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HomeMy WebLinkAboutPermit Mechanical 1999-1-14 RESIDENTIAL PERMIT APPLICATION Inspeclions: 726.3769 Office: 726.3759 . LOCATION OF PROPOSED WORK' tf99'~ /80").-0'1 () 0 ~ L,:.ry ADDRESS: #9?t. hrSJ1&-1I"-...::; 5..::70;".<; J;..-Id '-.,) ASSESSORS MAP' LOT' OWNER: ~T~ CITY' hJ-S..j~ t cL.. BLOCK: STAT'" ~ ., JOB NUM~ER 19CdS-c.j 225 Fifth Street Springfield, Oregon 97477 TAX LOT: () 2J1 06 SUBDIVISION' PHON'" 7'11- ;2;<;2 7 ZIP: '97'/" 7 f DESCRIBE WORK' LhGh.// ff~2f- ;;:?......"O ~ .A~ hI-"i",d/~ NEW REMODEL CONTRACTOR'S NAME GENERAl' PLUMBING' MECHANICAl' hh",,,- L:.r//2d~ v ELECTRICAl' ADDITION DEMOLISH OTHER ADDRESS CON ST. CONTRACTOR # EXPIRES .", PHONE REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. D Rough Electrical - Prior to cover. 1../9!J ~'>-~;?K:~fi 7D{ tJ.SL<.r'-Et<. '-' ::1<'/)<. t./ , ATTENTION:Oregon law requires you to- OFFICE USE - QUAD ARE1ellow rules adopted by -.!he Or~g,oIWJittx~, NOTICE: FLOOD PLAIN' Notification Center. I hose rules ahrs61 rnl'f.l # OF BL~~^R 952 001 0010 thrnugh OAIil !l52t:OOTs: THIS PERMIT SHALLfJ&/f.l~ IgJ~€: WORK OCCY GR@w;J. You may obtain copies of tUI.1W~€b~YPE: AUTHORIZED UNDEl1llil~g~~~!T IS NOT calling the center. (NOfe: the te ef' , COMMENCED OR IS ARANf)()N!':f) F()R # OF STORI!ffiinbef-lz~''':':' I)r~g"n Iltility Noi.eAlltsmJRCE: SECONDARY HEOAT: Center is 1-800-332-23441. G ANY 180 nAY PERIOD, WATER HEATER: ' flAN E: 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. o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. o Underslab PlumbinglElectrlcal1 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 placement. o Underground Plumbing - Prior to filling trench. o Underfloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - PrJ?, to floor Insulation or decking. ~- o FI~or Insulation - PrIor to decking. , . ' " . D Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to tilling trench. , , , . ,. t': o Water Line - Prior h~.fllllng\ trench. , '" . , , , ''0 . o Rough Plumblng:~ Prior to cover. ~': . o Final Plumbing - When all plumbing W9rl{ Is complet.e. D Final Electrical - When all electrical work Is complete. ~) Electrical Service - Must be 0 Final Mechanical - When al/ o approved to obtain permanent mechanical work Is complete. electrical power. o Final eulldlng - When all required Inspections have been approved and building Is completed. o Fireplace - Prior to facIng materials and framing Insp. o Framing - Prior to co~er. o Wail/Ceiling Insulation '- Pr!or to cover. \.. . .1. o Drywall - Prior to tapl~~, D Wood Stovo - Atter Installation. o Insert - Atter fireplace approval and Installation ot unit. . 0 Curbcut & Approach - After . . . torms are erected but prIor to placement ot concrete. o Sidewalk & Driveway - After excavation 15 complete, forms and sub.base material In place. o Fence - When COi....lpJeted. o Street Trees - When all required tree.s are planted. , , , , o Other MOBILE HOME INSPECTIONS o Blocklng,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. L~t ~ype . , lot faces Lot sq.,'ltg. , ,- Interior , Lot coverage Corner Topography Panhandle '{ Total height Cul.de.sac BUILDING PERMIT "I ITEM SQ. FT, " " 't X $/SQ, FT, Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stovellnsert/Flreplace Unit Dryef Vent Aft'. Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) ., \,',,', , , ,,",' ~~J i~~,~~::t\:;. ';_ THE PROPOSED WORK IN THE. , , ""HIST08ICAL DISTRICT. OR ON THE HISTORICAL REGISTER? If yes, this appllcallon must be signed and approved by the Historical Coordinator prior to permit Issuance. Setbacks, I PL. HSE I GAR Acc'l N ----- S W --- E VALUE " FEE t..()o /5.d V lb. d () -I), If 2.,. k I . \A~P~OVED' BUILDING VALdE, PLAN CHECK AND BUILDING PERMIT 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: Receipt Number: Received By: Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties within the City limits which are being Improved, ADDITIONAL COMMENTS cuJ~.. ~J By signature, I stato 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 ORS 701.055 will be used on this project. 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 tho approved set of plans will remain on the site at a~~>>dur~truc~~_ Signature &'~ ~ ~ ~- /1,4-10::; \../ Oat'" VALIDATION: RECEIPT NUMBER tJ 32.. '>; 7/ DATE PAIf' / / /'f/1'1 AMOUNT RECEIVED I ~J ~ r1' RECEIVED BY uJJ WW