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HomeMy WebLinkAboutPermit Mechanical 1999-9-13 ~ LOCATION OF PROPOSED WORK: 85D ~ ~\.\ '(\)-- Qd ASSESSORSMAP:-</)7~~,.,/~ ~ ~ it,; RESIDENTIAL PERMIT APPLlCATIO~~ Inspections: 726-3769 Office: 726-3759 LOT- BLOCK: OWNER~, .~'r\ P Q d "\J 8 ~~.R c... tb . ADDRE~ :.()"1i ~Z:. ,;:::1\ - p\ve.,f\v( CITY' ()( H CAxld DESCRIBE WORK: NEW REMODEL CONTRACTOR'S NAME GENERAl' PLUMBING: MECHANICAL' Wnf\f<'^,-\ It S;", 1'\ ELECTRICAl. QUAD AREA: , OF BLDG'" OCCY GROUP' , OF STORI"'" WATER HEATER: JOB q9/"17~ 225 Fifth Street Springfield, Oregon 97477 ~(\ rq~&\ ~l'-\ll TAX LOT: ./:52Y~ SUBDIVISION: PHONE. \~S03-'J-39s -3,,) p.O DD'L ~d.\~i..p o ( .e !?P () ZIP: q'l ';l. ~ ~ REQUIRED INSPECTIONS I!.EI Rough Mechanical - Prior to 6~!~ Cover. 0: Electrlcal Ser~lce - Must be . approved to obtain permanent 'electrIcal power. Of Fireplace' - Prior to facing ,materials and framing Insp, o Framing - PrIor to cover. t O'Wall/celllng Insulation - Prior to . cover. o Drywall - Prior to taRing, I q,-! : . O'WOOd s~ci~o - After Installation. o Insert - After fireplace approval and Installation of unit. O:Curbcut & Approach - After forms are eructed but prior to ,placement of concrete. o Sldowalk & Driveway - After 'excavation Is compiete. forms and sub.base material In place. o Fence - When completed. o Street Trees - Whan all required Ilrees are planted. . OTHER EXPIRES .-:-- PHONE ('f'J5 st.,; '1:( rl- FLOOD PLAIN' ZONING CO'DE: . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: To request an Inspectlon,-you must'call 726.3769, This Is a 24 hour recording, 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, , STAT'" ADDITION DEMOliSH o Temporary E1eclrlc o Slle Inspection - To be made after excavation, but prior to seltlng forms. o Underslab Plumblng/Eleclrlc~II" Mechanical - Prior 10 cove~';. : ~t. .... _,-a-" 'Ny;';::; D FooUng - After Irenches are' exca~aled. I o Masonry - Steel location, bond, be~. grouting. ' , , o Foundation - After forms are. erecled bul prior to concrele ." place~e.,L ; ~ ~ , ;,' o Underground PlumbIng - Prior to filling trench. . ~Uf~~hl.t%~.., "')': I .~{: ~"'. o Underlloor. Plumblrtgl Mes.Jtanlcal - Prl~r Ig!?~,ulaUon or:decklng. . - /' o Post and.Beam -prlo/to floor' Insuletlonor deckJng. o Floor Insu~ll!lon - Prior to decking. D Sanitary Sewer - Prior to filling trench. o Slonn Sewer.- Prior to mllng trench. o Waler Line - Prior to filling trench. .., ' :"'. .. -. .. .... - o Rough"Plumblng ....; Prior 10 cover. __,. ...1 ADDRESS CONST, CONTRACTOR.' , L\ lo9[) \lrl' (\ >;-h-u.... t l-: - OFFICE USE - LAND USE: # OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: o Final Plumbing - When all plumbing warl' Is complet.e, o Flnel Electrical - When all electrical work.ls complete. rVl Final Mechanical - When all y>-' mechanical work Is complete, \, o Final Building - When all required Inspections have been approved and buHdlng Is completed. ~Olherh#L~r~-7 _ ~~ ., v JI./C~ MOBIL~ HOrylE INSPECTIO.NS o BlockIng and Se/.Up - When all blocking Is complete. o Plumbing Connections - When home has been con nected 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 porchos,' skirting, decks, and vent,Jng hav,e been Installed. , .ti Lot faces Lot sq. Itg. Lot coverage _ Corner Topography Total height ,. Panhandle Cul-de-sac BUILDING PERMIT.~. r. .~ ITEM Sa. FT. X $/SQ. FT. _ Main Garage Carport Tolal Value Building Permit Fee Stale Surcharge Tolal Fee (A) N Setbacks PL. HSE QAR ACC ~)'; .'; 1: ' S IS TH';r;::iOSED WORK tN THE. HISTO '.'1iDISTRICT, OR ON THE HIS RICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. _"'1_ __ _____ ..L_ \ VALUE SYSTEMS DEVELOPMENT CHARGE (SDC) (B) '*/~ /.r;-:~ ., - 77~--/O. "t-~~I .05' (D)' ::?~. ~ PLUMBING PERMIT- ITEM Fixtures Residential Bath(s) N' Sanitary S!'wer Water FT. FT. Storm $ewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhausl Hood Vent Fan N' Wood Slave/Insert/Fireplace Unit Dryer Vent p ~I/~~ Mechanical Permit Issuance State Surcharge Total Permll.~; ,. " ,-P MISCELLANEOUS PERMITS Mobile Home State Issuance State Surc:harge Sidewalk ;~, It It Curbcut Demollllon State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A. B, Co 0, and.E qomblned) FEE APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on Ihe express condition that the said constru'ction shall, In all respects, conform to the Ordinance adopled by the City of Springfield, Including the Development Code, regulating Ihe construcllon 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 tho City limits which are being Improved. ADDITIONAL COMMENTS By signature, I stale and,agree, Ihat I have carefully examined the completed application and do hereby cerllfy that all Informa.tlon hereon Is true and correct. and Ilurther certify that any and all work performed shall be done in accordance with the Ordinanc"s 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 certify that only contractors and employees who are In compliance with ORS 701,055 will be used on this project. I further agree \0 ensure that all required tnspectlons are requested at the proper time, that each address Is readable from the street, that the permlt'card Is localed at the fronl of the properly, and the approved set 01 plans will remain :~g:~~~~1~~ Date q ~ l 3 - 9 q VALIDATION: RECEIPT NUMBER -q ~7 ~ DATE PAir' .i;,/ :::?~ '7 ~ AMOUNT RECEIVE~ ,~. ~ RECelVEDBY ~f;:-~~ -;