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HomeMy WebLinkAboutPermit Mechanical 1993-11-17 (2) ~~ CJ7C:; 1 7;<:;> S 2... 7 l 11?1:+.AJ (jf1~,,<(CI-/-7 L/~ Q7.~ Trb.A!://b-J M/ 7/71 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP' LOT' OWNER: ADDRI=~~' CITY' DESCRIBE WORK: _.&14< NEW ~EMODEL . . SPRINGFIELD ;=it/~ ///bJ :<: / BLOCK: STAT"" dV. ., 9,3/7M JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT' SUBDIVISION' 21 t9-71 PHONE: '74'7- ~7'45 ZIP: '5'74'77 17 J). //I J"tit" T / &A:s Uh)/ j. 4~ ~d/b CONTRACTOR'S NAME GENERAL: rm/t!?v/If) ~;.: ~ f PLUMBING:., .J MECHANICA' . ELECTRICAl' ADDITION DEMOLISH OTHER ADDRESS ( J ~2 7f3 E- ~ T S........-.! CON ST. CONTRACTOR # '77~dl PHONE 7;;.r:, -, f Z2L REQUIRED INSPECTIONS '1\7f Rough Mechanical - Prior to JJ ~ cover. 4~ /.o~~T f W;- 'rJ. o Rough Electrical - Prior to cover. D 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 Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stove ~ After l~stallat'lon. o Insert - After fireplace approval and Installatlon of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After . excavation Is complete, forms and s:ub-base material In place. o Fence - Whe,n completed. o Street Trees - When 'all required trees are planted. EXPIRES U#ft~ - OFFICE USE - QUAD AREA: LAND USE: FLOOD PLAIN' # OF BLDGS' # OF UNIT'" ZONING CODE: OCCY GROUP' CONSTR. TYPE: # OF BDRMS: . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANGE: 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. o Final Plumbing - When all plumbing work IS complete. o Final Electrical -_ When all electrIcal work Is complete. -c;;( Final Mechanical - When all ~echanlcal work Is complete. o Final Building - When all required Inspections have been approved and building is completed. 0"Olher 6/(-$ t:./Ue o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical! Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grout! ng. o Foundation - After forms are - erected but,. prior to concrete placemer"!t. 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 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 cove~ . .' 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 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. . Setbacks IC' THE PROPOSED WORK IN THE Lot faces Lot Type , Interior I P.L. HSE GAR ACC I '- HISTORICAL DISTRICT, OR ON Lot sq. ftg. IN I THE HISTORICAL REGISTER? Corner If yes, this application must be signed Lot coverage Is I and approved by the Historical Topography Panhandle I,w Coordinator prior to permit "Issuance. i Total height Cuj.de.sac IE , APPROVED: BUILDING PERMIT ITEM SO. F:T. ..X $/SO. FT. VALUE , Main Garage Carport Total Val ue Building Permit Fee State SLircharge Total Fee '. \ '. ,- -,' . . \". .... .' (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (Bl PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(sl N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge '. . Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood .' Vent Fan N' Wood Stove/lnsertlFlreplace Unit Dryer Vent 6# IM;!'- ) 2.'~~ /U/V, ) .c;.<I'O I (J, oD .7.r 2.. c:Jr Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft ft Curbcut Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrlcall (A, B, C, D, and E Combined) 7~5 ,7S" 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 'Sprlngfleld, 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 C~eck Fee: Date Paid: Receipt Number- Received By: , , ,. Plans Reviewed By Date Systems Development Charge Is due on ;11 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 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 Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure wIthout permission of the BuJ/dlng Safety DivisIon. I further 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 t1me~ 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 ~:,~::"::. v;:::-~;;f:!;;o.dL Date /~/;113/ I VALIDATION: RECEIPT NUMBER DATE PAl!' //J '7' / IS 11,//-;;/'13 _ -;z ,r-,. 7/ /ff7z-v. .:; AMOUNT RECEIVE!' RECEIVED BY