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HomeMy WebLinkAboutPermit Mechanical 1993-11-9 RESIDENTIAL PERMIT APPLICATION e Inspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT: ,. 5~bO SPRINGFIELD JOB NUMBER q31 foQ4 225 Fifth Street Springfield, Oregon 97477 ~ ~ ~+l-O'Y\ u. ,,('l(')cP I)03dJ~~ . TAX LOT: SUBDIVISION: CJ~ ,00 BLOCK: .])A-R Morv nJOI J 3 q 3 ~l> +Itm woo/) SPR../A)6FI ~L() OWNER: ADDRESS: CITY: DESCRIBE WORK: //VSrAJ..J- 6).. PHON~' 7 ~h - q/} '19 STATE' o I!.. 97(j77 ZIP' ro~ HGItI PUM'P NEW REMODEL ADDITION DEMOLISH OTHER CONTRACTOR'S NAME GENERAl' ADDRESS CONST, CONTRACTOR /I EXPIRES PHONE PLUMBING: MECHANICAL:tll"'~tJl't- \='\OW ~€R-\-\~ ~5 uJ. \Si,-\- G..t'l~ q'140~ OO(j/,p,O ELECTRICAl - %7h~ 31/.J-81()/ , - OFFICE USE - QUAD AREA: C; LAND USF- FLOOD PLAIN: /I OF BLDGS' /I OF UNITS' ZONING CODE: OCCY GROUP: CONSTR, TYPE: /I 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,m, will be made the same working day, inspections requested after 7:00 a.m, will be made the following work day_ o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms, o Underslab Plumbing / Electrical/ 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. o Underground Plumbing - Prior to filling trench. o Underfloor Plumbing/Mechanical - Prior to Insulation or decking, o 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, o Rough Plumbing - Prior to cover, REQUIRED INSPECTIONS ~Ough Mechanical - Prior to cover, o Final Plumbing - When all plumbing work is complete. D Rough Electrical - Prior to cover, D Final Electrical - When all electrical work is complete, o Electrical Service - Must be approved to obtain permanent electrical power, ca:inal Mechanical - When all mechanical work is complete, D o Final Building - When all required inspections have been approved and building is completed. Fireplace - Prior to facing materials and framing Insp, D Framing - Prior to cover, D Other o Wall/Ceiling Insulation - Prior to cover, D Drywall - Prior to taping. MOBILE HOME INSPECTIONS D Wood Stove - After installation, o Insert - After fireplace approval and installation of unit. o Blocking and Set-Up - When all blocking is complete, o Curbcut & Approach - After forms are erected but prior to placement of concrete, o Plumbing Connections - When home has been connected to water and sewer, o Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place, D Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. D Fence - When completed, o Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed, o Street Trees - When all required trees are planted, ~ " e Lot sq. ftg. Interior I P.L. IN Is Iw IE Setbacks HSE GAR ACC ~, IS T'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, Lot faces Lot Type Lot coverage Corner Topography Total height Panhandle Cul-de.sac APPROVED: BUILDING PERMIT ITEM SQ, FT. X $/SQ, FT, = VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Main 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 Springfield, 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. Garage Carport Plan Check Fee: Date Paid: Total Value Receipt Number' Building Permit Fee Received By: State Surcharge Total Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved, PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water FT, Storm Sewer FT. Mobile Home Plumbing Permit ..K State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace State Surcharge Total Permit (D) l c;.OO --LD,OO .,<: ~~,I< 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 Ordinancl:ls 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. Exhaust Hood Vent Fan NO Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance MISCELLANEOUS PERMITS Mobile Home 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 0 plans will remain on the site at all 'm s duri g constru tion. Signatu~ ! Sidewalk ft Date State Issuance State Surcharge Curbcut ft Demolition State Surcharge VALIDATION: RECEIVED BY i 0 )l~L./ II)ollCJ~ 5~c;.J~ ~ RECEIPT NUMBER TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ~S,JS DATE PAID AMOUNT RECEIVED Total Miscellaneous Permits (E) .