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HomeMy WebLinkAboutPermit Mechanical 1998-4-27 Vc$?1 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . SPRINGFIELD LOCATION OF PROPOSED WORK' 2 \ 1.9> Lil~ ASSESSORS MAP' /7~~, "2.r;;-,/'? LOT' BLOCK: OWNER' ADDRESS' CITY' f4 \.Ok l$frf'\ e""-,, '" .- '2-\ 'i 'B y,""'-<) ~ c::..bc.J., DESCRIBE WORK: C I-v I'V# e J NEW REMODEL CONTRACTOR'S NAME GENERAl' PLUMBING' STAT'" 0-(2., . JOB NUMBER 9~ Y'9/ 225 Fifth Streel Springfield, Oregon 97477 TAX LOT: SUBDIVISION' &n'-~ O>cT -H ,q1" f'-lr"l.p -/W) . PHON'" 72..t, - '86<{o ADDITION DEMOLISH OTHER ZIP: qllf 7 7 tl\cJ ~ ; CA. t ~ -r-~ (J -<T e K jl.i,'~ ""'<><1' , ADDRESS . CONST. CONTRACTOR . ,~ EXPIRES PHONE MECHANICAl' t'V\<(.(J~lG H("o.t.'...~ l/1I6 OI_'7Mt~c.: S/~ ISO>>r )...~71o \'LI2-Jl't'8 q.') Y7 9- ! lj 7 -7lflf.\ ELECTRICAl' - OFFICE USE - QUAD AREA- LAND USE: FLOOD PLAIN' . OF BLDGS' · OF UNITS' ZONING CODE:_ ~t;;. OCCY GROUP' CONSTR. TYPE: _ . OF BDRMS: . OF STORIES: HEAT SOURCE: SECONDARY HEAT: .It t\\ WATER HEATER: RANGE' SQUARE FOOTAGE: To request an Inspection, you must call 726.3769. This Is a 24 hour recordIng. All Inspections request.cd 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 o Site Inspoctlon - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Eleclrlcal/ Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Sleel location, bond beams, grouting. o Foundallon - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. o Underlloor Plumbing/Mechanical -.Prlor to Insulation or decking. D Post and 8~a.m - prior tp floor' Insulallon or decking. .. I , . '. D Floor Insulation - Prior tq,~,....~. decking. ' D Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to (lllIng trench. ' D Water L1na - Prior to filling' trench. D Rough Plumbing - Prlor to cove~ . REQUIRED INSPECTIONS rn Rough Mechanical - Prior to cover. D Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. D Framing - Prior to cover: o Wail/Ceiling Insulation :- Prior to cover. . o Drywall - Prior iO'laplng. D Wood Stove - Alier Installallon. D Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - Alier forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation Is compicte, forms and sub.base malerlal In place. D Fence - \-Vhen completed. D Street Trees - When all required trees Bre planted. D Final Plumbing - When all plumbing wc;>rk Is complet.e. D Final Electrical - When all electrical work Is complete. r7/1 Final Mechanical - When all J{:--J mechanical work Is complete. o Flna' BUilding - When all required Inspections have been approved and building Is completed. DOther MOBILE HOME INSPECTIONS D 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 Inspecllons 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.' Lot Jaces Lot sQ. IIg. Lot coverage Topography Total height ., BUILDING PERMIT ITEM SO. FT. Main ., Garage Carport \ .. j . , . Total Value. Building Permit Fee State Surcharge Total Fee Lot ~ype. Interior Corner ,. Panhandle' Cul-de-sac X $ISO. FT. = (A) Setbacks I PL. HSE GAR N ----. S . . ,,'; ;..:;: :~;;: ~,l. , ;(e THE PROPOSED WORK IN THE _' HISTOI'lICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Historical . Coordinator prior to permit issuance. Acc'l I I W --- ------ . APPROVED: ..s....-._ VALUE " I'. . SYSTEMS DEVELOPMENT CHARGE (SDC) ./- PLUMBING PERMIT ITEM Fixtures Res/denllal Bath(s) Sanitary S~wer Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust HOod Vent Fan Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permll . , . (B)"' N' FT. FT. FT. (C) N' /7/# ~ MISCELLANEOUS PERMITS (D) Mobile Home Slate Issuance State Surcharge Sidewalk II '11 Curbcut Demolition Slate Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B. C, 0, and E Combined) -- .j l. FEE /5:~ " -, //:7. , .22:. ~F ::2?::~""", . q.. BUILDING VAtuE, 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 adopted 'by the City of 'Sprlri'gfleld. Including the Development Code,-regulating the co'nstruction and use of buildings, and may be suspended or revoked at any time upon violation of any provisio,:",s of s.~ld. ordinances. Plan Check Fee: Dail' P~id:' ReceIpt Number Received By: Plans Reviewod By Dale Systems Development Charge Is due on all undeveloped proR,e!tics within tho City limits whIch are being Improved. ADDITIONAL COMMENTS ' \ " '11 V, ! '-\. e... T <. > <t ).., ()D 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 lhe Ordinances of lhe City of Springfield, and Ihe Laws of the State of Oregon perlalnlng 10 the work described herein. and that NO OCCUPANCY. will be made of any structure without permission of the Building Safety Division. I further certHy that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. I further agree 10 ensure 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 ot the property, and the approved set of plans will remain on the site at all tlirS during const:uctl~. Signature ~1lN~ '1 Ii l-ttt Date VALIDATION: RECEIPT NUMBER 2q9.t;'d;; L/-:< '> 9~ , ' AMOUNT RECEIVED -:::<.<('.;;;. co ~~. . , //"' - DATE PAID RECEIVED BY