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HomeMy WebLinkAboutPermit Mechanical 1999-6-2 . . RESIDENTIAL PERMIT APPLICATION 9f67'1 I JOB NUMBER Inspections: 726-3769 OUlce: 726-3759 LOCATION OF PROPOSED WORK' ..32 '2> ASSESSORS MAP' /7 Ii , "2- ~ '] t../ 225 Fifth Street Springfield, Oregon 97477 TAX LOT: tJ5 J OD A SUBDIVISION: ~_ PHONE: 2!t...?-(oJ) 67~f.<~ LOT: BLOCK' OWNER: ~)(lll,~W*'-\def/v..p.x b.rl" ADDR="'" -~;::),6 m-A"-'\sM.f'ld ~ S r...f2-ld DESCRIBE WORK: ~BcJlQ STATE: ~(.( ZIP: QrJi/7?' CITY' ':::-,~oIa ilL. ~ \~rl:: uf#-as ~?f2-~ DEMOLISH OTHER NEW REMODEL ADDITION CONST. CONTRACTOR' CONTRACTOR'S NAME GENERA' . PLUMBING' MECHANICAL: ffi'iK'5hd,(s,l.'flrYl1() f)~lhr'0 ) ~) dS7Cjrj ADDRESS EXPIRES .", PHONE 7L/-7--7L/0S- ELECTRICAl' - OFFICE USE - . . . . ATTENTION:Oregon iaw requires you. ~v . QUAD AREA' LAND USE: l'"~''''' 01"'5 adoplEcti0ti~p'di'IN'.qon Utility . OF BLDGS: NOTICE: . . ",v~\RE'lIb~RK NoiiiicationCente~b~9~%rg~g;.~e"s=e~~n~r~ 'SPERMII ::'111\U-t:I' <::.1\101 inOAH9t><!-001-0UlU\HjutJg,,~... --- OCCY GROUP: TH - JI,jCO;RTH\SRlG/.MIi"~:-i'YPE: &XC '(~may obt-!liDFt:~RM13t tile rules by . OF STORIES: AUTH~~~"QI~ABAN~lo<G~CE: ~ailingthecenteJ.El::NoO~~R~lt~~f,~~~~n vUIVIIVI","U- - numberlorthe Or"yuilll1ilil'y '_,".0 WATER HEATER:AtQ'{ 1SGQtNPF.RIOD. RANGE: "'enteris sdOgRF.l:FoorllcE: To requ.sl an inspection, you must call 726.3769. ThIS Is a 24 hour recording. All Inspections requesled before 7:00 a.m. will be made the same working day. Inspectlons requested after 7:00 8.m. will be made the following work day. REQUIRED INSPECTIONS o Temporary Electric D Rough Mechanical - Prior to cover. D Final Plumbing - When all plumbing w9rk Is complet.e. o SUe Inspection - To be made after excavation, but prior to settlng forms. o Rough Electrical - Prior to cover. . o Final Electrical - When all' electrical work Is complete. D Underslab Plumbing/Electrical/ Mechanical - Prior to cover. D Final Mechanical - When all mechanical work Is complete. D Electrical Service - Must be approved to obtain permanent electrical power. D Footing - After trenches are excavated. D Final Building - When all required Inspections have been approved and building Is completed. D Framing - Prior to cover. @ &~ D her ") D Wail/Ceiling Insulation - Prior to cover. D Fireplace - Prior to facing materials and framl.ng Insp. D Masonry - Steel location, bond beams, grouting. , ~ I , D Foundation - After forms are erected but prior to concrete placemont. D Underground Plumbing - Prior to filling trench. D Drywall - Prior to taping. MOBILE HOME INSPECTIONS D Underlloor Plumbing/Mechanical' . - Prior to Insulation or deCklng'@OOdStOVO-Afterlnstallatlon. D Post and Beam - Prior to floor Insulation or decking. 0 Bert - After fireplace approval and Installation of unit. D Floor Insulation - Prior to decking. D Blocking and Set. Up - When al/ blocking Is complete. D PlumbIng Connoctlons - When home has been connected to water and sewer. D Curbcut & Approach - After forms are erected but prior to placemont of concrete. D Sanitary Sewer - Prior to filling trench. D Electrical Connection - When blocking, sel-up, and plumbing Inspections have been approved and the home Is connected to the service panel. D Sidewalk & Driveway - After excavation Is compioto, forms and sub-base material In place. D Slorm Sewer - Prior to filling trench. D Water LIIle - Prior to filling trench. o Fence - When cOrllpletod. D Final - After all required Inspections are approved and porchos, skIrting, decks, and venting have been Installed. o Rough Plumbing - Prior to cover. \. D Stre.t Trees - Whan all required trees are planted. . .'t'; .' .. ':." . ',: ( .HE PROPOSED WORK IN THE. Lot faces Lot Type Setbacks I P.L. HSEIGAR Accl ."HISTOI'lICAL DISTRICT, OR ON Lot sq. Itg. Interior IN I I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed '{ Is I I and approved by the Historical Topography Panhandle I Coordinator prior to permit Issuance. Total height Cul-de-sac W --- -- E I APPROVEf" BUILDING PERMIT ITEM sa. FT. .~ X $/SO. FT. = VALUE Main Garage Carport " " , ' Tolal Value Building Permit Fee Slate Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood StoveQlrePlace Unit D~er Vent ().;K. ,~ Mechanical Permit fS-, 00 (6. 0 v ,l{\/7) '7 C 2.-r1 Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk fl Curbcut fl Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C. 0, and E Combined) " - '1 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 City 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. Plan Check Fee' Date Paid: Receipt Number' Received By: Plans Reviewed By Date Systems: Development Charge Is due on all undeveloped prope'rtles within the City limits which are being Improved. ADDITIONAL COMMENTS f Ii} h / .{? -' v({) :?_c::;r:; "oD .' By signature, I stato 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 pertaining 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 further agree 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 all times during construction. Signature J....k.4,~ A/ uf'.b / " - ;l Date f ~/7C; VALIDATION: RECEIPT NUMBER 63lf2-C,! DATE PAir ,/ z./ r'i' AMOUNT RECEIVED ~~'. ~ RECEIVED BY ty W VIo\..(