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HomeMy WebLinkAboutPermit Mechanical 1999-4-15 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 . SPRINGFIELD LOCATI~N OF PROPOSED WORK: _'J ;;;l, ? '7 17 (J?-.. 3'5"" '3 L/ ASSESSORS MAP' LOl' BLOCK: OWNER: (' ,,^ u t 'IL ADORES'" "7 .?. :)..;, CITY: S fI' (' IA-wl f.t:-P / I DIlU. "'\I ~.Q. ( DESCRIBE WORK: /Y1 S hur NEW REMODEL CONTRACTOR'S NAME GENER^' . STAT'" . oe 'f e..t<) 'f t4tV 0 .flu?.p flk .D ADDITION DEMOLISH OTHER .- JOB NUMB~R -.9 Cj o .'fs9!p 225 Fifth Street Springfield. Oregon 97477 TAX LOT' SUBDIVISION: J "f~ '-i t ) 8 PHONE:_7.0- ~I . , ZIP: , ., ~.PA-r- OJ}!I (.:I1.f)n ,I v 1....,..-- ADDRESS CONST. CONTRACTOR' EXPIRES ~ PHONE PLUMBING: MECHANICAL: Jnl-, V' t '(")3 u .() ELECTRICAl' QUAD ARE'" . OF BLDGS' OCCY GROUP: . OF STORIES: WATER HEATER: 7DYo~', - - //-~9 tSJC;'-J---w\z - OFFICE USE - LAND USE: f ATTE~TION:Oregon la~[!lIilIW'i\iXrtlli.IO e~I~. ..~I~~ aJUfJiBd by Ine''bregon Utiiity . OF UNITS: NOllflcallon ('&!Iter. Those'ffill!~~i' -- In OAR 952-001-0010 IhrOljQh nIlQ..o"".o01" CONSTA. TYPE: -0099:-\'- . OP'BDRM6.- '. ~~ ."ay UUlarn copies of Ihe rules b HEAT SOURCE: callina the cenlAr. (NOleSff1Nllllil~ftd'rlilEXT: number for the Oregon U~~ I\lntlfu.~ti RANGE: - ~, . . '800 A'R'E'I'cr0~AGE' ~~".." '" ,- -33 - 344): . 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. Inspecllons requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS o Temporary Electric D Slto Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical I 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 placemont. o Underground Plumbing - Prior to filling trench, o Underlloor PlumblnglMechanlcal - 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. D Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. D Rough Plumbing - Prior to cover. o Rough Mechanical - Prior to cover. D Rough Electrical - Prior to CQver. 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 Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stovo - After Installation. o Inserl - After fireplace approvlll and Installation of unit. o Curbcut & Al,proach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation Is comp;cte, forms and sub.base material In place. D Fence - When completed. D Street Troes - When all required trees are planted. o Final Plumbing - When all plumbing w9rk Is camplet.e. D Final Electrical - When all electrical work Is complete. ~I Mechanical .- When all mechanical work Is complete. o FInal Building - When all required Inspections have been approved end building Is completed. ~er 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 porchos, skirting, decks, and venting have been Installed. - , ':...., .: '( : ,'. ,:' ~;~ ,;.. Lot f.acos Lol Type. Setbacks. Lot sQ. fig. Interior I PL. HSE GAR ACC I IN I Lot coverage Corner Is I Topography Panhandle !' Iw I Total height Cul,de-sa~ IE I " BUILDING PERMIT' ITEM sa. FT. \ " .~ X $/SO. FT. = VALUE Main Garage " Carport Total Value Building Permit Fee State Surcharge TOlal Fec (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bathls) N' Sanl tary S~wor Water FT. FT, Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/lnsertlFlreplace UnIt Dryer Vent Mechanical Permit .:\Ii/b", - $10, - ,7<)' .,. ,l/\ ~J(P,;}O Issuance State Surcharge Total Permil (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk fI Curbcut fI Demolition State Surcharge Total Miscellaneous Permi Is IE) TOTAL AMOUNT DUE (excluding electrical) lA, B, C. D, and E Combined) '( .THE PROPOSED WORK IN THE. "'HISTO!'iICAL DISTRICr. OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED' ,. BUILDING VALOE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condillon that the said construction shall, In all respects, conform to the Ordinance adopted by the City .of Springfield, Including the Dovelopment 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: Receipt Number: Received By: Plans Reviewed By Date Systems Development Charge Is due' on all undeveloped properties wilhln the Cily 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 lurther certlry that any and all work performed shall be done In accordance with the Ordinances of the City of Sprlngflald, and the Laws of the State of Oregon perlalnlng to tho work described heroin, and that NO OCCUPANCY will be made of any structure wilhout permission of Ihe Building Safety Division. I further certify that only contractors and employees who aro In compliance with ORS 701,055 will be usod on this project. I further agree to ensure that all required Inspections are requested at the proper time. that each !lddress Is readable from tho street, that the pormlt card Is located at the front of the property, and the approved set of plans will remain :~g:::u:~o a~"2dur4o~s~~c~n. _ Date (/ L/-/,;V9 L VALIDATION: RECEIPT NUMBER 0 3 '3SO b 4---;.c::; -"l "l AMOUNT RECEIVED 1P_)(~, iYO d>(~ DATE PAID RECEIVEO BY