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HomeMy WebLinkAboutPermit Mechanical 1997-5-7 RESIDENTIAL PERMIT 1 SPRINGFIELD LOCATION OF PROPOSED WORK 2J::?'f1 ASSESSORS MAP \ flfP{)'?\ ~'7-- rhaG< leu r/o..Cf' Rf.a.rAl/\ev 7.55 C( 9 C?"a.<",-"free, / 6cp ~I/flo.r lJefJ. Ct;'""""qt> LOT OWNER ADDRESS CITY L'.rh d( q DESCRIBE WORK NEW REMODEL CONTRACTOR'S NAME GENERAl PLUMBING MECHANICAL ELECTRICAL JOy<, er BLOCK STATE OVf>_ JOB NUMBER c\'10 \Oq 1- 225 Filttl Slreel Sprlnglleld, Oregon 97477 TAX LOT ()~) c9~ ~ 1- /hI"<(' SUBDIVISION PHONE 7V.J-'1f?6Y:: ADDITION DEMOLISH OTHER ZIP 9?'f'~8 c4..'1-f.. Cft,...{' ADDRESS CONST CONTRACTOR' PHONE rlecr./~ i 9?' I /C)lCl /;'/1-\",- EXPIRES 'f 73'1( VIJ/-2/0/ QUAD AREA . OF BLDGS OCCY GROUP . OF STORIES WATER HEATER - OFFICE USE - LAND USE . OF UNITS CONSTR TYPE HEAT SOURCE RANGE FLOOD I'LAIN ZONING CODE . OF BDRMS SECONDARY HEAT ____ SQUARf FOOTAGE To request an Inspection, you must call 7263769 This is a 24 hour recording Alllnspecllons requested belore 700 a m will be made the same working day, Inspectfons requested after 700 a m will be made the fOllowing work day D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms D Underslab Plumblng/Electrlcall Mechanical - Prior to cover D Footing - After trenches are excavated D 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 decl<lng o Floor Insulation - Prior to decking o Sanitary Sewer - Prior to filling trench o Storm Sewer - Pdor to filling trench o Water Line - Prior to fillIng trench o Rough Plumbing - Prior to cover REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover D Rough Electrical - Prior to CQver o Electncal Service - Must be approved to obtain permanC'nt electrIcal power D Fireplace - Prior to facing materials and framing Insp D Framing - Prior to cover D Wail/Ceiling Insulation - Prlor to cover D Drywall - Prior to taping b Wood Stovo - After Installation ,,~ D Insert - After fIreplace approval and Installation of unit o Curbcut & Approdch - After forms are erected but prior to placement of concrele D Sidewalk & Driveway - After excavatIon Is complete forms and sub base material In place D Fence - When completed D Streot Trees - When all required trees are planted D Final Plumbing - When all plumbing worl< Is complete D Final Electrical - When all electrical worl< Is complete jg} Final MechnnJcal - When all mechanical worl< Is complete D Final BUIlding - When all required Inspections have been approved and bUilding Is completed o Othor MOBILE HOME INSPECTIONS D Blockmg and Set Up - When all bJocklna Is complete D Plumbing Connections - When home has been connected to water and sewer D Electrical Connection - When blocking, set uP. and plumbing inspecllons have been approved and 1I1e 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 Type Setbacks rHE PROPOSED WORK IN THE Interior I PL IHSEIGARIACCI HISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Corner II yes, thIs application must be sIgned Panhandle Is I and approved by the Historical Iw I CoordInator prior to permit Issuance Cui de sac IE I APPROVED Lot faces Lot sq fig Lot coverage Topography Tolal height BUILDING PERMIT ITEM SO FT X $/SO FT VALUE Main G aragc Carport Total Value BUIlding Permit Fee State Surcharge Total Fcc (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT , ITEM FEE Fixtures Residential Bath(s) NQ Sanitary Sewer FT Water FT Storm Sewer FT Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit (,~ C!c.L, 'I () Uv I {)1J &lo@ Issuance State Surcharge -{ ~C?cJ Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk fl Curbcut fl Demoll tJ on State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) r!Jln. W 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 Spllngfleld, 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 all undeveloped properties within thp 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 I~ 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 Stale 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 certl fy that only contractors and employees who are In compliance wllh ORS 701055 will be used on this prolect I further agree to ensure that ail required InspectIons are requested at the proper time, that each address Is readable from the street, that the permit card 15 located at the front of the properly, "nd the approved sel of plans will remain ~n he site at all ttme: during constructIon Ig alure ~;;;;, .-?:::7~~ (/' ,/ ~ Oat'" VALIDATION l) " I RECEIPT NUMBER (~ 5(p,0 \ _ ' DATE PAIr> S. '1 . C-f ) AMOUNT RECEI("J' . ~(~. 91) RECEIVED BY t7\ ( !J rl.......J