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HomeMy WebLinkAboutPermit Mechanical 1995-4-17 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Olllce: 726.3759 . SPRINGFIELD LOCATION OF PROPOSED WORK: ~t':7 M~~4'"IZ"7 ?;-::-. ASSESSORS MAP: /?-d?"":?:J'- ~ LOT' BLOCi<' OWNER:_71uc:v ~ ~/.::::;-~ c:; ADDRESS:~ 2L:>~A"~'? CITY: /=--.. Z> STATF" ~/' <- I' DESCRIBE WORK' /~~'::'L NEW REMODEL CONTRACTOR'S NAME ~7? ~~ h~~ ADDITION DEMOLISH OTHER -- JOB NUMBER "J.XJ '/.s:?~ 225 Filth Street Springfield, Oregon 97477 TAX LOT: /:::J...iJ',_:~ SUBDIVISION: PHONE: ?.Y~:~$'~ ZIP' ~/'?0 ':::> j. * ADDRESS CONST. CONTRACTOR' PHONE GENERA' ' PLUMBING' MECHANICA' ~4;.....;....~.A' 6~,~t;!i:.~ ELECTRICAl' EXPIRES G./"B~~' ~~-~/::>- 72c.2/. /~~S"~5'r'sI~~ " ~ ~ ; - OFFICE USE - QUAD AREA: LAND USE: FLOOD PLAIN' . OF BLDGS' . OF UNITS' ZONING CODE:_ OCCY GROUP' CONSTR. TYPE: . OF BDRMS' . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANGF' SOUARE FOOTAGE: To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. wilt be made the same working day. Inspectlons requested after 7:00 a.m. will be made tho followIng work day. D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. ~ D Underslab Plumbing/Electrical/ Mechanical - Prior to cover. D Footing - After trenches Bre excavated. D Masonry - Steel location, bond beams, grouting, D Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench, D UnderUoor Plumbing/Mechanical - Prior to Insulation or decking, D Post and Beam - Prior to floor Insulation or decking. D Floor Insulation ..-. Prior to decking. D Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. D Water Line - Prior to filling trench. D Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. D Rough Electrical - Prior to cover. D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facIng materials and framing Insp. D Framing - PrIor to cover. D Wall/Cefllng Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Stovo - After Installation. D Insert - After fireplace approv4! and Installation of unIt. , D Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation IS complete. forms and sub.base material In place. D Fen~e - When completed. D Street Trees - When all requIred trees are planted. D Final Plumbing - When nit plumbing w~:Hk Is complel.c. D Final Eloctrlcal - When all electrical work Is complete. IA:I Final Mechanical - When all mechanical work Is complete. D Final Building - When all required Inspections have been approved and building is completed. ~~~~-G. [Z]Othor , , , - MOBILE HOME INSPECTIONS D Blocking and Set. Up - When all blocking is complete. o PJumbing Connections - When home has been connected to water and sewer. D Electrical Connection - When blocking, set.up, and plumbing Inspections have been approved and the home 15 connected to the servIce panel. D Final - After all required inspections are approved and porches, skirting, decks, and venting have been Inslat/cd. ,. Lot faces Lot TY. Interior I P.L. Setbacks HSE GAR Acc'l Lot sq. ftg. . . Lot coverage N Corner Topography Total height S Iw I ~. Panhandle Cul.de.sac BUILDING PERMIT ITEM sa. FT x $/sa. FT, ~ VALUE Main Garage " Carport Total Value Building Permit Fee State Surcharge Total Fce (A) SYSTEMS DEYELOPMENT CHA.RGE (SDC) (B) PLUMBING PERMIT tTEM FEE Fixtures Rosldentlal Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit Slato Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit /l?r/Y /~,oe> v ~ /19. c:oz:> Issuance State Surcharge ~~ :~1- -~ Total Permit (D) 26 ' -;u::p MISCELL.~NEOUS PERMITS Mobile ,Home Slate Issuance State Surcharge Sidewalk ft Curbcul It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C. D, and E Combined) ':.~:' ~~'\17~;' .IS THE PROPOSED WORK IN THE. "'HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. APPROVEr>' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the said construction shall, In all respects, conform to the Ordinance adopted .by the Clty.of Springfield, Including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. . 'P'lan Check Fee: Date Paid: Receipt Number' Received By: Plans Reviewed By Date . Systems Development Charge Is. due on 'all undeveloped properties within the 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 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 Oregon perlalnlng to the 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 I 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 on the site at. ~I ~.ies during construction. Signature ~.P~ Date' ~/7-~ VALIDATION: RECEIPT NUMBER /~~e"3 ~ $/.-/:::>.'95 2&:. ':;>~ DATE PAID AMOUNT RECElv"n, RECEIVED BY -4-....:> 111_ ~