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HomeMy WebLinkAboutPermit Mechanical 1993-10-6 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 . SPRINGFIELD ~- LOCATION OF PROPOSED WORK:~U/d;<>.A.J xA"SSESSORS MAP: / ;;>"Z>? - 2 2. -0/' yo' LOT: OWNER: ///ANLJA ..,.. ..L./a-u~.-..i / ADDRESS: '# b <(-"a& -, CITY. 'R".l L,J" f BLOCK. <:6,.0 ~qj,,;/A.J d / 75,( /~ / " ...e... . JOB NUMBER 93/~'2 ~ 225 Fifth Street Springfield, Oregon 97477 WLd tJ4.- '9 7V 77 TAX LOT. 1'Jr:? / r') / SUBDIVISION. PHONF. 7Y'Y-/~ Ye2 STAT". ZIP: 97V77 DESCRIBE WORK: /.A/f7n11 f_Af Lt..;~ -P- 7'''''-~ QA~e /'dJh7 ~/.r//^:/, -rjl.r:l?-' NEW REMODEL ADDITION DEMOLISH OTHER CONTRACTOR'S NAME ~RAL:.hI.t// ~- ~t(BING: MECHANICAl. ELECTRICAl. ADDRESS / ~.J"'F;/I-d,,,/ 7 "~ CON ST. CONTRACTOR' EXPIRES h'lb"L-~~QrI .....s9;oJl1...~ PHONE 1 - OFFICE USE - QUAD AREA. LAND USE: FLOOD 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 request an Inspection, you must call 726-3769. This 15 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 followinO work d~y, D T4lmporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumblng/Electrlcall 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 filling trench. D Underfloor Plumbing/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 filling trench. . . ,.....' D Water Line - Prior to filling trench. _. - . . .~ D Rough Plumbing"':';" I;'rior to cover. ....; ~. '. 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. o FramIng - Prior to cover. D Wall/C'ellfng Insulation -:- Prior to cover. D '. Drywall - Prlo~ 10 taping. ~. . '--.. D Wood Stove - After I~stallatlon. D Insert - After fireplace approval and Installation of unit. D Curbcut & Approach - After . 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 - When completed. D Street Trees - When all required trees are planted. D Final Plumbing....:.. When all plumbing work Is complete. D Final Electrical - When all electrical work Is complete. " '" D Final Mechanlcaf ~ When all mechanical work Is complete. D Final Building - When all required Inspections have been approved and building is completed. I?J Other 0.6< ~.z>~ 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. D 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 Lot Type . . :~~'.:: Interior Lot sq. ftg: Lot coverage Corner Topography Panhandle Total height. _ ',Cul-de-sac \. BUILDING PERMIT ITEM SO. FT. X $/SO. FT. Main ", Garage Carport . Selbacks HSE GAR'ACCI I IS I: PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON ~/'I\ THE HISTORICAL REGISTER?" ", v If yes, this application must be signed and approved by lhe Historical Coordinator prior to permit issuance. I P.L. ' IN \S .Iw IE ~.. ,,:. ,.'~PPRClVE~: VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT .1, . This permit is grar)ted on the express condillon that the said construction shall,'in all respects, conform to the Ordinance adopled by lhe City of Springfield, including Ihe Development Code,' regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. , ., Plan Check Fee. , , ., , , Date Paid: Total Value Receipt Number: Building Permit Fee Received By: State Sur~harge l Total Fee (A) Plans Reviewed By Date (B) SYSTEMS DEVELOPMENT CHARGE (SDC) Systems Development Charge Is due.on all undeveloped properties within the City limits which are being Improved. PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sewer FT. FT. FT. Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIJ..? " Fu mace ~ L-v tF""'/;5': or- Exhaust Hood Vent Fan N' Wood Slove/lnserl/Fireplaca Unit Dryer Vent ',. )W//J'. Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut It Demolition State Surcharge Total MIscellaneous Permits (E) TOTAL AMOUNT DUE (excluding elactrical) (A, B, Co D, and E Combined) FEE ADDITIONAL COMMENTS pJ_~ _"" / /J'/(O. .iQ.4'j 4l!........- ~..-. ~ ~~.r/7,.J4 .5j'S"WJP'l , I ' J'. /~- /t? er_ . "JC?-- ~s: 7$"" 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 t~e Laws of the State of Oregon pertaining to the work described herein, and thai 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 property, and the approved set of plans will remain on the site at all times during construction. Signal~<V) t1~~ Dale kf~Yft~ I VALIDATION: RECEIPT NUMBER 1.v>'7'''76 /.0 --6-~ ~ DATE PAin AMOUNT RECEIVED ~"'5"':;><;;--- ~~"- RECEIVED BY , ....