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HomeMy WebLinkAboutPermit Mechanical 1993-9-24 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ')JIIJi' ASSESSORS MAP: \~ l'{'( (')(.\ LOT OWNER' mi/(L l11)h ADDRESS: '-5.1.b;? f!Jr::JfhJ~ CITY: (\!JrLlr;ftf /rf //KITi II DESCRIBE WORK: NEW REMODEL ADDITION CONTRACTOR'S NAME GENERAl' PLUMBING: MECHANICAL: ELECTRICAl' IItlIl!f!!-!--1Il.YJ . SPRINGFIELD ,." · JOB NUMBE8 7)1~~- 225 Fifth Streel Springlield, Oregon 97477 TAX LOT: \ '1 (Y'"\ for<:'lJfh If) , <LV BLOCK' STATE: ()r~() n :J -fDn A.Pcd P/.//YJ(J. SUBDIVISION: PHON.' ZIP: 971-/77. DEMOLISH OTHERJilsJ.fJ..J.'! 1)1(1. REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. o Rough Electrical - Prior to cover. o Electrical Service - Mu:;t be approved to obtain permanent electrlcC:11 power. D Fireplace - Prior to facing materials and framing Insp. D Framing - Prior to cover. D Wall/Ceiling Insulation - Prior to cover. D Drywall - Prior to tapin9. D Wood Stove - After installation. D Insert - After fireplace approval and Installation of unit. D Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. D Fence - When completed. D Street Trees - When all required trees are planted. ADDRESS CONST. CONTRACTOR' I'HONE EXPIRES 1(;;KLJ f(}(jj/l #/9 r.pEr/. 5,)~_~~\.\ 7Jlb.:.lltz? 7, - OFFICE USE - QUAD AREA' LAND US.' FLOOD PLAIN: . OF BLDGS: . OF UNITS' ZONING CODE:__ OCCY GROUP' CONSTA. TYPE: . OF BDRMS: . OF STORIES' HEAT SOURCE: SECONDARY HEAT:_ WATER HEATER' RANGE: SQUARE FOOTAGE:__ To request an Inspection, you must call 726-3769. This is a 24 hour recording. All inspections requested belore 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 Final Plumbing - When all plumbing work is comr,lcte. D Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Electrical/ Mechanical - Prior to cover. D Footing - After trenches are excavated. D Masonry - Steel location, bond beams, grouting. D Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to fllling trench. D Underfloor Plumbing/Mechanical - Prlor to Insulation or decking. D Post and Beam - Prior to floor Insulation or decking. D Floor Insulation - Prior to decking. " D Sanitary Sewer - Prior to filling trench. D Slorm Sewer - Prior to filling trench. D Water Line - Prior to filling trench. o Rough Plumbing - Pri~r to cover. o Final Electrical - When all '-----' 7ical work is complete. ~i~~~~ M~chaniial.-f~n all mecllanical 'work is complete. D Final Building - WllOn all required inspections h:tve been approved and building is completed. D Other MOBILE HOME INSPECTIONS D Bloc~:ing and Sel.Up - When all blocking is complete: D Plumbing Connections - When home has been connected to water and sewer. D Electrical Connection - When blocking, set-up, and plurnbing inspections have been approved and the home is connected 10 the service panel. D Final - After all required inspe,:;t!ons are approved and porches, skirting, decks, and venting have been inst:1l1cd. .... ~) . Lot (ar.cs Lot Type Lot sq, ltg, Interior Lot coverage Corner Topograph'l Panhandle Total height Cul.de.sac J, BUILDING P.ERMIT ITEM SO. FT. X $/SO, FT. Main Garage Carport --,~_._- Totnt VarUI~ Building Permit Fec State Surcharge TOlar Fcc (A) (~ .HE 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. ____ S~~-:!cks _ P.L. IHSE GAR ACC I N I Is 1 Iw 1 LL_.-J VALUE (B) SYSTEMS DEVELOPMENT CHARGE (SDC) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sewer FT. Water FT. Storm SeVier FT. " Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT ~V F U pt'l':e- EX~<rnst~ Vent Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance Slate Surcharge Total Pemdt (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It CUlbCUI It Demolitioll State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electric;]l) (A, S, C. D, an(j E Combined) FEE ~ \S, \~~ \D~cm , .1;5 '1~,I~ APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shal', 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 vlo!ation 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 propertles within the City 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 further certlfy that any and all work performed shall be done in accordance with the Ordinanct;:s of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. 1 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 the approved set of plans will remain "" '"" "j'i:A7'""'" '"""'P""' Signature / t . I Oat" -Ji/) VALIDATION: \ r---0......C'/ 51 RECEIPT NUM~~ 1l 1 U 1) DATE PAir '--\.- :,-J<'",\ ~~ AMOUNT RECEIVED \~~~ RECEIVED BY ____0 '" ~ "