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HomeMy WebLinkAboutPermit Mechanical 1994-8-31 RESIDENTIAL PERMIT APPLICATION Ins pectl ons:: 726-3769 Office: 726.3759 SPRINGFIELD LOCATION OF PROPOSED WORK: /7 2 ~ ~A~{A4 C ASSESSORS MAP: /"/ -<:::) '? '?-5"-::?/ OWNER: /kyc #~n~./Y' , ,. J. ~ _ . _ ',_ ADDRESS~' ::~#~ 5,~LZ;. DESCRIBE WORK:/-:f;:. ~~( REMODEL Y ADDITION LOT: CITY' NEW <~.. %/?'~ 7 ~?/ 7;;- BLOCK: STATE: DEMOLISH OTHER ~/ JOB NUMBER ., ~/:S- $_S:-- 225 Fifth Street Springfield, Oregon 97477 ?~~'---~ I' TAX LOT' A:::7'3~/ SUBDIVISION: .1 , PHONE: "/ V~"'~/R:::> ZIP' 9-::> ~ ==' ~~....... - .//~~, CONST. CONTRACTOR'S NAME , ADDRE~5".;?~R~;!:~gOR # EXPIRES ,PHONE GENERAL: 7d~/~f'~~~~~~~~~ 97.~37~2~ 9~~16-5b7X PLUMBING: MECHANICAL: ELECTRICAL: - OFFICE USE - QUAD AREA" LAND USE. FLOOD PLAIN: # OF BLDGS: # OF UNITS: ZONING CODE: OCCY GROUP: CONSTR. TYPE: # OF BDRMS: # OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANG E: 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 t~e following work day. REQUIRED INSPECTIONS o Temporary Electric O Site Inspection - To be made after excavation, but prior to setting forms. o Underslab 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 Underfloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. '. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. rvl'Rough Plumbing - Prior to ~ cove~, , I\?I Rough Mechanical - Prior to L,LlJ cover. rn Rough Electrical - Prior to cover. o Electrical Service - Must be ' approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. , ~ Framing - prlor:to,cover. rJI, Wail/Ceiling InsJlatlon ~ Prior to L.,.LJ cover.. I xl Drywall - Prior to!aplng. o Wood Stove - After Installation. D 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 m'aterial In place. o Fence - When completed. o Street Trees - When all required trees are planted. '[Z]Flnal Plumbirig - When all plumbing w(Hk Is complete. I1i1 Final Electrical - Wflen all Lp electrical work is complete. ' rn Final Mechanical - When all mechanical work Is complete. m Final Building - When all 7f-l required Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - Whep all blocking Is complete. o Plumbing Connections - When home has been connected to ' water and sewer. o Electrical Connection - When blocking, set-up. and plu~bing Inspections have been approved and the home is connected to the service panel. D Final - After all required Inspections are approved and porches, skirting, decks, and venting have been installed. ~ Lot faces Lot Type Lot sq, Itg. Interior Lot coverage Corner Topography Total "eight Panhandle _ .,Cul-de-sac BUILDING PERMIT' ITEM SQ. FT. X $/SQ, FT. Main Gal<lge Carport #i5~~C- Total Value Building Permit Fee State Surcharge Total Fee (A) (B) PLUMBING PERMIT ITEM Fix~ures .:z Residential Bath(~) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit Stat~. Surcharge Total Charge (C) MECHANICAl. PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/lnser /Flreplace Unit ~~ Mechanical Permil Issuahce ,/h/N" State :Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge, Sidewalk ft Curbcut ft Demolition State Surcharge Total Miscellaneou:; Permits (E) TOTAL AMOUNT 0 JE (excluding electrical) (A, B, C, D, and E Combined) , , , :~ ,j~) :(~p:;~it IS THEPROPOSED WORK,tNTHE- HISTORICAL DISTRICT. OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical , Coordinator prior to permit Issuance. Setbacks ' I I .1 HSE GAR ACC' I' I p.L. I.N · Is Iw IE VALUE " 2~~'~ FEE 2.0, 01> -.::;2tP.. (!r6 I ' ....... .~O '2../. ~ /7: doC> , - Go/? Ie?-- :~ 2~ ..<6 /99'55 APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction' shall, In all respects, conform to the Ordinance adopted by the City, of Springfield, including the Development Code, regulating the construction 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 L~t7. -5"P 7,'153 ." , ~J .., ~ "0.' 7.:" <....... " L2'/. ?~ SYSTEMS DEVELOPMENT CHARGE (SDC) Systems Development Charge is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS 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 Ordlnancl;lS 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 the street, that the permit card Is located at the front of the proper ,and the approved set of plans will remain on the site t II tim~ j/,~1ccztructlon. Signature \{}~ Date VALIDATION: RECEIPT NUMBER / $I ~;?::c. 8 -~ 1'. c;;J V 1?9. ~S-- /7~__ /p / DATE PAID AMOUNT RECEIVED RECEIVED BY