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HomeMy WebLinkAboutPermit Mechanical 1992-10-13 RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726,3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP: LOT: OWNER' t='"\"~ .... \)\ 'r' 9" (l\Ce \qf1t4 Lomo\\6. So~, (\<1~\e \~ I \\ ~-\-<L\\ ADDRESS: CITY' . SPRINGFIELD Wit~ I CJ I y. ~'.nv-. JL 1'/0:<' de... J'd BLOCK: ,jo.sme'l-' STAT'" OR SI.Q{g ~ . JOB NUMBER 32 J L..f 3 LJ_ 225 Fifth Street Springfield, Oregon 97477 TAX LOT: (")11(')0 SUBDIVISION: PHONE: I-J (j /p - ~ J i'f.!5 1A~ ZIP: l'7 J. '71 DESCRIBE WORt<. NEW REMODEL.--/ CftS -V\l.\ "Me.. (h\\~, (\ \ 'r- (qr'\\ (i)\,,\ 0 Ii II\.1 OTHER ADOITION CONTRACTOR'S NAME CENERA' . DEMOLISH ADDRESS CONST. CONTRACTOR # EXPIRES PHONE PI.UMBING: MECHANICAL: (i~<<lt-)lA' t:\OW ~eo1'M ~55 \,0, IS-t8lclQ.r&.. ~'lt1D;)' 004/p0 , ELECTRICAl. ~b.'7/93 3q,;l-g,oJ - OFFICE USE - QUAD AREA: _5 LAND USF. FLOOD PLAIN. 1/ OF SLOGS- # OF UNITS: ZONING CODE: OCCY GROUP: CONSTR. TYPE: # OF BORMS: # OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGE: SQUARE FOOTAGE: To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested 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. D Temporary Electric D Site Inspection - To be made after excavation, but prior to selling forms. D Underslab Plumbing/Electricall Mechanical - Prior to cover. D Footing - After trenches are excavaled. D Masonry - Sleel location, bond beams, grouting, D Foundi:ltion - Afler forms are erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. D Underlloor Plumbing/Mechanical - Prior 10 Insulation or deckinG. D Post and Beam - Prior to floor Insulation or decking, D Floor Insulation - Prior to decking. D Sanitary Sewer - Prior to filling trenctl. D Storm Sewer - Prior to filling trench. D Water line - Prior to filling trench, D Rough Plumbing - Prior to cover, REQUIRED INSPECTIONS [Z] Rough Mechanical - Prior to cover. . D 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, D Framing - Prior to cover. D Wall/Ceiling Insulnt,ion - Prior to cover. : o Drywall - Prior to laping. I D Wood Stove - Afte,r installation. , D Insert - After fireplace approval and Installation of unit. D Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation is complete, forms and sub.base mater,lal In place. D Fence - When completed. , D Street Trees - Wtl(~n all required trees are planted. : D Final Plumbing - When all plumbIng work Is complete. o Final Electrical - When all electrical work is complete. [d"Final Mechanical - When all mechanical work Is complete. D Final Building - Wilen all required inspections have been approved and building is cornplete(l. DOlher ~.JJ~ MOBILE HOME INSPECTIONS D Blocking and Sel-Up - When all blockIng is complete. . D Plumbing Connections - Wilen 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 10 the service panel. D Final - After nIl required Inspections are approved and porctlcs, skirting, decks, and venting have been installed. Lot faces Lot Type. Setbacks .S THE PROPOSED WORK IN THE I P,L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON Lol sq. ltg. Interior IN I THE HISTORICAL REGISTER? Lot coverage Corne r Is 1 If yes, this application must be signed and approved by the Historical Topography Panhandle Iw I Coordinator prior to permit issuance. Tolal height Cul-de-sac i ~~-~ APPROVED: BUILDING PERMIT ITEM sa. FT. x $/sa. FT. VALUE Main Garage Carport Tolal Value Building Permit Fee Stale Surcharge Tolal Fcc (A) SYSTEMS DEVELOPMENT CHARGE (SDC) , , (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Balh(s) NO Sanitary Sewer FT. Waler FT. Storm Sewer FT. Mobile Horne Plumbing Permit Slate Surcharge Tolal Charnc (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood StovellnsertJFlreplace Unit Dryer Vent Mechanical Permit TY\.AtYV Ie:; nO /(),OO Ie::: .as~ Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk lt Curbcut II Demolillon Slate Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) ~, ,'-)~ 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 ado pled 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 Fec' Date Paid: Receipt Number' Received By: Plans Reviewed By Date Systems Developlncnt Charge is due on all undeveloped properties within the City limits which arc 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 of any structure wllho~t permission of the Building Safety Division. I further certify Ihat only contractors and employees who are In compliance with ORS 701.055 will be used on this project. I further agree to ensurc that all required inspections arc rOQuested at the proper time. that each address is readable (rom the street, that the permit card is located at the (ronl of the properly, and the approved set of plans wi remain' on tho site ~t all til S during construction. Slgnature)< .:A.... \ Date I 4' VALIDATION: RECEIPT NUMBER (.,.LjIP'i DATE PAIl' 101 '::>"\&1";), t:t. 2c:..,I<;"' ~~ -r-:1'IO:""'" AMOUNT RECEIVEO RECEIVEO BY