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HomeMy WebLinkAboutPermit Mechanical 1999-10-26 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ASSESSORS MAP: LOT' OWNER' I/.le-J.J,," ..s~/')\J -P r-J' I ADDRESS' . .D. \:Wb( ;21}'1 CITY: s;'A,(,,~ . BLOCK: STATE: ' Dk! DESCRIBE WORK: --=::rJS'1A-UA-..,.-;.......( Cb.< :;;:''R>J~ NEW REMODEL CONTRACTOR'S N~ME GENERAL: ~M: {11>~JI"?6DJ PLUMBING' MECHANICAl' ELECTRICAl' ADDITION DEMOLISH . JOB NUMBER ..2..2.Ie(~ J 225 Fifth Street Springfield, Oregon 97477 TAX LOT: fJt./ 1/:10 SUBDIVISION' PHONE: 941J.-/'-'/.:t.-C} ZIP' 911'J.:J.. OTHER ADiJ.SS d K' . 4~d . ./J-.&6€~k CON ST. CONTRACTOR # aegJ~3J-'N, EXPIRES ..., PHONE .ik ./f.t&;L o Rough Mechanical - Prior to 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. cO,ver. o Wail/Ceiling Insulation -:- Prior to cover.. ~' o Drywall - Prior to taping. . ". o Wood Stove - After l~stallatJon. . 0 Insert - After fireplace approvlll , , and Installation of unit. . , / r 0 Curbcut & Approach - After forms are erected but prior to placemont of concrete. o Sidewalk & Driveway - After excavation Is complete. forms and 'sub-base material In place. D Fence. - V\then completed; D Street Trees - Wh~n all required trees are planted. ATTENTION:Oregon law requires you ?tFICE USE - QUAD AREA- fOllowrulesadootedbytheCA'I"l!JlJoSi!:!ilj' NOTICE: FLOOD I'LAIN: Nollflcaflon Center. Those rules 1'lr0 "At forth # OF BLDGS: inO.^.R9S2 301 E::;~Jthrougtl'aA'f1u~d~~ul_ THISPERMITSH~iIOO?iREOEifHEWORK OCCY GRoup,0090. You mav obtain copiefC0rlisn'l,lm);~ AUTHORIZED UNDFffi=T~~M1T1S NOT caliir;g the center. (Note: the IAlenhone COMMENCED OR I~ ARANnnNl=n F=nR # OF STORIES: -""""se I 'n' e u .,.,I:lEl.\c .sOURCE: SlOC'ON)j)\1iY FIl:Ai: ~""'. r Qr,.... '''ilon t~"Yi~otlTlcallon ANY 180 DAY PERIOD. WATER HEATER: Center IS 1-800-3::l2-i'lA<N'GE: _ 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 aHer 7:00 8.m. will be made the fOllowIng work day. REQUiRED INSPECTIONS o Final Plumbing - When all plumbing worl< Is complete. , , o Final Electrical - When all electrical work is complete. IQ Mechanical - When all Vhanical work Is complete, o Final Building - When all required Inspections have been approved and building is ~ completed. 6Jthor0u# ? Sfwb A-W ~. " MOBILE HOME INSPECTIONS o Blocking and ~et-Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to water .3.nd 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. ( o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Eleclrlcal/ Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. II D Underground Plu"rnblng - Prior to filling trench. I. , \:. o Underlloor Plumping/MechanIcal - Prior to Insul4tlon or decking. ~ o Po.st and Beam .;- Prior to floor Insulation or decking. . , '. ';' ,t, o Floor Insulation - Prior'to decking. \ , \ ' o Sanitary Sewer - Prior to filling trench. . o Storm Sewer - prior to HIling trench. , o Water L1no - p'rlor to filling trench. ~ \ ". '.: . , o Rough Plumbing;....... Pri?r to cover. \ ;'...:0:."...- , , " Lot (aces " Lot sq: Itg.,": Lot coverage Topography Total height BUILDING PERMIT "~I ITEM SO. FT. Main \.,. \ Garage Carport ,,\\ \,' , . Tolal Value Building Permit Fee Stale Surcharge TOlal Fee Lot Type . ':\ "..' .~-:{;..~l".,t..j.,~,~,~ . 'I :'.\ -~'~;'l I,,: l.' .+,!:fl,}l;...'!;i l,. . . ':', ;;,.gl:.\,;. . Setbacks' , HSEIGAR '-, . }"i': Interior Corner Panhandle !: Cul.de~sac. ." " "t . ,,',' '.,' I' P.L. IN Is W ~-T VALUE " ~, SYSTEMS DEVELOPMENT CHARGE (SDC) PLUMBING PERMIT ITEM Fixtures Residential Bath{s). N~ Sanitary S~wer Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Ven t Fan X $/SO, FT, (A) (B) FT: FT. FT. '., (C) N' Wood Stovellnsert/Flreplace Unit - Dryer Vent ~/lu;('~_j; I.tr .Mechanical Permit' . '~,. " . Issuimce State Surcharge Total Permit S'T~ (0) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcul It Demolitlon State Surcharge Total MIscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A. B. C, D. and E Combined) FEE " J('~ rv. CI 0 {. J'U 2(,.~ ACC' \ tit THE PROPOSED WORK IN THE, "'HISTORICAL DI!3TRICT. OR ON THE HISTORICAL REGISTER? If yes, this applicatlon must be signed and approved by the Historical . Coordinator prior to permit issuance. I 1 I . ,A,P.PROYED' BUILDIN~G V~Lcl'E, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, conform 10 the Ordinance adopted by the City. .of Spril~gfield'l including the Dovelopment Code, regulatlng the construction and use of buildings, and may be suspended or revoked ,Bt any time upon violation 01 any provlGlons 01 Mid ordln'aneaa. Plaf1 Check 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 des-.:rlbed herein, and that NO OCCUPANCY will be made of any structure wi thout 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 I further agree to ~nsure 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 :~g:::u:~jIJ:sv ~ro ~7li~ ) DatP/;-~-91 If 'L~ , (/ VAUDATION: RECEIPT NUMBER 0 3~fJo" DATE PAID 10/;'{'/'11 AMOUNT RECEIV~D 2(,...j:o RECEIVED BY ~tJ J