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HomeMy WebLinkAboutPermit Mechanical 1995-8-30 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 qtlice; 726.3759 LOT: . SPRINGFIELD .' Qs \Dl~- BLOCK: JOB NUMBER TAX LOT: SUBDIVISION: PHON~' (~i"f\O ..> , vrL ~l4.-f}\W n .t-"\\~ \\~ \ STATE: (~~ l ,'"'O-t~ 1{ <1tQfU 0 J? CITY: DESCRIBE WORK:' ('~()JJ NEW REMODl<.'\ ZIP: U~SCtL - ADDITION DEMOLISH OTHER CONTRACTOR'S NAME ptiON E GENERAl' j PLUMBING:...........\ 1 MECHANICAL' ELECTRICAL. ~vnoY __ ADDRESS CON ST. CONTRACTOR' EXPI R ES I qQtl-~vP t 4lri\ - -11:3 \ 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: SOUARE FOOTAGE: ___ To requesl an inspecllon, you must call 726.3769. This Is a 24 hour recording, Alllnspectlons requested before 7:00 a.m. will be made tho same working day, Inspections rOQuested aftor 7:00 a.m. will bo made tho following work day. o Tomporary Electric o Silo Inspoction - To be mado after excavation, but p"rlor to setting forllls. o Undersl"b Plumbing/ Electricall Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steer location, bond beams, grouting. o Foundation - After forms are erected but prIor to concrete placement. o Undorground Plumbing - Prior to f1l1lnQ trench. o Underlloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Boa~ - PrIor to floor Insulation or docking. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to rUling trench. o Storm Sewor - Prior 10 filling trench. o Water Line - Prior to filling trench. . udJ Rough Plumbing - Prior 10 cover. REQUIRED INSPECTIONS o Rough Mochanlcal - Prior to cover. o Rough Electrical - Prior to cover. ' o Eleclrlcal Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to faCing materials and framing Insp. o Fram.lng - Prior to cover. .0 Wail/Coiling Insulation - Prior to cover. . o Drywall - Prior to laplng. o Wood Stovo - Aftor Installation. o Inserl - After fireplace approvlSl and Installallon of unit. o Curbcut & Approach - After forms are erected but prior to placemont of concrote. o Sidewalk & Driveway - Atter excavation Is complete, forms and sub.base material In place. o Fence - When com~leted. o Street Troes - When all required trees are planted. ~Inal Plumbing - When all plumbIng w9.rl< Is complet.e. o Final Electrical - When all electrical work Is complete. ~Inal Mech"nlcal - When all mechanIcal work Is complete. o Final Building - When 'all " required Inspections have been approved and building Is completed. o Olhor MOBILE HOME INSPECTIONS o Blocking and Sot.Up - Whon all blocking Is complete. , o Plumbing Connocllons - When homo has been connected to water and sewer. o Electrical Connocllon - 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 ventlng hnve been Installed, Lot faces Lol Type _. Interior Lot sq. Itg. Lot coverage Corner Topography Total height Panhandle Cul.de-sac BUILDING PERMIT ITEM SO. FT. X $/SO. FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Tolal Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Flxlures Residential Bath(s) 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/lnsertlFlroplace Unit Dryer Vent MechanIcal Permit Issuance Slale Surcharge Total Permit (0) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge TOlal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B. C, 0, and E Combined) :_ THE PROPOSED WORK IN THE . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be sIgned and approved by the Historical Coordinator prior to permit issuance. Setbacks I P.L. HSE GAR ACC IN Is Iw IE VALUE " FEE k') .(fU -.'{.2.0 j1oJ.D 11a .l{ J 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 O~dlnance adopted by the City of Springfield, including Ihe Development Code, regulating the cOf')51ruction and use of buildings, and may be suspended or revokod at any time upon violation of any provisions of said ordinances. Plan Check Fee: __ Date Paid: Receipt Numbcr:__.__~ Received By: Plans Rcvlewcd-.8y---------- Dale Systems Development Charge Is due on all undeveloped 'properties within tll(J City limits which are being improved. ADDITIONAL COMMENTS . By signature, I slale and agree, that I have c",elully examined the completed application and do hereby certify that all Information hereon Is true and correcl, and I further certify that any and all work performed shall be done in accordance with the Ordinances oflhe City of Springfield, and the Laws of the State of Oregon pertaIning to the work described heroIn, and that NO OCCUPANCY will be made of any structure without permission of Ihe Bulldll1g Safety Division. I further cerllfy that only contractors and employees who are tn compliance wllh ORS 701.055 will be used on this prolect. 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 fronl of the property, and the approved set of plans will remaIn I, (::,~::":.: '" ~~"?ll1~ Date 7;/ ~ f7 / 9rf VALIDATION: \<X/ l RECEIPT NUMBER .07::> I DATE PAID f')':--'J ( ) . y.:::;. AMOUNT RECE,Il:!l. ...1 In . 'lr ) .. RECEIVED BY D ~ ~ .