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HomeMy WebLinkAboutPermit Mechanical 1996-12-4 OWNER ----/.JDl"l ( ClMJa <: ADDRESS 7-97-'+ C/-1~I~U, oltJ.CP. CITY Srll'i '1\1-1-, c. tel (STATE In<:.:t./ ( 7b.(,k~tN'l d'PI1-tJ...~.j;latJ !M€.. /D.("Pi/ Ii REMODEL V ADDITION" DEMOLISH _ OTHER RESIDENTIAL PERMIT APPLICATION Inspections 7263769 Office 7263759 LOCATION OF PROPOSED WORIZ ASSESSORS MAP LOT 110'3 DESCRIBE WORK NEW ~ spnlNC,lELD ~ ~ JIll: ~Fi :> b J.- 4 c.)VC +-.Ra 1A . 'J. 3, "] d- BLOCK (J,~ JOB NUMEJER 9(tl/GJ5 225 Fifth Street Springfield Oregon 97477 PL;L-~ TAX LOT 0:3 00 0 SUBDIVISION PHONE -7--'-1-7 - 0539. ZIP C(17<177 I-f it) I.l. PHONE CONTRACTOR S NAME GENERAL PLUMBING MECHANICAL (f:zv€t<-\.&/l ~ S. ELECTRICAL ADDRESS CONSl CONTI,ACTOR H 91J&-i_<ht. cXPI11CS 9222'-1 L/?, ...:;:. "'?("){ 7-17 OUAD AREA , OF BLDGS OCCY GROUP , OF STORIES WATER HEATER - OFFICE USE - LAND USE _________ II or UNITS CONSTR TYPE HEAl SOURCe RANGF rLOOD I'Lf\IN ____ ZONING CODE II OF GORMS SECONDARY HEr,T ~_ SOUARe FOOTAGE ___ To request an Inspection, you must cdll 7263769 Tills Is a 24 tlour reCording All Inspections requested before 700 d rn Will be made the sarne working dny In<,pucl1ons requested after 700 a m will be made the following work day D Temporary ElectriC D Site Inspection - Yo be made after excavation but prior to setllng forms D UndcrsJ.lb PlumblngfElcctIH..,dl Mechanical - Prior to cover D Footing - After trenches are excavated D Masonry - Steel location, bond beams, grouting o Foundnllon - After forms arc erected but prIor to concrete placement o Underground PlumbIng - PrIor to filling trench o Underlloor PlumbIng/MechanIcal - Prior to Insulation or dec)~lna D Post [Ind Beam - Pilar to floor In~ulatlon or decking D Floor Insulalton - Pilar to "\ decking o Sanitary Sewer - PrIor to filling trench D Storm Sewer - fJllor 10 III ling Irene!') D Water LIne trench Prior 10 fllllng_ " ... o Rough PlumbIng - Prior to cover > , REQUIRED INSPECTIONS G:..r7l Rougl1 Mectlanlcal - Prior to ~er D Rough Electrical - Prior to ('OVCI D [IcctIlC,ll Service - Mu~l 1)(> approved to abtolll pelrnanpnt electrical power o Flrcplnce - Prior to faclng~ materials and framing In~p D Fr.lrlllng - Prior 10 cover D Wall/Celllng Insulation - Prior to cover , ( D Orywull - Prior 0 tJ.plngJ D Wood Stove - After Installallon D Insert - After (,replace dpprovlll and Instal18110n of unit \ D Curbcllt & Appl::lc.lch - After forms are Uf>(..\ed but pilar \0 plncuncnt of C'oncrt.lc' D SlclewaJk & DrJ\c~J..l~' - After cXc-avdtlon Is complete fOlll1S and su~) base rrntUIClI In place D Fence - Wilen com pic led D , , ~~lreol Trees - When '111 Icqu~lred ...... trees arp planted D FInd] Plumbing - When all plumbing worl< IS complete o FInal Electllc,,1 - When all electrical war)~ IS conlpIete C'I--tf rm IJ Mcclll/lledl _ WII(.!11 all ~ChJnlCal worl~ It> complete o Flnnl Budding - When all _ reqUired Ins-pectlons have~been approved and bUJ!eJJng IS completed ~.., , - " , o Other \. ......,.\,... l ' \ )_H MOBILE HOME INSPECTIONS D BJochll1g <lnd Set Up - When all bloLkln'] I~ complete D PlumbIng Connections - When tlame ha~ been connected to water t'lrlU seVJer o Elcclrrcal ConnectIon - When blocklno set up, and plumbing Inspections ~l,we been approved and the home I~ connected 10 the ~crvlce pnnel o Flllal - A(ter ..111 reqUired In~peclions ':He approved and porches, ~1~ll tlng decks and venting htlvc been Installed /J Lot faces Lol Type Lot sq fig Interior Lot coverage CornLr Topography Panhandle Total height Cui de sac BUILDING PERMIT ITEM X $/30 r:T SO FT Main Garage Carport Tolnl Value BUilding Pel rTll L Fcc Stdte SUrC1HHqC To\nl Fcc (AI Setbac:l(, -;;:--iHS~r-;;:;;'R I ACC I I N --~~ IS THE PF10POSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? I r yes thiS application must be signed and approved by the Historical Coordinator pnor to permit Issuance S --~----- W I -Eu -I VALUE (B) SYSTEMS DEVELOPMENT CHARGE (SDC) i:~D :S-;lP'V ~i;[). /"') ".-0 _J..f) (f7) ;<-0 2../... 20 - +- PLUMBING PERMIT ITEM Fixtures ReSidential Balh(s) N' Sanitary Sewer F1 Water FT Storm Sewer _ ~~, ;1"~:-: M ',"U-r"l;" FT /-A-~ L/F/t<. . :;--:-If;;j /i<c:---- Plumbing Permit Stale Surcharge Total Charge (C) MECHANICAL PERMIT Furnacc Exhaust Hood Vent Fan N' Wood Stove/Insert/ FI rcpl o.ce i~,,~;:;, !/{)(OP</ CI'IS" DAYf!- f /(Wff-_ Unit Mechanical Permit Issuance State Surcharge 17J-f'-fI Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk II Curbcul II DemolItIon State Surchdrgc Total MIscellaneous PermIts (E) TOTAL AMOUNT DUE (excluding clcclnLdl) (A, B, C, D, and E Cornbl/1cd) \ FEE .-/\~ , --=~ ;--, , 9/.', 20 ~~~- . -.J APPROVED BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT T~lIS pCrfTlillS glantcd on Ihe express condlllon that the said construction shell I In alllcspccls, conform to the OrdInance adoplcd by the City 01 Springfield Including Ihe Devcloprncnt Code regulating the construction and use of bUildings, ,Jnd may be suspended or revoked at any lime upon vlolotlon of <lny prOVIsions of said ordlnanccs Plan CIIOLI< Foe Date Paid ROLel pl N u rnbcl __ ReccI vocJ By - -~--- ----- ~----- Plans Revlcwed Gy Date Systems Development Charge IS due on all undeveloped properties Within the> City 1IITlltS which are being Improved ADDITIONAL COMMENTS ------ By slgnat.ure I stdlc ond <.iglOO thClt I have carefully examIned tile completed application and do tlcreby certify that all Information hereon IS true and correct, and I furl her certify tlldt <lny and <ll! work performGd shall be done In accordance With the Qrdln<lnC8S of thc City of Springfield, and the Laws of the Stdle of Oregon pertaining to the work described herOin .Jnd Lllat NO OCCUPANCY Will be made of any structure Without perrnlsslon of the Building Safely DIVISion I furthcl certify tlldt only contractors and employees who arc In compl\dllcc WIth GRS 701055 Will be used on this Proloct I further agree to ensure that all reqUired Inspections are requested <lIthe proper time, that each address Is readable from tile street, that the permIt card Is located at the front of the property, and the approved set of plans will remain on 1>.18/11 limes dUTlng construction SI9nalur'{:::::?-:;!/)] ~--L-- Dalcjd-.-cf -< (. . , VALIDATION 2 J i& ( DAlE PAID /2..-f-Jp ~MOUNT RECEIV["D ___ 2~ ~t::l IIECEIVED I3Y -- - 1/ ~ l RECEIPT NUMBER