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HomeMy WebLinkAboutPermit Mechanical 1993-5-20 . RESIDENTIAL PERMIT APPLICATION Inspections 726.3769 Office: 726<1759 LOC/,nON OF PROPOSED WORK:. ASSESSOR:; MAP: _/70.3. LOT: OWNER _,8A-/A1 .J:Yl1'7//'Y? ADDRESS ~25 (A.eI A.~<) // ft CITY r'?..r.7 ~ , DESCRIBE WORK: "/_ ro7tJ NEW __' REMODEL CON rRACTOR'S NAME SPRINGFIELD JOB NUMBER 9".36-7 rY(- 225 Fifth Street Springfield, Oregon 97477 BLOCK: TAX LOT: SUBDIVISION' ~/Ad STATE: ~ &-r.t - ~h?P:> I /_U; ADDITION DEMOLISH OTHER ADDRESS CONST. CONTRACTOR' GENERAL: . PLUMBING: MECHANICAL: -_tW//r.;-L-.RAI?/f'..I; ELECTRICAl' OUAD AREA: . OF BLDGS: OCCY GROUP: . OF STORIES: WATER HEATER:__ 1/0077 - OFFICE USE - LAND USE: . OF UNITS' CONSTR. TYPE: HEAT SOURCE: RANGE: PHONe' ZIP: <77~7? EXPIRES PHONE /tfAt/9 < ~ -/?-2./ FLOOD PLAIN' ZONING CODE: . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: .. , To request an inspection, you must calt 72G.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. o Tcmpormy Electric D Sitc Inspection - To be made after ,~xcavation. but prior to setting forms. D Underslab PlumbingJEleclricalJ Mechanical - Prior to cover. D Footing - After trenches are excavated. D Masonry - Steel location, bond beams. grouling. CI Foundation - After forms atC ercct,:d but prior to concrete placement. D Undcrground Plumbing - Prior to filling trench. D Underlloor Plumbingl Mechanical _ PrIor 10 insulation or decking. o Post and Beam - Prior to floor insulalipn or decking. o Floor Insulation - Prior to decking. D Sanitary Sewer - Prior to filling Irencn. o Storm Sewer - Prior to filling Ironen. D Watcr Lino - Prior to filling trench. D Rough Plumbing - Prior to cover REQUIRED INSPECTIONS 1V'(Rough Mechanical - Prior to ~cover. \("7f" Rough Electrical - Prior to ~ cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing malerlals and framing Insp. o Framing - Prior to cover. D WalllCciling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stova - After Installation. o Insert - After fireplace approval and installation of unit. o Curbcut & Approach - Aller forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. o Fence - When completed. o Slreet Trees - When all required trees are planted. o Final Plumbing - When all plumbing worl( Is complete. r'V(Flnal Electrical - When all ~electrlcal work Is complete. ~Final Mechanical - Wtlcn all mcchanical work Is complete. o Final Building - When all rCQulred Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all .blocking Is complete. o Plumbing Connections - When home has been connected to waler and sewer. o Electrical Connection - When blocking, set-up, and plumbing inspections tl<lVe been approved and the home is connected to the service panel. o Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. Lot faces Lol Type . Setbacks Interior I P.L. HSE GAR ACC I IN I Corner Is I Panhandle Cul-de-sac W I E I . IS THE PROPOSED WORK IN THE .. HISTORICAL DISTRICT, OR ON THE HISmRICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. Lot sq. fig. Lot coverage Topography Total height APPROVED: BUILDING PERMIT ITEM SO. FT. X $/SO. FT. VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Main This permit is granted on the express condition Olat 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 al any lime upon violation of any provisions of said ordinances. Garage Carport Plan Check Fee: Date Paid: Total Value Receipl Number: Building Permit Fee Received By: State Surcharge Total Fcc (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due On all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Residential Bath(s) N' -5~~ E~ /CW/77t'/ /<; ~C(j:tJ~~ Fixtures Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace .1.-,. I'" ~ JI#, //JU/n// m/,U - Total Permit (D) /<:;: CO / t) pO ,?j- 2.~ 7 J- By signature, I state and agree, that I tlave 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 Ordlnanct: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 certify that only contractors and employees who arc In compliance with ORS 701.055 will be used on this project. Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryer Vont Mechanical Permit Issuance State Surcharge Sidewalk It I further agree to enSUIC that all required Inspcctione are requested at the proper time, that each address is readable from the street, that the permit card is located <It the front of the property. and the approved set of plans will remain on the site i1 all times ~ring construction. . 0 / / /(Slgnature~ P J(i'1t1\1 ,--tf /~ y. fJ/WR 4, Datp ~- ;:Ki -? J MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Curbcut It Demolition State Surcharge VALIDATION: RECEIPT NUMBER ~S-7 <j S-/;;4) .~~ TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ?<:".7.s- DATE PAIl' AMOUNT RECEIVED RECEIVED BY Total Miscellaneous Permits (E)