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HomeMy WebLinkAboutPermit Mechanical 1992-3-26 OWNER' .Jeff t b~oro.h ..\1il\k~U\s ADDRESS: ~5 G,e.er.Vo.(e. tr. .-spri.\(\a~;e.lA --.J RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 CITY: ~Q.5 . SPRINGFIEL;D <.,5 Gr-p en \/o.(e. bv-. nO?:' ';).10 ::l'J.. BLOCK' STAT~' oR +UClnMR ~ DESCRIBE WORK' NEW REMODEL ~ ADDITION DEMOLISH OTHER . OJ'd.DL/Lfto JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT' SUBDIVISION' O~JOO PHONE: ~/- '-l7.:SS ZIP: ~'1'-t77 ADDRESS CONST. CONTRACTOR # PHONE REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. D Rough Electrical - PrIor to cover. D 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/Ceiling Insulation - Prior to cover. o Drywall - Prior,to taping. o Wood Stove - Aft~r Installation. D Insert - After fireplace approval B.nd installation of unit. D Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation is complete, forms a~d sub-base material in place. D Fence ""-'When completed. D Street.,Trees - When all require-d" trees are planted. . . EXPIRES 1013o~:J . 3<,(01- &>IO( CONTRACTOR'S NAME GENERAl' PLUMB,ING: MECHANICAL: c.tlll'(\~rt.J:1DW Ue.o...kM G,S Grp~/CLte. IY. . :It:. a-{fn(J .J ELECTRICAL: ~'i o~h!l.(" - OFFICE USE - QUAD AREA: c:; LAND USE: FLOOD PLAIN' # OF BLDGS' # OF UNITS: ZONING CODE: OCCY GROUP: CONSTR. TYPE' # OF BDRMS: # OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANG~' 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. D Temporary Electric o Site Inspection - To be made ~ after excavation, but prior to setting forms. D Underslab Plumbing/Electricall Mechanical - Prior to cover. D Footing --After trenches are excavated. D Masonry - Steel location, bond beams, grouting. D Foundation - After forms are erected 'but prior to concrete placement. D Underground Plumbing - Prior to flllin9 trench, D Underfloor Plumbing I Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to floor insulation or decking. D Floor Insulation - Prior to decking. D Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to tilling trench. D Water Line - Prior to filling trench. D Rough Plumbing - Prior to cover. D Final Plumbing - When all plumbing work is complete. D Final Electrical - When all electrical work is complete. ~Final Mechanical - When all mechanical work is complete. D Final Building - When all required inspections have been approved and building is completed. Qa-Other (;t:>("-, L\~ 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. o Electrical Connection - When blocking, set-up. and 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 Lol Type. Setb lcks I . THE PROPOSED WORK IN THE Lot sq, ftg, Interior I P,L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be sIgned Is I and approved by the Historical Topography Panhandle Iw I Coordinator prior to permit Issuance. Total height Cul-de-sac IE I APPROVED: BUILDING PERMIT BUILDING VALUE, PLAN CHECK ITEM SQ, FT, X $/SQ, FT, VALUE AND BUILDING PERMIT Main . , Garage Carport Total Val ue Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEV~LOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary Sewer FT. Water FT, FT. Storm Sewer Mobile Home -t"\~ 'Pli Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsert/Fireplace Unit Dryer Vent "v--<\A M \SOO Mechanical Permit Issuance /r),OO '-75-. .:l S.IS State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) :1" -'l This permit is granted on the. express cond,ition that the said construction shall, in all resp.ects, conform 1'0 the Ordinance adopted by, the Cily' 01 Sprlngf.ield, including the Deve.lopment Code, regulating the co.nstruction 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: Recei pt 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 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 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 pro.perty, and the approved set of Pla:;Js will rain on the sl,te at all times during cO{lstr tion. Signature>' 14/ - . ~#/' . Date. ?::'J ~I q-:l VALIDATION: RECEIPT NUMBER Lllnt ~<".I' ~ ';.l\~ ~~_ J <;:- m DATE PAID AMOUNT RECEIVEr> RECEIVED BY