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HomeMy WebLinkAboutPermit Mechanical 1992-8-20 ~ RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726,3759 . SPRINGFIELD LOCATION OF PROPOSED WORK: __~~"Z-c:::.#A",<j.e:>/VE/V /?~/')2 .";? S--:z "'3 ~;D, , OWNER: p./A:E fv? #' /L?:Jj(Y ADDRESS:~~~ ?,~L~ ASSESSORS MAP: LOT' BLOCK: CITY' STAT'" /?.?::? .. c.-- ' DESCRIBE WORK: ~ NEW /REMODEL /' e=x#~P"5r ,r~~ ADDITION CONTRACTOR'S NAME GENERA' . DEMOLISH OTHER .- JOB NUMBER 9:30SI;aC' 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION' c> ~")~p '1 PHONE: '7Lr;:;;:-~?> ZIP: ADDRESS CONST. CONTRACTOR . PHONE PLUMA1NG: _ _ .._____.________________._______ MECHANICAL: -e:zVw:~,c/", ELECTRICAl' QUAD AREA: . OF I3LDGS:_ OCCY GROUP:____.____. . OF STORIES: WATER HEArER' - OFFICE USE - LAND USE: . OF UNITS: ___,__.__ CONSTR. TYPE: ____ HEAT SOURCE: RANGE: EXPIRES *" FLOOD PLAIN' ZONING CODE: ____ . OF BDRMS' SECONDARY HEAT: 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, Inspections requested after 7:00 a.m. will be made the following work day. D Temporary Electric D Site Inspection - To be made after Cxc<1v<1tion. but prior to sctlino forms. D Undcrslab Plumbing/Electrical! Mechanical - Prior to cover. D Footing - Afler trenches arc excavated. o Masonry - Sleel location, bond beams, grouting. o Foundation - After forms arc erectcej but prIor to concrete placement. D Underground Plumbing - Prior to filling lrenctl. D Underfloor Plumbingl Mechanical - Prior to Insulation or decking. D Post and Bcam - Prior to.floor insulation or dccking. D Floor Insulation - Prior to decl<ing. o Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. D Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS r-Yt Rough Mechanical - Prior to 'AI cover. o Rough Electrical - Prior to cover. D Electrical Service - Must be approved to obtain pcrmancnt electrical power. o Fircplace - Prior to facing lIwlcrlals nnd framing Insp. o Framing - Prior to cover. D WallJCeillng Insulntion - Prior to cover. . D Drywall - PrIor to taping. D Wood. Stove - After Installation. D Insert - After fireplace approval and Installation of unit. D Curbcul & Approach - After forms arc erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation Is complete. forms and sub.base material In place. D Fenco - When completed. D Strcet Trces - When all required trees are planted. D Final Plumbing - When all plumbIng worl< Is complet.e. D Final Electrical - When all electrical work is complete. ~ Final Mechanical - Whcn all mechanical work 15 complete. D Final Building - When all required Inspections have been approved and building Is completed. DO'hcr MOBILE HOME INSPECTIONS D Blocking and Set. Up - When all blocking Is complete. , D Plumbing Connections - When home has beon connected to water and sewer. " D Elcctrical Connection - When blocking, sel.up, and plumbing Inspections have beon approved and the home Is connected to the service panel. " is' o' D Final - After all required Inspections are approved and porches, skIrting, decks, and venting have been Installed. , .{ Lot faces Lot Type. Interior Lot sq. ftg. Lot coverage Corner Topography Totai height Panhandle Cul.de.sac BUILDING PERMIT ITEM sa. FT. x $/sa. FT. Main Garage Carport Total Value Building Permit Fee Stale Surcharge Total Fee (A) ,. THE PROPOSED WORK IN THE "-'HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes. this application must be signed and approved by (he Historical Coordinator prior to permit issuance. Setbacks P.l. HSE GAR ACC I N ..L-___ W IE VALUE (B) SYSTEMS DEVELOPMENT CHARGE (SDC) PLUMBING PERMIT ITEM Fixtures Residenlial Bath(s) N' Sanitary Sewer FT. FT. Water Storm Sewer FT. Mobile Home PlumbIng Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO 0_ Wood Stove/Insert/Fireplace Unit Dryer Vent MechanIcal Permit Issuance State Surcharge Total Permit (D) I MISCELLANEOUS PERMITS Mobile Homo State Issuance State Surchargo Sidewalk It Curbcut It Demolition State Surchargo Totaf Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) FEE /-<t:>P A;CJ>r? /c?, t%' .7-;- '7 t:;:? S- APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Ttlls permit is granted on the express condition tllat Ihe said constructlon shall, In all respects, conform to tilC Ordinancc adopted by the City of Springfield, including the Developmenl Codc, 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 Fcc: Date Paid: Receipt Numbcr' Received By: ----+- Plans Reviewed By Date Systcmn Dcvelopment Charye is due on all undeveloped propcrUcs within the City limits which are being improved. ADDITIONAL COMMENTS By signature, I stale and agree, th'at 1 have carefully cx?mincd the complcted application and do hercby cCrliry that all Information 11ercon is true and correct, and I furthcr certify thai any and all work performed shall be done in accordance wilh the Ordini:UlCCS of the Cily of Springfield. and the Laws of tllC State of Oregon pert<1inlng to the worl( described herein, and that NO OCCUPANCY will 'b(J made of any structure without permisSion of the Building Safety Division. I furtl1er ccrlify tl1al only contractors and crnployccs who are in compliance with ORS 701.055 will bc used on this project. I furtllcr agree to ensure that all required inspections arc requeslcd at the proper time, that each addrcss is readable from the street, that tile permit card is locnted at lhe front of the property, and the approved set of plans will remain on the site at all times during construction. Signature r~l v11 ~ Date r r ). (),/ q 2-- VALIDATiON: RECEiPT NIJMnEFI___.5-~7"5 1<?-2.,::;.-? 2. AMOUNT RECElv~n '257'5- ~~ DATE PAIl" RECEIVED BY /F