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HomeMy WebLinkAboutPermit Mechanical 1994-6-2 D~ RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Ollice: 726.3759 LOCATION OF PROPq~~~~ 1915 ASSESSORS MAP: ....a...JdJ.Q.lt LOT: BLOCK' OWNER' Gene Brvan 3915 Jasper Rd.. 50rinqfield ADDRESS: CITY' SPRINGFIELD .I~"rpr Rd, STATE: -DR . a4lB~ JOB NUMBER 225 Fifth Street Springfield. Oregon 97477 TAX LOT. \(~r() SUBDIVISION' PHONE: 747_1?11 ZIP: <17471> DESCRIBE WORK: Install qas pack (gas heatino/elect.r1c coolin" nAro<'1,;prl IIni.:t.) 3 ton NEW REMODEL ADDITION CONTRACTOR'S NAME GENERA' . DEMOLISH OTHER ADDRESS CONST, CONTRACTOR # EXPIRES PHONE ~~~~ RM~~h~~C~~~~:~~I~S 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. PLUMBING' M ECH AN ICAL: Comfort -Elow--Heating_B55-ILlsLEugene,-0r-97402 004.60 ELECTRICAL' fi/27/~t; . . ':l4?-1ll(11 - OFFICE USE - OUAD AREA: LAND USE: FLOOD PLAIN: # OF BLDGS' # OF UNITS' ZONING CODE: OCCY GROUP: CONSTR. 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 record.lng. All inspections requested before 7:00 a.m. will be made the same working day. Inspections reQllested after 7:00 a,m. will be made the following work day. o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab PlumbinglElectrical1 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 pI acemen t. o Underground Plumbing - Prior to filling trench. o Underfloor Plumbing/Mechanical - Prior to insulation or decking. o Post and Beam - Prior to floor insulation or decking. o Floor Insulation - Prior to decking, o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. o Framing - Prior to cover. o Wall/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. D Wood Stove - After installation. o Insert - After fireplace approval and installation of unit. o Curbcut & Approach - After forms are erec;lcc but prior to placement of concrete. o Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. o Fence - W,hcn completed. o Street Trees - When all required trees are plantp.d. o Final Plumbing - When all plumbing work is complete. o Final Electrical - When all electrical work is complete. ~ Final Mechanical - When all mechanical work is complete. o Final Building - When all required inspections have been approved and building is completed. OOthsr MOBILE HOME INSPECTIONS o Blocking and Set. Up - When all blockin9 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 perches, skirting, decks, and venting have been installed. Lot faces . lot Type ~S rHE 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. lot sq. Itg. Inlerior Se I bac ks -\ . I ~ HSE GAR ACC N Lot coverage Corner Topography Total height S -- Panhandle Cul-de-sac W I-L-___,_J APPROVED' BUILDING PERMIT ITEM X $/SO, FT, VALUE SO, FT. Main Garage Carport Total Val ue Building Permit Fee State Surcharge Total Fcc (Al SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsert/Fireplaco Unit Dryer Vent Mecllanical Permit l5.~ AS 'n.. (D) ~-(n ~ Issuance State Surcharge Total Permit MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) ~L 11 _ !.If ..... TOTAL AMOUNT DUE (exc!uding elcctrical)~ (A, B. C. D. and E Combined) BUILDING VALUE, 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 buildings, 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 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 lhat any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the Stale of Oregon pertaining to the work described IlCrein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. J lurlllet" certify tllat only contractors and employees who are in compliance with ORS 701.055 will be used on ttlis project. I further agree 10 ensure Ihat all required inspections arc requested at the proper time, that each address is readable from the street, that tile permit card Is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Signature .n f!JJrJf.,:? Datp& -;).-q<l ~:~:I::ONNUMBEFi ,\1::l.Sch DATE PAID (O.oJ ~-i~r_ AMOUNT RECEIVED&' (a . fJ.U RECEIVED BY r:::I{(J.)ffi-.)