HomeMy WebLinkAboutPermit Mechanical 1993-3-29
RESIDENTIAL
PERMIT APPLICATION
11151>0<:110115: 1:'0.3700
Olli<:,,: n6.37~lO
LOT: ...___....
.
SI'RlNGFIELD
BLOCK: _
OWNER: ___~ I M. + \<.e \ \ '1 EJo.........
ADDRESS '~__9~ ~___.2;'~ s (<:;.t1::..
CITY: ..__. __ .s..~q\_
DESCRIBE WORI(: _..J "-oft<\. I \
NEW.,__n._ REMODEL
CONTRAClOll'S NAME
GENERAL: ...
STATE:
O{<....
. n <;;z M /Y:::..
JOB NUMBER.. l J.JTU-.....)
225 Flflh Shoul
Sprlnglleld, OruUOIl 9"147"1
I\t-nt')ff)-'"--''' -
TAX LOT: ~O ...._.__.. _.
SUBDIVISION:
PHONE: t 'f I - 2S2{, / .
ItJ -~i '" - ..~1_~~'~.Lf.~Z
ZIP: _g.,\.( 1]_.........
O<\~<t- fJl'Jh.T
\-\-e.a."t -p lo\ I'V\ P
OTHER'
ADDITION __ DEMOLISH
ADDRE~;S
CONST.
CONTRACTOR'
PHONE
PLUMBING:. ._.__.._._....__,.._. ----
MECHANICAl.: .t'\a.i~~j ~.( ,J:\~jr:.~YIJ.1..--.EL_~-t ( <"'tot"
EI.EcTRICAL: ._.____
OUAD AlIEA:
. OF BLOCS:
OCCY GIlOUI'
. OF STORIE":
'i
WAfER IIEA1I'R: ___._.. ___.._.__
- OFFICE USE -
I.AND USE: _....._
. OF UNITS: __....,..__
CONSTR. TYPE: __.
HEAT SOURCE:__
RANGE: __....._,____
EXPIRES
.s p +J ,(J '1-...31 'r ~7..lf..J~.7.~yJ-
~ '2...~-79(J
FLOOD PLAIN: . .._......_.
ZONING CODE: ____.._______
. OF BDRMS:
SECONDARY HEAT: ___. _.____
SQUARE FOOTAGE: _. , .
To /fJque~;1 all ill~peclion. YOlJ '11'I~il call 726.3709. This 15 a ~4 IlI')1tr recordlnCJ. All Inspections rcque51et! hnrore 1:00 ,un. will be
made Hie ~:wlte wOlklnu day. Inspecllons requested after 7:UO cUll. will be made the following worl< day.
o Tempol my Electric
o Silo Inspection - To be made
after cXI:avatlon. hut prior 10
soiling iu,-ms.
o Underslab Plull1billg/Electrlcal/
Mechonicul - Plior to cover.
D Fooling - After trenches are
excavalud.
D Masonry - Steel lucatlon, bond
beams, !]routlng.
o Foundillion - Aller forms arc
erected but prior to concrete
placement.
o
Underoround Plumbing - Prior
10 filllllU trench.
o
Undellloor Plumbing/ Mochanlcal
- Prior to Insulation or decking.
o
Post and Bopm - Prior to floor
Insulation or decking.
D Floor Insulallon - Prior 10
decklnu.
[-I SanlUuy Sower - Prior to filling
- trench.
o Storm Sewer - Prior to filling
tmnch.
D Water line - Pllor to Illllng
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
~8 Rough Mechanical - Prior 10
cover.
\:zj)ROU9h Electrical - Prior 10
r cover,
o Eleclrlcal Service - Must be
approved 10 obtain permanent
electrical power.
D Flreplaco - Prior to facing
malerlals and (ramlng Insp.
o Framing - Prior to cover.
o Wall/Cel.llng Insulation - Prior 10
cover.
o Orywall - Prior 10 laplllg.
o Wood Stove - After Installation.
D Insert - After fireplace approval
and Installallon, of unit.
I~ Curbcul & Approach - AHer
forllls are lHIJcted but prior to
placement o( concrete.
[J Sidewalk 80 Driveway - Aller
excavation Is complete, forms
and sub.base maturlal In place.
D Fence - When completed.
o Slreel Trees - When all required
treos are planted.
o
.
Final Plumbing'.:.... When all
plumbing worl( Is. cOlllplete.
~Flnal Electrical - When all
eleclrlcal wod( Is complete.
Final Mechanical - Wilen all
,ilCchanlcal work Is complete.
rFlnal Building - When all
required Inspections h,JVe been
approved and buildlnu Is
comploted.
DOlher
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - Whon nil
blocking Is complote. .
',.
l~ PlumbIng Connections - When
home has been connected to
wator and sewer.
l--J Eleclrlcal Connecllon - Wllell
- blocklno, ~iUl'llp, ami I'lumblllU
Inspoctlon~ have buon approvnd
and 'he hOlrlo Is conrlCclcd to
the scrvlco pan~1.
o Final - After 011 required
Inspections IIro approved and
porches, sldrllng, decl(s, allll
venting have been Instilllcd.
Lot lac.es
Lol Type.
Interior
Lot coverage
Cornor
- -p~!!?~~:!----
J'h. HS~ gAR. .ACC
1:L... _ __
.' HIE I'HOPOSEll WOHI, IN THE
IGTOIIICAL DISTFIICT, on ON
THE IIISTORICAL IlEGISTER? __.._.__
LOI sq. Ilg.
Topography
Panhandle
S
II yes, this appllcallon mll5t blJ G1Unod
and approved LJy tho Historical
Coordinalor prior to pannil Issuance.
Tolal helghl
Cul.do-sac
W
----
.E........___ _,
APPROVED:
BUILDING PERMIT
ITEM SQ. FT. X $/SQ. FT.
VALUE
BUILDING VALUE, PLAN CHECI(
AND BUILDING PERMIT
",
This permit Is granted on IlIe express condition Ihallhe said
construction shall, In all respects, conform to till! Ordin<1nce
adopted by Iho Cily uf Springfield, Including the
Developmenl Code, regulating Ihe construction and use of
buildings, and may bo suspended or levoked at any time
upon violation of any provisions of said ordin<1nces.
Main
Garage
Carporl
Plan Check Foe: ______
,
,
Dale Paid:
Total Value
Building Permit Fea
Receipt Numbcr:__.___
Received By:
State SUl'ctlmuc
Total Foc
(A)
.'''--'---'' .--.-..-..
Plans Rovlewed Oy
Dilte
SYSTEMS DEVELOPMENT CHARGE (SDC)
(8)
Systems Developmcnt Cllar{lc is due on all unduvotopcd
properties wllllin tlw City limits which arc being improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Flxlures
Resldonllal 8alh(s) N'
Sanllary Sewer FT.
Waler
..~.
FT,
Slorm Sewer'~' FT,
Mobile Home
Plumbing !,ermll
Slate Surchargo
Tolal Chargo
(C)
MECHANICAL PERMIT
Furnace
Venl Fan
N'
By signature, I stale and aoree, that I have carefully examined
the completed application and do hereby cmtify Ihal all
Information hereon Is true and correcl, and I lwllier certify
that any and all work performed shall be done in accordance
with the Ordinances of the City or Springfield. ;uld the Laws
of the Stale of Oregon pertaining to the WOIk described
herein, and that NO OCCUPANCY will be mado of any
structure wllhout permission of the Building Safety Division.
I lurther cerllfy that only contraclors and employees who
are In compliance with CRS 701.055 will be uscd on this
projee\.
Exhaust Hood
Wood Slovollnserl/Flreplaee Unll
Dryer Vcnt
Mechanical Permit
Issuance
Slale Surcharge
Tolal Pormll
(D)
I further agree to ensure lhat all required Inspections are
requested at the proper time, that each address Is readable
from Ihe slreel, lhal Ihe perm II earu Is loealeu al Iho Iron I
01 the property, and Iho approved set of plan:. will remain
on tho site at all times during construction.
Slgnalore _._~~ 1A.J~_
]_]() rCU
Date _0' u_. ___ . _._____ __
MISCELLANEOUS PERMITS
Mobile Home
Stale Issuance
Slale Surcharge
Sidewalk
II
Curbeul
fl
OOlllollllon
Tolal Miscellaneous Permlls (E) -----
TOTAL AMOUNT DUE (eXCluding oleelrlealC\'l~. 'J~
(A, 8, C, 0, and E Combined)
~:~:I:I;::MIlE__, 90 .1..______,._
:;
RECEIVED 8 ,- ___.
Slale Surehargo