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HomeMy WebLinkAboutPermit Mechanical 1996-10-9 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726-3759 LOCATION OF PROPOSED WORK: J TLJ ?-, , - ASSESSORS MAP: LOT: c., SPRINGFIELD BLOCK: ADDRESS: CITY: /74? . S/?rY / . ~ ~4?~A/! ( /~~~~ /tft/OPAJS '~A;~r: /~/ OWNER: DESCRIBE WORK: CA< NEW REMODEL CONTRACTqR'S NAME GENERAl' ) STATE: O;:p "P"Z-IA7 / ),A-t??- " ~ ~ I '- 1 ADDITION DEMOLISH OTHER ~ JOB NUMBER /G/3ro ~ 225 Fifth Street Springfield. Oregon 97477 ~ TAX LOT' / CJ / C1~ SUBDIVISION: PHONE: 7~7 -c44o ( / ZIP' ~7~77 ADDRESS CONST. CONTRACTOR It PHONE PLUMBING: MECHANICAL~~ / 4~~ 4 e>o ~47I(J , ELECTRICAL: QUAD AREA: It OF BLDGS: OCCY GROUP: It OF STORIES: WATER HEATER: _~ 5(,,8 ?. - OFFICE USE - LAND USE: _ It OF UNITS: CONSTR, TYPE: HEAT SOURCE: RANGE: EXPIRES o/26~? ?~ - 7h77 FLOOD PLAIN: ZONING CODE: It OF BDRMS: 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, D Temporary Electric D 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. D Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench, , D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or decldng, o Floo~ Insulation - Prior t~' decking. , ' o Sanitary Sewer -' Prior to filling trench, o Storm Sewer - Prior to filling trench. . ", \, \ '" ", (~,,', o Water Line -:- p,~IO~.t9 (~llin9, trench. ',\ . ",' , ". . .' . \ \, o Rough Plumo-ing,,~.Priorto cover. " " ' ~. :-- , , REQUIRED INSPECTIONS '1><1 Rough Mechanical - Prior to ""over. o 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. o Framing - Prior t~ co~~r.'.: o Wail/Ceiling Insulatlo,~ ....,.~rlor to cover. - '."~~~,\ \ D Drywall - Prior t~}aplng: D Wood Stove - After Installation, D Insert--;-, After fireplace approvtll and Installallon of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete, o Sidewalk & Drivewav - After excavation is complete, forms and sub-base material in place, o Fence - When completed. o Street Trees - Whe.n all required trees are planted, < ' D Final Plumbing - When all plumbing work is complete, D Final Electrical - When all electrical worl< is complete, 1'\;7( Final Mechanical - When all ~mechanical worl< is complete, o Final Building - When all required Inspections have been approved and building is completed, .' ~\ ....\ ,'.. . ~. . ~T'- "'- - I .f"v.1'Other U?'tJ '5Mv/rr6 ) -,~, " ~7T-0 L/~E -) ", " -- \. \ \ ,-' MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocl<lng 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, skirting, decks, and venting have been Installed, Lot face,s . Lot Type . .:, Lot :,;q, ftg: Interior Lot coverage Corner Topography Total height Panhandle Cul-de-sac, .: , BUILDING PERMIT ITEM SQ, FT. X $/SQ, FT. . Main", Garage " , Carport, <. Total Value Building Permit Fee State Surcharge Total Fee (A) , . .: (~-: . . ~ ,,:'. I ,- '. '\ "'::< " ~-, . IS"\HE PROPOSED WORK iN THE, 'HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? 'If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. Setbacks I PL. HSE GAR' ACC I IN' Is E ,.._V:!.~. \ "- -',.. ". '. -"~""'. )..~. ....... 'APPROV~D:-' VALUE .. .~ \'-... .,.....:.. " BUILDING VAUJE, PLAN CHECK AND BUILDING PERMIT ',.\' 'This per,mit i::; granted on theexpre:,s con,dition that the said : construction'sheW, in all respects;'conform to the Ordinance "adopted~ by the, City ',of Springfield, Including the D~velopment C'ode, regulating the'construction and use of buildings, and may be suspende~ or revoked at any time upon violation of any provisions 0"1. said ordinances. Plan Ch(~ck Fee' "'" \ '.. ~ -'" Date Paid: ' Receipt Number: Received By: Plans Reviewed By Date System~ Developmer)t./9tlCir'g,e is-sJu.e,.oh 'all undeveloped properties within the City limits which are being improved. " ~,SYSTEM$ DEVELO,PMENT CH,AR.GE (SDC) ":--;~ ',.\..... ".__\.~ "1"-~'" '::~""-. - '--' , , (B) PLUMBING PERMIT ITEM Fixtures Resid.ential Bath(s) NO 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/Insert/Fireplace Unit Dryer Vent -~~ ~~ Mec.hani'c~I'" Permi t"~ j $/,u '.- } ',:....,. Issuance j": . ~ t '.' State Surcharge ,7 s-r-IIS Total Permit (D) IV1ISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) FEE -/20-0 o?~ ./ ~ , /S,tJ?J /0 /~ 0 j,U) _~,26 2-0,2.-0 ADDITIONAL COMMENTS By slQnature, I state and agree, that I have carefully examined the completed application and do hereby certl fy 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 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 property, and the approved set of plans will remain on the s: ayall times dur:n~ cO~l,~ ~natureG~DYL0-- fC, , \0 .q -Yep Date VALIDATION: 2-3 {/7 /~1~~ AMOUNT RECEIVED .2U t-~ /~~ RECEIPT NUMBER DATE PAID RECEIVED BY