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HomeMy WebLinkAboutPermit Mechanical 1999-8-4 ''-' . )'';: ',,~.,;, RESIDENTIAL PERMIT APPLICATION ,r"'-- :l" "-- Inspections: 726.3769 ,Office: 726.3759 :' ' ' "'.' ' / ' 'LOCATIONOF PROPOSED WORK~ -:5.Ll1\ ASSESSpRS MAP: / t tJ 2. 6 '2... ~,2 OWNER:~'\ nn ) (--hOf\h 'ADDRESS' . ~~4A C'c:)..L)('.A r1 0 ~. CITY: O.Prf-V\o~1~)Cl~) STATE:iL~~ , , "" {~ IIe-J- (A U~,..... DESCRIBE WORK: "-..:: (ll 'fAm,/J LOT: NEW ADDITION REMODEL BLOCK: DEMOLISH OTHER - , . ;. '6j/IC) )2- JOB NUMBER SUBDIVISION: ' PHONE: _J fl-L,f> -1&(/)--# ZIP: ~ CONTRA~~AME \ t" .~.. . kAI\9RESS, I _ " 'gg~~<fTOR # .' EXPIRES '::'l 'PHONE'" . GENERA 1'C,.t4Vfrl~Ll:.Al~)(1'rre.,-JC 473lJi:J. 1Le/-2fDL PLUMBING: , ''v ' , MECHANICAl' 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 o Site Inspection- - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. D Footing - After trenches are excavated, D 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 UnderlloorP/umblng/Mechanlcal' - Prior to Insulatlo~ or decking. ' "-7.;J;-:::';;'::- - ~ '-:' - - . " J ' D Post and Beam ~ Prior to floor Insulation or decking, D Floor Insulation -' Prior.to decking, D Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. ,_ " .J" l, ~J ~.J~' I ,". " ' O Water Line - Prior to.fiIling'.'. trench. ! t ., " ".-' o Rough Plumbing, -:7 Pr-tor to cover, '\ \ I ~ 10' >, .. , , REQUIRED INSPECTIONS , '. ' , 0 Rough Mechanical -.:. Prior to cover. '0 Rough Electrical -,. Prior to cover, '0 Electrical Service - Must be " ' approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. D Framing - Prior t'o cover: .', ""'~ t !::~r'.. I 0, Wall/Ceili'"!9 Insulatlo.n',:-:- fr~or to cover, " ': ;z'\ ~'." ,D Drywall- Prior tot~PIF~"'t_ '- '., ""'. o Wood Stove - After Installation. o Insert - After fireplace approvlll '. and Installation of unit. D Curbcut 8. 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, .. ; 0 Fence ,'"","- Whe,n conlpleted, D'street Trees - When all required trees are planted, D Final Plumbing - When all , plumbing worl< Is complete. Inal Mechanical - When all. mechanical work is complete. D Final BUilding - When all required Inspections have been approved and building is completed, ',"" \. \; ,;;;'\:', \ . D Other MOBILE HOME INSPECTIONS " :__' . ""oA:.,...:"v>_ ~'!::.~....._,..,. ~. . .. .., D Blocking and Set-Up"':" When 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 the service panel. D Final-- After all required inspections are approved and porches, skirting, decks, and venting have been Installed.' "'--,,/ Lot faces Lot sq, ftg. Lot coverage Topography Total height Lot Type Interior Corner Panhandle " Cul-de-sac .~;..~ f?~ .:;~::'; 'j; Setbacks , . \ . \:---"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,. I P.L. HSE GAR Acc'l IN Is W E BUILDING PER!tt1IT ,."j ITEM SQ, FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (1 't VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary S~wer Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan X $/SQ, FT. (A) N' FT. FT. FT. (C) Wood Stovellnsert/Flreplace Unit NO JJ;;)nt;J~ ~ / Mechanical Permit Issuance State Surcharge Total Permit Mobile Home MISCELLANEOUS PERMITS (D) State Issuance State Surcharge Sidewalk ft ft Curbcut Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) FEE /6: ()() /O,dO /In 2~ . ,.) () ---J __.J APPROVED: . ' "': ' '! BUILDING VALtJE, 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 Springf.ield, 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 Systems Development Charge is due on ail undeveloped properties within the City limits which are being improved, ADDITIONAL COMMENTS E-e?7tt1J /JPt-'-"/ ~,,//d 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 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 wiii remain on the site at all tim"es durin,lo/'C". truct~ /J ../,,/ led //1 Signature /, ~ d/t,f'/ ; Date VALIDATION: RECEIPT NUMBER' () J!:7' 7 DATE PAID ~lfl r 7' AMOUNT RECEIVEDI7 r lA. ') D RECEIVED BY ~I!U~