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HomeMy WebLinkAboutPermit Mechanical 1994-6-23 RESIDENTIAL PERMIT APPLICATION . Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOS~()W~~ d;~. ASSESSORS MAP' \') ,~ \ I OWNER:' i~\\{l~Q \ ~\\ffi ~~ [) ADDRE~'~~S.~ ~f)Yr\o ~()ti\Y .'\ CITY' \~ \)- cl STATE: \)~)~ DESCRIBE WORK" 1),(t l:\ J V\f:\D IT , REM~D~ lOT' NEW CONTRACTOR'S NAME GENERAl' PLUMBING' BLOCK: ADDITION DEMOLISH OTHER , . . q4CQ~lo JOB NUMBER 225 Filth Slreel Springfield, Oregon 97477 TAX lOT: SUBDIVISION: O~y) PHONF' 1Y\\.O~~8 ZIP: C{I \~I' r ) * ," ... ADDRESS CON ST. CONTRACTOR' PHONE MECHANICAL: Do.~}offiD.(\('~. ,1).0 .\~ ~44f~ ELECTRICAl' EXPIRES - OFFICE USE - QUAD AREA: LAND USF' FLOOD PLAIN: . OF BlDGS: . OF UNITS' ZONING CODE: _ OCCY GROUP' CONSTR. TYPE: . OF BDRMS: . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANGF' 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 raques ad 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 seltlng forms. D Underslab Plumbing/Electrical I Mechanical - Prior to cover. D Footing - After trenches arc . excavated. D Masonry - Steel location, bond ,beams, grouting. D Foundation - After forms are erected but prior to concrete . placement. D Underground Plumbing - Prior to filling trench. . D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or decking. . D Floor Insulation _. Prior to decking. D , Sanitary Sewer - P~lor to filling trench. D Storm Sower - Prior to filling trench. D Water line - Prior 10 filling trench. D Rough Plumbing - Prior to cover, UIRED INSPECTIONS ough Mechanical - Prior to cover. D Rough Electrical - Prior to cover. D Electrical Service - Musl be approved to obtain permanent electrical power. D Fireplace - Prior to faCing materials and framing Insp. D Framing - Prior to cover. D Wail/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Stovo - After Installation. D Insert - After fireplace approvel and Installallon of unit. o Curbcut & Approach - After _ forms are erected but prior to - placement of concrete. D Sidewalk &. Driveway - After excavation Is complete, forms and sub.base material In place. D Fence - When completed. D Street Trees - When all required trees are planted. D Final Plumbing - When all plumbing w9rk Is complet.e. D Final Electrical - When all . electrical work Is complete. D Final Mechanical. - When all mechanical work Is complete. D Final Building - When all required Inspecllons have been approved and building I. completed. (cfj)ther [ I (llY MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. D Plumbing Connections - When 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 to the service panel. D Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. ,... Lot (aces LOI ~ype'. LOI sq. Itg. Interior Lot coverage Cornor Topography Panhandle Tolal helghl Cul.de.sac BUILDING PERMIT ITEM SO. FT. X S/SO. FT. a Main Garage Carport Tolal Value Building Permit Fee Slale Surcharge Total Fcc (A) <. I. . . .: " .:" ~,:~ \',iC~; : (, THE PR~P~SED WORK IN THE. ....HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application musl be signed and approved by the Historical Coordinator prior to permll Issuance. I P.L. IN Setbacks HSE GAR Accl I S W IE VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) A~ \'6~. -\'~ -,D.g) .1<" &(0.11) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanllary Sewer FT. Water FT. Slorm Sewer FT. Mobile Home Plumbing Permit Slato Surcharge Tolal Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnserllFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge.. Total Permll (0) MISCELLANEOUS PERMITS Mobile Home State Issuance Stale Surcharge Sidewalk It Curbcul It Demolition Slate Surcharge FEE Tolal Miscellaneous PermllS (E) TOTAL AMOUNT DUE (excluding electrical) c90 9 f_) (A, B, C, 0, and E Combined) APPROVED: 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 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 lime upon vlolatl9n of any 'provisions of said ordinances. ; \ Plan Check Fee' Dale Paid: Receipt Number' Received By: Plans Reviewed By Date Systems Development" Charge Is due on all undeveloped properties within the City limits Which are being Improved. ADDITIONAL COMMENTS By signature, I state and agree, thai I have carofully examined the compleled application and do hereby certify thai all Informallon hereon Is true and correct, and I furlher certify that any and all work performed shall bo done In accordance with the Ordlnanc~s of the CUy of Springfield, and the Laws of tho St.ate orOregon pertaining to the work described herein, and Ihal NO OCCUPANCY will be made of any structure without permission of the Building Safety Otvlslon. I furlher cerllfy thai only conlraclors and employees who arc In compliance with OAS 701.055 will be used on this project I further agree to ensure thai all required Inspoctlons 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 sel of plans will remain on the site ~t,lH tlm'es dUllng construction, Slg~e""'~., _.'_ LLJ~ ", I. Date ..~ q 'f /r VALIDATION: /\ c:.fj'] RECEIPT NUMBE~ \~ DATE PAID lO . L!.l).4+ , AMOUNT RECEIVE~ ~ ~\,O.U) RECEIVED BY ~I Uj