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HomeMy WebLinkAboutPermit Mechanical 1997-10-15 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 ASSESSORS MAP' LOT: - I." 6v~ <.\ BLOCK' OWNER' ADDRESS' CITY: Lel.i./ 1-" .<..~C:;- . i-l~Q vd u,,--)'rPPlA Rr \W ZIP: 97l/7) ~/A..l>, '...J~l4.1-er ,_;,^~oI t- I f~fe- 'ii. v-..r '~A ' ADDITION ~ '&e.ld0~ OTHER . ~~. 4:C'() . '-~.' >O~ .,~l' CONST. AD~:'~~ ~O.s'~ CONTRACTOR · . '-sr. ~C';C'S Ollie:?- ~ ~,_ </-1,. 0-9/n ~-9 ~~"7-9k . ~19 t. "'~ "cS> ;"~...r- ~.... ""A,.~~. ". 'va "l;~l' . ~a q.,~ IS'. ~t ,<'') -1jI"." -')' J DESCRIBE WORK: _, N. s~ I NEW REMODEL CONTRACTOR'S NAME GENERAl' PLUMBING' MECHANICAl' :SD~,^ STATF' . LQ)o' 11..Q " ELECTRICAl' QUAD AREA: . OF BLDGS' OCCY GROUP' . OF .STORIES: WATER HEATER' - OFFICE USE - LAND USE: . OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: .., JOB NUMBER~150 LJ 225 Fifth Street Sprlnglleld. Oregon 97477 ~ TAX LOT: SUBDIVISION' PHONF' 721,- 9078 EXPIRES ,~ PHONE JI_~ q 5'1-..Jf 1<;!:. 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. Alllnspecllons requested before 7:00 a.m. will be made the same working day. Inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS o Temporary Electric D Slto Inspection - To be mado after excavatlon, but prior to setting forms. o Underslab Plumblng/Eleclrlcall 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 placement. o Underground Plumbing - Prior to filling trench. O Underlloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulallon -Prior to decking. . . . o Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to HlUng trench. O Waler Line - Prior to filling trench. o Rough Plumbing - Prior to cover. o 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 lnsp. o Framing - Prior to cover. o Wail/Ceiling Insulallon - Prior to cover. o Drywall - Prior to taping: o Wood Stovo - After Installation. o Insert - Atter fireplace approv~1 and Installation 01 unit. o Curbcut & Al'proach - After forms are erected but prior to placemont of concrete. o Sidewalk & Drlvewav - After excavation Is complete, forms and sub.base material In place. o Fence - When completed. o ,Street Trees - Whtln all required trees are planted. o Final Plumbing - When all plumbing work Is complete. . . D Final Electrical - When all electrIcal work Is complete. lB Final Mechanical - When all mechanical work Is complete. o Final Building - When all required Inspections have been approved and buildIng is completed. rnOiher fr-A", St="l2..uJ U ',~ ~O;'cil.~ 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. 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 porchos, skirting, decks, and venting have been Installed.. Lot faces L~t ~ype" '"1 -:. '" . ~ , .~ :.1 ,f..j ~,~ ' ~:, \ ~"-: '".' . ""l'_'~'" '11~.l.: th~.ih:~"~.." " ... -. . .'. .." .~. .' i"J Setbecks . P.L. HSE GAR ACe' I N I S I . (_THE PROPOSED WORK IN THE. "~" ' I HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. Lot sq. Itg. Interior Lot coverage Corner Topography ,. Panhandle. Total height W Cul-de-sac E BUILDING PERMIT "I 'i) '1 ITEM SO. FT. X $/SO. FT. ~ VALUE Main Garage " Carport Tolal Value Building Permit Fee State Surcharge Tolal Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) ".' " . (B) . ..' , PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. FT. FT. Storm Sewer 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 .:Ii /'6, - ~ 10.- I 7S1-, 4<S"" .;)I"..,}D Issuance State Surcharge +- 0,0=3 M;r..M-. Total Permit (0) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It ft Curbcut Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C. D. and E Combined) APPROVED' BUILDING VhUYE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition thai the said construction shall, In all respects, conform to the Ordinance adopted by the Clty.of Springfield, Including the 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: Receipt Number: Received ,By: . ,.V .~, Plans Reviewed By Date I . .'~ Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS 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 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 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 (0 ensuro 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 Iront of the property, and the approved set 01 plans will remain on theT/;lte at a tI~es d ring construction. Slgnatur U , ..___ Date_(/JD -. :1{7 VALIDATION: RECEIPT NUMBER 277 J W /o-/S--Cj7 AMOUNT RECEIVEP 'fip ~ "'. ~ D ~ DATE PAIP RECEIVED BY