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Home My WebLink AboutPermit Mechanical 1997-9-8 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP: I ?6?.J LOT' OWNER: /Jall Cl/r\ ,'f / " LJ/~ 733 N()rtt..r',(jl- ,Yr~jt"'I" ~S 1-.11 AODR~c:.c:.' CITY' DESCRIBE WORK: NEW REMODEL ADDITION CONTRACTOR'S NAME . SPRINGFIELD . 9:7n ~< r BLOCI" JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 11//11 TAX LOT: SUBDIVISION' C)"/ 2~7? t:,/Prt'/~t'J" ~!' PHONE: J1/@- .;J..P3f'7 REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. D 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 10 cover. D Wall/Ceiling Insulation - Prior to cover, D Drywall - Prior to taping. D Wood Stove - After installallo:1. ZIP: <77 ~77 STATE: t!J1: OTHER I-IV/I C ~ h- r......... if.e4. t- pu-y) ADDRESS CON ST. CONTRACTOR' EXPIRES PHONE GENERA' . PLUMBING' MECHANICAL f/:,,'hMJ_fl.Lttfz.:- r 1j.J071/.sil. ~tt ), 17/kJ'" 7Q \q'C ELECTRICAL' ~ I~~ H ~ 7"': , o Post and Beam - Prior to tloor insulation or decking. o Floor Insulation - Prior 10 decking. D Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. D Water L1no - Prior to filling trench. D Rough Plumbing - Prior to cover. ~. , DEMOLISH b/;7 . ~ (/(/....24' A"L - OFFICE USE - QUAD AREA: LAND US~' FLOOD PLAIN' . OF BLDGS' . OF UNITS' ZONING CODE: OCCY GROUP' CONSTR. TYPE: . OF BDRMS' . OF STORIES' HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANGE: SQUARE FOOTAGE: Tn rcflltCSI nn inspection, you must call 726-3769. This is .:} 24 hour recording. All inspections requested before 7:00 a.m. will be made the same working day, inspe.:t1ons requested nrtcr 7:00 a.m. will be made the tollowing work day. D Temporary Electric D Site Inspection - To be made after excavCltion, but prior to setting forms. D Undcrslab Plumbing/Electrical/ 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 Underfloor Plumbingl Mechanical - Prior to insulation or decl{ing. D Final Plumbing - When all plumbing work is complete. D Final Electrical - When all electrical work Is complete. ~Final Mechanical - When all ~echanlcal work Is complete. D Final Building - When all required inspections have been approved and building Is completed. D Other MOBILE HOME INSPECTIONS D Blocking .and Set.Up - When all D Inserl - After Or(!plac~ approval blocking IS complete. and installa~.n of unit. K . NQT\C . I ~"P\RE \l'iIflE1l9~mblng Connections - When I-I Cur"-~Hh&'8IlR<<f,qJtAru.:~r~r Eo,,^\ilS~e has been connected to forn~t'erL\;'e<j P.lJ.i~~~S P n'" water and sewer. n1acA'l.)'t\'K)l\\!Sil:\lffi\J\o NOONEO I'OR . . ."",,,uc:,,,r~O OR IS p..e1>\ II Electrical Connection - When I I Sld(:~~'5'~BT1VCtvay -\A~er blocking, set.up, and plumbing cxcavatIQr",l&rI~A'P~ k5Hns in~pections have be~n approved and stlNlla'Siti rnat~~ilal In place. and the home is connected to the service panel. o Fence - When comp;t::ted. !I Slreot Trees - Wh~n 011 required L.~ trees are plan~ctl.. '..=J Final - After all required I Inspectlons are approved and porches, skirting, decks, and venUng have been Installed. Lot faces . Lot Type Lot sq. Itg. Interior Lot coverage Corner Topography Total height Panhandle Cui-de-sac BUILDING PERMIT ITEM SO. FT. X $/ SO. FT. Main Garage Carport Total Value BuildIng Permit Fee Slale Surctlargc Total Fce (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) I P.L. N S Setbacks HSE GARIACcl I . IS THE PROPOSED WORK IN 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. W _E ___J= VALUE FEE MECHANICAL PERMIT Furnace ~~ --6.~ Exhaust Hood Vent Fan N' Wood Stovellnsert/Fireplace Unit Dryer Vent Mechanical Permit "m //!J Issuance State Surcharge ,7S""-f-4-J Total Permit (D). MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk fl Curbcut fl Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) /sco /O_cH) _.I _2.0 ~~o -/I -U.20 APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on tile express condition that the said construction St1311, in all respects, conform to tile Ordinance adopted by Ihe 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 Clleck Fcc: Date Paid: Receipt Number. Received By: Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties within the CHy limits whic.h are being improved. ADDITIONAL COMMENTS -f3u~ ~ ~(/Wl'r -ry (h~ KII5f ~ 1/ _ )/M,'/If. e/C ~: fJll-;t ffitJ.tt,;..,lI J 4~..yt, /. S7}-lI A v-e. U~..e Q?LhJ.2 / / v '~ (&u~J>f;'~) &/1 flLff i2 3<;'~J'I) / "---.. , v 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 the work described tlerein, 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 arc 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 al~es during c~n}lFuclion. Signature fJbkJ~-1htf<. :>>/01(17 Dale VALIDATION: RECEIPT NUMBER ? 7 ~.s€! ~e ~ 2tO ,~~~ , , ~ DATE PAID AMOUNT RECEIVEr> RECEIVED BY J.!allCl/r\,'e1 " LJ/~ .f"?" N()r tt..r,,( il- ,Yr~:~f'...1i ~s 1-.11 RESIDENTIAL PERMIT APPLICATION . Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP: LOT' /76/.3 OWNER: ADORE'"'' CITY' DESCRIBE WORK: NEW REMODEL ADDITION CONTRACTOR'S NAME GENERAl' ., SPRINGFIELD ~~ ~33 ;V'tJr!tv, d'/~ .2..L. L2- BLOCK: t:,/Pr~/~7';~ STATE: t!J1: ~ h- r......... if.e4. t- flu-y) ; DEMOLISH OTHER . JOB NUMBER 9,~ ff\...< r 225 Filth Street Springfield, Oregon 97477 11//11 TAX LOT: -!:,\./2~..., SUBDIVISION: PHONE: '11/@- .;J..P3~7 ZIP' <77 ~77 I-IV/lC ADDRESS CONST. CONTRACTOR' PHONE PLUMBING: MECHANICAL: ~ ,'ha-y II.Lttfz.:- ~1j.J071J.sil. ?tt J' ELECTRICAl' #N /~~ ,z:..( ~ 7"': .. . { OUAD AREA" . OF BLDGS: OCCY GROUP' . OF STORIES' WATER HEATER' , EXPIRES b/h ,,/7/kJ.., 7Q \V~- - OFFICE USE - LAND USF' . OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGF' 3 "''''...2'''-1'1 FLOOD PLAIN' ZONING CODE: . OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: Tn request an Inspection, you musl call 726.3769. This Is ~ 24 hour recording. Alllnspecllons requested before 7:00 a.m. will be' made the same working day, inspectIons r'3Quesled after 7:00 a.m. will be made the ~ollowlng work day. D Temporary Electric D Slto Inspection - To be made After excavntion, but prior to selling forms. D Underslab Plumblng/Electrlcall Mechanical - Prior to cover. D Footing - After trenches are excavated. D Masonry - Steel locallon, 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 deckl ng. D Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior 10 filling trench. D Water Line - Prior to filling trench. D Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS D Rough MechanIcal - Prior to cover. D 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. D Wail/Ceiling Insulation - Prior to . cover. D Final Plumbing - When all plumbing work Is complet.e. o FInal Electrical - When all electrical work Is complete. '1v'(Flnal Mechanical - When all ~echanlcal work 15 complete. D Final BUilding - When all required Inspections have beon approved and building Is completed. DOlher D Drywall - Prior to taping. E wOP-\( ~o't\C~~ :r SI1(>.LL E'J.I'IPtE II' 1~1 IS tMOBILE HOME INSPECTIONS ~~~~ve ..o't!f\'1\''I\IEiIi'I~n. OPt OPtI1.EO U" NOO",EO I' (>.U11'1 OPt IS P.e/ll D Blocking and Set.Up - When all Ch"it#,t.ltl!lC~~er Ur.?l;\I;lco approval blocking Is complete. llWil igil"",z;tr;:ln\1!ll-ll'fiit. . ,..",'{ ~ D Plumbing Connecllons - When o Curbcut & Approach - After home has been connected to forms are ertJctcd out prIor to water and sewer. placement of cor.crele. D Sidewalk & Driveway - Aller excavation Is cornplo~e. forms and sub.base matp.ilal in place. D Fence - When cornp:eted. L1 Street Trees - WhM all required --.J trees are planted.. . D Electrlcdl Connecllon - When blocking, set-up. and plumbing In~pections have been approved and the home Is connected to the service panel. o Final - Aller all required I Inspecllons are approved and porches, aklrtlng, decks, and venting have been Installed. . Lot races Lot Type Lol sq. fig. Interior I P.L. IN Lot coverage Corner. Is Topography Panhandle Iw Total height Cul-de-sac LI'._ . Selbacks HSE GAR ACC 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 10 permit issuance. ___.____1-____ ______ APPROVED: BUILDING PERMIT ITEM sa. FT. x $/sa. FT. ~ VALUE Main Garage Carporl Total Val ue Building Permit Fee Stalo Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary Sewer Water FT. FT. FT. Storm Sewer - Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT /:~ Furnace ~.~ ~, Exhaust Hood Vent Fan N' Wood Slovellnsert/Flreplace Unit Drye-r Vent Mechanical Permit /?/df.} /S6C' ~.tH) -.I _~~_ z.6. ~o - , Issuance State Surcharge ,75""-1- --If Total Permit (D) -,- MISCELLANEOUS PERMITS Mobile Home ~ -. , .~, " ~. " State Issuance ..".,;':,:.l Stale Surcharge Sidewalk It It Curbcut Demolition State Surcharge Total Miscellaneous Permlls (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) ~~.20 BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permll is granted on lhe express condition that the said construction shall, In all respects, conform to the Ordinance ado pled by the City of Springfield, Including lhe Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any lime upon vlolatlon of any provisions of said ordinances. Plan Check Fee' Date Paid: Receipt Numbor:__u Received By: . ~'__'4"._'_____ Plans Reviewed By ---.-- Dale Systems Development Charge Is due on all undeveloped properlles within the Clly II mils which are being Improved. ADDITIONAL COMMENTS fjLa.Sf_ m..aiLJ/..L o-er/WI,t h ~ / ---...... I / ()T~ Kf/5U// . )/M,A: e/c ~: 6t11t-~t~! j 4'~-rt,). S7}- Ave. ~~..e t)?'h}:J. / v."", . ~.etiDyf') &/1 f'lLSJ f2 3~V~J'/) / ". By signature, I state and agree, that I have carefUlly examined the compleled 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 Ordlnanc~s 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 without permission of the Building Safety Division. I further cerllly that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. '-, I hjrtho-r <;lgree to ensuro that all required inspectlons are reque~!ed,at the proper lime, that each address Is readable ., from the"street, that the permit card Is localed al the front '~,. ihJtproperty, and the approved set of plans will remain 1.',. . . .:~~~::~~::~ at ~~~~t~n. Dale '~~~rf/'l7 , ( VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEtVEr> RECEIVED BY __..... .. ? 7 S 3(; o/~;> l-O -~._-