HomeMy WebLinkAboutPermit Mechanical 1992-8-11
RESIDENTIAL
PERMIT APPLICATION
-
Inspections: 726.3769
Ollicc: nr;.375~J
LOCATION OF PROPOJSED Jt,.(lnl(. ~ \
ASSESSORS MAp. r; L) .::5~~~4-
LOT:
t? ic If'
ADDRESS. If ~ / ?v,4/f 4j
.s///'///~ F/~CP,
BLOCK-
.s~(,/I"..1es
;f~
OWNER:
CITY:
STAT".
od'FC()A/
..
qA\m1
JOB NUMBER
225 Filth Street
Springfield, Orellon 97477
TAX LOT: .ti-){.J~ ')
SUBDIVISION'
PHON"-
7' Sl7- oS-;z. ~
ZIp.
97 Sl77
DESCRIBE WORK:
TA4I! ouT
eCFrrll/C i'I/,47rA ,l/M7~'" N/sr4t'C tP,4,s
1.V,47"'~ &#~
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERAL:
DEMOLISH
OTHER
ADDRESS
CONST,
CONTRACTOR'
EXPIRES
PHONE
:~UCMHB;::;:: -~-~;'dj-N - ;/~7/~( -.
ELECTRICAL.
QUAD AREA:
. OF BLDGS:
OCCY GROUP:
. OF STORIES.
WATER HEATER:
&/'Joor "" ~'7#
70S"'IS-
- OFFICE USE -
LAND USE:
" OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANG".
1;2.-~/-9;).
~ ~Y::Zf/J/
FLOOD PLAIN'
ZONING CODE:_
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an Inspection, you must call 726-3769. ThIs Is n 24 hour recording. AIlln3pectlons requested be,foro 7:00 a.m, wIll be
made the same working day. Inspections requested aftcr 7:00 a.m. will be made the following work day.
o Temporary Electric
D
Sito Inspection - To be made
after cxcavnlion, hul prior to
sctlill{l forllls.
o
Undcrslab Plumbing/Electrical/
Mechanical - Prior to cover.
o Footing - After trenchos are
excavated.
o
Masonry - Steel locatIon, bond
beams, gl'Outing.
o
Foundation - After forms me
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
10 filling trench.
[J
Underlloor Plumbing/Mechanical
- Prior to insulation or decking.
o
Post and Beam - PrIor to floor
Insulation or decking.
o
Floor Insula lion - Prior to
decking.
[J
Sanilary Sewer - Prior to filling
trenctl.
o
Storm Sewer - Prior to lilllng
trencll.
o
WDtcr Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
.REQUIRED INSPECTIONS
~~~e~h M. '~M- Prior to
D Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
fl13lcrlals and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling Insulntion - Prior to
cover.
o Drywall - Prior to taping.
o Wood Slove - After Installation.
o Insert - After fireplace approval
and Installation of unit.
o
Curbcut & Approach - After
forms arc erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete, (orms
and $ul>.b<1se rnalmlal In place.
D Fence - When completed.
,0
Street Trees - When all required
trees are planted.
o
Final Plumbing - When all
plumbing work Is complet,e.
D Final Electrical - When all
electrleal ~Plele.
~ Fina~'_'~__ '~..t- When all
F mechanical worl<: Is complete.
'I
o Final Building - When all
required InspectIons have been
approved and building Is
completeej,
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 Electrical Connection - When'
blocking, set-up, anel plumbing
Inspections have been approved
and tho home Is connected 10
the service panel.
"
,
D Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
.:
J
:' Lot faces Lot Type_
"
Lot sq, ftg, Interior
Lot coverage Corner
Topography Panhandle
Total height Cul-dc.sac
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
Main
Garage
Carport
Total Value
Building Permit Fcc
State Surcharge
Total Fec
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary Sewer
FT.
FT.
Water
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
I
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnscrtlFireplacc UnIt
Dryer Vont
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge:
Sidewalk
It
Curbcut
It
Demolition
State Surchargo
I
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (exeludlng electrical)
(A. 8, C. D, and ~ Combined)
_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.
Setbacks
~ HSE GAR ACC
N
----
~----
W
IE
VALUE
FEE
$'~
,OJ
&s.'D
!-i.~ .' D
~
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition lhal the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code. regulating the construction anclur.c of
buildings, and may bo suspended or revoked [II any time
upon viol.llion of any provisions of said ordinances.
Plan CllCGk Fee:
Dale Paid:
Receipt Number'
Received By:
Plans Reviewed By
Date
Systems Developmenl Charge is due on all undeveloped
properties within the City limits which arc being improved,
ADDITIONAL COMMENTS
By signature, 1 stale and agree, that I have carefully cx?mincd
the completed application and do hereby certify thai all
Information hereon Is true and correct, and 1 further certHy
that any and all work performed shall be done in tlccordtll1CC
with the Ordinances of the City of Springfield. and the Ltlws
of the Stale of Oregon pertaining to the worl~ described
herein, and that NO OCCUPANCY will 'be made of any
structure without permiSSion of the Building Safety Division.
I further certify that only contractors and employees who
aro in compliance wlttl ORS 701.055 will be used on this
project.
I further agree to ensure that all required inspections arc
requested at the proper time, that each address is readable
from the street, that tile permit card is located at the front
of the property, and the approved set of plans will remain
on the site at f1 timos ?'1uring construction.
Signature fJ~ J~
,
Datp
S-7-r?-
VALIDATION: 5RC...:~
RECEIPT NUMBER ' l) '02 )
DATE PAin R'll.c(~
AMOUNT REf!Iff:i;. -LJS.fD
RECEIVED rflJt{ I\(L----,