HomeMy WebLinkAboutPermit Mechanical 1998-12-2
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Otfice: 726.3759
"'-'
.SPRINGFIELD.
LOCATION OF PROPO~ED WORK: '~3/.tj
ASSESSORS MAP: /76 '3 2 7 2. 2
OWNER' g~I'/?i:>. /~/~/7?-t?s~n
ADDRESS' . 0131'7 ~Gr-~ ~
CITY: ~/'r.Y7~d~
DESCRIBE WORK: :2.-/7~ /) /~ :;::?~ .~ . A~ 1h4nd'I"-1..--
LOT'
NEW
REMODEL
CONTRACTOR'S NAME
GENERAL'
PLUMBING:
MECHANICAL/~~ 4/,?~/A
'1",' ~
ELECTRICAL:
BLOCK:
STATE:-~
ADDITION
DEMOLISH
OTHER
JOB NUMBER
q~ Il./<l'/ ~
225 Fi fth Street
Springfield. Oregon 97477
TAX LOT:
SUBDIVISION:
elf? () I:,
PHONE'
7y 7.--13 19-.2..
ZIP: ;7?V7/
ADDRESS
CONST,
, CONTRACTOR /I
EXPIRES' C> PHONE
7/lt Ps~ ~
9tfl?'I
t/1,?
$.ZY,'~ ~.
- OFFICE USE -
NOTICE:
QUAD AREArH!C rcnMIT SllALl riXPIRE IF WVV'G'R~: - AI II:=N lIuN.Otagon la~ r~~ ~~~:
/I OF BLDG~lJ+HG.RIZfi:D UNDIER-+HIS PEAr~l~fSlf.rojS: follow rules adopted by the.o.r~fW8 ~A8~h
1\1 tl1' cation Center Those rules are s
OCCY GROtOOMMaJ.G~~) 0P 'g '\I:I,~q(JONE9{P~rR. TYPE?~~~o~_001-00.10throUgM OAIiU~aa.,@p1-
In \J '.' D,fJpe rules by
/I OF STORIIES!Y 180 D~,Y PFFli; 'j HEAT SOURCE:OOOn YQJJ m~v obtam COPI~~E~~~DArn'eHEAT:
calling the' center. (Note. tne , ,.~IIV.!,~'
, f Lt'\.; 9fegon Uti~~~@~AGE:
numu~1 VI )' ,
. l '-,j (l1t'9 1)1)"_?~44 ,
\.J,'c;il~' .v 1.. -
To request an Inspection, you must call 726-3769, Ttlls Is a 24 hour recording, All Inspections requested betore 7:00 a,m, will be
made the same working day, Inspections requested atter 7:00 a.m. will be made the .tollowlng work day,
~
WATER HEATER:
o Temporary Electric
o Site Inspecllon - To be made
after excavation, but prior to
setting forms,
o Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.
D Footing - Atter trenches are
excavated.
o Masonry - Steel location, bond
beams. grouting,
o Foundation - After torms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to IIlIlng trench.'
D Underlloor PlumbIng/ Mechanical
- PrJor to InsulatIon or decking.
D Post and Beam - Prior to floor
Insulation or decking,
o Floor Insulation - Prior to
decking,
",- ,
o Sanitary Sewer - Prior to 1I'lIln'g
trench,
D Storm Sewer - Prior to filling
trench,
D Water Line - Prior to t;lIlng
trench,
D Rough Plumbing - Prior to
cove~ '
RANGE: __
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover,
o Rough Electrical - Prior t~
cove~ i '
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover,
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to tapl~g, '
o Wood Stove - Atter Installation.
o Insert - After fireplace approval
and Installation ot unit. . '
o Curbcut & Approach - After
torms are ertlcled but prior to
. placement ot concret(~,
o Sidewall< & Driveway - Atter
excavation Is complete, forms
and sub.base material In place,
o Fence - WIlen COi',lpleted.
o Street Trees - When all required
trees are planted.
D FtnalPlumblng - When all
plumbing worl< Is complete.
D Final Electrical - When all
electrical work Is complete.
/~al Mechanical - When all
U~hanlcal wo'k Is complete.
o Final Building - When'all
required Inspections have been
approved and building is
completed.
.\.-: . .
D Other
MOBILE HOME INSPECTIONS
D Blocking and Set-Up '- When all
blocking Is complete,
o Plumbing Connections - When
home has been connected to
water and sewer,
D 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
Lot sq. ftg.
Lot coverage
Topography
Total height
BUILDING PERnltITi.
ITEM SQ, FT,
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
Lot Typ
Interior
Corner
Panhandle
Cul-de'sac
"t
X $/SQ, FT,
(A)
t,~ ~". .. ",.
('[.\ .
Setbacks
I P,L. HSE GAR ACC
N
IS THE PROPOSED WORK tN THE,
HIST081CAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
S
w
E
I APPROVED:
BUILDING VJ\U)E, PLAN CHECK
AND, BUILDING PERMIT
VALUE
"
This permit is granted on the express condition that the said
construction shall, In ail 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 (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
'. i/.'
Resldenllal Bath(s) N?, " .
Sanitary S!3wer FT,
Water F.T. .
Storm Sewer FT,
Mobile Home
PlumbIng Permit
State Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
(C)
NO
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
Jka} ~ YWyj
f
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State' Surcharge
I
Sidewalk
ft
Curbcut
fI
Demollllon
State Surcharge
Total.Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and EComblned)
Systems Develop.r:nent Charge Is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
FEE
/s-. au
.~
By signature, I state and agree, that f have carefully examined
the completed appllcallon 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 will be made of any
structure without permission of the Building Safety Division,
I further cerli fy that only contractors and employees who
are In compliance with ORS 701,055 will be used on this
project.,
Il;, Ii IJ
r.fS' . 1'f
U l.()
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
:~g:::u:$~k~
Dale IZ-2-V U
VALIDATION:
RECEIPT NUMBER () ~ ).. 2--() (?
/:;l j'J- Iff
AMOUNT RECEIVED /j ~,./ ~ /
RECEIVED BY J vJw
DATE PAID