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HomeMy WebLinkAboutPermit Mechanical 1998-3-3 , RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: 17 ASSESSORS MAP: Oed- LOT: ~ SPRINGFIELD BLOCK: RoxA 1Y~(e 5& HA u.8 ADDRESS: '-57 er 7-. C..4 /AI? ~ 'L t../A CITY' .5/4/,,-r( J FrEC# OWN ER: DESCRIBE WORK: I /1./ 5 7:4 CC .4 NEW REMODEL ADDITION CONTRACTOR'S NAME GENERAL' PLUMBING: o~e /I e4"/ STATE: HFC. f/()Vf1 t DEMOLISH OTHER JOB NUMBER Ci'w ~ 225 Fifth Street Springfield, Oregon 97477 TAX LOT: ol&~ SUBDIVISION: PHONE: 7 Cj/- 0 -z.. '-0 ZIP: 9'7V71" /'u at / ADDRESS CON ST. CONTRACTOR # EXPIRES .~ PHONE MECHANICAl' ~4/P1.&4y ;'/e""'1'4f ~)07 1A).s.?:d -;:r. .t5 .EC.Ec7/frL.4C 7o~'1.> - <3:.5 F'/i'L USE - ~ -'2 LAND us1/n-~c'). ~ "6 ~ ~,> II O1t1lJ ~~q: VA ~_ ' 'rp."~ ,'~ '//' CONS~ ~I=:~ &-'_ V' r,~ (;; ~ HEAT SO~PQ ~~ Y(<. A)'?> 1> ~ WATER HEATER: " RANGE: _ (<'2 /'0 ~~ SQUARE FOOTAGE: , , 'rt? --f~ ~n .~.. , v ~ 4,0 .",. To,request an Inspection, you must call 726-3769. This Is a 24 hour r~~. ~nspections requested before 7:00 a,m, will be made the same working d3Y, Inspections requested altor 7:00 a.rn, wi~e ~~~e iollowing worl< day, REQUIRED INSPEC~~ ~ ~ 0,;. o Rough Mechanical - Prior to 0 Final Plumbing - When- all ' cover. plumbing worl< Is ,complete. ELECTRICAL: QUAD AREA: 1/ OF BLDGS: OCCYGROUP: 1/ OF STORIES: o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslilb Plumbing/Electrical/ Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underlloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or deckIng, o Floor Insulation ,--0 Prl<;>,r .to decking. . , o Sanitary Sewer - Prior to filling trench. D Storm Sewer' - Prior to filling trench. o Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. o Rough Electrical - Prior to cover. D 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/C'elling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stovo - Alter Installation. D Insert - Alter fireplace approve! and Installation or unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. " o Sidewalk & Drivewa~' - After excavation Is complete, forms and sub-base material in place, D Fence - WIlen completed. D Streot Trees - When all required trees are planted. 7- (!) 0 ?- 3 <is! ~ Yf; ~ F 7S'77(;' FLOOD PLAIN: ZONING CODE: II OF BDRMS: SECONDARY HEAT: D Final Electrical - When all electrical worl< is complete. ~ Mechanical - When all mechanical worl< Is complete. o Final Buildlng- When all required Inspections have been approved,and building Is completed. D Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - Wilen 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 t he service panel. II o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed, ':' : ;'j'.; :. ,~~;~ '.; '. ~; I I. lot faces Lot Tyr:, Lot sq. ftg. Interior Setbacks I P.L. HSE GAR ACC IN Is Cul-de.sac W IS 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. Lot coverage Corner Topography Total heigh! Panhandle' E ----,._- APPROVED: BUILDING PERMIT ITEM SQ. FT. X $1 SQ. FT. VA LU E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This perm~!'is 'g~a,n,ted 0[1 the expre,ss\Co.nditip'n that the said construction shall: in all respects, conform to the Ordinance adopted. by. the I City, of Sprlr.lgfl~ld. ir;lcludlng the Development Code, regulating the construction and use of buildings, and may be sl:Jspe'nded or revoked at any time upon violation of any provisions of said ordinances. Main Garage " Carport' -<:. ~. '. , ' Plan Check Fee:', . Total Value Date Paid: Building Permit Fee Receipt Number: State Surcharge Received By: Total Fee (A) .---. -_.__..~------ Plans Revi~wecJ By Date SYSJE,MS DEV.El:.OPMENT CHARG'E~(SDC)" (B) Systems Development Ch'arge" Is 'dte on all undeveloped " propert~es ,,:,~n'.ln th? City limits .wt)ich.are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE " Fixtures Residential Bath(s) NO ,..:, ~.. .x Sanitary S~wer Water FT. . :: .; .... . '. ;,' ,~,: t " FT. l..,. Mobile Home .', . ,\,' " ' ~. ~ , ~ ('t~' ..,.~i~ .'; ~~. Storm Sewer FT. ~;,::. . Plumbing Permit ,I ':.' ...... '.~,' -' :r' ::;~;: , . .~- (I' /';;::: '...:\'~ ...~\,.. ~~.......~ '. State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Total Permit (D) .f /6, 4/0. ( 7r--r . Lj~ k.dc 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 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 certify IIlat only contractors and employees who are In compliance with ORS 701.055 will be used on this project. Vent Fan NO Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permll Issuance State Surcharge Sidewalk ft I further agree to ensure that all required Inspections are requested at the proper lime, that oach address Is readable from the street, that the permit card Is located at the front of t.he propertY~I~ the approved set of plans will remain :;~:::u:~" al~)Z d~;;Z:;A- r/ P' ~ - 3 -'1Y> Date MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Curbcut It Demolition State Surcharge VALIDATION: ,/ RECEIPT NUMBER j.q 01':J 3 - I)--'~ ~ $ e2ro . d-o Total Miscellaneous Permits (E) DATE PAID TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) AMOUNT RECEIVED FlECEIVED BY _, ~ /j