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HomeMy WebLinkAboutPermit Mechanical 1996-3-20 RESIDENTIAL . . PERMIT APPLICATION - -~ Inspections: 726.3769 Office: 726.3759 LOCATION OF PROP?R~O~~ " JP 2. ) ASSESSORS MAP: ~ LOl: BLOCK: Na.....' " A \J -f:- ., ~ldJ~0~ JOB NUMBER 225 Flflh Streel Springfield, Oregon 97477 TAX LOT: DltfJ1X.) SUBDIVISION: OWNER' -Z If b - l.(~-r- Ma.-r; l..V\ P~(),..l-c.... PHONF' 102-3 f\{<(.....C'L. A-JL ~ f ...: ~ C,~ \J _ STATE: () -1-. ADDRE~'" CITY: ZIP:_l:i7'{ 77 DESCRIBE WOR.... -r:vu+~ \ \ :r "S ~.(" 1- NEW REMODEL PHONE ++~...'\-- ....... (;; {o F;r < flo((' ~ ADDITION DEMOLISH OTHER ADDRESS CONST. CONTRACTOR' CONTRACTOR'S NAME GENERA' . PLUMBIN'" MECHANICAL: ~ MJ' t.-.t\\!r t-\ ~"\-J\..!L. ELECTRICA' . EXPIRES [ '17-7WS- l(1Ir4 (){ttM.olc. S...c.,l, 0,(, Cl.7'i77 v -, c.c... t:t>2St'fO \2-/1..3/'t.( - 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' RANG'" SQUARE FOOTAGE: To request an Inspection, you must cafl 726-3769. This Is a 24 hour recording. Afllnspecllons requested before 7:00 a.m. will be made the same working day, Inspections requested ofter 7:00 a.m. will be made the following work day. D Temporary Eleclrlc D Site Inspection - To be mado atler excavation, but prior to seltlng forms. D Underslab Plumbing/Electrical/ Mechanical - Prior to cover. D Footing - After trenches are excavated. : D Mesonry - Steel location, bond .beems, groullng. D Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to flfIlng trench. . D Underlloor Plumbing/MechanIcal - Prior to Insulallon or decking. D Post and Beam - Prior to floor Insuletlon or decking. D Floor, Insulation - Prior to decking. o Sanitary Sewer - Prior to filling' trench. o Storm Sewer - Prior to filling trench. D Water Line - Prior to filling trench. D Rough Plumbing - Prior 10 cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o 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. I D Wail/Ceiling InsJlatlon - Prior to cover. D Drywall - Prior to taping. D Wood Slovo - Aftor Installation. D Inserl - Alter fireplace approv41 and Instaflatlon of unit. o Curbcut & Approach - Afler forms Bre erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation Is completo, forms and sub-base material In place. D Fence - When completed. o Street Trees - When all required trees are planted. : D Flnel Ptumblng - When all plumbing w9rk Is complete. o Final Electrical - \llll'ien all electrical work Is complete. C o Flnel Mechanical - When alf mechanical work Is complete. D Final Building - Whon all required Inspections have been approved and butldlng Is completed.' . M;;"~OME I o Blocking and Set. Up - Whep all blocking Is complete. o Plumbing Connoctlons - When home has been connected 10 . water and sewer. D Electrical Connection - When blocking, set.up, and plufllblng Inspecllons have boen approved and the home Is connccled to the service panel. o Final - Afler all roqulred , Inspections Bre approved and porches, skirting, decks, and venting have been Installed. "~' ~ ,. . .' " ; . t; ~.j1 jl :~. ::w I Lot Type- , '. ,,\.' ~ :'~IS THE PROPOSED WORK, IN THE _ ' '.',. \ Lol faces Setbacks, InterIor 1p.L. HSE GAR ACe' I HISTOI'lICAL DISTRICT, OR ON Lol sq, ftg, IN I "THE HISTORICAL REGISTER? Lot coverage Corner If yes, lhls application must be signed Is I and approved by the Historical Topography Panhandle I~ I Coordinator prior to permit Issuance., Tolal ~elght Cul-de-sac IE I 'i APPROVED' BUILDING PERMIT ITEM SQ, FT, X $/sa, FT. VALUE Main Ga(age Carporl " Total Value Building Permit Fee State Surcharge , Tolal Foo (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (6) PLUMBING PERMIT ITEM FEE Fixtures , Residential Bath(s) N' San I iary Sewer , Water FT. FT, FT, Storm Sewer Mobile Home Plumbing Permit State Surcharge Totaf Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit I ~,OO _ I () UJ -, (_ 6IU rU\p ,~.r) Issuahce State'Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It It Curbcut Demolition State Surcharge , Tolal Mlscotlaneous Pormlts (E) TOTAL AMOUNT DUE (excluding electrical) &LfJ. 121:) (A, B, C, 0, and E Comblnod) , BUILDING:VALUE, PLAN CHECK AND BUILOING PERMIT This permit Is g~anted on the express condition that 'he 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 Rovlewed By Date Systems Developmont Charge Is due on all undeveloped properlles within tho City limits which are being Improved, ADDITIONAL COMMENTS \/d l~-e. c-f Wel( t !(f / bit..do By signature, I stalo and agree, that I have carefully examined the completed;appllcatlon and do hereby certify that atl 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 Ihe City of Springfield, and the Laws of the State of Oregon pertaining to tho work described herein, and thai NO OCCUPANCY will be made of eny structure without permission of the Building Safety Division. I further certify .that only contractors and employees who are In compllan~e with ORS 701.055 will be used on this project. I further agree to ensure thai all required Inspections are requested at the proper time, that each address Is readable from the street,:thal the permit card Is located at Ihe front of the property, 'and the approved set of plans will remain on the site at all limes during construction. , ~ 'L1)^~ t7- Q 1-L~ -U~ Signature Datp VALIDATION:' ~h 1 RECEIPT NUMB~R r !) I/O DATE PAlf'I ,'3 '!JI:;^' h AMOUNT RECE~ c51(o .'!1() RECEIVED BY, COO) , \