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HomeMy WebLinkAboutPermit Mechanical 1992-8-13 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726,3759 C1~ 'IIU <:J..~ ",/~~ I JOB NUM BER .:.::;16.-: J)/ / 225 Fi fth St reet Springfield, Oregon 97477 LOCATION OF PROPOSED WOF1K: --,~~ ASSESSORS MAP: --I?-6:t.... ':::<~-~ LOT: BLOCK: ~____~_,__~___~ OWNER: ~-/d2~ i (.:b~B~-_<;~c5-? <. ADDRESS: ~,_~~~---- CITY: _'__~__' ----,-- STATE: TAX LOT: SUBDIVISION' PHONF' '7Y~-~7"'< ZIP: DESCRISEWORI<: /~7'~.A'4_~-C~P &:;;~:2N~A/, rU/~ r P~75'~cv-~ -/-P~ "/ r . -/ /' . "0'--=-"" . ':#-~ r' / //.R /' r" / - ? ~~- t~EW REMODEL_,____ ADDITION ____,_ _ DEMOLISH OTHER CONTnACTOfl'S NAME CfNrflAI' ADllF1r::SS CON ST. CONTRACTOR /I EXPIRES PHONE :~~M~~:~~AL:;f~~~~~~7"~~~ ~~/~;=;;;~~~~~~ ELECTRICAL: ____ u___,______________ -- -~ -------~-~--- QUAD AREA:"- ~ -~-----~- It OF SLDGS: ___ OCCY GROUP:_ It OF STORIES:_ WATER HEATER: __~- - OFFICE USE - LAND USE: /I OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: ___ FLOOD PLAIN: ZONING CODE: /I OF SDRMS: SECONDARY HEAT: SQUARE FOOTAGE:_ To request an inspection, 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. o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/ Electricall Mechanical - Prior to cover. D Footing - After trenches are excavated. D Masonry - Steel location, bond beams, grouting. D Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling Irench. o Underfloor Plumbing/ Mechanical - Prior to insulation or decl~ina. o Post and Beam - Prior to floor insulation or decldng. o Floor Insulation - Prior to decl<ina, D Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. D Water Line - Prior to filling trench. o Rough Plumbinn - Prior to cover. REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. I I 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/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. CI Wood Stove - After installation. o Insert - After fireplace approval 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 - Wilen completed. i I Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing work is complete. D Final Electrical - When all electrical worl~ is complete. [K] Final Mechanical - When all mechanical work is complete. o Final Building - When all required Inspections have been approved and building is completed. o Other MOBILE HOME INSPECfIONS 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, 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, sl<irting, decl<s, and venting have been installed. Lot fa~es Lot Type Setbacks HE PROPOSED WORK IN THE 1-1ISTORICAL DISTRICT, OR' ON THE HISTORICAL REGISTER? If yes. this application must be signed and approved by the Historical Coordinatc~~ prior' to permit issuance. Lot sq. Itg. . . Interior P.L. HSE GAR Accl I Lot coverage Corner N Topography Total height.. '" Panhandle S Iw IE Cul-de,sac BUILDING PERMIT ITEM , SQ. FT. X $1 SQ. FT. VA LU !;.' Main ....." Garage Carport Total Val ue :,4;: Building' Permit F:ee State Surcharge Total Fee (A) ,." 'SYSTEMS DEVELOPMENT .CHARGE (?D~) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Hom'e Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood' Vent Fan NO Wood Stove/lnserf/Fl.rep'ace Unit Dryer Vent "", ' ~riflYij~E5 )"/?fY. nL5. ~. . . Mechanical Permit Issuance /V:~ , --- ...75 75: ::::?) State Su rcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile HOme State Issuance State Surcharge Sidewalk ft " , . , ,. Curbcut ft Demolition State Surcharge TotaIMisc!3I1'~neous Permits (E) , . 'TOTAL A~O~NT DUE (excluding electrical(:\6, f D (A, B, C, D, and E Combined) . . APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition.that the's~id construction shall, in all respects, conform,to th~Ordina~ce adopted by tile City of Springfield, includ(n'g the . Development Code, regulating the construction a'nd use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances, Plan qheck Fee:_ Date Paid: Receipt Number' Received By: . Plans Reviewed By Daie ".~ystem~' Dev~loPfnent Cllarge is due on all undeveloped properties with'in the City limits which are being improved. ~ :ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully ex?mined the completed application and do her'eby'certify'that all info,:mation hereon is true and correct, and I further certify, that any and all work performecj shallbedone in accordaricc with the Ordinances of the City of Springfiei'd, and the Laws of the State of Oregon pertaining to the work described . here'iri, anit that NO OCCUPANCY will 'be made of any structure willlOut 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 tllis project. I further agree to ensure that all required inspections are requested at the proper time,.,that each address is readable from the street, tllat the permit card i:3 located at the front of 'tlle property, and tile approved set of planswill remain on tile site at all times during c nstruction. Sig~ature '-!4lt1l -,4~/ 1-- /3~f? Date VALIDATION: 'g (/C1 RECEIPT NLlMBER , . L. \?;Rf \ DATE PAID h \. Y t) - _ors.Vl~ RECEIVED B . -......- AMOUNT RE ,.