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HomeMy WebLinkAboutPermit Mechanical 1999-1-26 RESIDENTIAL PERMIT APPLICATION SPRINGFIELD Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP' 17 () d-- y( 2\ ea Me\ \:Cl. 32- 3 ~ LOT' BLOCK: OWNER: ADDRESS: CITY' \')~ - 4l2.\ Sr~ STATE: Ofl-. 13~ ~ t;L" ('(j ~e \ \: 6. DESCRIBE WORK: ) J:: ~ t-a l U....if (/ C> .( \./ ~ f\. * .;J H- -eo. -t {J u. "^ iJ s~~ipM. NEW ADDITION REMODEL DEMOLISH OTHER JOB NUMBER q q D 11 if . 225 Fi fth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION: o lj.CJ7J I PHON 1=. ZIP: "Ill( 7S1 CONTRACTOR'S NAME GENERAL' PLUMBING: ADDRESS CONST. CONTRACTOR It EXPIRES ,~ PHONE MECHANICAL: (hA{~ ~t~ H --("do -\~ L( (J () 0 I '-1 ~jO/'- s p (J '? )~ 78 7 V (- {Lfl.{ S- ELECTRICAL: , A"(""'E""" " "'..:' 'ivyul,13\\; ~~~,_,irC!~ you'l~o ;\t 2-S'1 '(D .. ~ ,,, I ,,-,, ....., J L U' - t"'Ir'~'Jnn I It I It V !O~I?W ~ul~_S '$?Ol-'~t:. ;se ';uI1s,are-sdlftSi1!E USE _ Notlf, ',catloncenter. TIL . ; h QAR 952-001- , ;;1 Q;^P o~2=D01-001? thro~~sNM ~ttt~5 ~y 0090. You may obtain cop ~one calling me \';\:llllar. (NO\~i; Notification --;L:~nr the-9regon 'C0':~~1~) TYPE: (, ,Center is 1-800-332- . HEAT SOURCE: QUAD AREA: It OF BLDGS: OCCY GROUP: It OF STORIES: WATER HEATER: "'l~"'l"1"''\- "~J.) !Il(j!~;~': FLOOD PLAIN: :i':"'i'c;'r~';.AilJ!:T Zb~~I,rlKf-~~~.: IF THE WORK fi,' rrHGP{Zi:D.Jj8~~~~I~: PERMIT IS NOT ,,"'-(" ",;:1 IS ABANDONED FOR 'J, 'SECO'NDARY HEAT: -,/ ;1 ;~:;:~~C)'O. 'SQUARE FOOTAGE: (;~:". RANGE: ___ I',,' i'l \ 't. I To request an Inspection, you must caU 726-3769. This Is a 24 hour recording. AU Inspections requested before 7:00 a.m, will be made the same working day, Inspections requested after 7:00 a.m. wlU be made the foUowlng work day. REQUIRED INSPECTIONS o Temporary Electric o Rough Mechanical - Prior to cover. o Site Inspection - To be made after excavation, but prior to setting forms. o Rough Electrical - Prior to cover. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Footing - After trenches are excavated. o Fireplace - Prior to facing materials and framing Insp. D Masonry - Steel location, bond beams, grouting. o Framing - Prior to cover, D Foundation - After forms are erected'but prior to concrete placement. o Wail/Ceiling Insulation - Prior to cover, D Underground Plumbing - Prior to flUlng trench, o Drywall - Prior to taping. D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. o Wood Stove - After InstaUatlon. D Post and Beam - Prior to floor Insulation or decking, , ;':' : J\ " -/"..'1", " .t. o Floor Insulation <:", Prior to" " decking. p.,'). ;' D Insert - After fireplace approv2l1 and InstaUatlon of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete, o Sanitary Sewer - Prior to flUlng trench. D Storm Sewer - Prior to H1l1ng trench. o Sidewalk & Driveway - After excavation Is complete, forms and sub-base material In place, o Water Line - Prior to filling trench. o Fence - When cor,lpleted, o Rough Plumbing - Prior to cover. D Street Trees - When all required trees are planted. D Final Plumbing - When all plumbing W9rl{ Is complete, : lal Elecl,lcal - When all . el ctrlcal work Is complete. Final Mechanical - When all mechanical work Is complete. o Final Building - When aU , 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 11as been connected to water and sewer, o Electrical Connection - When blocking, set.up, and plumbing Inspecllons 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 Type , Lot sq. ftg. Interior I P.L. IN Lot coverage Corner ~\' Is Topography Panhandle Total height Cul-de-sac W E BUILDING PERMIT; '~f' " ITEM SO. FT. X $/SO. FT, Main Garage Carport ,'.:\. Total Value ~uilding Permit Fee State Surcharge Total Fee (A) \:;,: ~.\~i~ '-:.; Setbacks HSE GAR ACC' VALUE " '. . 1 '., SV:ST~M~. DEV~hOPIV1ENT CHAR~E (SDC) . f .: ; . . ; :. ,i i .~. '.' .. . '." (B) ,,":. , PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) ,(A, B, C, D, and E Combined) FEE 1b IS, - ~ {O. ~+ i </j- $c2b. ~/ I .~ 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. " , T~- ... .' . APPROVED: , " " 'I BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit i~ grantegon the expresscqnditlon that the said construction shall,'lr; all respeCts, conform to the Ordinance adopt'ed by, the, crty ,of Sprlngfl,eld, Including the Development Code, regulatin'gthe cons,tructlon and use of buildings, and may be suspended or reyoked at any time upon violation of any provisions of $ald ordinances. Plan Check Fee: . I I. . ;'4, .,. Date' Paid: Receipt Number: Received By: Plans Reviewed By Date Systems' Development Charge Is.due, 0;'; all undeveloped t- t. ~ .' . ~ .' ~ ,. ~, properties wlthlnlhe City limits which are being Improved. ADDITIONAL COMMj:NTS , Va. \!A ~ :JIf ,c::;;. '66,~ By signature, I state and agree, that I have carefully examined the completed application 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 Ordinanctls 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 to ensure that all required Inspections are requested at the proper time, that each address Is readable from tlie street, that the permit card Is located at the front of the prope~ty, and the approved set of plans will remain on, the site at all mes during construction. Signature ~ Ai\;W. ^'^ 1 ~ o I... 2-' ~1 Date VALIDATION: RECEIPT NUMBER 31. (P'b.:? r-"JIo~9'i AMOUNT RECEIVED $ J.{g. ~ cKvJ DATE PAID RECEIVED BY