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HomeMy WebLinkAboutPermit Mechanical 1994-6-12 f/J1 EL C,z t s /-E-tV s 6V 7036 6L 4-C/,"De. D~<"'ve. Spr.z."Nu;=-/ E lei ~ , '>::4 ," RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORt<. ASSESSORS MAP:_/ftO 7..011,.) LOT' OWNER' ADORES:'" CITY' 97<t-2d' n r: k. 64-- f IP (..hn/f) S yo' s f8-r / - BLOCK' STATF' 0;< DESCRIBE WORt<' F IVS rn (j 4--ftO tV NEW REMODEL CONTRAcrOR'S NAME GENERA' ' PLUMBING: ADDITION DEMOLISH OTHER . J~B NUMBER ~'r !J 7 or- - - 225 Filth Street Springfield, Oregon 97477 D,e~ liE. _ TAX LOT: SUBDIVISION' ()fJ 2-00 PHONE' 7'(-6-3/7'101( 7'{6-7(,7j ZIP: ADDRESS CONST, CONTRAcrOR # EXPIRES ~ PHONE MECHANICAl' ELEcrRICAI . 1-IA~V61 r--Pl!tCE Lv. I 0'- <.1/,!, IV VO OcT u.v....,. AJ6.bJG' d/?, 97y.,,3 " QUAD AREA' # OF BLDGS: OCCY GROUP: # OF STORIES: WATER HEATER: - OFFICE USE - OOlilOO1:: THIG~IElRMl$:SI::\All EXPIRE IF THE WORK AtjWIilllCGMNDER THIS PERMIT IS NOT CgMt-t~R IS ABANDONED FOR AHXN&~DAY PERIOD. 77 lO-)/-1J" 7r-6'-r6,;l.( 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 8.m. will be made the followIng work day. ~t:UUI D INSPECTIONS o Temporary Electric 0 Rough echanlcal - Prior to c , D Site Inspection - To be made ough Electrical - Prior to after excavation, but prior to cover. setting forms. o Underslab Plumblng/Electrlca" Mechanical - Prior to cover. o Footing - Alter 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 Waler Line - Prior to filling trench. ' \ o Rough Plumbing - 'Prior, to cover. 1 .\'. 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 Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior 10 taping, o Wood Stovo - After Installation. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placemont at concrete. o Sidewalk & Driveway - After excavation Is complete, forms and sub.base material In place. o Fence - When COi"(lpleted, o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing w9rk Is complet.e. D Final Electrical - When all electrical work Is complete. echanlcal - When all nlcal work Is complete. U Final Building - When all required Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Sel'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. Setbacks, I P.L. HSE GAR Acc'l I N I I S I Lot faces " . Lot Type '.~. .;, '.... Lot sq, ltg, Interior Lot coverage Corner Topography \ Panhandle " ' ":. ',.....l. .' '; ~~ :t;,~..i~~-). ,." .:'.~Hi:,'.:;: , . ' ~/..--'- IS THE PROPOSED WORK IN THE, HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, lhls application must be signed and approved by the Historical Coordinator prior to permit issuance. E w -- -- ----- APPROVED' Total height Cul-da-sac BUILDING PERMIT 11 '~ 't ITEM SQ, FT, X $/SQ, FT, VALUE Main Garage Carport " Total Value Building Permit Fee Stale Surcharge Tolal Fee (Al SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' .Jf;(,\. -~, .., Sanitary S~wer Water FT, FT, . \: I: .;, ~':j,~~:J ,.,',,- ," " !"l'} 1 \.' 1. Storm Sewer Mobile Home FT. Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT /~ Furnace Exhaust Hood Vent Fan N' Wood StovellnsertlFlreplace Unit Dryer Vent Mechanical Permit / _I:). 0 tI Ii), 0 J ,Lif J. 7> , 2/.,~ Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition Slate Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) lA, B, C, 0, and E Combined) BUILDING 0\u1E, 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 adopled by the City of Springfield, Including the Development Code, regulating the construction and use of oulldlngs, 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 Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS , . ~ ., '. I" 0\'" "l; '" .'1' .1, , 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 J further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the Slale 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 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 lhe permit card Is located at the front of the property, and the approved set of plans will remain on the site at~ "~imes'1 durl~corfStr'!~tlo~. ,/_-- m" - ('/'. JV'~ ~ ~ Signature 7~ Ii:. ~ , ~ - (J..-'U" Datp VALIDATION: RECEIPT NUMBER () '305 oLf DATE PAID l ~f AMOUNT RECEIVED I it',2r;; RECEIVED BY tI/ tJ~