Loading...
HomeMy WebLinkAboutPermit Mechanical 1998-10-2 . RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 Lo.CATlo.N o.F PRo.Po.SED Wo.RK' / t.f:;U /71J5J. 7'7i ASSESSo.RS MAP' Lo.T' . #, fA )/~>5 ADDRESS" /'is U i!CL.'-'; ~tJ/I.-("'i c ~ dJ . DESCRIBE Wo.RK' F; J, {JI/'VU I' o.WNER' CITY: NEW REMo.DEL ADDITlo.N GENERAl' PLUMBING' MECHANICAl' ELECTRICAl' SPRINGFIELD 1.11.", , .~ qgIOJ.-} BLo.CK: STATF' 01< Jo.B NUMBER 225 Fifth Street Springfield, o.regon 97477 TAX Lo.T' SUBDIVISlo.N: tJ'7'foo //VVIS1 r DEMo.LlSH PHONE: f\ 1~ ZIP: 1'1'177 o.THER ADDRESS CON ST. CONTRACTOR' ~ REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. D Rough Electrical - Prior to cover. , D Electrical Service - Must be approved to obtain permanent electrical power. EXPIRES PHONE CONTRACTOR'S NAME /?W IV L f'l- 1 / / / L ATTENTION:Oregon law requires you to- OFFICE USE -NOT/CE' QUAD AREAfollow rules adopted by the Orel;l.R~b'Wi!M: TLjIS-PEFl . F.LO,QD PLAIN: Notification Center. Those rules are set fanh . . M/T SHAll EXPIRE IF THE WORK . OF BLD~OAn 9!i2 001 9919 through OM'roSJi!lWl>; ~I m,ORIZED UNIfEW\'HrsCODE: OCCY GRdffillO. You may obtain copies of &Slr-lW& q~PE: C()MMaJcED OR r: OF. BDlrJsRMIT IS NOT calling the center. (Note: the telephone S I\BI\NUUNED FOR . · OF STORI ElfuFAbef fer tho Oregon Utility NGliMcftil}l:lRCE: ANY 1 fjn J}A Y PERI~lfl?ONDARY HEAT: WATER HEATER: Center is 1-800-332-23'WkNGE: _ 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. Inspectlons requested after 7:00 a.m. will be made the following work day. D Temporary Electric D 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 Maaonry - Steel location, bond beams, grouting. . D Foundation - After forms are ereoted but prior .to oonorete placement. D Undorground Plumbing - Prior to filling trench. D Underlloor Plumbing/Mechanical - PrIor to In.ufatlon or decking. D Post and Beam - Prior to floor Insulation or decking. D Floor Insul~t1on - Prior to decking. . D Sanitary Sewer - Prior to tilling trench. D Storm Sewer - Prior to filling trench. D Water Line - Prior to filling trench. D Rough Plu~blng .- Prior to cover. ..;, D Final Plumbing - When all plumbing work Is complete. . . D Final Electrical - When all electrical work Is complete. ~al Mechanical - When all ~~chanlcal work Is complete. D Final Building - When all required Inspections have been approved and building Is completed. D Framing - PrIor to cover. . {S7 / A S /7, ~ D o.t r /,.~~ P~rJ' o Wail/Ceiling Insulation - Prior t cover. D Fireplace - Prior to facing materials and framing Insp. D Drywall - Prior to taping. D Wood Stovo - After Installation. D Insert - After fireplace approvaf and Installation of unit. D Curbcut & Af,proach - Alter 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 cOfl'lpletcd. D Street Trees - When all required trees are planted. MOBILE HOME INSPECTIONS o Blocking and Set.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 plumbing Inspections have been approved and the home Is connected to the service panel. D Final - After all' required Inspections are approved and porchos, skirting, decks, and venting have been Installed. Lot faces ,;' L~t'~ype . Lot sq. Itg. Interior Lot coverage Corner Topography Total height .,. Panhandle Cul-de.sac .~ BUILDING flERr!lJlT :!j ':~ .'( ITEM sa. FT. x $/SO. FT. Main Garage Carport Tolal Value Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Balh(s) I N' Sanitary S~wer - , FT. FT. FT. Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Slove/~lrePlace Unit Dryer Vent GA-5 {}{tY Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Stale Surcharge Sidewalk It Curbcut It Demolition Slate Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excludIng electrIcal) (A. B. C, D, and E Combined) '~: .~ '{,';,\ .. . . ~'"l''' "',, ~::.y' :~.:~::~;it;,~L' ,. IS THE 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, I P.L. Setbacks. HSE I GAR ACC' ~-_.. S ~~-,- VALUE " FEE If..('D 2.07) If). {)() _/.-'I_bO 4r/. 7, 2t.'2A ., APPROVED: BUilDING "'ALOE, 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,.. Cily of Springfield. Including the Development COde,- reguiating the constructlon 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 stale 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 Slate of Oregon perlalnlng to the work described herein, and thaI 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 prolect. 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 on the site ~ all times during ~;n. Signature hl~ _ 4'1'.L-k-=. ,Date)/JL2-9.7'U: 0 VALIDATION: RECEIPT NUMBER 03/(" 5 3 10/2-/9 f 2/s 2-d 1/ uJ/wVJAj./ DATE PAID AMOUNT RECEIVED RECEIVED BY