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HomeMy WebLinkAboutPermit Mechanical 1997-12-16 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ASSESSORS MAP' LOT" OWNER: DESCRIBE WORK: L0 \ t..\ REMODEL'>( NEW CONTRACTOR'S NAME GENERAl' PLUMBING' . UG-o . JOB NUMBER 97 L7 3 7_ 225 Fifth Street Springfield, Oregon 97477 . ~0F' 0 BLOCK' ADDITION ADDRESS CONST, CONTRACTOR" PHONE EXPIRES MECHANICAL: ELEcTRICAl' ~uh~a.d{)r 1>\()I/JAQ I~FS\oh'YS-ro p'jq..B).-jQI ,- I ~ \j I~N(d1 Lflsf;.l()< ? TAX LOT' _q.'i-. ,"l~0' SUBDIVISION: ~", '.'. . _ ....\a~ _.p.Y.- \\ " '7l . mC).!",\\ '\ .\ lrx1 ~() w- '\ If')\- rr.~Y.-~~~\r::/1~!I'O ~Q'3 oS.3 ADDRESg,' <::..,\c:.., (\'V,f\Art..lJL ~\)~.o ~rS\~.;o..~~"::J'V,~~y"<(.. ~~",v..:' CITY: ~\r\.. STATE: ~~Q.\I..~~'?-()<(..~(0. ZIP:~C)1-Ioo... ~\ \' . _~'-' _(.v- ) r\'f'P>\,\n.f'..Q \\I...~~\~~ \,,\\,~O DEMOLISH ~ OTHER ..J QUAD AREA: . OF BLDGS' OCCY GROUP: . OF STORIES: WATER HEATER: - OFFICE USE - LAND USE: . OF UNITS: CONSTR, TYPE: HEAT SOURCE: RANGE: _ FLOOD PLAIN' ZONING CODE:_ . OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: To request an Inspection, you must call 726.3769. 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, D Temporary Electric D Site Inspection - To be made after excavation, but prIor to setting forms. D Underslab Plumbing/Electrical I Mechanical - Prior to cover. D Footing - After trenches are excavated. o "Masonry - Steel location, bond beams, grouting. D Foundation - After forms are erected but prior to concrete placement. D .l!.nderground Plumbing - Prior to fllllng trench. D Underlloor Plumblng/Mechanlcal - 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 &ewer - PrIor to 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. o Wall/C'alllng Insulation - Prior to cover. D Drywall - Pllor to tapIng. D Wood Slovo - After Installation. D Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation Is completo, forms and sub-base material In place. D Fence - When completed. D Street Trees - When all required trees are planted. D Final Plumbing - When all plumbing work Is complete. D Final Electrical - When all electrical work Is complete. ~Inal Mechanical - When all mechanical work Is complete. D Final Building - Wh<tn all required Inspections have been approved and buildIng is completed. ~rn-~ MOBILE HOME INSPECTIONS D Bloeklng and Set.Up - When all blockIng is complete. D Plumbing Connections - When home hos been connected to water and sewer. D Electrical Connecllon - When blocking, set-up, and plumbing inspections have been approved and the home Is connected to the service panel. D Final - After all required Inspections are approved and porches, skIrting, decks, and venting have been installed. Lot faces Lot Type. Interior Lot sq. ltg, Lot coverage Corner Topography Panhandle Total height Cul.de.sac BUILDING PERMIT ITEM SO. FT. X. $/SO. FT. Main Garage Carport Total Value Building Permit Fee Slate Surcharge Total Fee (A) . or, ;., . Setbacks I P.L. HSE GAR' ACC I N S Iw IE VALUE " ',',' . tt~ , SYSTE~S DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(';) N' Sanitary S~wer Water FT. FT., Storm Sewer FT. Mobile Home Plumbing Permit Stato ,Surcharge Total Ctlarge (C) MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permi t Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolitlon State Surehargll Total Mlseellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrleal) (A, B, C, D, and E Combined) FEE ..$f IS"" l - ~ lO, -+--7~r, lf~ .:It;.:) fa.';>~ IS THE PROPOSED WORK iN THE. ..HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this appllealion must be signed and approved by the Hlstorleal Coordinator prior to permit issuance. 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, ineludlng 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 are being Improved. ADDITIONAL COMMENTS By sIgnature, I state and agree, that I have carefulry examined the eompleted 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 Ordinanc~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 Safe.ty Division, I further certify that only contractors and employees who are In eompllance 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 permit card Is located at the front of the property. and the approved set of plans will remain on~times during con~ellon. ~ . f Slgna~ie\ "~X?l~,,-- Q ~- ~ -t Date Dlllo! ev) VALIDATION: ;)8J-CC""l 1;}-11o-"I7 AMOUNT RECEIVEn ~ dr~. ~ RECEIVED BY ~t.L ") RECEIPT NUMBER DATE PAlf""I