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HomeMy WebLinkAboutPermit Mechanical 1997-10-2 \YO~ RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF ~ROPO)\ED WORK: -dD~\Q ASSESSORS MAP' \' t DAV::ttfj LOT: BLOCK' OWNER: ~('(\Y ~~O~\L.' tw>~)ffi5_. ,~PHONE:I"L\. C M~ ADD~ ~~: ~ \.f'() Q (\ 0 (\ u..~i(H)f ~ p'/ CITY.~~ \. \ STA\E: l\ ZIP: Cl"l4-f(] J0 (~O) ') NEW OTHER DESCRIBE WORK: CONTRACTOR'S NAME GENERA' . PLUMBINC" J. ^. MECHANICAL: ~\'W\ ELECTRICAl' DEMOLISH ADDRESS CON ST. CONTRACTOR . EXPI RES '.-:'1 PHON E ~onro.f\ (VclOO~ ''A'''' ('1."" - OFFICE U.Se:'C;;; , C'" .: ((,~ w.O-<' LAND USF' ., . ~~~ ~)(IN' ~. . OF UNIT';' ., ,0' ~<<-\c>&t~G. ~'<oE:_ \(' .-.-.. ".J\'~ . \~ .~<:o"V"':':"~\) O~\'~ ;;..pO~S~.R;TYPE:.:.J ~. <:o~lY" ((,~ -<'''''' ~'BDRMS' ~ ~\~~' .t;lEAt'sOl:J,RCE: ~o(\V ...t"~ $'((;) ,,-"'~CONDARY HEAT: 'W y..O'<"'" .t>\)' . ';)~V' ~~Y;'..<-~ R-'''' WATER HEATER' ~-s;. .lt~'6~j~~V ~~c;.,~'1)' f:"O ~O'iS'QUARE FOOTAGE: 'p~"'~9+):r>., "\ b.J~~" i/~:-<. ":~!<' To request an Inspection, you must call 7~\l1I\7lJ9. This Is a 24 hour r~c ~:a.t~spectlons requested belore 7:00 a.m. will be made the same working day. Inspectlonsmquested after 7:00 B.m. wAD ~e the following work day. REQUIRED INSPEC~ONS ~~h Mechanical ~ Prior to cover. QUAD AREA' · OF BLDGS: OCCY GROUP' . OF STORIES: o Temporary Electric D SUe Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcel/ Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms Bre erected but prior to concrete fllacemont. o Undorground Plumbing - Prior to filling trench. o Undertloor Plumblng/Mechanlcel - Prior to Insulation or decking. o Post and Boam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to IIIl1ng trench. o Weter line - Prior to filling trench. . o Rough PlumbIng - Prior to cover. D Rough Electrical - Prior to cover. o Electrlcel Service - Must be approved to obtain permanent electrical power. o Flreplece - Prior \0 lacing materials and fram)ng Insp. o Framing - Prior to cover. o Wall/C'elllng Insulation - Prior to cover. o Drywell - Prior to taping. o Wood Stovo - After Installatlon. D Insert - After fireplace approvlll and Installation of unit. o Curbcut & Approech - After forms are erected but prior to placemont of concrete. o Sidewalk & Driveway - After excavation Is complete, forms and sub.base material In place. o Fence - When COIYlopleted. o Street Trees - When all required trees are planted. ~.4-.l{D o Final Plumbing - When all plumbing w9rk Is complet.e. D FInal Electrical - When all electrical work Is complete. ~I Mechanlcel - When all mechanical work Is complete. o Flnel Building - When all required Inspections have been approved and building is completed. DOiher MOBilE HOME INSPECTIONS o Blocking end Set.Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrlcet Connection - When blocking, set.up, and plumbing Inspections have been approved and the home Is connected to the service panel. o Flnel - Alter all required Inspecllons are approved and porches, skirting, decks, and venting have been Installed. ': .~, ~ ~"r..,.,',i ~,;'~~ : I~:~',d~'~; \ . "tI. "~,'j "- Setb ccks HSE GAR Accl I I Iw I ~--~ . .'- " 't. BUILDING "ALOE, PLAN CHECK AND BUILDING PERMIT I P.L. IN Is BUILDING PERMIT '; ITEM SO. FT: " '.~ X S/SO. FT. = VALUE Main Garago " Carport Total Value Building Permit Fee State Surcharge Total Foo (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures .' , Rosldentlal Bath(s) "N' .,. ,- , . .. .~ FT.' FT. FT. Sanitary S~wer Water " 'J . ~. .1" , " .. ", "r/. v,", . ,~..:.. ,"0' ''t.-,' .. )~ '.~, '-,':.. '" .. :\'.. >;.,., ,,' :l,', . (...,d' ..''',. , " Storm Sewer Mobile Home ;'.'.'" . -:., , , . Plumbing Permll ...; '../)... l,i,.. ~'\'" .~:~ State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsert/Flreplace Unll , ryer Vent '11' \ Mechanlcal~er~1t ~ Issuance J State Surcharge 1- 3~ Total Permit (D) lS pt) . is PU; {tJ.W ~ MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk fl fl Curbcut Demolition Slate Surcharge TOlal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding olectrICal)c!1f.p ..Q.O (A, B, C. D,.and E Combined) . "( IS THE PROPOSED WORK IN THE. "'HISlORICAL DISTRICT, OR ON THE HISlORICAL REGISTER? II yes, Ihls application must be signed and approved by the Historical , Coordinator prior '0 permltlssuence. APPROVED: This permllls granted on the ox press condition thai ,the said construction shall,ln all respects, conform to the Ordinance adopted by the Clty.of Springfield, Including the Dovelopment Code, regulating the construction and use of buildings, and may be suspended or rovokod at any time upon vlolatl.on of any provisions of saId ordInances. Plan Check Fee' Dato Paid: Receipt Number: . Received By: Plans Rovlewod By Date Systems Developmenl Charge Is due on all undevelopod properties wllhln tho City limits which are being Improved. ADDITIONAL COMMENTS ~.~. , '. . ,. " . ,i~ .; ll., "1 By signature, I state and agree, that I have carofully 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 Orogon perlalnlng to tho work described herein, and that NO OCCUPANCY will be made of any structure wllhout permission of Ihe Building Safety Division. I further certify 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 Inspoctlons Bre requested at the proper time, that each addreas la readable from the atreet, that the pormlt card Is locatod at the front ~f t e property, and the approved set of plans will remain on he site at r'jS during c~ctlon. S natu~ l {rf,~() ~ . Date IO~ 7 i VALIDATION: {\ (\ ~ RECEIPT NUMBER tj.' IS I ~ DATE PAID (() .,.() . qr;, , --, AMOUNT RECEIVEr! -- i1IQ .f)..f) RECEIVED BY I.:!'('o{l__ )