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HomeMy WebLinkAboutPermit Mechanical 1992-9-8 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . SPRINGFIELD "" LOCATION OF PROPOSED ~R~ C. ~..:J.Q_~ ASSESSORS MAP: VUt '")'d: 'nl \ OWNER:__$f1 /d-<-e II/t 3's .;k"d4 -?r~II'~/.( 1'1UA1~ dd~~.- t:krW 6r ~ ADDITION DEMOLISH OTHER tI LOT: ADDRESS' CITY: DESCRIBE WORK: NEW REMODEL CONTRACTOR'S NAME ~ PLUMBING: ,_____ 'f. MECHANICAL -9_~,~6-:t~1L~~ X ELECTRICAL: I iZ,.../ &Nt Lrl"IYtA..; GENERA' ' BLOGK' 1Ir,~-L " ~ ~R tt . , JOB NUMBER~\ ~?f[ 225 Fifth Slreet Springfield. Oregon 97477 SUBDIVISION' pHONF' ZIP' tJ?4/'77 STATE: ADDFlESS CONST. CONTRACTOR' EXPIRES PHONE ~74'..rg . / .s'a.....t. ) , / ~7 ..J,o f"Uit, ~ SP~ 01 <II 3.9.s- '-At.s 1~-~Y.1.:>- ~(.)N'/ /0--01 - 9'a-- ~-..) Itrl - OFFICE USE - QUAD AREA: LAND USF' FLOQD PLAIN: . OF BLDGS' . OF UNITS: ZONING CODE: OCCY GROUP: CONSTR, TYPE: . OF BDRMS' . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGF' 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 (jay, inspections requested after 7:00 a.m. will be made the following work day. o Temporary Elcclrlc D Sile Inspection - To be made illler cxcavution, blll prior to setting forl1l~. o Undcrslnb Plumbing/Electrical! Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Sleel location, bond beams, grouting. o Foundation - AHer forms are crectc(j but prior: to concrete placement. o Underground Plumbing - Prior to filling trencll. o Underlloor Plumbing/Mechanical _ Prior to Insulation or decking. o Post and 8eam - PrIor to floor Insulation or decking. o Floor Insulntion - Prior to decking. o Sanitary Sewer - Prior to filling trcnch. D Storm Sewer - Prior to filling trench. o Water line - Prior to filling trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS CI Rough Mechanical - Prior to cover. D 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. D Framing - Prior to ~over. o Wall/Ceiling Insulntion - Prior to cover. o Drywall - Prior to laplng. o Wood Stove - After Installation. o Insert - After fireplace approval ilnd Installation of unit. o Curbcul & Approach - AHer forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation Is complete. forms and sub.base material In place. D Fence - Wilen completed. o Street Trees - Wilen all requIred trees are planted. . o Final Plumbing - When all plumbing worl< is complet.e. D Final ElectrIcal - When all electrical worl< is complete. ~nal Mechanical' - When all mechanical work Is complete. Final Building - When all required Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Sel.Up - When 011 blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - Wtlen blocking, set-up, and plumbing inspections have been approved and the home is connected to the servIce panel. o Final - After all required InspectIons are approved and porches, skirting, decks, and venting have been Installed. Lot faces Lo( Type. Lo( sq. Itg. Interior Lot coverage Corner Topography Panhandle To(al height Cui-dc-sac BUILDING PERMIT ITEM sa. FT. x $150. FT. Main Gmage Carport Total Value Building Permit Fcc Slate Surcharge Total Fcc (A) . THE I'ROPOSED WOI,K IN THE HISTORICAL DISTRICT. OR ON THE HISTORICAL REGISTER? If yes, this applicatlon must be signed and approved by the Historical Coordinator prior to pOl'mit issuance. Setbacks I PL. HSE GAR ACC N ----- ..L-____ W ~=--1--1 VALUE SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood StovellnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge To(al Permit (D) MISCELLANEOUS PERMITS Mobile Homo State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge FEE 1:5 ,U(! J( ) (),U .'J'2; ~o. (15 Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrICal)r{),'}!./S (A, B, C, D, and E Combined) '. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, conform to ttle Ordinance adopted by the City of Springfield, including the DevcloplllOnt Cocle, regulating the construction and use of bulldin~ls. and may be suspended or revoked at any time upon violation of any provisions of silid ordinances. Plan Cllcck Fcc: Date Paid: Receipt Number: Received By: Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties within the City limits which arc bcin~J improved. ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully ex~mined 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 Safely Division. I further certify that only contractors and employees who are In compliance Witll ORS 701.055 will be used on this project. I further agree 10 ensure that all roquired inspoclions 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 properly, and tile approved Got of plans will lemain ::,::" "'" " "" "~'3 "ij;'r:tr~ Da(e 1:\ G(jN VALIDATION: {p I3D RECEIPT NUMBF'" . DATE PAID Ct R.Lf~ AMOUNTRE~ 4fO. 7~ RECEIVED [l~7J l!)1_,