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HomeMy WebLinkAboutPermit Mechanical 1996-10-1 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 .~. Office: 726-3759 ~..'I LOCATION OF PROPOSED WORK: tSfLlo\ ~~.t().. ASSESSORS MAP: \\t)'l~~ - t) - --~.._--- . . LOT: OWNER: CITY: DESCRIBE WORK: NEW REMODEL ADDITION CONTRACTOR'S NAME GENERAL: PLUMBING: - MECHANICAL:~U~\::\.~ ELECTRICAL: ~ - \ QUAD AREA: /I OF BLDGS: OCCY GROUP: /I OF STORIES: WATER HEATER: SPRINGFIELD . . " JOB NUMBER (\ lo \n~S - -- 225 Fifth Street Springfield, Oregon 97477 ~~t TAX LOT: JJYL\lQ. BLOCK: SUBDIVISION: -. ./ twllt- PHONE: l'1\ctffil:\l!J ZIP: ~~11-11 STATE: _ \ \wnt~ DEMOL!;;; O~R ADDRESS CON ST. CONTRACTOR /I .... '.... PHONE EXPIRES ~ \\.~.q~ - OFFICE USE - LAND USE:_. FLOOD PLAIN: /I OF UNITS: ZONING CODE: CONSTR, TYPE: /I OF BDRMS: HEAT SOURCE: RANGE:__ SECONDARY HEAT: 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. D Temporary Electric D Site Inspection - To be made after excavation, but prior to seltlng forms. o Underslab Plumbing I Electrical/ Mech~nlcal - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. D Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underfloor Plumbing I Mechanical - Prior to Insulation or decking. D 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. D Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS / . JTiAiough Mechanical - Prior to l.(,...o6 cove r. D Final Plumbing - When all plumbing W9rl< 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. ~nal Mechanical - When all mechanical work Is complete. o Fireplace - Prior to facing materials and framing Insp. o Final Building - When all required Inspections have been approved and building is completed. o Framing -' Prior to cover. o Other D Wall/Celling Insulation - Prior to cover. o Drywall - Prior to taping. MOBILE HOME INSPECTIONS o Wood Stovo - After Inst?"atlon. o Insert - After fireplace approval and Installation of unit. o Blocking and Set.Up - When all blocking Is complete. o o Plumbing Connections - When home has been connected to water and sewer. Curbcut & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is complete, forms and sub.base material In place. o Electrical Connection - When blocking, set-up, and plumbing Inspections have been approved and the home is connected to the service panel. o Fence - When completed. o Street Trees - When all required trees are planted. o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. . . II', . I, . \, : i Lot (aces Lot Type Setbacks \ IS THE PROPOSED WORK IN THE _ Lot SQ. (tg. Interior I P.L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Is I and approved by the Historical Topography Panhandle Iw I Coordinator prior to permit Issuance. Total height Cul-de-sac IE I APPROVED: ITEM SQ. FT. X $/8Q. FT. = VALUE . "t. BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT BUILDING PERMIT Garage . . 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. Main 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 S~wer Water FT. FT. Storm Sewer FT, Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Issuance State Surcharge-t Total Permit . By signature, I state and agree, that I have carefully examined the completed application and do hereby certHy 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 o( 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 o( the Building Safety Division. I further certHy 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 StovellnsertlFlreplace Unit ~t Mechanical Permit (D) dlaL~ t) 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 of plans will remain ". on the site at all ti'mes during const~uCYtJ Kd. SI nature t:o./UI.t2 '27. Ko ~ . c;I;. Date If) -I -9 t., . -- MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge VALIDATION: '1')'j(). RECEIPT NUMBE~ r \~::rf--/ DATE PAID \\:)'" \ () RECEIVED BY ~~ ~\ - Total Miscellaneous Permits (E) . TOTAL AMOUNT DUE (excluding electrical) ~ (A, B, C, D, and E Combined)