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HomeMy WebLinkAboutPermit Mechanical 1992-11-4 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726-3759 SPRINGFIELD .. JOB NUMBER 92/S :s~ I 225 Fifth Street Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: 2. / '1 ><<- //]/J~ '27 C"..=;" .J.n:::v ~ J 4-L ~4 . TAX LOT: L/kn:) ASSESSORS MAP' LOT: BLOCK: OWNER: .1)I"IIf'("IA-h-V D~Q..~( (1) . - I \ , f) ADDRESS:' -2.'\:?-. ~. r ~-:t-e.....n. V"\ \..0.. _X- C I TY: ..s;:: 0 :. \'I\(~", oCt C) ~ \ -.J. STATE: DR- DESCRIBE WORK' (e..-+vo r:. -* Q M '-.J ADDITION p\. p.L- ~ hQRJ:-e.r NEW REMODEL CONTRACTOR'S NAME GENERAL: DEMOLISH OTHER SUBDIVISION: , PHONE: ~- ;.SDB ,'I- ZIP: q 7 t/77 ADDRESS CONST. CONTRACTOR /I EXPIRES PHONE PLUMBING: MECHANICAL' SP)~v\ I f)jUP GJI6.S d-q785\~lllo\.fl Ut II ~J 70YD, ELECTRICAL' QUAD AREA: /I OF BLDGS: OCCY GROUP: II OF STORIES' WATER HEATER: - OFFICE USE - LAND USE: II OF UNITS: CONSTR, TYPE: HEAT SOURCE: RANGE: rI...1$ . \?V{=751Y i FLOOD PLAIN: ZONING CODE: /I 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, REQUIRED INSPECTIONS I I Temporary Electric I I Sile Inspection - To be made after excavation, but prior to setting forms, D 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. D Underground Plumbing - Prior to filling trench, D Underfloor Plumbing/Mechanical - Prior to Insulation or decking, o Post and Beam - Prior to floor Insulation or decklnn, o Floor Insulation - Prior to decking, . o Sanitary Sewer - Prior to filling trench, o Storm Sewer - Prior to filling trench, ' o Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover, E><:t Rough Mechanical - Prior to . cover, o Rough Electrical - Prior to cover, D Electrical Service - Must be approved to obtain permanent electrical power, o Fireplace - Prior to facing materials and framing Insp, o Framing - Prior to cover, o Wail/Ceiling Insulation - Prior to cover, ' o Drywall - Prior to taping. D Wood Stove - After l~stallat'lon. 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 material In place, o Fence - When completed. o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing work Is complete. o Final Electrical - When all electrical work is complete, .D<r Final Mechanical - When all . mechanical work Is complete, o Final Building - When all requlrl;ldlnspectlons have been approved and building Is completed. ~'Other ~AS LJ~E:. MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete, d). 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. . r-4 ., .. .. .'t.,,, .,.; U' Flnal,"-:l\fter-all,reql.llred .'. ... .. "nspe'ctlonMare.'a'pp,roved . a'nd . "po~ches; skfrtfF{g;'1'ae'6ksiana' 'venting have been, Installed. .' Lot faces Lot . ~'(,ftg: Lot coverage. Topography Total height , Lot Type, 'IrHerlor' '.t-;... c~rner 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) S Iw IE VALUE SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO Sanitary Sewer FT, Water FT. Storm Sewer FT, Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/lnsert/Flreplace Unit Dryer Vent 4A:r L/A..Jc- Mechanical Permit Issuance State Surcharge Total Permit' (C) /"1 ~ A.) . (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut It Demolition State Surcharge FEE ~~ 2-~"':> /~o-O / tJ 6-f) ?S" ?S7,r Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) -2- ~ 7r - (A, B, C, 0, and E Combined) Setbacks HSE ,GAR ACC II l, ;', THE PROPOSED WORI< IN THE "i!"l"ISTo.RIGAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes"thls ap'pllcatlon must be signed and approved by the Historical Coordinator prior to permit issuance, 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 Checl< Fee: Date Paid: Receipt Number: Received By: Plans Reviewed By Date 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 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 site at all times during construction, >G;gnalur;;(~\-IJ----' - \12, \. / Date Jd-' Lf- fP- VALIDATION: ~~?4- /I-~ -'I L ?,), 7 r ~ RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY , '-