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HomeMy WebLinkAboutPermit Mechanical 1997-9-30 ~ttI LOCATION OF PROPOSED WORK' if.~ "if n ~ ~~Jr I?J. ASSESSORS MAP' /R--L:>'2 -<> 5', '< "r" ' RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT: . SPRINGFIELD I." BLOCK' OWNER:~k IlJO-C- &fiA ADDRF'"'' 4'~\?'O "'7;;...4>ef' R n1 CITY:C<'C.JM....W V ./ If STATE: -i!)j2. . JOB NUMBER _9 .::,/.y~ 225 Fifth Street Springfield, Oregon 97477 ~JJ'drl \:P' TAX LOT' a6 BaD SUBDIVISION' PHONE: ~ ZIP' DESCRIBE WORK: 1::-.kr ,zL.dc! ,');/ ..!:irlJC{"/ '., />odd /),.0... ) .../) r /I nor ~ . NEW REMODEL ADDITION DEMOLISH OTHER 0/k~ ;I;;rl1....c..P --' -c:.~ CONTRACTOR'S NAME CONST. ADDRESS CONTRACTOR . EXPIRES .", PHONE GENERA' ' PLUMBING' MECHANICAl' ,/Afi --r ~r/ ELECTRICAl' f.<D ~ 1/6.2.').. tb"""e.. r u: 4f0"?9,0C 9 / o/!').-bfO'J - OFFICE USE - QUAD AREA: LAND UP'" 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 requesl 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 ofter 7:00 a.m. will be made the following work day. REQUIRED INSpECTIONS o Temporary Electric o Site Inspection - To be made . after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundotlon - After forms are erected but prior to concrete ' f)lacemont. o Underground Plumbing - Prior to filling trench, D Underlloor Plumbing/Mechanical - Prior to Insulation or decking, D Post and Beam - Prlorto floor Insulation or decking. o Floor Insulation - Prior to deckl ng. o Sanitary Sewer - Prior to filling trench, o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench, " . D Rough Plumbing -:- Prlodo cover. [Xl Rough Mechanlcal'- Prior to ?! ~~,,#~ D Rough ElectrIcal ~ Prior to cover. io 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. D Wail/Ceiling In.ulotlon - Prior to cover. o Drywall - Prior to' taping, o Wood Stovo - After Installation. D Insert - After fireplace approvel and Installation of unit, o Curbcut & Approach - After . forms are erected but prior to placemont of concrete. o Sidewalk & Drlvewav - After excavation Is complete, forms and sub.base material In place. o Fence - VVhen COI"l'lpleted. o Street Trees - When all rOQulred trees are planted. o Final Plumbing - When all plumbing w9rl< is complete, o Final Electrical - When all electrical work Is complete. [X] Final Mechanical - When all ,/ /;;'~o~~ete. o Flnel Building - When all required Inspections have been approved and building Is completed. ILl Oiher ~~~v...e-".E" MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. D Plumbing Connoctlons - When home has been connected to water and sewer. o Electrical Connecllon - 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, aklrtlng, decks, and venting have been Installed. Lot facas Lot sq: Itg. Lot coverage Topography Total height BUILDING PERMIT' ITEM SO. FT, Main .~ .-:" i.J Garage' ' "-, , , Carport Total Value Building Permll Fee Stale Surcharge Tolal Fee ~t~ Interior Corner Panhandle ',' Cul.de.sac '1 X S/SO. FT. = (A) ~, -: 'i " '. .. . ", ':.. . ~.: .:. ,-: .:.~. '\". . ,. " 'I ~ ~ : t/l.:. ',. ~ ~ i ,." '.,,':" 1,1., ~ IS THE PROPOSED WORK IN THE, '...HISTORICAL DISmICT, OR ON THE HISTORICAL REGISTER? If yes, lhls application must be signed and approved by the Historical Coordinator prior to permit Issuance. Setbacks ' I P.L I HSE GAR A{:C I I N I Is W , E VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary S~wer Watar Slorm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan ,.. N' FT, FT, FT. (C) Wood Stove/lnserl/Flreplace Unit N' .DrY~ent ~ /~~ ./'4zS~/~E" ~/... -:-":~~' /-5: --= /&J,- ~ ~~,.:-~ (D) ~ ,~.-:2.~ MISCELLANEOUS PERMITS Mechanical Perml t Issuance Stale Surcharge Total Permit Mobile Home State Issuance State Surcharge Sidewalk It It Curbcul Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) FEE ---..; I 1---- APPROVED: . . ). . ., BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition Ihat .lhe 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 tlme 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 properlles within the City limits which are being Improved, ADDITIONAL COMMENTS " By signature. I stale and agree, lhat I have carefully examined the completed application and do hereby certify Ihat all Information hereon Is true and correct, and I further certify that any and all work performed shall be done In accordanca with the Ordinances of the City of Springfield. and the Laws of the State of Oregon perlalnlng to the work described herein, and thai NO OCCUPANCY will be made of any structure without permission of lhe Building Safely Division. I further certify thai only eonlractors and employees who are In compliance with ORS 701,055 will be used on this project. I further agree to ensure that a required Inspections are requested at the proper time, t teach eddress Is readsble from the street, that the perm t card la located at the front of the property, and the a p ved set of plans will remain on the site at al m s d r ng construction. Signature Oat". VALIDATION: "l. RECEIPT NUMBER 2"?~5 "'?- ~-S --:::> AMOUNT RECEIVEn, --:::<6.-;;;>- RECEIVED BY ~rr:.-"'t..-- -- DATE PAID