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HomeMy WebLinkAboutPermit Mechanical 1999-9-1 1/4'13 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Oltlce: 726.3759 -- SPRINGFIELD .111.." , ~8 .... ~ LOCATION OF PROPOSED WORK: _L;;;.5 b ASSESSORS MAP' / ? n '3 -.: ~ -r-c:: 16. "'I'"D .:> z_ LOT: BLOCK: OWNER: / ~"'- ,~hu. ~_ ADORE"'" . /;;J. '))." -rc::: /0< I-- ~ CITY: <0:) I"" ,,;.... 1" "",) JL ~ STATF" (")Q<.. DESCRIBE WORK: T "-<+" II A 0. S -r- ...<:........+ ) IV NEW REMODEL 0<.... ADDITION DEMOLISH CONTRACTOR'S NAME .=-- 7'7 Jill' JOB NUMBER, 225 Fifth Street 'Sprlngfleld. Oregon 97477 <;' t? r I >A,J;:' J.I/. ,rt <..')0'2.. "iiltll TAX LOT: CJ 0 2.. / .. SUBDIVISION: PHONE:J-6t:./ ~O~ ZIP: 4'1u'"() t='J r.....IOJAc,-4 OTHER GENERA' . PLUMBING' ABc.. ADDRESS (' \...., ""' '" 't-'--"- . 'f.tO,4.<f?< 1"8 CONST. CONTRACTOR # +-<..~ )..JCAFF- 73~" EXPIRES .", PHONE 9~ 7-e6/~ MECHANIC! ' . ELECTRICA' . - OFFICE USE - QUAD AREA' LAND USE: FLOOD PLAIN: . OF BLDGS' . OF UNIT'" ZONING CODE:_ OCCY GROUP' CONSTR. TYPE: . OF BDRMS: . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANG~' SQUARE FOOTAGE: To request 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 day. Inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlca" 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 Posl and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decKing. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to mllng trench. o Water Line - Prior to filling trench. D Rough Plumbing - Pr(or to cover. o Rough Mochanlcal - Prior to cover. D Rough Electrical - Prior to cover. o Electrical Servlco - 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 Insulation - P;lor to cover. , o Drywall - Prior to taping.. o Wood Slovo - After Installellon. ~AS .I'S::llnserl - After fireplace approvel ~ and Installation of unit. o Curbcut & Approach - After forms are erected blll prior to placemont of concrete. o Sidewalk & Driveway - After excavation Is compiete, forms and "sub-base material In place. o Fence - When COfi'\pleted. D Street Trees - When all required trees are planted. _ _ o Final Plumbing - When all plumbing warl< Is complete. D Final Electrical - When all " electrical work Is complete. o Final Mechanical - When all mechanical work Is complete. o Final Building - When all required Inspections have been approved and building is completed. ~ther ,. 4'k' UUt!=- ~ r/~'C;A-'f MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. D 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 Bre approved and porchos, sklrllng, decks, and venting have been Installed. ( Lot~Y. ,',: "Lot faces, Lot sq.' ftg. Interior Lot coverage Corner Topography Panhandle >: Total height Cul-de-sac BUILDING PERMIT; ITEM SQ. FT. c, .~ X $/SQ. FT. ~ Main Garage Carport Total Value Building Permit Fee ~tate S.l!fcharge Total Fee (A) I P.L. IN Is _"'!._- ,E VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S!3wer Water FT. Storm Sewer FT. FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent u~~~ ~ fi/(", , " " . Mechanical P~rmlt _. ,.., , " Issuance r . State Surcharge /.tK r .4J' (D) Total Permit MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) ., TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D. and Ebomblned) FEE JJ?/..u ' / L:) '"' /8, o-tJ j."''' 2c'.SCi 21:, 5"".0 ';,'. . .; ::..~' ~;.:'.;~',iH..,~;- .' Setbacks. HSEIGAR I ACe' I I I tiS THEP~OPOSEDWORK iN TH~. HISTORICAL DISTRICT, OR ON . THE HISTORICAL REGISTER? If yes, this applldatlon must be signed and approved. by the Historical . Coordinator prlot to permit Issuance. AP]'ROVED: , ''':- ",' 't BUILDING IfALt:JE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the said construction shall,'ln all respects, conform to the Ordinance adopted by the City of Springfield, Including the Development Code, reguiatlng the construction and use of oulldlngs, 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: Pians Reviewed By' Date Systems Development Charge Is due on all undeveloped properties within tho 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 J 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 tho 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 agreo 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 0'; the'slte at_all times during construction. /-- Signature ~ ~ffi Dateq 1/ /9q VALIDATION: RECEIPT NUMBER DATE PAiD AMOUNT RECEIVEn RECEIVED BY j ~4 / / ~ / // <j'<) ~~-o ~--