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HomeMy WebLinkAboutPermit Mechanical 1999-7-9 RESIDENTIAL PERMIT APPLICATION . Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: \.Q..\ \ \) ASSESSORS MAP' /70 ~ ZJ 3 ~ l~(\\~", \A\\\ ~ ADDRESS' . \. Q. \ \ 0 'fY\(\'C\S.~\ 0- \ A Q\2'f'~'<\~~'\~ \r\ OESCRIBE WORK' \'\'\~\~~ ~ \~. C\"'~\-\\'\'("\\). ('J:l, NEW REMODEL ADDITION 4-- DEMOLISH LOT' OWNER' CITY' CONTRACTOR'S NAME GENERAl' PLUMBING' MECHANICAL: '\\()~ 0 BLOCK: STATE: ffi OTHER _. JOB NUMBER -'tic -;;0 225 Fifth Street. 91 0 Cj ;;(.c, Springfield, Oregon 97477 . I . TAX LOT: // OCe> ~ SUBDIVISION: ~-r '"0"" "'\'\- D~lol.o' . ZIP: CVI L\ '11 ADDRESS CONST. CONTRACTOR' EXPIRES '.-:'> PHONE ~\')~k.r~ ~~(\\~~~t&M ELECTRICA' ' 'l:l-\\\"l\ \n In'" 31..\5-:;).,&58. - OFFICE USE - '.".0 :-IOU to QUAD AREA- 1 w leQ.I.!AND USE:\" FLOOD PLAIN' 'Olegoll a oregon u".. , · OF BLDGS: ..,-n::NI10N. -'-.-ib~ t\"16 . OF.tUNI:rSlrtl1 ZONING CODE: . .' leS<:ll.lu,,'- all.l\eS~1 Z-OU"- E' - OCCY GROUP: \ol\OW r~.. """tel. ~~S OUgtC0r.fs~~, \U'(,ftiSj --"M)11C, LLc:vpmHlfB1i1IIMMORK Not\tlG,,""U" 001-0010\ I . <:.o\\l1elu " ISPERMITSHII: ~ I~Nm . OF STORIES'rr"OI'l95Z- J=taincO\lle'HEATI@OI'iRCE: 11-1 CNDER\Hlg~?'f-{EAT: I Co '(ourn<:lY~~'- ~Note'.trl~~~ ilication AlffiIORIL.I:.UU' ^MnnNI"OFOR WATER HEATEil09 '.. - 'Jo" roentel: gon llti8!;\N&~: _ ..- '3E8-GR IS ABISt!lW'.flrFOOTAG E: call'"'' ~__t"'eore _ _n".?::\44). COM\VI~"v_._~ nUI"u~" ri<:.l'ovv -- v1RnDAy,...cr"v~' To request an Inspection, you,lftust call 726.3769. Thts Is a 24 houAN;CClf(!frlll. All Inspections requesled before 7:00 a,m. will be made the same working day. Inspections requested after 7:00 a.m. will be made the following work day, o Temporary Electric o Site Inspection - To be made after excavation, but prior to settIng forms. o Underslab Plumbing/Electrical I Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting, o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underfloor Plumblng/Mechanicel - Prior to Insulation or decking. o Post and 8eam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench, o Water Line - Prior to filling trench. . . o Rough Plumbln~ - Prior to cover. . REQUIRED INSPECTIONS o Rough Mechanical - PrIor to cover. o Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtaIn permanent electrical power: o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. o Wail/Ceiling Insulatlo~ - Prior to cover. , o Drywall - Prior to. taping. . o Wood Stovo - After installation. o Insert - After fireplace approval and Installation or unit. o Curbcllt & Approach - After forms are emcted but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is complete, forms and sub-base material in place. o Fence - '/Vhen completed. D Street Trees - When all required trees are planted. o Flnel Plumbing - When all plumbing wc;>rl< Is complet.e. ~:::-:;, fnal Electrical - When all electrical work.ls complete. ceCl Final Mechanical - When all D mechanical work Is complete. C LJ Fhlal Building - When all - ......requlred Inspections have been , approved and building Is completed. o Other MOBilE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete, o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, set-up, and plumbIng Inspections have been approved and the home Is connected to the service panel. o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. Lot faces Lot ~ype" Lot SQ. ltg, Interior Lot coverage Corner Panhandle 'f' Topography Total height Cul.de.sac BUILDING PERMIT!; 'j; 't ITEM SQ, FT. X $/SQ, FT, ~ Main Garage Carport Total Value Building Permit Fee Stale Surcharge Total Fee (A) I PL. IN Is W ---- E VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBIN.G PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. FT. FT. Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/Insert/ Fireplace Unit Dr;;;t Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Tolal Miscellaneous Permits (E) TOTAL AMOUNT ~UE (excluding electrical) (A, B, C, D, and E Combined) FEE _luo ;(:() (; II>' (1':> /.5-D 't-t.n .' ,,",,'.;';.\;:':., '~S THE PROPOSED WORK tN 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. ..; Setbacks HSE GAR Acc'l I I APPROVED: " .''ro . "~ " BUILDING VALLIE, 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 tho City ot Springfield, including the Development Code, regulating the construction and use of oulldings, 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 properties within the City limits which are being Improved. ADDITIONAL COMMENTS 4 M Z~f~ ~ I -- By signature, I state and agree, that I have ca.refully 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 wllhout permission of the Building Safety Division. I further certify that only contractors and employees who are In compilance 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 :~g:::u:~e//;?du:~ '~~;e& ). v-C- ~ - - '------r .....---- Date 7-' q g.. -- ~ .' VALIDATION: RECEIPT NUMBER {J ~ ~ 77 f DATE PAID 7/0 (flf ~ . ;j 2-'.5?;;l cY tJ~ AMOUNT RECEIVE'" RECEIVED BY