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HomeMy WebLinkAboutPermit Mechanical 1997-7-11 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Oflice: 726.3759 LOT' . spnlNcr:IELO BLOCK: OWNER: LLWZ/7 rI mt1!lJG (~!1.tLb11Jlv '''"''', . ~~.f;//J"" &u.dau IU- CITY: xl-. . dE:! (J STATE: _IJU DESCRIBE WORK: ~iM.P.LLL ,~M NEW REMODEL L ADDITION CONTRACTOR'S NAME GENERAL: :-:l.u-t ../7 /U.L . DEMOLISH ___ OTHEIl . JOB NUMBER ~7/o37 . P I' 225 Fiflh Street Springlleld, Oregon 97477 TAX LOT: (Q~ $" b-~ SUBDIVISION: PHONr.. .1tfb -O()J(P ZIP: CJ1tf11 ADDRESS CON ST. CONTRACTOR' PHONE PLUMBING' MECHANICAL:&tnj./JIdJtlJtJ /15/ f)/JnS.J SllJ) ELECTRICAl' _ CONSTR. TYPE:____ ~ 1::. HEAT SO.u~~!\fI\-\\:, -NO;01 Oit\C~' ~\"-''- \:,'f..\'\ "\1 IS WATER HEATER: - __~___ ~II 'jmI'rGE' .(' ?>'~\" SOUAIl!: FOOTAGE: 11 \lC p\:,~ \.) J\\r>'R \\'1,.... ;j.\,:n I'UI" ..- -,-. To request an Inspection, you 1'T\.l{~~fj)pql~'37~'@J~~~4 hour recording. All fn~[)cctlon~ rcqllC~lcd before 7:00 n.rn made tho same working day. In5))ccl~~~~Mltc~O'\)t~.H 7:00 a.m. will be made the following worl< doy. CO~ ,a()\)r>.'1A'~t5UIRED INSPECTIONS r>.~1 . D Rough Mocll<1mcal - Prior \0 cover. '-, QUAD AREA: . .. ;-.., . OF BLDGS' OCCY GROUP: . OF STORIES: ____ D Tompornry Electric D Site Inspection - To bc made aHer cxcavnllon, but prior to setllng rorms. D UncJcrslilb Plumbing I Elcctricilll Mechnnlcill - PrIor to cover, D Footing - After trenches arc c:xcnva!cd. D Masonry - Steel locatIon, bond beams, groutlng, D Foundntlon - After forms arc erected but prior to concrete placement. o UndergrolJlld Plumbing - Prior to filling trench. D Underfloor Plumblno/Mech~nlcnl - Prior to Insulallon or decking, o Post nnd 8eam - Prior to floor Insulation or decl<lng. o Floor Insulnlion deckln9. Prior to o S~niti1ry Sewer - Prior to rtlling trench. D Storm Sewer - Prior to Illling trench. D W~lcr Line - Prior to filling trench, '",.. o Rough Plumbing - Prior to cover, ... OOf/ft;o - OFFICE USE - LAND USE:_ . OF UNITS: o Rough Electric", - Prior to cover. D Elcctricnl Service - MllSI be approvcel to obl.iln perrn:Jncnt electrlc.)1 power. o Fireplace - Prior 10 fneing materials and framing Insp. D Framing - Prior 10 cover. D Wall/C'elling In:>ulntio.n - Prior to cover. o Dryw<l1I - PrIor 10 laPin?, . D Wood Slave - Afler In5talln:lon. D Insert - After fireplace approval and InslnUatlon of unl!. o Curbcut & ^ppro,lcl1 - After forms are erected but prior 10 placement 1)( c:oncret<:, D Sidcwalk & Drivcw:I\, - After excavation is complete. rOrrll:J anel sub. base mil!<:rial in place. D Fence - WIlen completed, D Stroot Trees - Wllcn nil requIred trees arc plantcd, l,XPIIlES ~tl7-qf' 7Jb-()/OfJ . FLOOD PLAIN: ZONING CODE: ____ II or- BDRMS' SECONDAflY HEAr: ___'.. will be D Finnl Plumbing - When all plumbing worl~ IS complelc ~Fillnl ElcclriCOII - VJhen all ~ clectrical worl( is complete. ~iJHlI Mcclwilicnl - When all /~ ~'eCh!Jnlcor worr, Is complele. D Fin"l fJuilclino - WI1Cn all required in5pectlons h<lvC been approved and building is completed, ~OlhCr _~~ LaJ~ MOBILE HOME INSPECTIONS D Olockillg nnd Sel'Up - Wllcn all blocl<lnU is complete. D Plul11binU Connections - Whcn tWine 11il$ been con/lccted 10 Willer :lflcl sewGr. [J ElcclriGHI COllncction - When blor:l~i"O. sct-up. am] plumbing lll~;pccllon~ hnve been ~pproved allel tile IlOllle is connecled 10 II1G service pane!. [] Finnl - AflQr uJJ required Inspections ':He approved and porches, sl<lrling. decl<s, and ventIng tlilve been Instnllcd. . Lot faces Lal Type Lot sq. Itg. Interior Lot coverage Corner Topography Panllilndtc Total 11Clght Cul.dc<.><:l.C BUILDING PERMIT ITEM so. FT. X $/SO. Fr Main Garage Carport I i Tolal Value Building Permi ( Fcc Slate SurchLlrgc Total Fcc (A) ~"';',,~.l!:'~'."+ tr. !.t9i.':E,~- i, tTHE PF10POSED WORt< iN THE, . .'.I-IISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? 1l yes, this app1icalion must be signed and approved by the Historical Coordinator prior to permit issuance. P.L, Sctbncl(:5 HSE GAR Accl I N S --- _~___.J w ---_.'- --- ----- ---! APPROVED: VALUE " SYSTEMS DEVEL9~MENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential OiJlh(s) NO Sanitary S~wcr Water FT. ---- FT. Storm Sewer FT. Mobile Horne Plumbing Parmit Stale Surcharge Total ChLlrgc (C) MECHANICAL PERMIT Furn.1Gc Exhaust Hood Vent Fan N' Wood Stovc/ln::;crt/Flrcplace'Unil Dryer Vent ~ (.;11L~___ McclwniC<lr Parmi I )'It /C , Issuance Stale Surcharnc , 7S- +- >- 4-S- Total Permit (D) MISCELLANEOUS PERMITS Mobile Home Slale Issunnce Slale Surcharge Sidewalk It Curbcu l I. Demoll lion ?tate Surcharge Tolnl Miscellaneous Permi lr; (E) TOTAL AMOUNT DUE (axclutling alectric"I) (A, 0, C, 0, and E Combined) ,"'; "" I; ',. ',l,~. .' " .. ( I'":!,.- ; ...., ~ .~d' '.'... 'l. " FEE ~.. I ",-,Ii'l' ,/I ... 'f". .: Ih~ -2- Cl 0 -,-~~--- I s-,o--D /D~ -'-~~ 7.L~ BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granled on the express condition lhallhe said construction ~h(1ll, in all respects, conform to ttle Ordinance adopted by Ihe City 01 Springfield. including Ihe Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time, upon violLltion of any provisions of said ordinLlnces. Plan Check Fcc' Date Paid: Receipt Nlllllber:__. Received By: Plans Revi.cwC(i-.Oy-'---....-._- OLlte' Systems Development Charge Is due on all undeveloped, properlies within the City limits whicll are being improved. ADDITIONAL COMMENTS ~ d~/~ J/~t:-T /<:; A'.AHJ/./ /,,(~~ / ( ~~ ~JL+-- ;;;;.:1,' 11. '':1-'1;, ltf , ~.. .:.;.- "r'" "./il' .../ , , "':~" ~ '3~V';:"1l.:r ,~~. I, 'lJ\ (~! By signature, I state and agree, that I have carefully cxamlned tho completed applicalion and do h~reby certify that all Information hereon i$ true ancl correct, and I further cerUfy thilt Llny ilnd all work performed t;hall be done in accordance wilh the Ordin<lncL:s of the City of Springlleld, nnd the Laws of tile StCltc of Oregon perlaining to the worl~ descrlbed hel'(dn, and Ihal NO OCCUPANCY will be made of any struclurc willloul permission of the Building Safely Division. I furlher cerlify Itlat only conlractors and employees who LIre in compliancc'with QRS 701.055 will be used on this projcct. I further Llgree to ensure thaI all rCQuirod inspections arc rCQuested althe proper time, lhat each address Is readable from 1I1e street ilt ttle permit card Is located ilt thc front of tile prop y, ill the approved set of plans will remain :::::" ~ I~~ :' ;]);;:,'( VAll D/ITI ON: z&~.:Ig 7/1~97 -;?jr_ ,2..0 :~ .({/' '- RECEII'T NUMBEe1 DATE PAID AMOUNT RECEIVED FIECEIVED BY