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HomeMy WebLinkAboutPermit Mechanical 1998-10-28 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 DESCRIBE WORI<: NEW REMODa . \. SPRINCFIELP . JOB NUMOER ~/ .::S (.-!-L 225 Filth Street Springfield, Orego/1 87477 _____ TAX LOT: O"~Sa-v STATE: () R ADDITION ./ DEMOLISH OTHEIl SUBDIVISION' PHONE: _ 'l1/o-IW liP: -3J L/-15? J:r;{ -,~ W CONTRACTOR'S NAME GENERAL: PLUMBING' MECHANICAL:fomMrL NU 11I.I00NST ADDRESS THIS PEI'iR,NT~(l8X.pIRE IFlHWIN&'S1K - PHONE -~-!';;tJi: :O:l:;E!:) ':"I"\J:R TI-llSEJ;..RMIT IS NOT C~~.~~.~="f"'m nR I!'; ABANDONED FOR PloML FI51 DlJrJ .5-( ..)kI;JH\ nr.@f1.#b'6J h-;Xl!LQ 1Zb:1211i2 ELECTRICAL' OUAD AREA' . OF BLDGS' OCCY GROUP: . OF STORIES: ____ WATER !-[EATER: - OFFICE USE - LAND USE: _._ . OF UNITS: CONSTR, TYPE: HEAT SOURCE: _____ RANGE: ___ FLOOD PLAIN' ZONING CODE: __ K or- 8DflMS: SECOND^nV HEAT: ___..... SOUARF. FOOTAGE: ..._...._. To request an Inspccllon, you mU$t call 726.3769. ThIs Is a 24 hour recording. AlIlnzpcction:; requested before 7;00 a,rn. will be made the same working day. Inspection:; requested afler 7:00 a.m. will be made lhe following worl< doY. o Temporary Electric D Sitc Inspection - To be made after CXCilV<lllon, but prior to 5eltlng forlllS. o Underslnb Plumbingl ElcctricnlJ Mcchnnlcnl - Prior 10 cover. o Footing - AHcr trenches are excavated. o Masonry - Sleel location, bond beams, groullng. D Foundation - After forms arc erected but prlor to concrete placement. D Underground Plumbing - Prior to filling trench. . D Underfloor Plumbing I Mechanical - Prior to Insul<1tJon or decl<ing. D Post nnd Beam - PrIor to floor Insulation or decl<lng. D Floor Insulation - Prior to deckIng. D SanHary Sewer - Prior to filling trench. D Storm Sewer - Prl?r 10 fillinn trench. D Water Line - Prior to filling trench. D Rough Plumbing - Prior 10 cover. .. REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. o nough Electric,,1 - Prior to cover. o Elcclricnl Service - MllSI be approvccl to oblnin pennnnenl electrIcal power. o Flrcplnce - Prior 10 fnclng materials and frLlming Insp. o Frnmlng - Prior to cover. o Wall/C"clling Insulnlion - PrIor 10 cover. D OrywlIlI - Prior 10 taping. o Wood Slave - After In:>t;)ll<l~ion. o Insert - Afler fIreplace approval and Inslallilllon of unit. D Cllrbcllt & Approach - Altor forms arc erecled bul prior to plncamenl of (;oncrctc:. D Sidcwnlk & DriVCW:l\, - Aflcr Cxc;)v:1tion is complete, (arms anel sub.base l1lrL!erlal in plac0. 'D Fence - Wilen completed. D Stroot Tree:; - When all required trces <:Ire pl~ntcd. PilliJl Elcci~cnl - When all eleClric;)1 wOrl( is complcte. D Fin;:lI Duildintl - When 311 required Inspections have been approved and building Is compleled. o Ol,her MOBILE HOME INSPECTIONS o Olocldng nnd Set.Up - When 3/1 blocl<ln~J Is complete. o Plumbinu Connections - When 110mu Ilil~ been connccted to waler <l1lc.1 sewer. o Elcclric;lI Connection - When bIOCI(jnO, set.up. and plumbing In~;pcclions h.-we been approved ilnd IlIe hOllle is connected to tile service p.-ltlCl. o Finnl - Afler 011 required Inspections ;)rc approved and porches, sl<lrting, dccl<s, and venting have been Installed. Lot faces Lol Type. . LOI sq. fig, Interior' Lot coverage Corner Topography Tolal 11elghl Panhandle Cul.cIc.sac BUILDING PERMIT ITEM SO. FT, X $/ SO. FT, Main Garage C~Hport TOliJl Value Ouilding Permit Fcc State Surcharge Tolal Fcc (A) SetlJacl<3. I P,L, HSE GAR N ---- _5_ ~_ ACC I I _HE PROPOSED WORI< iN THE. . ..'HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? .11 yes, this application must be signed and approved. by the HIstorIcal Coordinator prior to permit issuance. W CE--~ ==_~ VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (D) PLUMBING PERMIT ITEM Fixtures ResldenUal Oalh(5) N' Sanltnry S~wcr Water FT. FT, Storm Sewer FT. Mobile Horne Plumbing Pormlt State Surchargc Total Cllargc (e) MECHANICAL PERMIT Furnacc Exhaust Hood Vent Fan N' Wood Stove/lnserl/Flrcplacc'Unit tJ;;;;;' rtErn I ,__ e_ Mechanical Pcrmi t Issuance State Surcllaroe Total Permit (0) MISCELLANEOUS PERMITS Mobile Home Stale Issu~lnce State Surcharge Sidewall< fI Curbcut II Dernoll (Jon ?tate Surch;Hge Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, 0, C, D, and E Comblncd) FEE /5_ (}D jQ.-:- O?:? APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Tllis permit is granted on lllC exprcss condition that the said construction shall, in all respects, conform 10 the Ordinance adopled by'the Cily or Springfield, including .Ihe Development Code, regUlating the constructlon and use of buildings, and may bc suspended or revol(ed at any time upon violation of any provi5ion~\q( saldl'?rdln~r:_~9S. . Plan Check Fce:_ O.:1le Paid: Receipt NUlllber:_. Received By: Plans Revicwed.-.tfy-.-------- Dale Systems Development Charge Is due on all undeveloped properties wiltlln tile Clly limits whicll arc being Improved. ADDITIONAL COMMENTS ~ \ ( By slgnalurc, I state and agree, tl1atl hayc carefully examined the completed appllcalion and do hereby cerllfy that all Information Ilereon i~ true amI correct, and I further certlty that any nnd iJ/1 work performed ~halt be done' in <lccord<::lncc with the Ordinanc{;~ of the City of SpringfIeld, and the Laws of tile Slate of Oregon pertaining to the work described her0in, ;)nd that NO OCCUPANCY will be made of any structure wittlout permission of the Building SrJfcty Divisio~. I further cerlify IIl;)t only contractors and employees who arc in cQmpliancc'with ORS 701.055 will bo used on this proiecl. i further agrce to ensurc thai Lilt required inspections arc rCQuested at the proper time. that each address Is readable from the slrec lill thc permIt card Is located at the rronl of the prope y -d-1I1C upproved set of plans will remaIn on the site al tim" du~n71c nstructlon. Slgnatur iJ/. ......... Date VALIDATION: RECEIPT NUMElE,] 03 / 2 77 DATE PAID /0/;;' r:/ 9 Y AMOUNT F1ECEI~f.D ;;;(",. 'd1) FIECEIVED ElY LL._,~h rod 0