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HomeMy WebLinkAboutPermit Mechanical 1992-8-3 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED wOnK' ASSESSORS MAP' /7--s~. "J5"'-?i-z..... LOT: CITY: NEW REMODEL ADDITION CONTRACTOR'S NAME -~"~-- . SPRINGFIELD Wit,., , ~ /yP ~ 7/ ',' . JOB NUMBER ., ~ "3:2 .dP,S~ ,', i g5""~ BLOCK: . , DEMOLISH OTHER 225 Fifth Street Springfield, Oregon 97477 " TAX LOT' e:!> ~=- SUBDIVISION' PHONE: .7:AC-~,;,; ZIP' /~ ADDRESS CONST, CONTRACTOR' EXPIRES PHONE - OFFICE USE - LAND USE: N OF UNITS: _________ CONSTR, TYPE: HEAT SOURCE: ___ RANGE: REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. D 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. GENERAL: PLUMBING: MECHANICAL: j1.a>e;.r, C:::;:z.:: p::z:> ~ t'~*;t5~i 7.7~2{, %;- 9s~-9'~;:; ELECTRICA' ' OUAD AREA' . OF BLOGS: ___ __ OCCY GROUP:__ N OF STORIES:..., WATER HEATER: FLOOD PLAIN' ZONING CODE:__ . OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: .j" 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. o Temporary Electric I~ Site Inspection - To be made after excavation, but prior to seltin~ 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 me erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underlloor Plumblng/Mcchilnlcal _ Prior to insulation or (Iecklng. o Post and Beam - Prior to floor insulation or decking. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to fitling trench. o Storm Sewer - Prior to filling trench. O Water Line - Prior to fllll!19 trench. o Rough Plumbing - Prior to cover. . o Framing - Prior to cover. o Wall/Ceiling Insulntion - Prior to cover. o Drywall - Prior to taping. D Wood Slove - Atter In:>tallatlon. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation Is complete, forms and sub.base material In place. o Fence - Wilen completed. o Street Trees - When all required trees arc planted. "' o Final Plumbing - When all pl'umblng worl( Is complete. D FInal Electrical - When all electrical work Is complete. rn Final Mechanical - When all mechanical work Is complete. .' o Final Building - When all required Inspections have been approved and building Is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blockIng Is complete. o Plumbing Connections - When home has been connected to water and sewer. .:1 o Electrical Connection - When blocking, set-up, and plumbing I nspections have been approved and the home Is connected to the service panel. ~ ~ " .~ ~ :1 o Final - After all required Inspections are approved and porches, sl<irting, decks, and venting have been installed. i Lot faces Lot Type-, Interior Lot sq, ltg, Lot coverage Corner Topography Panhandle Total height Cul-de-sac BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT, Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) Setbacks r- ------, P.L. HSE GAR ACC I I N I I S , .3 THE I'ROPOSED 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 permil issuance. W - l-L- ___ == = BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT VALUE SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sewer Water FT, FT, Storm Sewer FT, Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsertlFireplace Unit Dryer Vent ~,~C.//.NCE ,/;7~ Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Horne State Issuance State Surcharge Sidewalk lt Curbcut It DemoO 1Ion State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) FEE /..:;-. -e> v - /t:..,"""":.--- /0 .7) '7~ 7S' APPROVED: This permit is granted on the express condition U18t the said conslrllcUon shall, in all rcspecls,'conform to thcOl(linance mJoplcd by the City of Springfield, including tho DOVClloplIlcnt Code, mqulalinn IIle construction and use of lJlIffdin~g;, and may /)1) t;lIspencJcd or rcv()l~cd ,II any lime upon violation of any provisions of said ordinances. Plan Chccl< Fcc: Dale Paid: Receipt Number" Received By: Plans Hevlcwe(J By Date Systems Development Cllarge is due on all undeveloped properties within the City limits whic~1 are being improved. ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully ex~mined the completed application and do hereby certify that all Information hereon is true and correct, and 1 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 permitision of the Building Safety Division. I furl her cerlify that only contractors and employees who are in compliance with ORS 701.055 will be used on tllis project. I further agree to ensure that all requirecJ inspections are requested at Ihe proper time, that each ad(Jress is readablc from the street, that the permit card is locatcd al tile front of the property, and tlw approved set of plan~; will rcmain on the silo at all Ullles duril11 construction. Slgl1ature$~ 00.11'" ;? ,:'5 -/..2-- VAll DATION: RECEIPT NUMBER .-s-??~ DATE PAIr> *1- :J~7 AMOUNT RECElvo:n 7"5:- 70s-- RECEIVED BY .....--:?.h__~ ~~ ~~ /