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HomeMy WebLinkAboutPermit Mechanical 1996-4-8 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . SPRINGFIELD LOCATION OF PROPOSED WORi<' -:2"~b:? ASSESSORS MAP' / '? 'c;:> -:::r -'2 ?~ /'2 C.6/S?~_r;, OWNER' ;p!.a.~K ;?""'I/v1 ADDRESS: Lt) b L A..r1x.. ll"'cf' &1/7/A":v..~ rft.,..1::f STATE: I.)~ ZIP: 97 Y77 ~~~WORK_~~/9~--7 ~~ /~1<,~b->-F ~~L-J ~~~~ NEW ~~DEL ~DDITION DEMOLISH OTHER LOT: CITY: CONTRACTOR'S NAME GENERAl' PLUMBING' BLOCK: , .-13&''''1,/> JOB NUMBER q-~7"'R:==<5 225 Fi flh Strcet Sprlngllcld, Oregon 97477 . , TAX LOT: SUBDIVISION' ~/~/"S *, PHONE: '7 '1'7- 9"0 /..2 ADDRESS CON ST. CONTRACTOR' EXPIRES " PHONE MECHANICAL' ..... v--/l~hucc::~v ~"'':.y /fC;:'VlboG<) -e/ec...J-,..;r /b""~~ YSz.. j/7I. /9-rL. 7'7'YS9oy- ELECTRICA" ' #1,,1/ 9? , - 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 Inspectlon, you must call 726-3769. This Is a 24 hour recordIng. AlIlnspecllons 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. O. Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrica" 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 placement. o Underground 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 decking, o Sanitary Sewer - Prior to filling trench. D Storm &ewer - Prior to filling trench. O Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS rvl Roug~ Mechanical - Prior to LA-J cove~ . ~ 47~/~//0 r;;;J Rough Electrical - Prior to L,...::!.J cover. o ElectrIcal ServIce - Must be approved to obtain permanent electrIcal power. o Fireplace - Prior to facing materials and framing Insp. o FramIng - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping, o Wood Stovo - After Installation. o Inserl ...:. After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prior to . placement of concrete. o Sidewalk & Driveway - After excavation Is complete, forms and sub-base material In place. o Fence - When completed. o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing work Is complete. , , ~ Final Electrical - When all ~ electrical work Is complete. CZJ Final Mechanical - When all ~Ical work Is complete. .~V~ o Final Building - Whe.n all required Inspections have been approved and building Is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set. Up - Whcn 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 Inspections have been approved and the home is connected to the service panel. o Final -,Aftcr all rcqulrcd Inspections are approved and porches, skirting, decks, and ventiog have been Installed. Lot faces ~-, ,,} "'1 <~ <) . _ Lot Type Lot sq, ft~,', Lot coverage Interior Corner Topography Total height Panhandle Cul.de.sac BUILDING PERMIT ITEM SQ, FT, X $/ SQ, FT, Main Garage Carport Total Value Building P~rmit Foe State Surcharge Tolal Fcc (Al l/~ '.;,.' , "IS THE PROPOSED WORK iN THE. '..'HiSTORiCAL DISTRICT, OR.ON THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. I P.L. IN Is Iw IE . Setbacks HSE GAR Accl I I I. I VALUE " (B) SYSTEMS DEVELOPMENT CHARGE (SDC) . ~~ /'f":~ ~ z;>~ ~e-'~ :v.;- ~ '/ '7& 2t? PLUMBING PERMIT ITEM Fixtures Residential Bath(s) "I' Sanitary S~wer Water FT, Storm Sewer FT, FT, Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unll Dryer Vent Mechanical Permit Issuance State Surcharge Tolal Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surchargf! Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) FEE ~ (c:'a e=' APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit isgranted on the express condition that the said construction shall, in all respects, conform to 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 Development Charge is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS ,-,I By signature, I state and agree, that I have carofully 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 thai NO OCCUPANCY will be made of any structure without permission of 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 ensuro 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 at all tlm:s d~rlng ~ns~~lon. _ Slgnalure .d.JJ~~ ~---c:P -~g Dato VALIDATION: RECEIPT NUMBER .::</~ /' DATE PAIr> ij-Jf? 9,::::;- AMOUNT RECEIVEP RECEIVED BY "2c:.. -=:>c:=> ~~- ~J'd--