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HomeMy WebLinkAboutPermit Mechanical 1993-1-4 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Oltice: 726.3759 LOT' . BLOCK' OWNER: I. j){\( 11 ~ ' </=)l!.lJJ ---.. ADORES'"'-41 \Q (~LrhajRIU CITY" '- ')P+/ f!1- STATE: DESCRIBE WORK: l O'llP rf)-j-T JjUJrl,D / I I NEW REMODEL ADDITION DEMOLISH . q ?()(Yf), JOB NUMBER \ 225 Filth Street Springfield. Oregon 97477 TAX LOT: ()( Y/()/~ SUBDIVISION: PHONF' '~ (U~'PJ)i~ - (I OTHER ZIP: CV)<r / I) ADDRESS CON ST. CONTRACTOR' PHONE CONTRACTOR'S NAME GENERA' . PLUMBING'. .., n. MECHANICAL:(f\{lJJJJI j):t:J!L1 JJ}j . ELECTRICAl'" (I - 8L) \S I\\~it- EXPIRES '(';{y) 7 7 . (r)..~/.c{) rff;1v.' . . , - OFFICE USE - QUAD AREA- LAND 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. Thl~ Is a 24 hour recO"rdlng. All Inspections requested before 7:00 a.m. will be made the same workl':lg day. Inspections requested after 7:0a 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/ Mechanical - Prior to cover. o Footing - After trenches afe excavated. o Masonry - Steel location, bond beams, grouting'. , D Foundation - 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. D Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decKing. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to flIllng trench. . o Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS \fA RO~9h MechanIcal ~ Prior to \ cover. ; o Rough Electrical - Prior to ' cover. . D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to c~ver.. D Wail/Ceiling Insulation - Prior to cover. o Drywa!I.- Prior to taping. o Wood"Stove - After installation. D Insert - After fireplace approval . and Installa~lon of un!t. "0 Curbcut & Approach - After forms are erected but prior to placement of concreto. o Sidewalk & Driveway - After excavation Is complete, forms and sub-base material In place. o Fence - When com.pleted. .0 Streot Trees - When all required trees are planted. o Final Plumbing - When all plumbing w9rk Is complet.e. D Final Electrical - When all electrical work is complete. m Final Mechanical - When all \ mechanical work Is complete. o Final Building - When all required InspectIons have been approved and building is completed. DO'her MOBILE HOME INSPECTIONS D 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. o Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. \ : . . ~ . ~ .~ . ,. .j.. . . ,",. ~. '. ,J,. .,~ " _ ~ : .'." "\--',' ..". 1,. \. ,'':) 41" , , '~\:" "I Setbacks I PL. HSE GAR ACC I I N I I S I Iw I I E I Lot faces ~ "I lot ;ypett Interior lot sQ. fig. Lot coverage Corner Topography Total height Panhandle Cul-dc.sac. BUILDING PERMIT ITEM sa. FT. x $/SO. FT. ~ VALUE Main Garage " Carport Total Value Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit /S,CQ 10 OU . /)~ ") ~lL'S Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut fI Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) &0-,. ')5 (A, B, C, D, and E Combined) '. 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. <, APPROVED' BUILDING VALUE, 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 Ihe City 01 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 Date Systems Development Charge is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS By signature, I state 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 State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made 01 any structure without permission 01 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 all tlmi:r::;:~O~r ~ / - 4-93 VALIDATION: () RECEIPT NUMBER f) I,eo DATE PAID \,'-4~C{~ '7'::::'" AMOUNT RECElv"n ,.Q J . I RECEIVED By'PK \ [) ~ ~