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HomeMy WebLinkAboutPermit Mechanical 1995-3-22 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 '. SPRINGFIELD . LOCATION OF PROPOSED WORK: .~..6 9' /' XASSESSORS MAP: n'.::?2- ~$ - rS' , (LOT: BLOCK: ~//v / . JOB NUMBER '9~;;i'5? , . 225 Fifth Street Springfield, Oregon 97477 . TAX LOT: SUBDIVISION: o62.e'3 OWNER: ,/7f/'c#A'~D.~ ~~?~~LL ADDRESf" Cge:;/ ~A-//y 57' . 5j>~L~.~' ., r '" DESCRIBE WORK: /J!/7:1'/~ ~~ .h~- .= .4-:/.... CITY' NEW REMODEL PHONE . STATE: o,,?? . ZIP: "7/7?~ PHONe' 7Y~-5g ;>~ .4.~~--l- i~~/~.~""<?~ OTHER ADDITION DEMOLISH ADDRESS CONST. CONTRACTOR' CONTRACTOR'S NAME -7 GENERAL' PLUMBING: MECHANICAL~/'~~;"","~: ~~ ELECTRICAl' t EXPI RES ~ €oYa:_~7J"~C.r: ::f . . . . ~-- .:'1.;,'-" j ':5?'7? 7A::"~//~~ :75-Y-2~: " - . r _ QUAD AREA' . OF BLDGS' OCCY GROUP: . OF STORIES' WATER HEATER: - OFFICE USE _ LAND USE: · OF UNITS: CONSTR, TYPE: HEAT SOURCE: RANGF' FLOOD PLAtN: ZONING 'CODE: . OF BDRMS: SECONDARY HEAT:_. SQUARE FOOTAGE:_ To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be made the same working day, Inspections requested after 7:00 a.m. will be made the lollowlng work day. REQUIRED INSPECTIONS o Temporary Electric D Site Inspection - To be made atter excavation, but prior to settIng forms. o Underslab Plumblngl Electrlcal/ 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 Underlloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - 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 10 filling trench.. o Rough Plumbing - Prior to cover. lKJ Rough Mechanical - Prior to Cover. o Rough Eloctrlcal - 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 Wall/C'elllng Insulation - Prior to cover. o Drywafl - Prior to taping. o Wood Stove - After Installation. o Insert - After fireplace approvel and Installation of unit. o Curbcut & Approach - After forms are erected bllt prior to placement of concrete. o Sidewalk & Driveway - After excavation Is compicte, (orms and sub-base materIal In place. o Fence - When completed. o Street Trees - When all required trees are planted. o Final Plumbing - When [III plumbing worl< Is complete. o Final Electrical - When all electrical work Is complete. ~ Final MechanIcal - When all mechanical work Is complete. o Final Building - When all required Inspections have been approved and building Is completed. o Other~' ~.;r,r<~ MOBILE HOME INSPECTIONS o Blocking and Sel-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 Inspecllons have been approved and the home Is connected to the service panel. o Final - After all required Inspecttons are approved and porch os, skirting, decks, and venttng have been Installed. 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 tho City of Sprlnglleld, 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. Lot faces Lot TYPO. . \'( .. .'.. " 'i,'i', Lot sq. Itg. Interior Setbacks I P.l. I HSE GAR I ACC I I N I I I S I I Iw I I I I lLLLLJ Lot coverage Corne r Topography Panhandle Total height Cul-de-sac BUILDING PERMiT ITEM SQ. FT. X $/SQ. FT. _ VALUE Main Garage Carport " Plan Check Fee' TOlal Value Date Paid: Building Permit Fee Receipt Number: Received By: State Surcharge Total Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) 'IS THE PROPOSED WORK IN THE. . "'HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. APPROVED: Systems Development Charge Is due on all undeveloped properties within tlw City limits which are being Improved. PLUMBING PERMIT ITEM FEE ADDITIONAL COMMENTS By signature, I statc 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 pcrformed shall be done In accordance with the Ordinances of the City of Springfield, and the Laws of the Stalc of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission ol 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 ensuro that all re~ulred Inspections are requested at the propor 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 tI/,,~ / 3-zz-Rs- RECEIPT NUMBER /hC:iS/ "3~< 2-5!&-- AMOUNT RECEIVED ~ ~ ::;:>- ~,~_ z--_ "/ Fixtures Resldenllal Bath(s) N' Sunilary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace t#,c~ ~....... Exhaust Hood Vent Fan N' Wood Stove/lnsert/Flrcplace Unit Dryer Vent Mechanical Permit ~~. ~ /?,- /P.'~ '.~ . -- 26.;a,::::. Issuance Slale Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Dat~ Curbcut It Demolition State Surcharge VALIDATION: Total Miscellaneous Permits (E) DATE PAID TOTAL AMOUNT DUE (excluding electrical) lA, B, C, D, and' E' Combined) RECEIVED BY