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HomeMy WebLinkAboutPermit Mechanical 1994-9-2 GL€NN ql K:4-HW fc.tG€. 1~lJ. GIttEs:/1.J1JA.'{e O,e.["VE. C:;f'J2. 1'A1i. ~I'c tJ D-r f79 l.{ A- f-/>/)~ l)(}6 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP' /)-d?-~""3-'3 LOT' OWNER' ADDRESS' CITY: DESCRIBE WORt<' NEW REMODEL CONTRACTOR'S NAME GENERA' . . SPRINGFIELD /8.11- A-l2t:&1vt+ (E, BLOCt<' STAT~' (JR. . -,,,.JOB NUMBER 225 Fifth Street Spilngfleld,Oreg j)~OiJ6 TAX LOT' 6,8'6, c5c::::> SUBDIVISION' PHON~' 7~" - /7'1-,/ ZIP: 9 7 't,.:!..:? I'- ~.4'fn..JJA.'G , t!:lF OcJ tr./fJOl? A~i- I!JUItf;/) ONlf ; ADDITION DEMOLISH OTHER ADDRESS CONST, CONTRACTOR # PHONE PLUMBING' MECHANICAL: #1f-A..lJo/ ;. P,clrG:. c." ELECTRICA" (5I.p/ ~ fVVflUC 1 "<'A-y- J;tJ.s.o.JE.. 9~ EXPIRES () 0011 (Q-J (~'f'f 7lj6 ~t';l.( - OFFICE USE - OUAD AREA' LAND USE: FLOOD PLAIN' . OF BLDGS: . OF UNITS' ZONING CODE: OCCY GROUP' CONSTR, TYPE: . OF BDRMS' . OF STORI ES' HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGE: SQUARE FOOTAGE: To requesl 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 o 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. D Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling Irench, o Underfloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor InsulatIon or decking. o Floor Insulation - Prior to decking, o Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. . D Water Line - Prior to filling . trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cove~ . o 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 Wail/Ceiling Insulation - Prior to cover. . D Drywall - Prior to taping, D Wood Stove - After l~stal/at'lon, o Insert - After fireplace approval and Instal/atlon of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation Is complete, forms and sub.base material In place. o Fence - Whe,~ completed. o Street Trees - When 'all required' trees are planted. o Final Plumbing - When all plumbing work Is complete. o Flnsl Electrical - When all electrical work Is complete. GEl 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 INSPE~ ''\ " 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 , I nspectlons are approved and , porches, skirting, decks, and venting have been,lnstalled. Lot faces Lot sq. Itg,-" _ ::::::L -.... !'. ... . , ~:.,;'-: "',l.~\.'" Lot coverage ~ .\ - \l'( ':'."" Topography. " Total height Lot Type . . Interior Corner Panhandle Cul.d.e~sac BUILDING PERMIT ITEM SO. FT, X $/SO, FT. Main Garage Carport Total Val ue Building Permit Fee State Surcharge Total Fee (A) ( .HE PROPOSED WORK IN T~E "'HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. Setbacks I P,L. HSE GAR ACC I IN Is Iw I IE '1 VALUE SYSTEMS DEVELOPMENT CHARGE (SpC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sewer Water FT. FT. FT. Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace <:G""~~,,::V Exhaust Hood Vent Fan N' Wood StovellnsertlFlreplace Unit Dryer Vent k~ #,? Mechanical Permit Issuance State Surcharge Total Permit ~-1", ~ T-?'~ (D) MI$CELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Su rcharge Total Miscellaneous Permits (E),,,, . TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) FEE /~- /~.- -'~ 26. 20 APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the said constructron shall, In all respects, conform to the Ordinance ,'adQpted, 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 vlolatlon of any provIsIons of said ordinances. Plan Check Fee: Date Paid: Receipt Number' Received By: Plans Reviewed By Date syste'1's Development C;:harge Is due ,on ~I undeveloped prope~tles within the City limits which are being Improved, 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 with the Ordinances of the City of Springfield, 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 wilh 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 rz=s';Pjzuctlon /&-'-- Slgnaturet'~/{"';'UtT 9Z;f}~ CJ. Date, c;, - ~- ~ VALIDATION: RECEIPT NUMBER / V"S''''5' '7 Q-2.-:?Y 2.6- <=- DATE PAIl" AMOUNT RECEIVEr> RECEIVED BY r:::?~~ 7 //.J-- ,