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HomeMy WebLinkAboutPermit Mechanical 1998-6-5 ~jjfYr-dan-, 4r ~ A _ sa q 1 (!~~tJ1.I/u (!;t. .xlJIl. STATE: ~i}t , ~~ II-P ~.;;u~:;,);~'~;:; i \ . RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Olfice: 726.3759 LOCATION OF PROPOSED WORK: _ ASSESSORS MAP: /7 /? 2 LOT: OWNER: ADDRESS: CITY: DESCRIBE WORK: NEW REMODEL ADDITION OTHER CONTRACTOR'S NAME GENERAL' i,,' SPRINGFIELD ..... . 9 ~1?~lL ., JOB NUMBER , t(Yi ;;9% J q,I/W~.J (!;b, 225 Fifth Street Springfield. Oregon 97477 TAX LOT: Qo/O~ , - BLOCK: SUBDIVISION: -. PHONE: _ 1tj-JJ-/17/ ZIP: t/1tf7i DEMOLISH ADDRESS CONST. CONTRACTOR /I PHONE EXPlliES .~ PLUMBING: Z MECHANICAL'f!omjMi.J/OrlH5/ brJ.~ ELECTRICAL: QUAD AREA: /I OF BLDGS: OCCY GROUP: /I OF STORIES: WATER HEATER: ()fJ!t6IJ b-d7-9J ~Q? - OFFICE USE - LAND USE:_ FLOOD PLAIN: /I OF UNITS: CONSTR. TYPE: ZONING CODE: It OF BDRMS: HEAT SOURCE: RANGE: SECONDAFlY HEAT: _____. SQUARE FOOTAGE: '___'__'__ To request an Inspection. you must call 726.3769. Tills Is a 24 hour recording. Alllnspeclions 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 worl< dny. D Temporary Electric D Site Inspection - To be made after excavation. but prior to seltlng forms. D Underslnb Plumbingl Electricall Mechanical - Prior to cover. D Footing - After trenches are excavated. o Masonry - Steel location. bond beams. groullng. D Foundntlon - After (orms are erected but prior to concrete . placement. o Underground Plumbing - Prior to filling trench. o UnderfJoor Plumbing I Mechanical - Prior to Insulation or decl<ing. 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 (1lling tronel1. o Water Line - Prior to (illing trench. . o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. o Final Plumbing - When all plumbing worl< Is complet.e. I2::r:Final Elect~C;\1 - Wilen all eleclrical worl< is complete. ( ~ Final Mechanical - When all P mechanical worl< 'Is complete. D Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain perrnanent electrical power. D o Finnl Building - When all required Inspections have been approved and building is compleled. ~ Fireplace - Prior to (acing materials and framing Insp. o o Framing - Prior to cover. o Ot.her Wall/C'elling Insulation - ,prior to cover. o Drywall - Prior to taping. MOBILE HOME INSPECTIONS o Wood Stove - A(ter InstallaHon. o Insert - After fireplace approval and Installation o( unit. o Blocking lInd Set.Up - Wilen all blocl<in~lls complete. o o Plumbing Conncctions - When tlOme hns been connected to waler antI sewer. Curbcut & Appro(Jch - After (orms are erecled bul prior to placement Q( concrete. o Sidewalk & Drivcw:tV - After excavnlion Is complete. [orms ancl SUI).bi)SCl materl,,1 In place. o EleclriclIl COllnection - When blocldnl). set.up. and plumbing Inspections Iwve been approved nntltl1c. tl0lT10 is connocted 10 tile service panel. o Fence - Wilen completed. o Finnl - Afler all required Inspections arc approved and porches. sl<ining, dccl<s, and venting have been Installed. : . o , ~:;treot Trecs - Wilen all required trees are planted. i~")\. ~;.""..', .' Lol faces Lol Type Lot s'q. ftg. . Interior' Lot coverage Corner Topography Total height Panhandle Cul.cJe-sac BUILDING PERMIT ITEM SQ. FT. X $/SO. Fr. = Main Garage Carport Tolal Value Building Permit Fee State Surcharge Total Fcc (A) , .... ~ , ,. \ l' ' ~, " . \ tHE 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. ., Setbacl<s I P.l. I HSE GAR ACC N S W ._--~_. ._- ---- E APPROVED: VALUE 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 tile 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 provision::; of said ordinances. Plan Check Fee: Date Paid: Recei pi Number' Received By: - ...--.-. ._-,-~--.-._- Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Balh(s) Nn Sanitary S!'lwer Water FT. FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Tolal Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/Insert I Fireplace 'Unit Dryer Vent Mechanical Permi t Issuance State Surcharge /7J~/1f Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcul ft Demolition ~tate Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) Systems Development Charge is due on all undeveloped properlies within tho City Iimils which arc being improved. ADDITIONAL COMMENTS FEE \ )5"~ (- I _Lt:rd-.::J J2tJ , ??..~O ( By signature, I stale and agree, that I h~ve carefully examined tile completed application and do hereby certify that all Information hereon i:.; true ancl correct, and I further certify thai any and all work performed shall be done. in accordanco with the Ordinancu:.; oflhe Cily of Springfield, and the Laws of the SlClle of Oregon pertaining to the worl< described herein, LInd lllal NO OCCUPANCY will be made of any struclure withoul permission of the Building Safety Division. I further certi fy Hlal only contractors and employees who arc in compliancc'with ORS 701.055 will be used on this project. 01 I further agree 10 ensure that all required Inspections are requested at the er lime, that each address Is readable ~. from the sire . tll the permit card Is located at the front of the prop rty, d Ihe approved set of plans will remain on the sit. at I times during construction. . 'rf) 0",./ Signature _ Date h-S ~q1 VALIDATION: RECEIPT NUMBER ?o/5'F 0/J-/~~ ~~/};lj , ;#~A--4- , /-(' - - I DATE PAID ..26,' :l. 0 AMOUNT RECEIVED RECEIVED BY