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HomeMy WebLinkAboutPermit Mechanical 1993-11-18 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 SPRINGFIELD \?~. :Fl . ~ .' . LOCATION OF PROPOSED WOnK: __9 -, \ I\D~~3"2)3 #7"f~ iJr. ASSESSORS MAp. LOT: BLOCI'. OWNER: &r/lc 5:r ,1!?.!fS/?/~ ADDnESS: .__95_ /M:f(R'i!E}>,7-----/.lc---a!'~ <; ..ge~_-_------- STATE: <tMZ- CITY: DEscnlBE WORK: ~.,.....",.." NEW REMODEL ;(.... ADDITION CONTRACTOR.S NAME GENERAl. PLUMBING: MECHANICAL:If1t:J.RI//!!'I' ., ~ ELECTRICAL. (! II S QUAD AREA" . OF BLDGS: OCCY GROUP: . OF STORIES: WATER HEATER: #/P DEMOLISH OTHER JOB NUMBER C{3vt\~ ":. ::'. ., ~ 225 Fifth Street Springfield, Oregon 97477 ., : ,." '<,', ~ ( ': a/,4-v ", TAX LOT- m\(Y) , ,. SUBDIVISION. PHONE. -'71/7 .~ 9'/(~ ZIP: Q?t/?r.- ,; ADDRESS CONST. CONTRACTOR' EXPIRES PHONE REQUIRED INSPECTIONS ~OU9h Mechanical - Prior to r' Gover. D Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing matarlals and framing Insp. o Framing - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Stove - After Installation. . D Insert - Aflor (Ire place approval aml Installation of unit. , o Curbcut & Approach - After forms are erected but prior to placement of concrete. . 1,1,,)('1;' h1A?"~1 d A - OFFICE USE - LAND USE: . OF UNITS. CONSTR. TYPE: HEAT SOURCE: RANGF. S>6Jr~ &' J/#J,/9Y 7~ 7"77 7/!/ / :zz.Ir:. FLOOD PLAIN. ZONING CODE: _ . OF BDRMS: ,. SECONDARY HEAT: SQUARE FOOTAGE: To request an Inspection, you must call 726-3769. This Is a 24 hour recordIng. AI/Inspections requested before 7:00 a.m. wltl be made the snrne working day. Inspections requcsted 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 10 setting forms. o Underslab Plumblng/ElectrIcal/ MechanIcal - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placcment. o Underground Plumbing - Prior to filling trench. o Underlloor Plumbing/Mechanical _ Prior to insulation or decking. [J Post and 803m - Prior to floor insulation or <Jecldng. , 1 Floor Insulation - Prior to deeklng. o Sanitary Sewer - Prior to filling trcnctl. o Storm Sewer - Prior to filling trench. . o Water Line - Prior to filling trench. . o Rough Plumbing - Prior to cove~ . o Sidewalk & Driveway - After excavation I:; complete, forms and sub.base material In place. D Fence - When completed. o Street Trees - When all required .. trees are planted. o Final Plumbing - When all plumbing worl< Is complet.e. ". ' D Final Electrical - When all electrical work is complete. ~Inal Mechanical - When all L mechanleal work Iscomplate. o Final Building - When all required Inspections have been approved and building is completed. o Other MOBilE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. '. o Plumbing Connections - When home has been connected to water and sewer. ,i"l .". 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 InspectIons are approved and porches, skirting, decks, and venting have been Installed. :~ ~" !. II':' (' i Lot faces , "' Lot sq. Itg. I I Lot coverage , :1 Topography Total height . Lot Type Interior Corner Panhandle Cul.de-sae BUILDING PERMIT ITEM SO. FT. X $/SO. FT. Main Garage Carport Total Value Building permi I Fee State Surcharge Total Fcc IA) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanl tary 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 Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance 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 electrleal) (A, B, C, 0, and E Combined) ..3 THE PROPOSED WORK IN THE HISTORICAL DISTRICT. OR ON THE HISTORICAL REGISTER? I f yes. this appllcatlon must be signed and approved by the Historical Coordinator prior 10 permit issuance. SClb"'l.cks J~L. HSE GAR ACC N ~---- Wr'. L__~___ VALUE FEE ~ J~ ((n.ou. - .I)~ . $rr:::> ~.')/ APPROVED- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition IIlat Ole said construction s'hall, in all respects, conform 10 the Ordinance adopted by the City 01 Springfield, ineluding the Development Code, regulating the construction and use of buildings, and may be suspended Qr revoked at any time upon violation of any provisions of said ordinances. Plan Check Fcc: Date Paid; Receipt NuIJlber:________ Received By: Plans Heviewcd By D~lc Systems ,DeveloJ,JlIlcnt Cllarge .is duc on. ,?1~ l{ndcvclopcd properties within the City limits whict! are being improved. ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully ex?mined the compleled 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 certlfy that only conlractors 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 property, and the approved set of plans will remain on the site at a~ [mes durin~stru.,. Sign"lule-"~ -' 7 "/ ./' Date /.1 - "/7~~ VALIDATION: ~f\ n RECEIPT NUMBER. rJ\ I DATE PAID Lt.j b.' _ . -~ AMOUNT REC~ ^" c!J~,~"'-., RECEIVED BY~ ./