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HomeMy WebLinkAboutPermit Mechanical 1996-3-4 I RESIDENTIAL PERMIT APPLICATION inspections: 726.3769 Otllce: 726.3759 .. SPRINGFIEL.D Jra:tt;t - JOB NUMBER ~~...?9.:;;::- 225 Fiflh Street Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: ASSESSORS MAP: /?v:z-<! tfiLr~ 5435 High Banks Rd., Springfield, OR 9747B LOT' BLOCK: TAX LOT: ~?~ /' SUBDIVISION: OWNER' Dale Ortmann . 5435 High Banks Rd., A DDR ESS: ________._.___ _._______._._____. .._....____ CITY:2e.r~gfield _..___ PHONE: 726-2760 STATE: OR _.._---------+_. 97478 _ ZIP:_ DESCRIBE WORI~: Install oas furnace and gas piping NEW I1EMOD~L __ ADDITION DEMOLISH OTHER change to.~gasJfurnace CONTRACTOR'S NAME GENERAL: PLUMBING: MECHANICAl' Comfort Flow Heatino 1951 Don St. Suite 0, Sprinqfield 97477 00460 6/27/96726-01)( ELECTRICAL: ADDRESS CONST. CONTRACTOR' PHONE - OFFICE USE _ QUAD AREA: . , OF BLDGS: ____ OCCY GROUP: _._ , OF STORIES: WATER HEATER: _. LAND USE: N OF UNITS: CONSTR. TYPE:__ HEAT SOURCE: RANGF.: __ EXPIRES 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. Alllnspecllons requested before 7:00 a,m. will be made the same working dflY. Inspections requested DOer 7:00 a.m. will bo made tho (ollowlng work day, . o Temporary Electric O Site Inspection - To be mado after excavAtion, but prior to setting lonTls, o Underslab Plumbingl Electricall Mechanical - Prior 10 cover. o Fooling - After trenches are excavated. o Masonry - Sleel location, bond beams, grouting, o Foundation - After forms arc erected but prior to concrete placement. o Undorground Plumbing - Prior 10 fJlllnQ trench. o Underlloor Plumbing} Mechanical - Prior to Insulation or decking. o Post and Boa~ - Prior to floor Insulation or decl<lng, O Floor Insulation - Prior to decking. o Sanitary Scwcr - Prior 10 fl/llng trench. o Storm Sewer - Prior to filling trench. o Wator Line - PrIor to filling trench, ,. O Rough Plumbino..- Prior to cover, .~ _ REQUIRED INSPECTIONS !ZJ Rough Mechanical - Prior to cover. ~ 6j7 /0/7~ o Rough Electr~car - Prior to cover. , o Electrical Service - Must be approved to obtain permanent electrical power. o FIreplace - Prior to facing materials and framing Insp. o Fram.lng - Prior to ~over~. , . o Wail/Ceiling Insulation - Prior to cove~ . '. , o Orywall - Prior to l.aPing. o Wood Stovo - After Installat/o'n. o Insert - After fireplace approvl:l and installation of unll. . o Curbcut & Approach - Aller forms are erected but prior to placcmonl of concrete. o Sidewalk & Orlveway - Afler excavation Is complete, forms and sub-base malerlal In place. o Fence - When completed. o Street Troos - When all requIred trees Bre planted. o Final Plumbing - When all plumbing worl, Is complete. D FInal Eloctrlcal - When all electrical work Is complete. lZl Final Mechanical - When all mechanIcal work Is complete, $4::5 50WC<f , o Final Building - When all required Inspections have been approved and building is completed. , - . -, , " o Olher MOBILE HOME INSPECTIONS o Biocklng 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, sel.up, and plumbing InspectIons have been approved and the home Is connected to the service panel. o Final - After ali required Inspecllons are approved and porches, skirting, decks, and venllng have been Installed, ,': _ THE PROPOSED WORI< IN THE . HiSTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, lhls application musl be signed ond approved by the Historical Coordinator prior \0 permit Issuance, Lot (aces " Lot 'TYP. LOI sq. Itg. Interior Setbacks P.L. HSE GAR ACC N Is Iw IE APPROVED' Lot coverage Corner Topography Panhandle Total height Cul-de-sac BUILDING PERMIT ITEM SO. FT. X $/SO. FT. VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Garage Carport " This pcrmlt Is granted on thc express conditIon that tho said construction shall, in all respects, conform to t11e Ordinance adopted by the Cily 01 Springfield, including the Development Code, regulaling the cOr)struction and use of buildings, and may be suspended or rcvol<od at any time upon violation of any provisions of si'lid ordinances, Main Plan Check Fee: Date Paid: Total Value Building Permit Fee Receipt Number:__.____ Received By: State Surcharge Total Fee (A) Plans Rcvle-wcd -.BY' ...,----.--. Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped propertIes within thn City limits whicl1 are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE FIxtures Residential Bath(s) Sanitary Sewer N' Water FT. FT. FT. Storm Sewer Mobile Home Plumbing Permit Stale Surcharge Total Charge (C) MECHANICAL PERMIT Furnaco Issuance ,M# p- /tJ.~ ~ ~~S- :2.:6. 2-<:? By signature, I atalc .md agree, that I t1avc ciJrefully examined the completed appllcallon and do hereby eartHy that all Information hereon Is true and correct, and I (urthcr certify that any and ell work perlormed shall be dono in accordance with the Ordinances of the City of Springfield, and Ihe Laws of the Stato 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 GAS 701,055 will be used on this project. . Exhaust Hood Vent Fan N' Wood, Stovellnsert/Flroplace Unit Dryer Vent , 0~ (7}k~ MechanIcal Pcrml t State Surcharge Total Permit (D) I rurther agroo 10 ensuro that all required lnspecllons are requested at the proper time, that oach address Is readable Irom the streel, that the permit card Is located at the front of the property, and Ihc approved set of plans will remain on the site at all times during constructIon. Signature Q j ~ (!01J=/1 () 3/ tf- 17t, . Date MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk fl It Curbcul Demolition Total Miscellaneous Pormlls (E) VALIDATiON: RECEIPT NUMBER __ :?.-:>?r:?e -:r-7I-%:::_______ State Surcharge TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) DATE PAID 2:;; _ ::;>c:> AMOUNT RECEIVED __// ___ .. RECEIVED BY 4 -:", "...-'-- ' ,