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HomeMy WebLinkAboutPermit Mechanical 1997-7-11 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 . LOCATION OF PROPOSED ~ORK' \\ Q}\ ASSESSORS MAP' \. 10~:o ~ 1 LOT' BLOCK' OWNER' ~\ \ \ \0.., \\)\}al . ADDRE~~' \ \O~\ \.C\I I){\~V\,\e CITY' ~\!\ - STATE: . rlrfO(\'(\ Y DESCRIBE WORK' NEW \.1\llit \ \h.l 1'1\ (\ - \ '\ ADDITION . REMODEL CONTRACTOR'S NAME GENERA' . PLUMBIN'" MECHANICAL: ~\c\ N\~1\ DEMOLISH OTHER . a. ~m~ JOB NUMBER 225 Fifth Street Springfield. Oregon 97477 ---- TAX LOT: -L) GOCf ) SUBDIVISION' ZIP' ~L- U/HJ1" ~ PHONE: ~ \ . ~ tOI ADDRESS CONST. CONTRACTOR' EXPIRES '."C PHONE ~\o r\ ~ {\0 UvL'J\ <\'\ ~ l.o '\ to I. 9 J\ 0 \ O"'\Cl:IrlEAT SOURCE: 'TIlE. 'NOf\\( N '\ (;.. EXPlf\c1r I . WATER HEATER: . PEf\~LL --lo'),'" I!; NOT SQUARE FOOTAGE: T\1IS .. ....cQ T\-I\~ no' " . _ _ unQ\L1:1J J, L _ A' Mf'lf'll'lr.U p"" - To request an Inspection, you must M10Y2II'3769'JI>II!I. \'5~ recording. All Inspections requested before 7:00 a.m. will be made the same working day, Inspec~~ttfstllS~ted1hlt1\~:OO a.m. will be made the following work day. . r>.tl'/ 18oR~\I'I~D INSPECTIONS rn/ROU9h Mechanical - Prior to cover. ELECTRICAl' QUAD AREA' . OF BLDGS' OCCY GROUP: · OF STORIES: D Temporary Electric D SlIe Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumblng/Electrlca" Mechanical - Prior to cover. o Footing ~ After trenches are excavated. o Masonry - Steel location, bond .beams. groutlng. o Foundation - After forms Bre 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 Boam - Prior to floor Insulation or decking. D Floor Insulation - Prior to decking. D Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. o Watar LIne - Prior to filling trench. . D Rough Plumbing. - Prior to cover. - OFFICE USE - LAND USF' . OF UNIT~' CONSTR. TYPE: l::::r" Rough Electrical - Prior to . CQver. o Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materIals and framing Insp. D Framing - Prior to cover. D Wall/C'elllng Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Stovo - After Installation. D Insert - After fireplace approvlll and Installation of unit. D Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sldawalk & DrIveway - After excavation Is compiete, forms and sub.base material In place. o Fence - When completed. D Streot Trees - Whan all required trees are planted. ~-<t.qy; FLOOD PLAIN- ZONING CODE: . QF BDRMS' SECONDARY HEAT: D Final Plumbing - When all plumbing wc;>rk Is complet,e. Q...Flnal Electrical - When all electrical work Is complete. ,/ [Jd'Flnal Mechanical - When all mechanical work Is complete. D Final Building - When all required Inspections have been epproved and bulldlng Is completed. DOther 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. o 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 porches, skIrting, decks, and venting have been Installed. , Se I bac ks I PL. HSE GAR Acc'l I N I I S I Iw 1 I E I Lot facos , .. Lot Type '"..!. ': .., li-,'_. - , Lot sQ. Itg. Interior Lot coverage Corner Panhandle .. Topography Total height Cul-de-sac BUILDING PERMIT; ITEM SO. FT. i " X $/SO. FT. _ VALUE Main Garage " Carport Tolal Value Building Permit Fee Slate Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. FT. FT. , . "C.. :'j" Storm Sower Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhausl Hood Venl Fan N' Wood StovellnsertlFlreplace Unit ~ ~LJ M{l- Mechanical Permit \~W S.oU o au ~ Issuance State Surcharge -t 2>90 Total Permit (0) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition Slate Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C. 0. and E Combined) a\Q.W ~., ',::;.;'~:.~.~};",\:) .. I( IS THE PROPOSED WORK IN THE. ....HISTOI;lICAL DISTRICT, OR ON THE HISlORtCAL REGISTER? II yes, this application must be signed and approved by. the Historical Coordinator prior to permit Issuance. APPRovcn. '. '\ "... " 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 10 the Ordinance adopted by the City. of 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 Dale Systems Developmenl Charge Is due on all undevelopod properties within tho City limits which are being Improved. .ADDITIONAL COMMENTS '. >, . '. .' :..;. "", il, )1 '.. . .. ,. . .f'. , ,j ,~I :f,\ I"l " :"':" .... By sIgnature, I stato and agree, that I have carefully examined the completed application and do hereby certlly 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 Ordlnanc~s of the Clly of Springfield, and the Laws of the State of Oregon perlalnlng to tho work described herein, and thai NO OCCUPANCY will be made of any struclure without permission of Ihe Building Safety Division. I further certify that only contractors and employees who are In compliance with ORS 701.055 will be used on this proIec!. ,... 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 pormlt card Is located at the front of the properly, and Ihe approved set of plans will remain n the site at all times during construction. l3_d V.dP , Date \ VALIDATION: \ ~~ RECEIPT NUMBER _ ~~\n V DATE PAID 'l II. q'i' 1"1 ;Jln.~ AMOUNT REC RECEIVED BY