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HomeMy WebLinkAboutPermit Mechanical 1992-7-13 RESIDENTIAL PERMIT APPLICATION Inspeclions: 7?6-3769 Office: 726-3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP: /r.:>"'f- '3<(-- '2. "2 LOT: I Lf I J o 'F:'. ~q" ",a. BLOCK: OWNER: ADDRESS: Do. vi" I L{ \ \ s;. p frJ1 _ GelIA It o \( Sa. ",,-G\ CITY:_ DESCRIBE WORK: :r; r-.s+" It NEW REMODEL ADDITION CONTflACrOll'S NAME GENERAl.: _ Pl.lJMI3ING: STAT~' C'Ji2- A;..- ~J..\'-th^,'^." ,- DEMOLISH OTHER ADDRESS CONST. CONTRACTOR N MECHANICAl.. -- - -.-- !'\" (,shr (\'.s \-t "-a.t 1"'-9 4(3/ C+-S erl"ci r:c . E. st,.,.c'l ~Rfcl. . ---. . :::Z1(7-7lfl '..j :l.S 7.Q(j \ % 2. ELECTRICAl.: QUAD AREA: . OF Bl.DCS: OCCY GROUI': N OF STORIES: WATER HEArER: - OFFICE USE - l.AND USF- N OF UNITS' CONSTR. TYPE: HEAT SOURCE:_ RANGE: . .JOB NUMBER ?;?&'9'~ F , 225 Fifth Streol Springfield, Oreyon 97477 TAX LOT' ~~-'-~ SUBDIVISION' PHONE7'i 1.:3 '-IY 0 /72..6 - 3: 18o / C{llfl7 ZIP: EXPlr~ES PHONE FLOOD PLAIN. ZONING CODE:_ N OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: To request an inspection, you must call 726-3769. This Is a 24 hour recording. AtllnspGctions requested before 7:00 a.m, will be made the salllC working day. inspections requested after 7:00 a.m. will be made the following work day. I .'1 Tcmponll y Elcchi<: l-I Sile In::.pcction - To be made ~ after cxt;avation, but prior to stJllifl{j forms. o Undcrslab Plumbing/Electrical I Mechanical - Prior to cover. o Footing - Afler trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placcmcnt. o Underground Plumbing - Prior to filling trench. o Underfloor Plumbing/ Mechanical _ Prior to Insulation or decking. o Post and Beam - Prior to floor insulation or (jecking. o Floor Insulation - Prior to deckinu. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water Line - Plior to filling trench, . o Rough Plumbing - Prior to cover, . REQUIRED INSPECTIONS I=:J Rough Mechanical - Prior to cover. !~ Rough Electrical - Prior to -1 covor. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp, o Framing - Prior to cover. o Wall/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stove - After Installation. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placement 01 concrete. o Sidewalk & Driveway - After excavation Is complete, forms and sub.base material in place. o Fence - When completed. o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing worl< is complete. D Final Eleclrical - Wilen all electrical woil{ is cOlllpletc. rvt Final Mechanical - Wtwn all ~ mechanical work Is complete. o Final Building - Wilen all required inspections have been approved and building is completee!. OOth.r MOBILE HOME INSPECTIONS o Blocking and Sel.Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - WIHHl blocking, set-up, anel plumbing inspections have 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. Interior Lot sq. Itg. Lol coverage Corner Topography Panhandle Total height Cul.de-sac BUILDING PERMIT ITEM SO, FT. X $/SO. FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sewer FT. FT. Water Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furni1cc Exhaust Hood Vent Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition Slate Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) .S THE PROPOSED WORI< IN THE HISTORICAL DISTRICT, on ON THE HISTORICAL REGtSTER? If yes, Ihls apptlcalion mu~t bo slgnetj and approved by the Historical Coor<..Hnalor prior to permll Issuance. Setbacks I P.L. HSE GAR ACC I IN -L-___ W IE VALUE FEE /~ ,.a:. Ie!:? .-:s_ - 75 ,- 7. ')_ /"/ APPROVEO' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition thai 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 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 arc being improved. ADDITIONAL COMMENTS By signature, I stale and agree, that I have carefully examined tl1e completed application and do hereby certify th;)t all Informallon hereon is trlle and correct, and I (Ilrlller certify that any and all work performed shall be done in act:ordilncc with the Ordinancus of the City of Springfield. and Ihe LilW5 of the Slilte of OrcfJon pcrlnlnlng to the work de~;clibed herein, and that NO OCCUPANCY wltl be !"ade of any structure without permiSSion of the Building Safely Divi:;ion. I further certify that only contractors and employees who are In compliance with OAS 701.055 will be Llsed 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, that the permit card Is located at the front of the property, and the approved set of plans will remain on the site~t II tImes during.construc..tlon. Signature ~ 1A.lA~ - tI Date ;-134L VALIDATION; RECEIPT NUMBER ~_.7 3' ~ 7-? ?-"7'2- ~""::?5- r:2~~ v/ DATE PAID AMOUNT RECEIVED RECEIVED BY