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HomeMy WebLinkAboutPermit Mechanical 1997-12-11RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Of(ice: 726.3759 SPNINGFIELD LOCATION OF PROPOSED WOIII(:?46l /7ASSESSORS MAP;o1>Ue 4 '3 c, )---> LOT; - BLOCK: +h JOB NUMBER 225 Fittlr Street Sprlngfleld, Oregon 77 N ( trt 6as t t LOri SUBDIVISION PHONE: lYtTZIP: 6 STATE: * r.\-t.r\k^ s s't h {L, OWNER ADDRESS: CITY: NEW - BEMODEL ADDITION DEMOLISH OTHER W.te6 H-c*"((ho . S rzt /f\ceDESCRIBE WORt(:atff,61o n ADDRESS EXPIRES PHONE t<l^.t[? 6 H E4t,\q.. -)a 1--?*yr CONTRACTOR'S NAME GENERAL: PLUMBING: >S MECHANICAL ELECTRICAL: CONST, CONTRACTOR # qtto ot s H&trgxP.t RE+F+tE-ltroRtr__ // OF UNITS: - OFFICE USE - WATER HEATER: TruSPEBMII CONSTR. TYPE: HEAT SOURCE: QUAD AREA: r OF BLDGST SECONDARY HEAT; SOUAFIF. FOOTAGE: , OF BDRMS: LAND USE: OCCY GFIOUP: A OF STOBIES: ZONING CODE: FLOOD PLAIN: To request an lnspecilon, made the sarne worklng rJ"qpfrxdfdHd 4&f,NDOilEE n s.A il ns pe lon S re q UE te d be o re 7:OOrcniltbede be ANY 1 80 ma he fol ow ng wo rk d ay.nr{'Y P ERrqE o U R E D N S P E CT o N S J--l Temporary Etectrtc Rough Mochanlcal - prlor to Flnal Plumblng - When allplumblng worl< ls complete. Flnal Eloctrlcal - When ailelectrlcal work ls complete. cover. Sllo lnspoctlon - To be mado af ter excavailon, bul prlor tosettlng lorms. Rough Electrlcal - prlor tocover. U-nderslab plumblng/ Electrlcal /Mechanlcal - prloi to cover. Footlng - After trenches areexcavaled. Eleclrlcal Servlce - Must beapproved to obtaln permanenteleclrlcal power. Flreplace - prlor to faclngmaterlals and framlng lns{ Framlng - prlor to cover. f*r(at Mochantcal - When an - mechanlcal work ls complete. Masonry - Steel locailon, bonc.lbeams, grouilng. Flnal Bulldlng - When ailrequlred.lnspecUons have beenapproved and bulldlng lscomptoled, Foundallon - Alter forms areerecled but prlor to concreteptacemont.Wall/Celllng lnsulallon _ prlor tocover. [Fl ott'o' [-l UnAerground plumblno - prt^r*-J to fllllng rrench [-l Orywall - prtor ro taptng, Underlloor plumblng/ Mechanlcal - prtor to lnsulallon or decklng. Posl. and Boam - prlor to floorlnsulatlon or decklng. Floor lnsulallon - prlor todecklng. Sanllary Sewer - prlor to fllllngtrench. Slorm Sewer - prlor to fllllngtrench. r, Water Llne - prlor to filllnglrench. Wood Slovo - After lnsfallailon MOBILE HOME INSPE TIONS l-l Blocklng and Ser.Up _ When ail - blocklng ls compleie.1111, : Afrer ftreptace approvalano tnslallatlon ol unlt. Curbcul & Alrproaclr _ Afterrorms ars erected bUt prlor toplacomonl of concrctc. Sldewalk & Drlveway _ Afterexc_availon ls complctc, formsand sub-base materlal ln place. Fence - When completed. Plumblng Connoctlons _ Whennomo has been connected towaler and sewer. Eleclrlcal Connectlon _ Whenpl::Iilg, ser.up, and plumbtnsrnspecilons have been approvida.nd the home ls connecled lothe servlce panel, Rough Plumblng - prlor to cover.fl Street Troos - When ail requtred - trees are planted. Flnal - After all requlredrnspecilons are approved andporc.hes, sklrtlng, decks, andventtng havc been lnstalled. / \t a,m.il IS THE PROPOSED WORK IN THE . HrsronlcAL DlsrRlcT, oR oN THE HISTORICAL REGISTER? -- ll yes, thls appllcatlon must be slgned and approved bY the Hlstorlcal Coordlnator prlor to pPrmlt lssuance. APPBOVED: GAFI ACCP.L.HSE N S E Lot facos Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterlor - Corner - Panhandle - Cul-de'sac Set BUILDING VALUE, PLRN CHECK AND BUILDING PERMIT Thls permlt ls grantecl on the express condltlon lhat the sald constructlon shall, ln all respects, conlorm to the Ordlnance adopted by the City ol Sprlngfleld, lncludlng the Development Code, regulatlng the constructlon and use of bulldlngs, and may be suspended or revoked at any tlme upon vlolation ol any provlsions of sald ordlnances. DatePlans Rovlgwed BY Plan Check Fee: Date Pald Recel pt Numbor Recelved By: BUILDING PERMIT VALUE (A) SO. FT. X $/SO. FT.ITEM Maln Garage Carport Tolal Value Bulldlng Permit Fee Slate Surcharge Total Feo Systems Developmcnt Charge ls duo on all undeveloped propertles wlthln tlro Clty llntlts whlch are belng lmproved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS FEE (c) N0 FT. FT. Resldentlal Bath(s) PLUMBING PERMIT Plumblng Permll State Surcharge Total Charge Sanltary Sewer Water Storm Sewer Moblle Home ITEM Flxtures Wood Stove/ lnsert/ Flreplace Unll Dryer Vent lg. (D) + + N0Vent Fan Mechanlcal Permlt lssuance State Surcharge Total Permlt -f_-to... P_ .,ail ,-!{ aI JFb By slgnature, I stato and qgree, that I have carolully examlnsd the completed appllcatlon and do hereby certlly that all lnlormatlon hereon ls lrue and correct, and I f urther certlfy that any and all work performed shall be done ln accordance " wlth tho Ordinanccs of the Clty of Sprlngfleld, and the Laws of the Stale ol Oregon pertalnlng to thc work descrlbed heroln, and that NO OCCUPANCY wlll be mado ol any struclure wlthout perrnisslon of the Bulldlrrg Safety Dlvlslon. I lurther certlfy that only contractors and employees who are ln compllance with OBS 701.055 wlll be used on thls Proiecl. I further agree lo ensure that all requlred lnspectlons are requested at the proper tlme, that each addresg ls readable f rom tho street, that the permlt card ls located at the front ol the property, and the approved set of plans wlll remaln S lgnatu re \)-Date I 241 on the slte at all es durlng constructlon. MISCELLANEOUS PERMITS Moblle Home State lssuance Slate Surcharge Sldewalk - ft Curbcul - ft Demolltlon State Surchargp Total Mlscellaneous Pennlls (E) TOTAL AMOUNT OUE (excludlng clect (A, B, C, O, and E Comblned) VALIDATION: FIECEIPT NUMBER - 7g-L5!_- DATEPATD-I);rt- 9-J AMOUNT RECEII #)t",*o RECEIVED BY .11 FT, MECHANICAL PERMIT Furnaco Exhaust Hood