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HomeMy WebLinkAboutPermit Mechanical 1999-11-5 OWNER: .c:...h i (Iet~ef'd ADDR~~~" r,.p"t)Co . 1C{r.;e-(1J('I'l~_ Sprl~-h("Jd DESCRIBEWORK:~ill ~L"I-~(P NEW REMODEL ADD~'ON . '~EMOLIS';/ OTHER v RESIDENTIAL PERMIT APPLICATION , Inspections: 726.3769 Office: 726,3759 LOCATION OF PROPOSED WORK: I KO:r ASSESSORS MAP' LOT: CITY' CONTRACTOR'S NAME GENERAl' PLUMBING: MECHANICAL:~' 1 5 ELECTRICAl' t QUAD AREA: . OF BLDGS: Ir ')I.' OCCY GROUP: r . OF STORIES' O:J,:,jJ, WATER HEATER' . SPRINGFIELD . JOB NUMBER qq I :;;Z C, 225 Fifth Street Springfield, Oregon 97477 1)(1' ue ~ 04--lI-o==n TAX LOT: SUBDIVISION' PHONE: rJ 4. 7-Cf423 BLOCK' STATE: ("')1< ZIP: Q747'?r ADDRESS CONST, CONTRACTOR . EXPIRES .':;'> PHONE REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o Rough 'Electrical - Prior to cover. ' o Electrlcel Service - Must be approved to obtain permanent electrical power, o Fireplace - Prior to 'acing materials and framl.ng Insp. o Framing - Prior to cover. o Wail/Ceiling InsuleUon - Prior to cover, o Drywell - Prior to taping, o Wood Stovo - After Installation. GJ Insert - After fireplace approvlSl and Installation of unit. . . . . 0, Curbcut & Approach - After . ,.. ,forms are erected but prior to placemont of concrete. o Slde'watk & Driveway - After excavation Is comploto, forms and sub-base material In place, o Fence - When completed. o Street Trees - Whan all required trees are planted. Ljl~, SpPtcL5OlS?1LJ 74 7-7tILLS- - NOFT!g~~LAIN' . . THIS PERMll%~~~L EXPIRE IFTHEWOA < AUTIlliI4~%D UNDER THIS PERMITlS NC r COM'Mf!NWClt'h I~ AtlANlJUNE:D FOR AN~%11l~ryWR1t56:: SQUARE FOOTAGE: TI') rl3Quest ~.n In':jpe~t!o!1, you muat call 726':3769. ThIs 1$ a 24'hourll.::,cording; -AiI"lnsp"ectlons' requested before 7:00 a,m, will be made the same working day. Inspectlons requested after 7:00 a,m. will be made the following work day. o Final Plumbing - When all plumbIng w9rl< Is complet.e. o Final EI clrlcal - When all elect al work 15 complete. Final Mechanical - When all mechanical work Is complete. o Final BUilding - When all required Inspections have been approved and building Is completed, o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - Wten all blocking Is complete.? '='" ' .r" \ -- : 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 Inspecllons are approved and porchos, skirting, decks, and venting have been Installed, J ,~ 'Iif""''" .r':';'.'OFFICE USE- LAN'DUS~: ' ,y. .l UI . o"F UNtTS'-~,1- " hy .CONSTR.T:f;1'E: ,_ . ~ . ,I... , r ,-'.... '- \:~- :;' ""HEAT,;SO'ciR'CE' C::'.' .': - .1J;;:"\44i.... RANGf' o Temporary Electric O Site Inspection - To be mado after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcall Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel 10caUon, bond beams, grouting. o Foundation - Atter torms 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 8eam - Prior to floor Insulation or decking. . o Floor Insulatlon,....1 r:>rlor to' decking, o Sanitary Sewer - Prior to '"l1ng trench. D Storm Sewer - Prior to mJlng trench. o Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. '. ,. I','; ~'''.: .. Lot 'TYpe . Setbacks I,J'" Inlerlor I P.L I HSE ' GAR,' Corner I N panhandle"',r':_'+, . .r '; CU~'~,~:S~CI I ",'. 1 " J E _HE PROPOSED WORk IN THE, ""HISTORICAL DISTRICT, OR ON THE HISlORICAl REGISTER? If yes, this application must be signed and approved by the Historical . Coordinator prior to permit Issuance. '\.J.... , , Lot faces Lot sq, ftg, Lot coverage Topography Tolal height BUILDING PERMIT ITEM SO, FT, 'i X $/SQ, FT. _ VALUE Main ' '-' : \ \ \ Garage \ Carport ,J , i \ . " ,', '\ \ , Total Value Building Permit Fee Slale Surcharge Tolal Fee (A) SYSTEJylS D~VELO~M.ENT CHARGE, (SDC) . ' ,'\ ....... . ~\ .,' . \,' .-- " . ., (B) \ PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary S~wer Water FT, FT, Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan N' Wood StovellnsertlFlreplace Unit Dryer Vent Mechanical Permit .$l!!:. - ~/D, ---- , i ,D~ +- , u <;: HIo,,,,-o Issuance State Surcharge Total Permit (0) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcul fl Demolition State Surcharge Total Miscellaneous Permlls (E) TOTAL AMOUNT DUE (excluding electrical) (A, B. C. D. and E Combined) Accl , , I . I' ;- . ':. " " BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT APPRov,:n, This permit Is granted on the express'condltlon that the said construction shal": In all respe<?t~, conform't.o'th!J OrdInance adopted 'bY-- the, City, of Sprlngfleld;~;lnclui:llng the .--Development Code, reg'ulating .(tie construct/on and use of ..... ~ . - . buildings, and may be suspended or,r'1vOkedi at:any time upon violation of any provisions of,sald 'ordln'ances. " Plan bheck Fee: "," l;~ Date Paid: , I; Receipt Number: Received By: Plans Reviewed By Date , Systems ,Development Charg~.lsdue on alii undeveloped I "i ,t', t,.. ;. _.' , ~",?pe~t!eswlthln tho City limits which are being Improved, ADDITIONAL COMMENTS J \/~ l1Je_ (J/i ~' ,;,~ PJU(1r~ ~, 7\ By signature, I stale and agree, that I have carefully examined the completed eppllcetlon and do hereby certify that all In(ormatlon 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 Springfield, and the Laws of the State of Oregon pertaining to the work described herein. and thai NO OCCUPANCY will be made of any struclure without permiSSion of Ihe 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 tlie street, that the permit card Is located at the front of the property, and the approved set of plans wIll remain on the slte~at all I es durl~ construction, SIgnature 4ft, .~_ /' /- ---' Date II f S191 VALIDATION: ~ RECEIPT NUMBER Ool; 10 DATE PAin, 1[-: S" -Cj ( AMOUNT RECEIVED ~..)!P, g;() RECEIVED BY ~