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HomeMy WebLinkAboutPermit Mechanical 1992-5-20 RESIDENTIAL PERMIT APPLICATION Inspections: 126.3769 Office:: 726,3/;;9 . SPRINGFIELD LOCfiflON OJ PROf'OSi:D wonK: ~~ ~o_;l,r/f.,l/e,t; T t-4~~ ASSEssom; 1,'IAP:.j 7'.:13--~- ':-L~ LOT__., BLOCK: _..~n' OWNER:_, Ftfl#/'It( .o;~,rA'to ADDHE,,5:, J-.F'O ~/f;f()~&.T t..4'1'L. CITY: _>ltd ~/P'~ E(cC~ ...QA t' STAW DESCRIBE WORI" 1'/'I57"'&C ~'-iV NEW _., REMODEL ADDITION CONTRACTOfrs NAME GENERAL: .. I'LUMnING: D~~ !.l NUMBER _ 92c:::>~_~ 225 Fifth Streel Springfield, Orcuon 97477 TAX LOT: Q::)Y~ SUBDIVISION: PHONE: 7 V?- <;"':2- 'T Y ZIP: 7'7 ~,~_... ,.,.".s F...~-Y#ct'. ,P..... 7" <-oJ I)..,-,,-r. t;.", s C";''''e DEMOLISH OTHER ADDRESS CONST, CONTRACTOR' EXPIRES PHON!: MECHANICAl: .(,t4d/8"!Jt!"~T/;"i_. i{;:0 T <-v ~ EL!:CrRICAL: ~.4"!kC{ fC4!'c7/9...!C QUAIJ AnEA_SB-,JJLG-- " OF BLOCS OCCY Gnnul': " OF ~norlll':;: ..___. ~ WATER HEAr lOR: _._ 70S'( .> - OFFICE USE - LAND USE: _n_.: n OF UNITS: CONSTR, TYI'I:: l'IEAf SOUnCE: RANGE: __ /J.-:zr?Z -!....O'.,Z >2".[ FLOOD PLAIN: ZONING CODE: " OF BDRMS: SECONDARY HI,AT:.. SQUARE FOOTAGE: _.__ To request all inspection, you lllust call 726-3769. This Is i1 24 hour recording. All Inspections rcquestceJ before 7:00 .Ull. will l)c made the salllC worl,ing day. inspections requested after 7:00 a.lll_ will be made the following work day. Cl Temporary Electric D Site Inspection - To be made afteF '~.'~';;:JValion, 1,llll prior to scttin~J lorms. D Undcfslab PlumhingJ Electrical/ Mechanical - Prior to cover. D FootillO - Afler trenches are excav3lf:d. D Masonry - Sled location, bond beillll:'>. l]rOulillt]. [] FoulHj.llion - A/ltn forllls arc erected t)ut pliOI to concrete JJlaCUII+I~nl. o Under{JlOund PlullIbing - Prior to filljn~l trench. CI Undl!llloor Plul1lbing/Mechanical - Prior to insulation or decking. o Posl and Beam - Prior IO.f1oor insulation or cJecl<ing. o Flool: Insulation - Prior to dccklrlU. " CI Sanitary Sewer - Prior 10 filling trench. o Storm Sewer - Prior to filling trench. o Waler Line - Pdur to filling tronell. t o Rou{jh Plumbino - Prior to cover. REQUIRED INSPECTIONS 'I~ Rough .Mechallical - Prior to cover. l~' Rough Elcctl"ical - Prior to cover. I~ Electrical Service - Must be approvecj \0 oblain permanent electrical power. D Fireplace - Prior to facing materials amJ flaming Insp. I~ Framing - Prior to cover. [~ Wall/Ceilino Insulatio~ - Prior to cover. - !~ Drywall - Prior 10. taPin?._ I~ Wood Slave - After installation. o Insert - Alter fireplace approval anc1lnstallatlon of unit. o Curbcut & Approach - After forms arc ereeted but prior to placement of concrete. [~ Sidewalk & Dliveway - After excavation is complete, forms ancj sub-ba:;e lllatcrlal in place. D Fence - When completed. [J Street Trees - When all required trees are planted. , o Final Plumbing - Wtlen all plumbing WOII< is cOFllplt":te. ~ Final Eleclrical - WhUll all ~~~~;;;;7/~, o Final Mechanical -"'When all mechanical work is cOlllpletl:. o Final Building""': When all required inspections have bet']n approved onc\ building is completed. IZJ Other~....8~~ " , MOBILE HOME INSPECTIONS o Blocking and Sel.Up - Wh(:1I all blocking Is completc. . o Plumbing Connections ~ WIl(:Fl home has been connectl:d to waler and sewer. o Electrical COllnection - WI\l~1l blocking, set-up, ami plumbinu inspections hnve becn npprov,)d and the home is connl]ctcd It I the .servlce panel. o Final - Afler all raquifec1 inspections are approved and porches, skirting, decl(~" and venting have been in~tt1l1ccl. Lol laces Lot Type. Lot sq. fig. Interior Lut coverage Corner TC.1poorapllY Panlwndlc Tolal height Cul.de.sac BUILDING PERMIT ITEM SO, FT. X $/50, FT. Main Garage Carport Total Value Building Permit Fee Stale Surcllarue TOt;11 Fee (A) -. THE PROPOSED WORK IN THE HISTORICAL DISTRICT, 011 ON THE HIS'IORICAl REGISTEr\" ____ ' 11 yes, thi::; application 1ll11:;1 be signed and approved IJY 1t1C Hi~;torical Courdillator priur to permi t i~_;~~llanGC. _, Selbi.1CI\s _,_. P.L HSE GAR ACC -------- J::l___.___ _5_ ___ _.... _ ___ Y"-___ E VALUE SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' S.mitary Sewer FT. Water FT. Storm Sewer FT, Mobile Horne Plumbing Permit State Surcharge Tolal Char~le (C) MECHANICAL PERMIT Fllrll;lce ~/'5" ~ Exhaust Hood Vent Fan N' Wood StovellnsertlFircplacc Unit DrYI~r Vent 4r--J-,;q~~ /'&~ Mechanical Permit Issuance Stnlc Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home Stale Issuance Statr;'! Surcharge Sidewalk II Curbcut II Dl!/llolilion ~:;I:ltl,~ SurcllarfJc Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, 0, C, D, and E Combined) FEE h.-- /C7_ """""'" .?S 25:75" APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on (he ex prest; condit"ion thaI the said construction shall, in all rcspccls, conform to ttle Ordinance adopted by Ihe Cily of Springfield, including the Development Code, regulating the conslruction and use of buildings, and may be suspended or revoked at any time upon violation of ;1ny provi~ions of said ordinflncos. Plan Check Fce: Date Paid: Receipt Number' Received By: pr;lI1s R!!viewed By Date Systems Development CI1;lIge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS By signature, I state and agree, thallllave carefully examined the completed <lpplication i1nd do heleby celtify IIlal all information hereon is true amJ correcl, and I furlllCr certify ttlat any i1nd all work performed shall be done in accordance with the OrdinancC3 of the City of Sprinofielcl, ;u1(1111e l;IWS of the Stale of Orc~Jon pertaining 10 the wOlk dcscribcej herein, and that NO OCCUPANCY will be 11I;l(jC 01 ;my structure willlOUI permission of the Building Safety Division. I further certify that only conlractors and employees who are In compliance with ORS 701.055 will be used on this project. I further agree 10 ensure that all required inspections arc requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the prop~rlY~ the approved set of plans will remain on the sile at .11 t mes dfr9 con/7ction. Signalurn .eu <</ ~ ~ff - /'- Dale ~- '?-cO - r z VALIDATION: IlECEIPr NUMBI,R ___ __ '-/.ZI"I_ ____. DATE PAID __~gp...::..22.. AMOUNT RECEIVED _ _25 ;?/, RECEIVED BY ~