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HomeMy WebLinkAboutPermit Mechanical 1997-10-13 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726,3759 ASSESSORS MAP: LOT' OWNER.\V)i(\_~~\ ,\. ADDR~"'" (0 Of) C; 1 MrA-,'./\ CITY- <::/)(',' M\ L \A Y'I DESCRI~RK: --::z:: ~T~JIfZ- d NEW REMODEL AODITION CONTRACTOR'S NAME (.' " GENERAl' 5",_ ---; PLUMBING' MECHANICAl' ELECTRICAL: QUAO AREA: · OF BLDGS: OCCY GROUP' . OF STORIES: WATER HEATER' STATE: ( 1)(2. .:f~ ZIP: -r:;,f~"r.p ~~J:wt-<kr ~~~,*9 E".c;, N v)~ "" it ~~ACTOR . (' ,.if ~ ~~ ". ~v ~- ~" cr ~ L"'I: .Q:l .<i. l'> ,~ ". r.V "'~ &' ,,- $z' ~~ .~,~ ~ ',,::::~' _~ ',l' , ~-fff; (", -~ , " - OFFICE us'E - , BLOCK' "A'>.Or/A (;c'I"I DEMOLISH ADDRESS LAND USE: · OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: I JOB NUMBER q l H'17 225 Fifth Street Springfield, Oregon 97477 TAX LOT' SUBDIVISION' PHONE: 70210 -R99? Cj7C17R- .H~ 1",. EXPIRES ,~ PHONE 6 ~/ ~ \IQ . FLOOO PLAIN: 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 following work day. REQUIRED INSPECTIONS D Temporary Electric o Slto Inspection - To be made after excavation, but prior to setting forms. D Underslab PlumbIng/Electrical I Mechanical - Prior to cover. D Footing - After trenches are 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 Underlloor Plumbing/Mechanical - Prior to Insulation or decking. , o 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. o Rough Plumbing - Prior to . cove( . ~9h Mechanical - Prior to cover. ~ough Electrical - Prior to "r cover. " . \ D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. D Framing - Prior t,o cov~r: D Wail/Ceiling Insulation"": Prl),r to cover. .. '\',' c D Drywall - Prior to taping. D Wood Stovo - After Installation. c=J Insert - After fireplace approv~1 , and Installation of unit. o Curbcut & Approach - After , forms are erected but prior to placement of concrete. D Sidewalk & Drlvewav - After excavation Is complete. forms and'sub-base material In place. D Fence - When completed. o Street Trees - When all required trees are planted. D FInal Plumbing - When all plumbing w9rk Is complet.e. ~al Electrical - When all electrical work Is complete. lJ2r!lnal Mechanical - When all mechanical work Is complete. D Final Building - When all required Inspections have been approved and building is complet~d. "' ' .'. '" , R'lOther G-t4s L./1'7.-L- ;.= (r4~ ::5RzJ//~ MOBILE HOME INSPECTIONS D Blocking and Set-Up - When all blocking Is complete. D Plumbing 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 Is connected to the service panel. D Final - After al/ required Inspections are approved and porches, skirting, decks, and venting have been Installed.' Lot faces Lot sq. Itg. lot coverage Topography Total height BUILDING PERMIT "I ITEM SO. FT. Main Garage Carport Total Val ue Bul/ding Permit Fee Slate Surcharge Total Fee L~t~ypel Interior Corner , Panhandle " Cul-de-sac .~ '-t X $/SO. FT. (A) ~~I "".... -,~ /. '" 'I; '1," -\~. ~ "..; -" ;,"~ .'\,.~ ,j , ~ ~ V4:~ ~d ~~ t .' ." I , : .~_. .:;.1:],'::\.. Setbacks . P.L. HSE GAR Acc'l N Is Iw IE " VALUE '. , , -, ,\ -> r, > SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge TOlal Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryer Vent . G1:1'S, I; /Ltz..., fA)/U / Mechanical Permit Issuance ..- State Surcharge 0,03 Total Permit (C) (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) FEE #- ' ra (p. 96 6, o-V $/S.- <J /0. - '75r-.'16 1:- ~{,. CL'" TOTAL AMOUNT DUE (excluding electrical) (A. B, C. D. and E Combined) , .._S THE PROPOSED WORK IN THE. .....HISTO!'iICAL OISTRICT, OR ON ' THE HISTORICAL REGISTER? If yes. this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVEP: ' BUILDlN'G VhLdE, 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 01 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 properties within the City limits which are being Improved. ADDITIONAL COMMENTS By signature, I stalo 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 tho 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 ti~" dUDi onstruron., n Signature -.:fY\ 1.J')h '1 (/~_,t::J~flj)JI-, . V V-l ' Oat" /0- L3 -"(7 VALIDATION: RECEIPT NUMBER tfl. 7 (p q 0 OATE PAIr> In - /3 -'77 AMOUNT RECElv"n .z/i,;)C" d-<fJ ~ RECEIVED BY