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HomeMy WebLinkAboutPermit Mechanical 1998-6-22 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . ASSESSORS MAP' L.4aAJR,/)/!,p LOT' BLOCK: OWNER' ADDRESS' CITY' ,Cl/y /2/5 S 7.E.vE AJ.<; /7/ S( ~.<J~/t./Z)~E :'S,p/?/"v,,:; .P/r-::..o / DESCRIBE WORK' NEW REMODEL ADDITION CONTRACTOR'S NAME GENERAl' PLUMBING' MECHANICAL:~,c /f-J>>fhtu.T ELECTRICAl' QUAD AREA' . OF BLDGS: OCCY GROUP: . OF STORIES: WATER HEATER: STATF' ~ DEMOLISH OTHER . JOB NUMBER q~o 7'5 I 225 Filth Street Springfield. Oregon 97477 TAX LOT: SUBDIVISION: t)v7w ~~' . ~-lE '7 7:2/#- &~~7 PHONE: _ ZIP: "77t,.f77 . /kAC- ADDRESS CON ST. CONTRACTOR' EXPIRES ,~ PHONE Pt!J.& "j?r7n< <;;;?"q'/"&V /,~-qq .':>,y<;,-z.d NOTICE: . OF UNITS: THIS PERMIT SHALL EXPIRE IF THE WORK CONSTR. TYPE' AUTHORIZED UNDER THIS PERMIT IS NOT l.iUMMI:Nl.iI:U UH IS ABAN55WEOCfflWE: ....- 'n,. "'-"""""00 RANGE: "1'11 IOVIJr\l Fliii.nl . - OFFICE USE - LAND USE: 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. 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. o Temporary Electric D Site Inspection - To be made after excavatIon, but prior to setting forms. o Underslab Plumbing/Electrical/ 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 deckl ng. O Sanitary Sewer"':" Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. . REQUIRED INSPECTIONS o 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. o Framing - Prior to cover. o Wafl/Celllng Insutatlon - Prior to cover. o Drywall - Prior to taping. o Wood Stovo - After Installation. o Insert - After fireplace approvel 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 corl'lpJeted. o Street Trees - When all required tree.s are planted. o Flnat Plumbing - When all plumbing wc;>rl< is complet.e. " D Final Electrical - When all electrical work Is complete. ~nal Mechanical - When all mechanical work Is complete. o Final Building - When all requIred Inspections have been approved and building is completed. DOther MOBILE HOME INSPECTIONS o 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 Inspections have been approved and the home is connected to the service panel. o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed, Lot faces Lot ~yp. Lot sq. Itg. Interior Lot coverage Corne r Panhandle 'f Topography Total height Cul.de-sac BUILDING PERMIT'. 'I~ '.~ ITEM sa. FT. X $/SO. FT. - Main Garage Carport Tolal Value Building Permit Fee State Surcharge Total Fee (A) :.;. 1 p.L. IN" Is VALUE " . . . y,:' .', ':'1 \~:,;~h'\ir.1~~' 'S THE PROPOSED WORK IN THE. "HISTOi'lICAL DISTRICT, OR ON THE HISTORtCAL REGISTER? If yes, this application must be signed and approved by' the Historical Coordinator prior to permit issuance. Setbacks . I I I '1 HSE GAR ACC' I I IN --- E APPROVED: ',. .~.'" ;. _' 'J BUILDING VALl'JE, 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 ouildings, and may be suspended. or rev9ked at any time upon violation of any provisions of said ordinances. Plan Check Fee: Date Paid: Receipt Number' Received By: Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' 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 Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) Systems Development .Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS FEE " / .,' . ,', t ,~ ~ I ". ~ . . , By signature, I stato 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 Sprlngfleld, and the Laws of the State of Oregon pertaining to the work described herein. and that 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 t.hls project. I further agree to 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 of the property, and the approved set of plans will remain on the site at all times during constructIon. Slgnaturf" Oat"" VALIDATION: RECEIPT NUMBER .030 ~,o fo/~ l../CTr AMOUNT RECEIVED L b- 2f<i d/WwJj DATE PAID RECEIVED BY