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HomeMy WebLinkAboutPermit Mechanical 1996-6-18 RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726,3759 LOCATION OF PROPOSED WORI<" ASSESSORS MAP: /~t') 2 LOT: . SPRINGFIELD '---'A <;'.. , '..,~ 00 4eo/ /?5 .,. BLOCK' OWNER:-1-.lII?:;=r/- D~,t veL ~ ) ADDR~""" 4-&0/ cJA,~~ A'~, CITY: 'l..Rr~~(C::-r~. STATE: DESCRIBE WORK: ~ 7;P~r:-< NEW REMODEL CONTRACTOR'S NAME GENERAL:_~ /, IJ~ r PLUMBING' L: h lit,. ~ MECHANICAl' L:::;' /.,.; s ELECTRICAl' /' "'h~ //A//..,.I..I -' ~ . JOB NUMBER 9?' /'") ~/3 ", . 225 Fifth Street Springfield. Oregon 97477 " TAX LOT' SUBDIVISION: ~ 2. 5 t!7Z) PHONE: 7~ - -f7"?'1 ZIP: 977'-7~ ~~.e /,. (i~"... ,. J7'kb?~. DEMOLISH OTHER ADDITION e:;- '><' '7"" t' ., CONST, ADDRESS 91.,,,... CONTRACTOR' .2 vC c!. &~.~./7 0.. V2 > / I I f I ) ) EXPIRES PHONE /t'-t'9~:L-C<;>9-ra2 I I , I I I I I I - OFFICE USE - -~ QUAD AREI" ,.~AND 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 recording. All Inspections requesled 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 O Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical I Mechanical - Prior to cover. O Footing - After trenches are excavated. O Masonry - Steel location, bond beems, grouting. O Foundetlon - After forms are erected but prior to concrete placement. O Underground PlumbIng - Prior to filling trench. O Underlloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. O Floor Insulation - PrIor to. decking. o Sanllary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water LIne - Prior to filling trench. . 19r Rough Plumbing - Prior to ~cover. _ REQUIRED INSPECTIONS -r==:;c( Rough Mechanical - Prior to ~. ~RoU9h Electrical - PrIor to ~er. o ElectrIcal ServIce - Must be . approved to obtain permanent electrlcaf power. o Fireplace - Prior to facing materials and framing Insp. ~ramlng - Prior to cover. I:5<r Wail/Ceiling Insulation - 'prior to ,/ ~ver. ~ryWall - Prior tO,taplng, o Wood Stovo - After Installation. o Insert - After fireplace approval and Installation of unll. O Curbcut & Approach - After forms are erected but prIor to placement of concrete. O Sidewalk & Driveway - Alter excavation Is complete, forms and sub-base material In place, o Fence - When completed. o Street Treos - Wh~n all ,required trees Bre planted. ~Flnal Plumbing - When all ~umblng worl< Is complete. ~Flnal Electrical - When all ~Iectrical work Is complete. 'f;7f Final Mechanical - When all ~echanical work Is complete. 'f;;;7( Final Building - When all ~equlred Inspections have been approved and building Is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set,Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to waler and sewer, o Electrical Connection - Wh'en , 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. Lol faces Lot TY. Lot sq, ftg, Interior Lot coverage Cornor Topography Total height Panhandle Cul.de.sac ',: . IS THE PROPOSED WORK IN THE '''HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. Setb,cks I PL. HSE GAR ACC IN /S \W IE BUILDING PERMIT ITEM SQ, FT, X $/SO, FT _ VALUE Main Garage Carport ~ "0x~r Total Val uc Building Permi t Fee State Surcharge 9. ~> -r 5.7'7 'Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures 2.. Residential Bath(s) N' Sanitary S~wer Water FT Storm Sewer FT. FT Mobile Home Plumbing Permit State Surcharge /. -t- .,,~ (C) Total Charge MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan N' I Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit .#?,r~ Issuance State Surcharge I 7..)"1'-, -iF Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk fl Curbcut fl " Demolition State Surchargll . .Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C. 0, and E Combined) '. .. Y~~-'h) ..- / Ir3.~ , 7/1 & -;if-' FEE '? /.) t:>oD /.~ :2/.6(7 4- .)0 :?,.tHJ /s-~ LO,~ 1,.20 2h2,D 25/~ .2.1 APPROVED: . BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted o"n the express condition that the said construction shall, In" all respects, conform to the Ordinance ado pled . 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 Dale Syslems Development Charge Is due on all undeveloped properties within tile City limits which are being Improved, ADDITIONAL COMMENTS .Jff7J/~~14 ;PW4?1^"J,/= Ilj/ p..u~ By signature, I stale and agree, Ihat I have carefully examined Ihe compleled application and do hereby certify that all Information hereon Is true and correct, and I further cerllfy 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 the work described herein, and Ihat NO OCCUPANCY will be, made of any structure without permission ot the Building Safety Division. I further certify that only contractors and employees who are In compliance wllh 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 lhe front of the property, and the approved set of plans will remain on the site at all times during construction. Slgna~~~ .~ - Date r. - /%'-7....- .J<. VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY 2. 2.:::J~ ~ ,G;'l' ~r~ 2'5% :2.<f ~