTIONS
G"Rough Mechanical - Prior to
cover.
D Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
o FramIng - Prior to cover.
o Wall/e'alllng Insulation - Prior to
cover.
o Drywafl - Prior to taping,
o W~od Stovo - After Installation.
o Insert - After fireplace approvlll
and InstallatIon of unit.
o 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.
o
Fence - When completed.
CONTRACTOR'S NAME
GENERA' '
PLUMBING'
MECHANICAL: r.nmfnrt: F~ Hp.Rt:loa 855 W_ Fir~t, -.E.urP.nP. !J740? 004RO
EXPIRES
R~21JqR
~42=1l1.Ul-
- OFFICE USE -
QUAD AREA' LAND USE: FLOOD PLAIN'
. OF BLOGS' . 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 hOu' recording, All Inspections requested before 7:00 a.m. will be
made the same working day, Inspections requested ofter 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 Plumbing/Electrical I
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 Underlloor 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 - p,lor to filling
trench.
o Storm Sewor - Prior to filling
trench.
o
Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover,
o
Street Trees - When all required
trees are planted:
o
Final Plumbing - When all
plumbing wo,k Is completo,
D Final Electrical - When all
electrical work Is complete,
...-'
Q:] Final Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and buildIng 15
completed.
DOthor
MOBILE HOME INSPECTIONS
o Blocking end Set,Up - When all
blocking Is complete.
o Plumbing Connections - When.
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.
Setbacks
I P.L I HSE GAR
I N I
I S I
Iw I I I
lLL-LJ
Lot faces
Lot TY.
Interior
LOI sq, ltg,
Lot coverage
Corner
Topography
Total height
Panhandle
Cul-de.sac
BUILDING PERMIT
ITEM SO, FT. X $/SO. FT.
VALUE
Main
Garage
Carport
"
Total Value
Building Permit Fee
Slale Surcharge
Total Fcc
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Resldenllal Bath(s) N'
Sanlta,y 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 StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
j S (fJ.
10,0()
(. Jf)
ct{g.W
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcul
It
Demollllon
Slate Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding elect,iCal)c9-1o ,(l( )
(A, B, C, 0, and' E. Combined)
. . ~,~; : ';.
i.'i ..~
~ 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.
ACC I
I
I
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition thatlhe said
construction shall, In all 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 City limits which are being Improved,
ADDITIONAL COMMENTS
By signature, I stale and agree, that I have carelully examined
the completed application and do hereby certify that all
Information hereon is true and correct, and J further certify
that any and all work performed shall be done In accordance
with the O,dlnanc~s of the City of Springfield, and the Law.
of the Slate 01 O,egon pertaining to tho work described
herein, and that NO OCCUPANCY will be made 01 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 approved set of plans will remain
on the site at ~mes during construction.
Signature U~ f ~
/J.-tJ -
Date f-J l1J
VALIDATION:
RECEIPT NUMBER J~S to '3
DATE PAID Cl., . . q:=;
AMOUNT RECEI~- , C\.1f I'l "l.ID
RECEIVED BY J~./