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HomeMy WebLinkAboutPermit Mechanical 1997-12-17 OWNER: IJ4/1:E ~t.~-f ADDRESS' tb97 M/./.J-'T/./AwJ:::. -5?/2-/,N/'/::) Et':/l RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: /7/} '? ASSESSORS MAP' LOT' ,. ',' \'1 '.0,. CITY' - 697 27 , BLOCI<" STAT~' . (J-/8 DESCRIBE WORK' bAs L-N,c.;:! &.4.5 .5/"CJ/F NEW REMODEL ADDITION DEMOLISH OTHER ~ 9)/ 7~j> JOB NUMBER 225 Flllh Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION' nJh~ PHONF' 72 to - 6t'o;?.s- ZIP' 97~77 CONTRACTOR'S ~ME ADD~SS GENERAl' fiyY) F".e./C'-"!d ~.5 ~~Pw.4A/C~ /o/f3~/L.rt>-tl.rl. ~;c.n CON ST. CONTRACTOR # ') ?(P 2-/ .... PHONE - ~571-1"(, RC- FLOOD p~~: # OF UNITS: -t.. "ol?t.a&jlj~\Nco~: 1:\.\01\\1.... ~\.\. t.I" ~nUI' IS \'l CONSTR. TYPEl" ""N-r!;\-\ ,ellS 'fIOP"BD8.MS' I-\IS ?t:I'\' ,. toIOt.?" "'~o fUI'I HEAT SOURCE: ' -.<',"71"0 \l .o.~'S~CONDARY HEAT: ~f\I'IU' ,,- ? IS """ RANGE: '" 'J(;",r.E.OO 00 SQUARE FOOTAGE: (',01'111" r" l)~f\1 . ~i\\l'" I To request an Inspection, you must call 726.3769. This Is a 24 h~dc:lrdlng. All Inspections requested belore 7:00 a.m. will be made the same working day, Inspections requested aller 7:00 a.m. will be made the following work day. PLUMBING' MECHANICAl' ELECTRICAl' QUAD ARE'" # OF BLDGS: OCCY GROUP' # OF STORIES: WATER HEATER' D Temporary ~Iectrlc D SUe Inspection - To be made after excavatlon, but prior to setting forms. D Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. o 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. D 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 mllng trench. o Water Line --frlor to filling trench. ~ D Rough Plumbing - Prior to cover. - OFFICE USE - LAND USE: REQUIRED INSPECTIONS ~ Rough MechanIcal - Prior to ~cover. D Rough Electrical - Prior to cover. D Electrical Servlca - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. D Framing - Prior to cover. D Wail/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Stove - Aller Installation. D Insert - Aller fireplace approval and Installation of unit. D Curbcut & Al>proach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation Is compiete, forms and sub.base material In place. D Fence - When completed. DISlreet Trees - Whtm all required trees are planted. EXPIRES 9-9A D Final Plumbing - When all plumbing W9rk Is complet,e. D Final Electrical - When all electrical work Is complete. D Flnel Mechanical - When all mechanical work I s complete. rv:1Flnal Building - When all ~ required Inspections have been approved and building Is completed. J2f Other ~~ ,"/'"Cr' T ~ ~ ~N~t"~ 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 - Aller all required ... Inspections are approved and porches, skirting, decks, and venting have been Installed.' . --, ' i; I ; ;~4 "-{: ~ .1... ~',;,.i~.;. '\! ~{~:~'!t :tit.:' ~,~. :~ "I.. . ~" .:~J;j:,'(,,'. Lot faces L~i~p4 Interior I P.L. IN Is Iw IE Lot sq. fig. Lot coverage Corner Topography Total height ,. Panhandle' Cul-de-sac BUILDING PER~IT 11 ~ ~ .~ ITEM SQ. FT. X $/SQ. FT. VALUE Main Garage " Carport Total Value Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. Storm Sewer FT. FT. - " Mobile Home ..;, " '.. "....>,. :tt~t. , Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryer Vent -/.-ff "n~ ( /i/fr?;Ge!- _. ... _ r Mechanical Permit /t) ,H) /0 o-a /2 () ~,~ Issuance State Surcharge Total Permll , ~rf'fF (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk II It Curbcut Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) . /..h 2..<> Setbacks . HSE GAR Acc'l I "- '____IS THE.PROPOSED WORK tN THE., HISTORICAL DISTRICT, OR ON THE HISlORICAL REGISTER? /I yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. I BUILDING Vhu1E, PLAN CHECK AND BUILDING PERMIT APPROVFn. 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 tlmo upon violation of any provisions of saId ordInances. Plan Check Fee: Date Paid: Receipt Number. Received By: Plans Reviewed By Date Systems Developmcnt Charge Is due on all undoveloped properties within thc City limits which are being Improved. ADDITIONAL COMMENTS By signature, I state 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 wllh ORS 701.055 will be used on this prolecl. 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 pcrmlt card Is located at the front of the property, and the approved set of plans will remain X:~g:::u:~e 41;;iljnstructlon. Date /-v-/7--97 VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY