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HomeMy WebLinkAboutPermit Mechanical 1997-6-24 ~I '< ..1.!f , RESiDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ~ '~ .1 't , j~ SPRINGFIELD 'LOCATI~N OF PROPOSED WORK: 2l~ 2-S- , , 32S / ' ASSESSORS MAP: 17{). , LOT: OWNER' ADDRESS: \:>a, vC- l ll.-~- S.o~ CITY: DESCRiBE WORI<: '?=-ASt-ct U NEW REMODEL CONTRACTOR'S NAME GENERAL: PLUMBING: MECHANICAL: ELECTRiCAl' , M4. ,<< N \'\~ QUAD AREA: # OF BLDGS: t'-i . .:i')/ ,. -. ,,~ OCCY GROUP: # OF STORIES: WATER HEATER: ,. . r '.~ ".! , :',"", ./ l' .,.,.'...... ;...... . -. .~." J D Tem~orary Electric D SlIe Inspection - To be mado after excavation, but prior to , setting forms. o ~riderslilb Plumbing/ Electrical/ Mechanical - Prior to cover. " D Footing - After trenches are excavated, o Masonry - Steel location, bond beams, grouting, , o Foundation - After forms are erected but prior to concrete' placement. D Underground Plumbing - Prior . to filling trench, D Underfloor Plumbing/Mechanical - Prior to Insulation or decking, , \' ' ~ 1701'71. ,JOB NUMBER 225 Fifth Street SprIngfield, Oregon 97477 . l' ~. ,,_'J " (' t:(.-( {""' i:~"iL f\c((;.CL.. v TAX LOT: J {? .3 D / , ZIP: Cf, y 7.J Wet-T (" (" t\-e.;\t" ("" / f~ b T ,,"- OTHER N (.w G:,a..~ S ~ r V\'c e BLOCK: ~ Ctl'~Ci~' . 1.1'- f~c c. STATE: tJe ~ G~ fl(>~ '~ ADDITION DEMOLIsH SUBDIVISION: PHONE: , , A-b S",t~) $' . I ,ADDRESS CONST. CONTRACTOR # PHONE tA -<"\ -\ t....'l- t? EXPIRES C <f 1 ~ 1 (,{l.{lt: '\ ~S- i't6' : 1 'J, f"z;J '4.. 7 Lfl 160l'i~4L!! 'SD~ -, r "; " - OFFI?E USE 7": , LAND .USE:-,- .. i .,~... 0 F"d NITS: ,,> CONSTR, TYPE: HEAT SOURCE: RANG E: __ D, Rough Electrlcol - Prior' to cover. o Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to fac.lng materials and framing Insp. D Framing - Prior to cover. D Wail/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. o Wood Stovo- After Installation. O Post and Beam '~ Prior to ,floor ." ' Insulation or"decklng, . ,\ , ~, ..'1"; ,,:.0 Insert- After fireplace approvl1l ," .", '..1- . '.. '''' '~,,' " and Installation of unit. D Floor Insulation - Prior to \ - .J'" decking. ' 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 aiter 7:00, a.m. will be made the following work day. REQUIRED INSPECTIONS f' " '",,,,.,.., , ,/t1l' Rough Mech~nlclJl -, Prl~:>r t~ u;s...z cover. i , ~'. , D Sanitary Sewer - Prior to filling trench. ' D Storm Sewer - Prior to filling trench. '. : o Water L1no - Prior to filling , trench. o Rough Plumbing - Prior to cover. o Curbcut 8. Approach ~ After , forms are erected but prior to placemont of concrete, D Sidewalk & DrlveW3\' - After , excavation Is complete, forms and sub.base material In place, '0 Fence - Wt1On,completed, D Street Trees - When all required trees are planted. FLOOD PLAIN: ZONING CODE: II OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: D Final Plumbing - When all plumbing W9rl< Is complet,e. . ..\ D FInal Electrlcol,- When all'''1;,,:( electrical work Is complete. . . ., ~ MFlnal Mechnnlcal - When all ,:~ , ~mechanlcal work Is complete. ..'.- D Final Building - When all ' 'required Inspections have been approved and building Is . completed. ' J, Other @tt1 ~0fU5 ~ j!> lkrvlLv MOEHLE HOME INSPECTIONS I .~ ;, [; o Blocking and Set.Up - When all blocking Is complete. " " D 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, skirting, decks, and venting have been Installed, Lot faces Lot Type Lot sq, ftg. Interior Lot coverage Corner Topography Total height Panhandle _ Cul.de-sac '''!' -0, . .THE PROPOSED WORK IN ~;HE ' ,. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed' and approved by the Historical Coordinator prior to p~rmlt Issuance. Setbacks P.L. HSE GAR ACC ;:i N Is ',- W ~E : J t' -~ . /~ ~"' . APPROVED: f B'UILDING PERMIT ITEM SO, FT. X $/SO. FT. ';= VALUE Main Garage Carport \' .'.' \,,', - \ "J ~. :"'~ ,-. ; ~;'t\ .' .' ! .' Total Value , :.:i ;...;.... .,~ '.'J.~ ',~_.,.:.:J ~_~; Building Permit Fee State Surcharge :/ .: _. ;,' Total Fee (A) " -.l -,. -. II" ~ ~ ~,7~~Y?TEIYI~ ,DEVELOPMENT CHARGE (SDC) , . , lI'".# .. ~i: (-; "" \;',: ~~. '(8) , . PLUMBIN:q'PERMIT ITEM Fixtures Residential Bath(s) NO Sanitary S~wer FT, Water FT. Storm Sewer FT. I ~.. Mobile Home I"' I' , Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT .' -: Furnace Exhaust Hood' Vent Fan NO Wood Stovellnsert/Flreplace Unit' Dryer Vent ' lLlili^- Mechanical Permit Issuance State Surcharge -I 3 to a~ MVV{i~ Total Permit ,(D) , MISCELLANEOUS PERMITS Mobile Home State Issuance '. State ~urcharge Sidewalk 1\ 1\ Curbcut Demolition, ' {: .~ . 1 State Surchargl3 '" ,. ; .... . ;;!,} Total Miscellaneous' Per'mlts' i!I,~ ; (E)' , "I TOTA~ 'AMOUNT DUE (excluding electrical) (A, B, C, Dt and E Combined) . , FEE '., ... : i, J~~,aD_ )12. rro ,7~ , 'i~ f}Jc; .2n :2&:m BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ThIs permit Is granted on the express COfldltlon that the said construction shall,ln,all respects, conform to the Ordinance , .- ' 'C" " ',' ad,opted by' fh6 City, of Sprlngll,eld, Including the , Developmeni Code,Jr.egulallng lhe~cbnslructlon and use of .J.;.".l _.J)!.: . ... J . buildings, and may be suspended or r/evoked pt any lime upon violation of any provisions of sa.ld:ord)nances. Plan Check Fee: ~, ' '1; ~ ~ :Date Paid: - , f.. .r :... t.. Receipt Number: Received By: Plans Reviewed By Date Systems Development Charge Is duo on all undeveloped . '.-" '. pr,op~~,~\I~S'':'f.~.th,ln 1110 CltY.l!n;llts,.~~Jph'il{e being Improved. ADDITIONAL COMMENTS \!&. ~e a ~ ~~..b If ca3~.cJO . . ~ '. By sIgnature, I state and agree, that I have carefully examined the completed application and do hereby cerllfy that all Informallon hereon Is true and correct, and I further cerllfy that any and all work performed shall be done In accordance with the Ordlnancos of the City of Springfield, and the Laws of the State of Oregon pertaining to tho work de~crlbed herein. and that NO OCCUPANCY,lN,lII be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are In compllanco with ORS 701.055 will be used on this project. I further agree to ensure that all required Inspections are requested at the proper lime, 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 on the site at all times during construcllon. Slgn"",e ~ ~ Date 6 -?;'( ?(,l VALIDATION: 2 RECEIPT NUMBER " & J~ 7 DATE PAID' /:; -,J.. c.; r-97 AMOUNT RECEIVED :1-0 :;zn !/& RECEIVED BY ~