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HomeMy WebLinkAboutPermit Mechanical 1994-03-08RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT JOB NUMBER 2 225 Fifth Street Springfield, Oregon 97477 sr'o ./ BLOCK: TAX LOI SH SUBDIVISION: PHONE: ZIP()STATE: , // TJ-4u/4 A,/ SpCITY: ADDRESS: OWNER: (.-/' DEMOLISH OTHERDESCRIBE WORK: NEW - FIEMODEL ADDITION PHONEEXPIRES ADDRESS C CONTRACTOR'S NAME GENERAL: PLUMBING: MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # - OFFICE USE - WATER HEATER: SECONDARY HEAT SQUARE FOOTAGE: # OF BDRMS: QUAD AREA: # OF BLDGS: LAND USE: OCCY GROUP: # OF STORIES: CONSTB. TYPE: HEAT SOURCE: # OF UNITS: To request an inspectlon' You made the same working day' must call 726'g769' Thls is a 24 hour f n"-p=u"tion" requested after 7:00 a'm' REOUIRED INS [-l remPorary Electric Rough Mechanical - Prior to l---l Final Plumbing - When all t---l pi"r"ning work is comPlete' nspections requested before 7:00 a'm the following work day' ,B Final Electrical - When all ui""iti"ur work is comPlete' Final Mechanical - When all -"Jn"nii"t work ls complete' Final Building - When all lJ;;i.;J i;aPictions have been apbroved and building ls comPleted. ffi otner MOBILE HOME INSPE TIONS Blocking and Set'UP - When all blocking is complete' Plumbing Connections - When ;;;;ii; been connected to water€nd sewer' will be recordlng. All I wlll be made PECTIONS :i l:,, ::3ffj ii.x,o..Ii,? il LX. " setting forms' H,:1i'""1?:"r':si:?i:':'"'J:?:" Footing - After trenches are excavated. Masonry - Steel locatlon' bond beams, grouting' Foundation - After forms are Lr-#iEJ-0", Prior to concrete placement. Underground Plumbing - Prior to fllltng trench' Undertloor Plumbingl Mechanlcal ]'i-tiot-io lnsulation or decki ng' Post and Beam -. Prior to f loor insulation or decKing' Floor lnsulation - Prior to decking. Sanitary Sewer - Prior to fllling Rough Electrlcal - Prior to cover. cover. WaltlCelling lnsulation - Prior to cover' Drywall - Prlor to taping' Electrical Service - Must be ;;;;e to obtain Permanent electrical Power' ',[Bni : ;." I'*1: J''"Jl; Framing - Prlor to cover' Wood Stove - After lnstallation' lnsert - After flrePlace approval "nl-ln"t"rt"tion of unit' Curbcut & APProach - After i"-ttiJ-*" "t6it"o uut Prior to placement of concrete' Sidewalk & DrivevuaY - After i-i""li,?ii", ts comPlete' forms ;;;i;;;:6""; materrar rn Prace' Fence - When comPleted' trench Storm Sewer - Prior to filling trench Water Line - Prlor to fllling trench. cover. Electrical Conneclion - When ;i;;ki;;; ""t-uP, and orumbins i;;;;;iil;" have been aPPro.ved ;;i;;;;.-e is connected to the service Panel' Rough Plumbing - Prior to Street Trees - When all required trees are Planted' Final - After all required in"IL"tion" are aPProved ."-tLnL", ski rting, decks' IJ"ii"s hr," been install and and ed. J r tlr r E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E q --r-S THE PROPOSED WORK lN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? .- lf yes, this application must be signedand approved by the Historical Coordinator prior to permit issuance. APPROVED; BUILDING PERMIT.. VALUE (A) SQ. FT. X $/SQ, FT,ITEM Main Garage Carport Total Value Building permit Fee State Surcharge Total Fee Pllt_LD_t.ryc VALUE, PLAN CHECKAND BUILDING PENMif -"-YI\ This permit is granted on the express condition that the saidconstruction shall, in all respecis, "onfor.n io-tne Ordinanceadopted by the City . of Spiinsri"iJ, incruding theDevelopment code. regurating inu "in"trr"tion "no use ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions "t ""iJ orJinances. Plan Check Fee: Date Paid: Plans ewed By Date Feceipt Numbe Received By: SYSTEMS DEVELO PMENT CHARGE (SDC) (B) Systems menDevelop ch tsarge du e o aln u evend lopedroprtipeESwithlncihelimtyitswhtcharebeinsrovedmp ITEM Flxtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT N0 (c) Plumbing permit State Surcharge Total Charge ADDI TIONAL COMMENTS Wood Stove/lnsert/Fireptace Unit Dryer Vent MECHANICAL PERMIT /oy (D)7-rZ N0 Mechanical permit lssuance State Surcharge Total Permit Furnace Exhaust Hood Vent Fan By signature, I state and agreg that I have carefully examinedthe compreted apprication and do n"r"iv "urtify that ailinformation hereon is true and correct, anO t f urtner certifythat any and ail work performed shalt b; ;;;; in accordancewlth the ordinances of the city.f a;;;nr,";I, and the rawsof the State of Oregon pertaining to tne work describedherein, and that NO OCCUPA|.fCV *,fi O" made of anystructure without permission or tnu erli;inJ"a.r",, Division.I further certify that only contractors -o-ulrproy"es who ii|,fl,i"orrance with oRS 701.055;;;;; used on this Date c)z q -ta I further agree to ensure that all required inspecti ons arerequested at the proper time,that each address isfrom the street,readablethat the pe rmit card is located at the frontof the property,and the roved set of plans wlll remainon the site at all ng construction. atu re State lssuance State Surcharge Sldewalk t+ Curbcut t+ Demolltion State Surcharge (E) Total Miscell aneous permits MISC Mobile ELLANEOUS PERMITS Home TOTAL AMOUNT DUE(A, B, C, e and E Com (excludi ng electricat) bined) 7r 7f DATE PAID AMOUNT FIECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER - - - - - - - FEE - - - /< ao---l.--_ 4*s /+a sf-- " - - - - 7r - - _ _ - -