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HomeMy WebLinkAboutPermit Mechanical 1993-9-17 RESIDENTIAL ~APPLlCATlON _Inspections: 726.376.0 Olllce: Ilb'JI~~ LOT: e BLOCi'"' . '. q3t43t JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 SUBDIVISION: OWNER: \Jf'\l.. C) \ [:\\I.IDOo P,i 8_ _ --- PHON~,\\L\tO-4C\<?" 1 ADDRE~ ~l ~ {\.~~Q, ~Lf' ':\. \< C"Cu \J CITY""- ,\J\ J i\C\fo 0 rq STATE:_~ C~nY\ DESCRIBE WORK: ~Q C\} + - V. \ ~..JYi:r ~ NEW REMODEL ADDI~ON DEMOLISH CONTRACTOR'S NAME GENERA' . PLUMBING' / MECHANICAL: L\h 1 "JY\..QJ2./ ELECTRICAl' OUAD AREA:~.e.n..W . OF BLDGS: OCCY GROUP: . OF STORIES: WATER HEATER' OTHER ADDRESS CON ST. CONTRACTOR' ZIP:~. Y\4f) / ) - OFFICE USE - LAND USE: . OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANG~' EXPI RES PHONE FLOOD PLAIN' ZONING CODE: L . OF BDRMS' SECONDARY HEAT: SOUARE 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 Temporary Electric o Site Inspection - To be made after excavation, t)ut prior to setting forms. o Underslab Plumblng/ Electricalf 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 fllting trench. o Underlloor PlumblngJ 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 trenctl. O Storm Sewer - Prior to filling trench. . . o Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. ~ REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. D 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 Wall/Ceiling Insulation - Prior to cover. o Drywall - Prior to la~ing. ' o Wood Stove - After installation. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After 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 completed. o Street Trees - When all ~f)quired trees are planted.' o Final Plumbing - When all plumbing work is comptet.e. D Final Electrical - When all electrical work Is complete. o Final Mechanical - When all mechanical work Is comptete. o Final Building - When all required Inspections have been approved and building is completed. o Other 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. Lot faces Lot Type Lot sq. fig. Interior Lot coverage Corne r Topography Total height Panhandle Cul-de.sac BUILDING PERMIT ITEM sa. FT. X $/sa. FT. Main Garage Carport Total Val ue Bullding Permit Fee State Surcharge Total Fee (A) . I P.L. IN Is Iw IE VALUE \ ~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. So I bac ks 'HSE'GAR'ACcl I I I I (B) SYSTEMS DEVELOPMENT CHARGE (SDC) PLUMBING PERMIT ITEM Fixtures 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/lnsert/Flreplace Unit Dl\~e~~A~Q~ Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk fI Curbcut fI Demolition State Surcharge J~~ FEE ~CD I '7 .50 10.00 .'t)(1; C)O.~~ Total Miscellaneous Permi ts (E) TOTAL AMOUNT DUE (excluding Clectrlca&B-~ (A, B, C, D, and E Combined) 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, 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 Check Fee: Date Paid: Receipt Number: Received By: Plans Reviewed By Date Systems Development Charge Is due. on all undeveloped properties within the Cily limits which are being improved. ADDITIONAL COMMENTS By signature, I stale 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 certtfy 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 perlaining to the work described herein, and thaI NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are In compllance with QAS 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 the site at ~mes during co~struct,"/J SignaturfTf;f;uA/ 7?1~ Datp /' VALIDATION: t()~l\n RECEIPT NUME!~g .....JJ. } DATE PAID ({'-f /'), ~CS AMOUNT~D&R'W/ RECEIVE'\. BY .J{m__) .