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HomeMy WebLinkAboutPermit Mechanical 1995-5-18 RESIDENTIAL. PERMIT APPLICATION . SPRINGFIELD . JOB NUMBER ~.o~~B Inspecllons: 726.3769 Office: 726-3759 LOCATION OF PROPOSED WORK: :::? /:52; LA2u~~_ If<! <' /:..5"'" ASSESSORS MAP: J7--6~ <:>-/~ . /)9E&"~ ~~;7> 1""C/Z? T' ADDRESS' 7/5'0 /.At:..J}Z'?,A?" F5<<2./~ - . ,,. --5 ;z:> ^' L T:> -, /. 7;/ DESCRIBEWORV' ~/,p ~"P ~ ,f/.?:~ LOT: OWNER: CITY' NEW REMODEL BLOCK' STATE: ~.A>. ADDITION DEMOLISH OTHER 225 Filth Slreet Springfield, Oregon 97477 TAX LOT: ,..., 4/-7/ ~ , r SUBDIVISION' PHONF' ZIP: C?,?&"/?> ? -<: s.- ~..7~ - ADDRESS CON ST. CONTRACTOR' PHONE CONTRACTOR'S NAME GENERAl' PLUMBING' LL. .J'. <;<'.b.-e>/~~ MECHANICAL:h0?l'7~ / ~......":~ ~::>~", ELECTRICAl. QUAD AREA: . OF BLDGS' OCCY GROUP' . OF STORIES: WATER HEATER: EXPIRES ~< ..2...;at;.~"> , r - OFFICE USE - LAND USE: . OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: _ ~q"C~ :::>-:> FLOOD PLAIN: /J.. ZONING CODE: _ ~__ . OF BDRMS: ;~ SECONDARY HEAT: SQUARE FOOTAGE: To request an Inspection, you must call 726-3769, This Is a 24 hour recording. Afllnspectlons 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 Slto Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbingl Electricall Mechanical - Prior to cover. o Fo'oUng - After trenches are excavated. , ' o Masonry - Steel locatlon, bond beams, grouting. D Foundation - After forms are erected but prior to concrete pI acemen t. 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 .'''""Prlor'to' decking, o ......,.. Prior to filling Sanilary Sewer - trench. o Storm Sewer - Prior to ftlling trench. o Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. D Rough Electrical - Prior to cover. . o Electrical Service - Must be approved to obtain permanent electrical power, o Fireplace - ~rlor to facing materials and framing Insp. o Framing - Prior t~ cover. o Wail/Ceiling Insulation - Prior to cover. . o Drywall - Prior to taping. o Wood Stovo - After Instal/allon. o Insert - After fireplace approvlll . '. '.. . and Installation of unit. \. '\ "" , Q Curbcut & Approach - After '.. '\ 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. D Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing wc;>rk Is complet.c. D Final Eleclrlcal - When all electrical work Is complete. GEl Final Mechanical - When all mechanical work Is complete. o Final Building - When all required Inspections have been approved and building Is completed. OOthe' MOBILE HOME INSPECTIONS o Blocking and Set-Up - When all blocking is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, sel-up. and plumbing Inspections have been approved and the home Is connected to the service panel. o Final - Aller all required Inspections are approved and porches, skirtIng, decks. and venting have been Installed. Lot faces Lot sq. flg. Lot coverage Topography Total height Lol Type'. Interior Corner Panhandle Cul'de.sac~ BUILDING PERMIT ITEM SQ, FT. X $/SQ, FT. MaIn Garage Carpor~t Total Value Building Permit Fee State Surcharge Total Fee " (A) , ., , . ,,~, ~ ie THE PROPOSED WORK IN THE. HISTORICAL DISTRICT, OR ON THE HtSTORICAL REGISTER? If yes, this application must be signed and approved by the.. Historical Coordinator prior to permit Issuance, ':', . Setbacks HSE GAR ACC I P.L. IN Is Iw IE VALUE " SYSTEMSPl=VELOP!'v1ENT CHAR.GE (SDC).; ., PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan . (B) N' (C) Dryer Vent Wood Stove/lnsertlFlreplace Unit N' Mechanical Permit Issuance State Surcharge Total Permit FEE //J/ij. /&7.- t~- :p., <~ . <0 Mobile Home MISCELLANEOUS PERMITS (D) State Issuance State Surcharge Sidewalk fl Curbcut It Demolition State Surcharge Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) /"5: - APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is.granted on the ox press condition that the said construction shall, In all respects, conform to the Ordinance adopted by the City ,of Sprlnglleld, including the Development Code, regulating the construction and use of buildings, and may be s.uspended or revoked at any Ume 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 undevoloped properties within the City limits whIch' are being Improved. ADDITIONAL COMMENTS By signature, I state and agree, that I have carofully examined the completed application and do hereby cerllfy 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 State of Oregon pertaining to the work described herein, and lhat 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 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 the front of the property, and the approved set of plans will remain on the site at all .times during construction. SlgnalureW'/) L$'dff/ Date ~'P /( /~ VAliDATION: / ?c/:7.'5"' ?""/9 -5' S- AMOUNT RECEIVEfl '2~ - <~ ~~--- ,r RECEIPT NUMBER DATE PAIr> RECEIVED BY