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HomeMy WebLinkAboutPermit Mechanical 1999-6-16 . JOB NUMBER_~ 225 Filth Slreel Uf\ OC{,O \ Springfield, Oregon 97477 . SPRINGFIELD RESIDENTIAL PERMIT APPLICATION ~~ LOCATION OF PROPOSED WORK' c:? fJ'f'l il 03 J..3 Lf Lt Inspections: 726.3769 Office: 726.3759 J)j./;r1~ ') r.ro (el/ ASSESSORS MAP' TAX LOT' SUBDIVISION: LOT' BLOCK: 5;.,....-rl'/1 ,7:/<,,-,:,., ~ c5l!i o/t/ DVr>?-I. S 5'P,.....J~~ -h__l'x '- ) :;:...'i-r.dAt/ ~,,--t J?,~/7 7Yl,-.t>P7{/ OWNER' PHONF' ADORE"'" /)" ZIP' 7'7'1?'7 STATF' CITY' DESCRIBE WORK: REMODEL NEW ADDITION DEMOLISH OTHER CONST. CONTRACTOR' CONTRACTOR'S NAME GENERAl' PLUMBING' MECHANICAl .)/-4~ ~".,j}.::t: /~ v ADDRESS EXPIRES .-c PHONE 3'1S-.;>f,37 t:/n 7 [)!- O.x....r f~/L'; ELECTRICAl' .\, ........~........., ... ~~VIIO"'YVU'V follow rules adopteo ov the OregUfJ SMi'fE USE - Notification Cent€'. ThOSfL'A.:!.lD' 8iltset forth In VAN ~:><<-UU1-UOl 0 through OAR 952-001- nnon Vn.. ~~.. ~"'taln cO......r.lF.,iJH~T"...,,- .... ~ 1..1It,.-::=: VI u.... tU._~ OJ calling the center (NotPcCfN'sf.,!\3I'tYfll:? numoer tor the 'Oregon Utility Notification C...n'Q' ,. 1-ROO-3!;LE~1l4>q!JRCE: RANGE: _ NOTICE: THIS PERMIT $UAQflID!f1lm: IFr: I;: wen" AUTHORIZED ZlblliliiiG ~~E-flMl:r-l&NST COMMENCEDD8~ONFnFOP ANY 180 DAY PFRlgn . SEe I'ilUARY HEAT: QUAD AREA' . OF BLDGS: OCCY GROUP: . OF STORIES: WATER HEATER: 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 aHer 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o Temporary Electric o Final Plumbing - When all plumbing W9rl< Is complete. ~U9h Eleclrlcal - Prior 10 cover. ~l Electrical - When all electrical work.ls complete. D Site Inspection - To be made after excavation, but prior to setting forms. ~l Mechanical - When all mechanical work Is complete. o Underslab Plumbing/Electrical I Mechanical - Prior to cover. o Electrical Service - Must be approved to obtaIn permanent electrical power. o Footing - After trenches are excavated. o Final Building - When ail required Inspections have been approved and building Is completed. o Fireplace - Prior to faclng materials and framing Insp. o Masonry - Steel location, bond beams, grouting. o Framing - Prior to cover. o Other o Foundation - After forms are erected but prior to concrete placement. o Wail/Ceiling Insulation - Prior to cover. o Underground Plumbing - Prior to lIIi1ng trench. o Drywall - Prior to taping. MOBILE HOME INSPECTIONS D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. o Wood Stovo - After Installation. o Blocking and Set-Up - When all blocking Is complete. o Post and Beam - Prior to floor Insulation or decking. o Insert - After fireplace approvlll and Installation of unit. o Plumbing Connections - When home has been connected to water and sewer. o Floor Insulation - Prior to decking. o CurbclIt & Approach - After forms are emcted bul prior to placement of concrote. o Sanitary Sewer - Prior 10 filling trench. o Electrical Connection - When blocking, set.up, and plumbing Inspecllons have been approved and the home Is con nee led to the service panel. o Sidewalk & Driveway - Afler excavation Is complete, forms and sub.base ma!erlal in place. o Storrn Sewer - Prior 10 filling trench. o Fence - VVhen cOiY'Ipleted. o Water Line - Prior 10 filling trench. o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Install cd. o Rough Plumbing - Prlor to cover. o Street Trees - When all required trees are planted. Lot faces Lol Type _ Interior Lot coverage Corner Panhandle ~. Setbacks I PL. I HSE I GAR I ~----I S I ~l- ACC I I I I _.J 'as THE PROPOSED WORK IN THE. .'HSTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior 10 permit Issuance. Lol sq. flg. Topography Total height Cui-dc-sac APPROVED: ITEM SQ. FT. X $/SQ. FT. = VALUE _~ . 'I BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT BUILDING PERMIT Garage Carport " 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 Plan Check Fee' Date Paid:' Total Value Receipt Number- Building Permit Fee Received By: Stale Surcharge Total Fcc (A) Plans Reviewed By Dale SYSTEMS DEVELOPMENT CHARGE (SDC) (6) Systems Development Charge Is due on all undeveloped properties within tho City limits which are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residential 6ath(s) N' Sanitary S~wer FT. FT. FT. Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge (e) l ~~;c~ANICAL PERMIT Total Permit (D) 15:. - 10. - 1S:Lf-S -.drn,~/ By signature, I state and agree, that I have carefully examined the completed application and do hereby cerllly that all Information hereon Is true and correct, and I further certify that any and all work performed shall be done In accordance with lhe Ordinances 01 the City of Springfield, and lhe Laws of the State 01 Orcgon perlalnlng to the work described hercln, 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 arc In compliance with OAS 701.055 will be used on this project. Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Sidewalk fl I further agree to ensuro that all required Inspections are requested at the proper time, that each address 15 readable from tho street, that the pormlt card Is located at the front 01 the properly, and the approved sel of plans will remain on the site at all times du ng tructlo~ Signature t?~~ . ~ ) ~ -//R-';;il / --- L/ Date MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Curbcut ft Demolition State Surcharge VALIDATION: TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) RECEIVED BY (l'3V/4glp lR -/(.0-0 ~ .$ ;;!~, dO q(W Total Miscellaneous Permits (E) RECEIPT NUMBER DATE PAID AMOUNT RECEIVED . ,....... .... ,. ,,~. .-. .... ....~... ......,..,~....-.........~----....."'"~.......... "'''...--. '. ....-..~. ."~..""..'" ',' .".