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HomeMy WebLinkAboutPermit Mechanical 1999-10-5 r -. RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' _';-3/.s- L~ ASSESSORS MAP: / 7 0 2--?" -:s S I ~ (y) L '11' I,m L,,- 5' 3/5;:' Leo:fk\, ' ~1I ~-Finr~ - if\S~ ~~ ADDITION DEMOLISH LOT' OWNER' ADORES'" CITY: DESCRIBE WORK: NEW REMODEL CONTRACTOR'S NAME GENERAl' PLUMBING: MECHANICAL: J1la..~.11 IS ELECTRICAl' QUAD AREA: . OF BLDGS: OCCY GROUP' . OF STORIES: WATER HEATER: BLOCK' STATE: . nL . ;'7 ) ~? JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT: OSro7J SUBDIVISION: PHONE: q~~-u79 ZIP' 97Lf7'i[. * " -hJ((Wrp ~ Rough Mochanlcal - Prior to ~ cover. ~ Rough Electrical - Prior to ~ cover. . o Electrlca' Service - Must be approved to obtain permanent electrlcel power, o Fireplace - Prior to facing materials and framl.ng Insp. o Framing - Prior to cover. '. OTHER ADDRESS CONST. CONTRACTOR . ..:":, LfIID Olymp-iC - OFFICE USE - LAND USE: · OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: _ EXPIRES PHONE spEc{ ~Sl70 ?47-7Yl.JS- FLOOD PLAIN: ZONING CODE: . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: _ '. ..~. . . ",' '. ,~ ... .~ . . " --'. - - , To request an, Inspection, you must call 726.3769. This Is a 24 hour recording, Alllnspedlons requested belole 7:00 a.m. will be made the sa~e(.w~!:.~~n,~'~.a~.. I?~pectlo~s req~e,stedt~t~er 7:00 a.m. will be made the (ollowlng work day. ',. ". , REQUIRED INSPECTIONS o Temporary Eloctrlc O Slto Inspection - To be mado after excavation, but prIor to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected,but prior to concrete placemont. o Undorground 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 - Prior to deckl ng. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - PrIor to filling trench. . o Water Line - Prior to filling trench, . '" D Rough Plumbing - Prior to cove~ . ,. o Wall/C'efllng Insulation - Prlor.to cover. o Drywall - P,lor to taping, o Wood Stove - After Installation, o Inoert - Alter fireplace apprOVal and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placomont of concrete, o Slde'walk & Driveway - After excavation Is compioto, forms and sub-base material In place. o Fence - When completed. o Stroet Trees - Whan all roqulred trees are planted. o Final Plumbing - When all plumbing wc;>rk Is camplet,e. ~Flnal Electrical - When all' ~Iectrlcal work Is complete. 'tx1" Final Mechanical - When all ~echanlcal work Is complete. o Final Building - When all required Inspections have been approved and building Is completed, .'. .... " o Other p'. , , > 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, set,up, and plumbing .Inspectlons have been approved and the home Is connected to the service panel. o Final - After all required Inspections are approved and porchos, skirting, decks, and venting have been Installed. Lot faces Lot Type . Interior Lot sq. ltg, \ '- .. . " \ , " Lot coverage Corner Topography Total height ,. Panhandle Cul.de,sac BUILDING PERMIT ITEM SO. FT. "/ X S/SO. FT. _ Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) I RL IN Is Iw IE VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N~ Sanitary S~wer Water FT. FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Tolal Charge (C) MECHANICAL PERMIT ,~~. Furnace Exhaust Hood Vent Fan N' / Wood Stovellnsert/Flreplace Unit Dryer Vent 6A$ hu'c MeChanical Permit Issuance State Surcharge ;.or -r.~J' Total Permit (0) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (e,cludlng electrical) (A, B, C, 0, and E Combined) FEE /M/.i.l....... , ,#1/1f} . ft;;'~ /0.6-0 /rO 2t-,S"'.o ~~ . ",';' ; \ " ""I' ~.J ... I.E 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. Setbacks HSE GAR Acc'l I I I I APPROVED: . ':. " 'f. 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 Clly 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: Recel pt Number' Received By: Plans Reviewed By Date Systems Developmenl Charge Is due on all undeveloped properties within tho City limits which are being Imploved. ADDITIONAL COMMENTS \!rJ.lf}i' ~::D. <L <;~'~ot-C , J/J~ /~ .4?!r)///.e:'~ , '. By signature, I state and agree, that I have carefully examined the completed appllcetlon 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 01 Orogon perlalnlng to tho work described herein, and thai NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify thai only contractors and employees who are In compliance wllh 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 ttie street, that the pormlt card Is located at the fronl of the properly, and the approved set of plans will remain on the slle at all times durl~ conO/ctlon, Signature ' ~'..<-4ll ,&1/1 Date VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY 7c:> 7 5'7~ /d'/r/<J1' f/ s;o , -24: I ' ~,