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HomeMy WebLinkAboutPermit Mechanical 1995-12-4 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT' /~O2.. , .'..;. SPRINGFIELD 7'?9 # ~ . ~"2. ~ ?~a 2.'2. ,// BLOCK: OWNER: ADDRESS: CITY: _A?au'~ C!~~~ 7?9 S. 7C30 ~ - , S'~-4) ("T: DESCRIBE WORK: c:;~ /&V~ NEW REMODEL ELECTRICAL: STATE: CJ.tf' ~ (~/~) -J',:.; '9 S'lss-~ ,. L/)/ # DEMOLISH OTHER JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT: r-J / (!!)~ n / ADDITION SUBDIVISION: PHONE:-Z..~~ -~/g;> ZIP: <J?~/t$ ADDRESS CONST. CONTRACTOR # EXPIRES '.::'> PHONE / ~I .;-(.. /j2.~(- .71"~/:~ CONTRACTOR'S NAME GENERAL: PLUMBING: MECHANICAL: 4;l/bV r U~ /4~ J!:Nb rAltJJ;d /13/'0 N,/j~ ~A ( -~ 0- - 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: RANGE: SQUARE FOOTAGE: To request an Inspection, you must call 726-3769, This Is a 24 hour recording, All Inspections requested before 7:00 a.in, 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 forn:s, 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 Underfloor Plumbing/Mechanical , - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or decking. , 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., . 'D Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS 1~~Rough Mechanical - Prior to Jr ,,",cover. 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 to cover. o Wall/Ceiling Insulation - Prior to cove~ ' D Drywall - Prior to taping. -- o Wood Stovo - After I~stallatlon. 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. D Street Trees - When all requl,red trees are planted. " .....~ D Final Plumbing - When all plumbing work Is complet,e. o Final Electrical - When all electrical work Is complete, ~Flnal Mechanical - When all ~mechanlcal wor1< Is complete. o Final Building - When all required Inspections have been. approved and building Is completed, ~ Other 2~ ~ t:;Jt) J~//r~ 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, 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 Type Setbacks Interior I P.L HSE GAR ACC IN Corner Is Panhandle Iw Cul-de-sac IE Lci't faces Lot sq. ftg. Lot coverage Topography Total height BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) VALUE " (B) SYSTEMS DEVELOPMENT CHARGE (SDC) . ' PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO Sanitary S!3wer Water FT, FT, Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/Insert/Fireplace Unit Dryer Vent ~A5 U.o~ / jA~$ Mechanical Permit Issuance State Surcharge I 7 j T ' ~ .J Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) FEE --:nf /il/ . /,&:) ~ /O~O /'2..tJ ~/"n ,2. (j _U..2t> . . ~ .; :" '~;~.' ..'.... .~, . .2 Tt;fE 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, APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is gr<;1nted on the express condition that the said construction sh'all, in all respects, conform to the Ordinance adopted by the City of Springfielfl, including the Development Code, regulating the constructi@n 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 Numbcr' Received By: Plans Reviewed By Date Sy~tems Development Charge is due on 'all undeveloped .. properties within the City limits which are being improved. ADDITIONAL COMMENTS By signature, I statc 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. /1,lgnature f!o'*-.- ..J. ~o-v/ Date /1- - t./ -1S VALIDATION: RECEIPT NUMBER /e; 7~2 J2-/~f -, / 2...() ~O. A/~ DATE PAID AMOUNT RECEIVED RECEIVED BY