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HomeMy WebLinkAboutPermit Mechanical 1997-10-3 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 o ((ice: 726.3759 ASSESSORS MAP: LOT: BLOCK: B recd '-/1 h:.r ml11 ADDRESS: 733 ~L-rr-J.e:nn La) /3/Y d CITY: SprU1tjtl e,/d lns~aJ I OWNER: STATE: OR DESCRIBE WORK: NEW REMODEL _!~ ADDITION J-)&+ 'Puma S\lsfan I I DEMOliSH ____ CONTRACTOR'S NAME GENERAL: OTHEll . JOB NUMBER Cf I I t.(Jrs.-S 225 Fifth Street Springfle/el, Oregon 97477 TAX LOT: SUBDIVISION: PHONE: &f!7 -:J5dd ZIP: Q'1i/-1tJ ADDRESS CONST. CONTRACTOR It PHONE PLUMBING: MECHANICAL:f:OrYl+Dr-l: RotV ((5/ DDn,f;+.5fe..-D -~ To request an Inspection, you must call 726.3769. This Is a .f.~Q~~cording, AfI inspections re'queSled before 7:00 a,rn. will be made the same working dilY, Inspections requested afl~~~o\lb~' will be made the folfowlng worl< dilY, , RE~~~~~ECTlqNS ' ~~U~~#~ical - Prior to G. ~_.~~'~\J . . \.ty'{;. ~ CJ ~<() ~~ o Site InspectIOn - To b~~d9~~' ~V~~~h Electrical _ Prior to after excavation, but ~ _~~ (\.,~v~~. setting forms, ,\~"b' r:J~:;' ~~ (.c,~V . ~...~~ ~~O ~~ o Underslnb Plumbl,ng/ElectliN:!'nl~~ "r~ Electricnl Service - Must be Mechnnlcal - Prior to coverCJO ,~approvecl to obti.lin perrnilncnl ~ eleclrlcill power, o Footing - After trenches are r excavated. ELECTRICAL: QUAD AREA: II OF BLDGS: OCCY GROUP: It OF STORIES: WATER HEATER:_ o Temporary Electric o Masonry - Steel location, bond beams, grouting. o Foundntlon - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Under/loor Plumblngl Mechnnicnl - Prior to insulation or decl<ing. o Post nnd Beam - Prior to (1001' Insulation or decl<lng. o Floor Insulntion - Prior to decl<lng. o Sanitary Sewer - Prior to filling trench, o Storm Sewer - Prior to filling trench. o Willer Line - Prior to filling trench. o Rough Plumbing - Prior to cover. - OFFICE USE - L^ND USE:_ II OF UNITS: CONSTR. TYPE: HEAT SOURCE: R^NGE: ___ o Flreplilce - Prior to facing materials and (raming Insp, o o Frilmlng - Prior to cover. Wall/C'elling Insulatio,l1 - Prior to cover. o Dryw11il Prior 10 taping, o Wood Stove - After Insta/lalion, o Insert - Afler flrepface approvfll an'q install;)lIon of unit. o Curbcllt & Approach - After forms arc crccled lJlIl prior to plilcernenl of cOncrcl(~, o Sidewalk & Drivew:IY - Arler excilvalion is complete, forms ilncJ sui),base maicri:ll in place, o Fence - \lVt1Cn completecl. o ~Hrool Trees - Wilen all required trees arc planted. ()O Lj/PD I.::XPlnES 10 -2g 1<1 7 210 ~DI DO. fLOOD f)L^IN: ZONING CODE: It OF BDRMS: SECONDAFlY HEAT: ______,____ SQu^nr=. FOOTAGE: ___,_..___ o Final Plumbing - When all plumbing worl< is complete. o Fin:li Electricill - Wilen all electrical worl< is complete, ~ech:lIlicnl - When' all mechanical worl< Is complele, D Final Ouilding - Wilen all required inspections have been approved and building is camp/ciccI. , ~ o Ol,l1er MOBILE HOME INSPECTIONS [:=J Olocking nnd Set.Up - When all blocl<inD is complele, o Plumbin~J Connections - When Iwme has been Connected to w:.1ler ::\f)el sewer, o Electrical COllllcction - When 1)locl<iIl\J. sel-uP. oneJ plumbing i Il~;pec Ii ons Il;lve~ been approvecl aneJ tile Ilollle is conneclecl to tile service pallel, CJ Finnl - Afler all required in:jpections arc approved and porches, sl<irting, decks, and venting have been Installed, lot faces lol Type' lot sq: ftg. Interior Lot coverage Corner Topography Panhandle Totill height Cul-de,sac 'J BUILDING PERMIT ITEM SQ, FT. X $1 SQ, FT. Milin Garage Cilrporl Total Value Building Permit Fcc Slate Surcharge TOlal Fcc (^) ,~ '. ~ : .~:,!f.~d';~f'i~~~;~;:~~ :'t~.:1r.;~~1.1i~J~;~:d' t 1 Sctl)aGI<~; P,l, HSE GAR N S W E V A lU E " .5-Y.SI:,EMS DEVELOPMENT CI~\.f\RGE (SDC) (B) PLUMBING PERMIT ITEM Fixlures Residcnliill B<Jth(s) N" Silnitary S~wer FT. Water FT. Slorm Sewer FT. Mobile Home Plumbing Parmit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N" Wood Stove/lnserl/Flrepl<Jcc Unit Dryer Vent j)~~~-p-- I Mechanicill Permit Issuance Stale SurcharGe -t-O. ~ Total Permit (D) MISCELLANEOUS PERMITS Mobile Horne State Issuance State Surcl,arge Sidewalk It Curbcul ft Demolilion ~late Surctlargc Tolal Miscellaneous Permit~; (E) TOTAL AMOUNT DUE (cxcludina clectriccll) (A, B, C, 0, and E Combincd) FEE 'ACC I I I I IS THE PFlOPOSED WORI< iN THE 'HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? It yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permil is granted on 11')e express condition that the said construclion sl,1all, in all respects, conform to the Ordinance adopted by the City, of Springfield, including the Development Code, regulaling the construe lion and use of buildin~Js, and may be suspended or rQvol<cd at any lime, upon viola lion of any provisions or-sa-id ordinances. Plan Checl< Fcc: Date Paid: Receipt Nulnber:______~_~ Received By: -----.-. .---.----.---- Plans Reviewed 8y Dale: Systems DevelopFnpnt Charge is due on all undeveloped,' ' pro'perties within the City limits which are being improved.' ADDITIONAL COMMENTS ,.j,I:' -,,*.~~ i::~;.~~;'2.?i.i '/0... -''/'l;', ,/"" .. i'~;;~'!.:,l..".,',.'~" . ~~~: .,~_:~-):.':. ~ "Y.- ' , :._... ~.r. '....;~:~~-".-;, '~'-"'/. 't,o. ~\4..... 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L!(i-i.$Jt.;.', '~.~):.:;~:::I.;;,~;),/~~:;;':S'> By slgnatur::.;,,')~'r~~f1t.:n:d;.~gree, that I have carefull~ examined the completec:J-,..appl-t;g:allon and do hereby certify that all , '.. information here'oj~is true anel correct, and I further certify that any and all worf< performed sl,all be done in accordance with the Ordinances of llw City of Springfield, and the Laws of the Stale of Oregon pertaining to the worl~ described herein, and that NO OCCUPANCY will be maeJe of any structure will,oul permission of the Building Safety Division. 1 further certify tllat only contractors and employees who arc in compliance'with ORS 701.055 will be used on this proiect. t-is-- -=---- -t _LQ,~_-:- 7~. +- .l..fS --,------- B-Co .?-D I furlher agree to ensure thaI all required inspeclions are requested at the proper lime, that each address Is readable fromlhe slreet, that the permit card Is located at the fronl of the pi 0 pj:2rty, . ,d lc-approved set of pla.ns will remain on tile sile all i es d ring{\ co~t/!Clion. Signature J# /' ~ ()~ d ~ JO..C}-91 Date VALIDATION: RECEIPT NUMBEf'l .67 ~<65 J D- =3- Cf 7 ~~.r DATE PAID AMOUNT RECEIVED FlECEIVED BY