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HomeMy WebLinkAboutPermit Mechanical 1995-2-16 ~?-?iV~ c. RE:U~:Nmt;- PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . LOCATION OF PROPOSED WORK: 3'0 I ASSESSORS MAP' / ).....&>::2-~, dlo, dlJ""njr , LOT' BLOCK' . ,,, JOB NUMBER ~<;'<o/92 225 Fifth Street Springfield. Oregon 97477 s-\- c C' ~ . TAX LOT' /?<./da~ SUBDIVISION: ..L PHONF' 7 2{.. -0 '4.' I' rct~ tWta. tJ~ (J (~':f;c .ct, STATE: . 13 'f'o \ I , 3'0 ( <:; fl~,,\; V DESCRIBE WORK' G<i..f OWNER: ADDRESS' CITY: n f?-. -to ( ]00 '- ZIP:_C(. lLQ9 :fV"""'-t n-f- llu}J,;; J'e.e-t\ .. flo; "f- -f\ ~ "" G~J NEW REMODEL W\ ei ~ ADDITION DEMOLISH OTHER PHONE CONTRACTOR'S NAME GENERA' . PLUMBING' MECHANICAL' ELECTRICAl' I'VLu c1 \tv I \ '../ ADDRESS CONST. CONTRACTOR . l-+-e.<>--t tv.- i--- EXPIRES CfIJI "F" s:tr~c.+- CLdr-2-S l 't () ~ Rei ) ""1 '(/-, C(C(['" QUAD AREA- · OF BLDGS: OCCY GROUP' · OF STORIES: WATER HEATER: - OFFICE USE - LAND USE: . OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGF' FLOOD PLAIN' ZONING CODE:_ . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: To request an Inspection, ~'OU must CGl'.I1 726-3769. Thlc. :9 a ~t, hour recordIng. An 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 Temporary Electric o SlIe Inspection - To be made after excavation, but prior to setting torms. o Underslab Plumbing/Electrlcall Mechanical - Prior to cover. o Footing - After trenches are excavated. ~ o Masonry - Steel location, bond ,beams. grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Undertloor PlumbIng/MechanIcal - Prior to Insulation or decking, o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking, o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o Rough Electrical - Prior to cover. 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. i o WafllC'elllng InsJlatlon - 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 - Alter forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is completo, 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 work Is complete, . . D Final Electrical - When all electrical work Is complete.' o Final Mechanical - When all meChanIcal work Is complete. o Final Building - When all required Inspections have been approved and building Is completed. IV1 Othor.Q'~ ~P/---' ~ ~r'~' ~ MOBILE HOME INSPECTIONS o Blocking and Set. Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, set.up, and plu",blng 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 Lot sq, Itg. Lot coverage Topography Total ljelght Lot TYP. Interior Corner Panhandle Cul.de.sac "'.:' ~ '..' , '.' . "'" ;...iV:.\f.:~j _S THE PROPOSED WORK IN THE, ....HiSTORiCAL DISTRICT, OR ON "THE HtSlORICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. Setbacks. HSE GAR ACe' I I I I' , P.L IN Is Iw IE BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT, ~ VALUE Main Ga(age Carport Total Value , Building Permll Fee State Surcharge Total Fee (A) " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures . Resldantlal Bath(s) Sanitary Sewer FT. , Water FT, Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan Wood StovellnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuahce State'Surcharge Total Permit N' (C) N' ~("~ ~ (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcu t It Demolition Slate Surcharge Total Mlscallaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D. and E Combined) FEE /-5'. -- /c:? - :~ :26. ~e:o APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT 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 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 tho City limits which are being Improved, ADDITIONAL COMMENTS \h llA~ 0 f- ~J.b Yf I) '2-S:' ~ i) By signature, I stato and agree, that I have carefully oxamlnod the compleled eppllcatlon and do horeby cortlfy 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 Orogon pertaining to tho work describod herein, and that NO OCCUPANCY wllf be made of any structure without permission of the Building Safety Division, I furthor 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 are requested at the proper time, that each address Is readable from the street, that the pormlt card Is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. J~1~ 2.-16 -~S- Slgnaturo Dato VALIDATION: RECEIPT NUMBER / L. '=? ? /' DATE PAID :< -,./, ..1? ;s;- AMOUNT RECEIVED --::?~, ':;?= RECEIVED BY /':2"',..J," ....../