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HomeMy WebLinkAboutPermit Mechanical 1999-11-18 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 : . SPRINGFIELD ., . JOB NUMBER qq IS 8'.3 225 Fifth Slreet Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: f'\'2-,DC\ ASSESSORS MAP' It 0').. 35?J 4 S\:('\ .rv.po \ rl) oR- ('IIL("~ TAX LOT' (;) ":? ~ o-V LOT' OWNER' c -(.....: \ '-\ Vj :=:-...'&\ ~ ADDRF':<" '- CITY' BLOCK' C' C'()\. O\ULL\ STAT'" ' DESCRIBE WORK: \,\\0..,\_(\\\ ~ (\~ ~\._\.\IY"\. \: NEW REMODEL' ADDITION' DEMOLISH CONTRACTOR'S NAME GENERA' ' OTHER I tflilr)Orl/'n9 1J:\t/:~~ CON ST. CONTRACTOR , ADDRESS SUBDIVISION' PHON'" ZIP' EXPIRES ,~ PHONE PLUMBING' MECHANICAL:\kpe~).r\-~ '10~CJ\Y'~_Eu~'~1 ~7_!W2 ~4' \04 ELECTRICAl' QUAD AREA: '3etl:t3c MU O!H ANV"ND USE: 'OF i!l~BN00"':',]':'~1~8939N3~~O~OF UNITS: o<WNGmllI)~3rl ~IH I H=ln~ln n=ml::lOH1090NSTR. TYPE: , ~~g~i'\\1k;l13l::1ldX311\fHS11~l::I3d SIHlkEAT SOURCE: WATER HEATER' :30110MANGE: - OFFICE USE - I''', c, '!!lnOt" 'I) ()/,{Of ["'~IJ:>"'-l'::'\- U~ - ,m '"4Ul/"':; you tv >-:' l(jpn-ari by the Oregon Uti.lity 'hooD' P"['AIN"Gf are set/nrtl , , " I' ':"Ul'l'f~ OAR 852-001- ZONING CODE: ... . . .', - " ',...-'L.... u! LlIo.. 'UIC~ u)' ','OF' aDRMs,tl1E' relenhnnA .' Q:epun Utilitv Notification SECONI.)"RY~,tiEAT:' . _ ~ J""t"'t/. SQUARE FOOTAGE: To request an Inspectlon, you must call 726..37fiS. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be made the same working day, Inspections requl}sted after 7:00 a.m. will be made the following work day. FlEQUIRED INSPECTIONS o Temporary Electric o Site Inspection - To be mado after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. o Footing - Atter trenches are excavated. o Masonry - Steel location, bond beams, groullng, o Foundation - After forms are erected but prior to concrete placement. o Undorground Plumbing - Prior to filling trench. o Underlloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and 8eam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decKI ng, o Sanitary Sewer - Prior to filling trench. o Storm Sower - Prior to filling trench. o Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. o Rough Mochanlcal - 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 cover. o Wall/CeJlJng Insulation - Prior to cover. o Drywall - Prior to laplng, o Wood Stovo - After Installation. o Insert - After fireplace approvlll and Installation of unit. o Curbcut & Approach - After forms are erected bul prior to placement of concrete. D Sidewalk & Drlvewav - After excavation Is complete, forms and'sub.base material In place. o Fence, ~ When completed. o ,Street Trees - When all required trees Bre planted. o Final Plumbing - When all plumbing W9rl< Is complet,e. ~al Electrical - When all electrical work Is complete. c;:;a';'nal Mechanlcel - When all mechanical work 15 complete. o Final Building -,When all required Inspections have been approved and building I. completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set-Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to water and 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. r , " , Lot faces " , L~t'~yP. Lot sq, Itg. Interior 'Lot coverage Corner Topography Total height Panhandle \, Cul-de-sa~ .; BUILDING PERJtlJIT 'II " '~ ITEM SQ, FT. X $/SQ, FT, = Main Garage Carport Total Value Building Permit Fee State Surcharge Tolal Fec (A) SYSTEMS DEVELOPMENT CHARGE (SDe) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary S~wer Water N' FT. FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan N' Wood Stovellnsert/Flrepla~e Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut It Demolition Slate Surcharge Total Miscellaneous Permits (E) '... TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) ,~~:,\. \ . , '... ,:~ .....::,,',; .... ._!'.'i:..:- 1., '~.~t, 1.,. ".' ~"".('r-;~ '[I \, ~,~ I\i ~t~.'.. \.,:'.1,: :' . '_':'" \;"~J~~::'~",: " Setbacks, HSE GAR ACe' I I I I I I\. A,PPR9VED: BUILDING Vhu!1E, PLAN CHECK AND BUILDING PERMIT " I'F~ L. N S w ---- ,E VALUE " FEE {Pl~, - $10, - ilb' + , w-S- d.-(P' S() 'IS THE' PROPOSED WORK IN THE. ' "'", '" I HISTORICAL DISTRICT, OR ON THE HISTORICAl REGISTER? If yes, this application must be signed and approved by the Historical , Coordinator prlot to permit Issuance, 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 oulldings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee' Date Paid: Recel pt Number' Received By: Plans Reviewed By Dale Systems Development Charge Is due on all undeveloped properties within the City limits whlch'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 tho 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 OAS 701,055 will be used on this project. I further agree to ensure that all required Inspections are requested at the proper time, that e~ch 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 times ~ ~ , -7 Slgnature~~. ~ ~--> Date' //-/2'"'7=7/ ~ ~ VALIDATION: RECEIPT NUMBER ~(.;.. ::> "i I (- lib - "i4 gj; ~(o . (:;7) ax u ) DATE PAID AMOUNT RECEIVED RECEIVED BY