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HomeMy WebLinkAboutPermit Mechanical 1996-10-22K0L ,l Lt) SPRINGFIELD -1^ lESIDENTIAL PEBMIT APPLICATION lnspections:726-3769 0llice:726.3759 LOCATION OF PROPOSED /trt,*;utl'.?rtt't 7J_JOB NUMBER 225 Filth Street Sprlng(le{d, Oregon 97477 tl '?<- ASSESSORS MAP:110 5t z--TAX LOT tnqo t SUBDIVISION OWNER: ADDRESS: CITY: DESORIBE WORK NEW --- REMODEL ADDITI ON - DEMOLISH OTHER CONTRACTOB'S NAME L ADDRESS CONST. CONTFIACTOR #EXPIHES PHONEG ENERAL: PLUMBING MECHANICALI ELECTRICAL: STATE 7/7ztP /o 4,o*u'2tuirtL(n ZONING CODE; , OF BDRMS: .----...- SECONDARY HEAT -SOUARE FOOTAGE: _ OFFICE USE - LAND USE: RANGE: QUAD AREA: * OF BLDGS:, OF UNITS:_OCCY GROUP: # OF STORIES: CONSTR. TYPE: HEAT SOUFICE: WATER HEATERI To req U ES an n pec il on you m ust cal 726.3769.ThtmadehesarIteworkngday,a 24 ho UT recordl n s.Ail I ns pec the fol n S pec lo n s req U es ted af ter 7:O0 tions requested belore 7100 a.mlowing work day. a.m.lt be made wlll be Temporary Eleclric \ ,EOU|RED tNSPECTtoNs A:"W Mechantcat - Prror ro Slle lnspectlon _ To be madoatter excavailon, but prlor toseltlng forms. il:5:",ff i1,1?i 3f i 5' ::yf ,,, L:-.ll.lg - After trenches areexcavated. [1T:o_: Steel tocailon, bondDeams, grouilnO. Flnal, plumblng _ When allptumblng worl( ls comptete. I:ySt Electrlcat _ prlor tocover. -l"-"_ll"q,.Servtce _ Musr be;f#ffi i'#:l:' " permanen t ItI:{.*. - prtor to factnsmaterlals and framlng lnspi FJnal Electrlcal _ Whetectrical work is com en all plete. F_lna.l Mechanlcat _ Wlrq6 s11mechanical work is cornplete. Flnal-Building _ When ail :"-1y,_r"d .tnspec ilons have been :3ffi[T.1"d buirdins is I:liTgirlon - After forms are:l::l"d but prtor to concreteptacement. r'J'ffiifl;',1:d Piumbrno - Prror $; il',.' ij,'JJflj,,,:i, y,.T*,l,,ff : l^o-:!..'.Ta Beam - Prror to froorInsulailon or decking. ,Framtng - prlor to cover. ftll/Celllng tnsutatlon _ prtor tocover. Drywall - prlor to taptng. Wood Stovo - After lnstailatlon. (.ther 1.q MOBILE HOME INSPECTIONS [-l f,.gt tnsulailon _ prtor to - decklng. lx.T ;,illiJ^";? rJ ii,: a p p rova, !-lrUcut & Approach _ AfterIorm_s are erected b(rt prlor topracomont of concrote. 3,'ff[T3,i"3.i"J;Y[ - when a,, Ilrl_uirg gonnecrtons _ Whennome has been connected towater and sewer.E ;::l;3 Sewer - Prior ro ,rrns E ;:"^'$, Sewer - Prror ro frrns E Sldewalk & Drlveway J Afterexcavailon ls compi'otc,. formsand sub.base materlal in ptace. Fence - When completed. Eleclrical Conneclion _ When P]::I119, ser.up, and ptumbin-sInspections have been approvedafld the .home is connccted tothe servlce panel.X H;:;Lrne - Prror to rnrns [-l lougrr plumbrns _ prtor ro - cover.t] flXfftI;Hr"f^en arr requrred ,l,l:! : After all requjredrn_spections are apDioved and 9"",{i,i?: ; i Ij'r?B;.,i? i;'i, i! ; LOT:.- BLOCK: FLOOD PLAIN: '.; !, Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Tyg. --- - lnterior - Corner - Panhandle - Cul.de-sac Se IS THE PBOPOSED \^/OFK iN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REG|STER? - ll yes, this applicatlon must be signed and approved by the Historlcat Coordinator prlor to permit issuance. APPROVED if BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permit is granted on the express condition that the said construction shall, ln all respects, conform to the Ordinance adopted by the City of Springfleld, including the Development Code, regulating the construction and use of bulldings, and may be suspended or revoked at any time upon vlolation of any provis.ions of said ordinances' Plan Check Fee Date Pald Receipt Numbe Received BY: Plans Rcvlewed tly Date Systems Developmcnt Charge is due on all undeveloped pioperties wlthln tlre City llmlts which are being improved' ADDITIONAL COMMENTS I f urther agree to ensure that all required inspections are requesled at the ProP er tlme, that each address is readable from the street, that the Perml t card ls located at the f ront of the ProPertY, and the aPProved set of Plans will remain on the slte at all times rlng truction Signature By slgnature, I state and agree' that I have caref ully examlned the completed appllcatlon and do hereby certl(y that all lnlormatlon hereon ls true ancl correct' and I lurther certi(y that any and all work performed shall be done in accordance wlth thl Ordinanccs of the Clty of Sprlng(ield' and the Laws of the State of Oregon pertalnlng to the work described herein, and that NO OCCUPANCY will be made of any structure wlthout perlnission of the Buildlrrg Safety Division' I further certlly that only contractors and employees lvho are ln compliance with OBS 701'055 wlll be used on this prolect. PL.HSE N VALUE (A) X $/SO. FT. Total Value Building Permit Fee State Surcharge Total Fec BUILDING PERMIT ITEM SO. FT. Main Garage Carport SYSTEMS DEVELOPMENT CHARG (B) E (SDC) ITEM F ix tu res Residential Bath(s) SanitarY Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT (\,, N0 FT. FT. FT. Plumblng Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fl replace Unit Dryer Vent Mcchanical Permit lssuance ;;;; ;;,"^.,su \ 37o ci\ Mw'*{q- MECHANICAL PERMIT No .2C) Total Permit (D)2 ,x) 'l5"or) Furnacc Exhaust Hood Vent Fan MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk - lt Curbcut - lt Demolition State Surcharge ti (E)Total Miscellaneous Pertnits 23 € o z4 a.2_ RECEIVED BY VALIDATION AMOUNT RECEIVED RECEIPT NUMBER DATE PAID OUNT DUE (excluding,clectrical) and E Comblned) &_ 2{'. TOTAL AM (A, B, C, D, Date GAR ACC S .E