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HomeMy WebLinkAboutPermit Mechanical 1992-2-3 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ASSESSORS MAP' LOT: -. SPRINGFIELD ". BLOCK' M~I~)5 l~sr OWNER' f:)rr A/' J ADDRESS' - 1'36 '3 ~ftd CITY: DESCRIBE WORK' 1jo-. "" ~~ NEW REMODEL CONTRACTOR'S NAME GENERA' . PLUMBING: MECHANICAl' ELECTRICA' . STATF' O~ . JOB NUMBER qz,o 107 ADDITION DEMOLISH OTHER 225 Flflh Slreel Spring ficici, Oreoon 97477 TAX LOT: SUBDIVISION' f) ?.,~ () '2- pHON~' 74- G, -363:) ZIP: 17'1-77 ADDRESS CONST, CONTRACTOR' PHONE EXPIRES - OFFICE USE - OUAD AREA' LAND USF' FLOOD PLAIN' . OF BLDGS' . OF UNITS' ZONING CODE: OCCY GROUP: CONSTR. TYPE: . OF BDRMS: I . OF STORIES' HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGF' 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. o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Undcrslab PlumbinglElectricalJ 'Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Sleel roeation, bond beams, grouting. o Foundation - After forms arc 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: \ . - - -- - - - \ ' , ~ Prior to o Floor Insulation - decking. ... ~ . , -" o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water Line - PrIor to filling trcnc~. o Rough Plumbing - Prior t~ cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to 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 framlng.lnsp, o Framing - Prior to cover, o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stove - After installation. Q Insert - After fireplace approval . " and installation of unit. ,. W Curbcut & Approach - Afler -- r. forms ,are erected but prior to .) placement of concrete. o Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. o Fence - When completed. o Street Trees - When all required trees are planted. o Final Plumbing - When 311 plumbing work Is complete. o Final Electrical - When all electrical work is complete, o Final Mechanical - When all mechanical work is complete. o Final Building - Wilen all required Inspections have been approved and building is completed. '. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - Wilen all blocking Is complete, o Plumbing Connections - When home has been connected 10 waler and sewer. o Electrical Connection - When blocking, set-up. and plumbing inspections have been ;'lpproved and Ihe home is connected to the service ponel. o Final - After all required Inspections are approved and P9rchos, skirting, decl<s, and venting have been inslalled. Lot fiJCUS LotTY. Lot sq. fig, Interior Lot coverage Corner TopograpllY Panhandle Total helgl11 Cul.de.sac BUILDING PERMIT ITEM SO. FT, X $/SO. FT, Main Garage Carpor! Total Value Building Permit Fee Stale Surcharge Tolal Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (8) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO SiJn i lary Sewer FT. Water FT Storm Sewer FT. Mobile Home Plumbing Permit State Surclmrgc Total Ctlarge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsertl Fireplace Unit Dryer Vent ~Y'_"'- L~ Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk II Curbcut II Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, 8, C, 0, and E Combined) I P.L IN Setbacks ._ IS THE PROPOSED WORI< IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical ,?oordinator prior to permit issuance. HSE GAR Accl I 2-___1 IE W ---- APPROVED: VALUE FEE 1;::'_00 i6.6b ,n .6/) ':1h 2J7,7 IS BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permi! is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by tile City of Springfield, including the Development Code, regulating the consl,ruction and use of buildings, and may be suspended or revoked ilt any time upon violation of any provisions of said ordinances. Plan Check Fee' Date Paid: Receipl Number. Received By: Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties within ttlO 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 certlry that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and Ihe Laws of the State of Oregon perlaining to the work (Iescribed herein, and 1I1al NO OCCUPANCY will be made of any structure without permission of the Building Safely Division. I further certify tlwt only contractors and employees who are In compliance Witll ORS 701.055 will be used on ttlis project. I further agree 10 ensure that all required Inspections arc requested at the proper lime. that each address is readable from the street, that the permit card is located at the front of the property n thit'lfap: v d set of plans will remain on the site at II ti _e ~n. Signature 1J, - Date', 7~ -' ; -~ :7 VALIDATION: RECEIPT NUMBER ~ c.p C:> Z -3-CJL AMOUNT RECEiVED 2-6-7 t') ~ DATE PAID RECEIVED BY