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HomeMy WebLinkAboutPermit Mechanical 1995-12-1 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 >--LOT' . SPRINGFIELD BLOCK: OWNER: J20J?0Y.../-- L-I-l't _ ADDRESS: ' . ~~ f1-3:{;1'vU1\() - CITY:~' 8' Alt1i~O~)ATE:~ f'ifdt' - DESCRIBE WORK' 11~< J REMODEL NEW CONTRACTOR'S NAME GENERA' ' PLUMBING- "MECHANICA" 17/),) V1hV ELECTRICAl - ADDITION DEMOLISH OTHER ~B NUMBER 7' 5"/.&> S 225 Fifth Street Springfield. Oregon 97477 TAX LOT: SUBDIVISION' //- 7 ffT) PHON'" ~-:t -43qg ZIP: '1-:t4--+i- .?' ~-kvzs,' (J1/\.. ADDRESS CONST, CONTRACTOR' EXPIRES ',,=, PHONE - OFFICE USE - QUAD AREA- LAND US'" FLOOD PLAIN: . OF SLOGS: . 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. AlllnspectJons 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. D Masonry - Steel location, bond beams, grouting. D Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench, D Underlloor Plumbing I Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or decking. , D Floor Insulatio~ ~ Prior to deckl ng. D Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to fillIng trench, D Water Line - Prior to filling trench. ^ . D Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o 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. D Wall/e"alllng Insulation':"" ,Prior to cover, . D Drywall - Prior to taping.. , o Wood Stove - After In5tallatl'o,1. D Insert - After fireplace approvlll and Installation of unit. , D Curbcut & Approach - After (orms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavatIon Is compiete, forms and sub.base material In place. D Fence - When completed, D Street Trees - When all required trees are planted, D Final Plumbing - When ali plumbing w9rk Is complet.e. D Final Electrical - When all electrical work is complete, D Final Mechanical - When all mechanical work Is complete. . o Final Building - When ali required Inspections have been approved and bulidlng Is completed. ;gr Other &~ 4//C r/"vA"'C 6~ MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. D Plumbing Connections - When home has been connected to water and sewer, D Electrical Connection - 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 porchos, skirting, decks, and venting have been Installed. . ~- Lot sq, Itg. -.'J'< ...,:;' - N~ .. L~t ~ype. ',! " Setbacks Interior I P.L HSE GAR ACC I IN I Corner Is I Panhandle Iw I Cul-de.sac IE I .S TI;lE PROPOSED WORK IN THE. HISTORICAL DISTRICT. OR ON THE HISTORICAL REGISTER? " yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. Lot faces Lot coverage Topography Total hel ghl APPROVED: BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT. VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Garage " 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 Springfiell!, Including the Development Code, regulating the constructlCJn and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Main Carport Plan Check Fee: . Date Paid: Total Value Receipt Number' Building Permit Fee Received By: Slate Surcharge Total Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residential Bath(s) N' Sanitary S~wer Water FT, FT, FT, Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Dryer Vent /':.,#' , / ~ .{. /~# J J'H/,,';, / &; ()O J -. //J.po /,:;"'0 ~~:;...o 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 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 Safety Division. I further certify that only contractors and employees who arc In compliance with OAS 701.055 will be used on this project. Exhaust Hood Vent Fan N' Wood Stove/lnserl/Flreplace Unit Mechanical,Permlt.. '. Issuance State Surcharge Total Permit 17r+,.fJ' (D) I further agree to ensuro 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 the site at l~tir;es durl~g on tructlon, Signature J..<::xiMtlr:-, . - . MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk fl Date 12-{I/QCY Curbcut fl Demolition State Surcharge VALIDATION: /'J 7/5 /2h/J'.F , /- . 2.12 AMOUNT RECEIVED ~2f~ _ RECEIVED BY A'P"...iJlL----Z.. DATE PAin RECEIPT NUMBER Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 2/.::; ?- 0 . .