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HomeMy WebLinkAboutPermit Mechanical 1997-12-3 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . SPRINGFIELD 1\." , :>(bCATION OF PROPOSED WORK: {;1qz..t-I c;~'py ASSESSORS MAP' 1'((0 ;2 0 L '22.. 0 37 crt; LOT' f5 . " BL.OCK' 5 Pac.J..;" l1;<,-~(~,,- I r.kM~ ('Y)';~v 411>1./'(,., ~ I ~I' ~'L STATF'. ~ '>(lWNER: , , ADDRESS: CITY' x&'SCRIBE WORK' ~o.LJ Go..<, NEW 'I- REMODEL ADDITION x60NTRACTOR'S NAME , GENERAL' .t",,- ('A"-\ll.(,\,, ,PLUMBING' MECHANICAl' ELECTRICAl' QUAD ARE'" . OF BLDGS: OCCY GROUP' . OF STORIES: WATER HEATER' Vtl ,L't"..J. M,.!-;Jm.A, It,,;+' DEMOLISH OTHER . JOB NUMBER q 10 6 3 C;; 0 225 Fifth Street Springfield, Oregon 97477 SUBDIVISION: C4-c~~- IIcl[j!.cts PHONE: ..f31r: - ;"O!Jt., ZIP: C['fL17.8 (~$f.,<,-JJ ') CONST. CONTRACTOR . ADDRES~n q\'6~"Jl:J#(~ st.. -4//..., P~PI" ''''0 ""1' C'OA"t, ~~"'~ Sf..;,d... "'1\1 "~i1& 'v(;. ~~12 'Y 1" V~" ~D",~ :;j'p/(l. O"D"oUP,. '~, 1'/.11 'I..'/~... .-! ~ll~fhi lj P~-9)~,y~ /1tO V Vo..~ '>'II?'/! ~-t LAND USE: . 'j:'~'$ fIIO?, FLOOD PLAIN: . OF UNITS' ~ ZONING CODE:_ D Rough Mechanical - Prior to cover. o Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. D Framing - Prior to cover. D Wall/Cellln9 Insulation -'Prior to cover. D Drywall - Prior 10 taping. D Wood Stovo - After Installation. D Insert - After fireplace approval and Installation of unit. D Curbcut & Approach - After . forms are erected but prior to placemont of concrete. D Sidewalk & Driveway - After excavation Is complete, forms and'sub-base material In place. D Fence - When cori'lpleted. o ,Street Trees - When all required trees are planted. EXPIRES PHONE Aql. - '),oti.. CONSTR. TYPE: HEAT SOURCE: RANG~' "" . 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. REQUIRED INSPECTIONS D Temporary ~Iectric . 0 Site Inspection - To be mado after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. D Footing - After trenches are excavated. D Masonry - Sleellocallon, bond . .beams. grouting. D Foundation - After forms are erected but prior to concrete placement. D Underground Pfumblng - Prior to IIl1lng trench. D UnderUoor Plumbing/Mechanical -.Prlor to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. D Floor Insutatlon - Prlort10 deckl ng. D Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. ~ D Water Line - Prior to filling trench. . D Rough Plumbing - Prior to cover. D Final Plumbing - When all plumbing work Is complete. o Final Electrical - When all electrical work Is complete. ~al Mechanical - When all mechanical work Is complete. D Final Building - When all required Inspections have been approved and building Is completed. D Other 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, end 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 faces l~t ~yp" lot sq, Itg. Interior Lot coverage Corner Panhandle p' Topography Total height Cul.de,sac BUILDING PERMIT \', '& ."! ITEM SO. FT. X $/SO. FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) 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 Unll Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C. 0, and E Comb'lned) ~: '.'..... I PL. I HSE I N I I S I I W I -;-1 VALUE " .r" I \'"\ ~FEE . . i~ ,.,,'-. ' \'\ ~ . \ ) ,,~..\ 0 . \"~ , ' ." . "-'~'" ~ 1fJ<:", -- 4)0., - , 7~+'1.f5- ~(,. c7-~ i;", ,:., :~; \~~)!r~~ . 1 Setbacks ' ~S THEPROPOSED WORK,tN THE, "'HtSTORICAl DISTRICT, OR ON ' THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. GAR I Acc'l I .1 t- APPROVED: ~ .!<',..,~ 't, 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 time upon violation of any provisions of said ordinances. Plan Check Fee: Date Paid: Receipt Number' Received By: Plans Reviewed By I Date '. Systems, Development Charge Is due on all undeveloped ,,' . properties within the City limits which are being Improved. ,.,_." ol'.[J ADDITIONAL COMMENTS 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 'I with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to tho 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 this 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. XSlgnature ~L D f}J~~ Date I 2../5 I dJ 7 I I VALIDATION: RECEIPT NUMBER ..)q:, / S q DATE PAID 3 U(L~.-..,~J}.Vv 1<1 C, 7 AMOUNT RECEIVED _ :!f,,:;,c.. ~ ~ RECEIVED BY