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HomeMy WebLinkAboutPermit Mechanical 1992-3-26 (2) RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Ollice: 726.3759 I . "- LOCATION OF PROPOSED WORK: _ ) '00 ASSESSORS MAP' \/~~~\3 IJLLQ..L. rin.'-"-'~/~:~.d- .1.3,)/1 ()/"lkLJ"~ "f:f..",u_ I LOT: OWNER: AODRE~C:' CITY: ~ /Jr) ) DESCRIBE WORK' NEW REMODEL x ADDITION CONTRACTOR'S NAME GENERA' ' BLOCI" _ STATE: Of!... j u-f fi,Av<> DE~OLfsH OTHER .. JOB NUMBER ~".!;.' ~ . 225 Fifth Street C1 f)T\':2<:::;/"\ Springfield, Oregon 9}4'ir~ TAX LOT: SUBDIVISION' {Y)/{D PHONF' f9S-oCf'J- ZIP: 9~ ADDRESS CONST. CONTRACTOR' EXPIRES PHONE PLUMBING' MECHANICAL ..v.ft- F~l... /JuL;; ELECTRICAl' ,pJ'(" f.,L..J /too/to t' /J/Yl_ . 'J'7"J.-l/GL - OFFICE USE - OUAD AREA: LAND USE: FLOOD PLAIN: . OF BLDGS: . OF UNITS: ' ZONING CODE: OCCY GROUP: CONSTR. TYPE: . OF BDRMS' . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANGF' 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 maclc the same working day, Inspections requested atter 7:00 a.m. will be made the following work day. o Temporary Electric o S1Io Inspection - To be made after excavation. but prior to setting forms. o Underslab Plumbing/Electrical I 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 Underfloor PlumbingJ 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 tilling trencll. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS If'/1?ROU9h Mechanical ~ Prior to r 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. o WallJCeiling Insulat,ion - 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 - Atter 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 cOrr'preted. o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing worl~ is complete. D Final Electrical - When all electrical work is complete. ~al Mechanical - When all ~~~~hanical work is complete. o Final Building - When all required Inspections have been approved and building is completed. o Other 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 - When blocking, set.up. and 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 installcd. LOI faces . Lol Type ' Lol sq, fig, Interior LOI coverage Corner Topography Panhandle Total height Cul.de.sac BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT. Main Garage Carport Total Value Building Permi I Fec State Surchargc Total Fee (A) Setbacks I PL 'HSE' GAR' ACC I IN Is .S THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical COQldinnlor prior to permil issuance. E W ---- APPROVED' VALUE SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential 8a01(s) N" Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Horne PI u mbi ng Perml t State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Yen I Fan N" Wood Stove/lnsertl Fireplace Unit Dryer Vent Mechanical Perini l Issuance Slate Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Stato Surcharge Sidewalk fl Curbcul It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B. C, D. and E Combined) FEE (f).QJ i!)o() .75 &~l;S AJ':) -J.l) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condilion 1t1iltthc said construction shall, in all respects. conform to the Ordinance adopted by the City of Springfleld. including the Developmcnt 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 carefully examined the completed application and do hereby certify thai 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 Ihe Laws of the Statc of OI'CfJon pcrtaining to the wOII~ dcscribed herein, and that NO OCCUPANCY will be made of any slructure WitllOul permission of the Building Safety Division. I further certify that only contractors and elllployees who are in compliance with GRS 701.055 will bo used on tllis project. I further agree to ensure that all required inspeclions arc requested at the proper time, that each address is readable from the street, that tile permit card is located at the fronl of the propert , and the approved set of plnns will remain on the site at all times during constrIction. S! ature tV ~~ 0'0/ /7,J.{-9:;- VALIDATION: ~f)--1 RECEIPT NU~ER ,.jJ I DATE PAlf'O ,;Jh . q; AMOUNT RECtrcY~. ~ "'\ RECEIVED BY r m ) 1 ______