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HomeMy WebLinkAboutPermit Mechanical 1998-10-20 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . SPRINGFIELD .11.", LOCATION OF PROPOSED WORK: ,~S3 0_ _~.Bmc ASSESSORS MAP: \ '1]) '0 \ ~ +( ) __ LOT: -JOB NUMBER q~11 225 Fifth Street Springfield, Oregon 97477 ~A i\lm ~ If /I f'l'F\ IrJ BLOCK: __ TAX LOT: SUBDIVISION' ~ -. l-A RSQo, m 1'l(' ..J)llnr'l tcJ IGobS OWNER: \'\.0)-\ f\\ /-,1\1 ) ADDRESS" \=" 0, fun-x CITY: ~U.9 QJnL DESCRIBE WORK: .I:Yl.sTr:I.ilATltl~, O~ A 1",10111 AUl ~('u1r11t>/l "- ~(lt1f 7urn.o NEW REMODEL STATF' OR ADDITION DEMOLISH OTHER PHON'" i/85-83b 0 ZIP: 97(j(jO ADDRESS CONST. CONTRACTOR # EXPIRES .;:. PHONE CONTRACTOR'S NAME GENERAL' PLUMBING' MECHANICAL:ft.">.')Qf'Jl'lfl'n' ~hATm9~ Ale. ELECTRICAL' QUAD AREA: # OF BLDGS: OCCY GRO!-lP: # OF STORIES: WATER HEATER: 1<'.0. ~OX '1/:1. ElJ9W' (it:/. (?17'1<1o /fJ(J(.,.J7C, R.3/..2.00fl .,s l/ I- (" d3-.251( - OFFICE USE - LAII)!Oj~\CE=-- FLOOD PLAIN' # oFHffi,,\'fS?,MIT SHAll E=XPIRE IF THE WOInflNING CODE: cON~H19R1PEP UNDER THIS PERlin IS NOToF BDRMS' ~E~P~~tJ~t5'E=D OR IS ABANDONEu FOR SECONDARY HEAT: RA~~I180 DAY PERIOD. SQUARE FOOTAGE: , To request an Inspection, you must call 726-3769. This is a 24 hour recording. Alllnspectlons 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. REQUIRED INSPE.~~I~~ o Rough MOch~gWoeQ,lllprl%l!)I.ili\'/ n 0 Final Plumbing - When all cOtf.'b1agOI\ \ne oleg set loti: plumbing w9rk is complete. ~ilO ' Q\ed\)~ lulesll.le 52-00\- ~11~~~~'e\<!"'\'iaji~\Iglf~I1Jllulas \)~ D Final Electrical - When all \0 \" ll.\i~ OO\O\nl 'as 0\ \na nOl\a electrical work is complete. !'loti IC.., 952-00\ - \)\a.il\ eO\:lI. \ne \ala? \iol\ . O/':<> {'(\a.~ 0 \r-\o\a. N~lllea: $ o Underslab Plumbing/Electrical! 11\ d\Q.lI~~Elri&lh~rvlc!htiflt.\I{/sf Final Mechanical - When all Mechanical - Prior to cover. OO~ll\I1l'jjl8'<!W..~~lh",,",ijM, t mechanical work Is complete. ell. ~~W1~\l1'~5'~0-""~ o Footing - After trenches are I\U{'(\ cel\\el 0 Final Building _ When all excavated. 0 FIreplace - Prior to facing requIred Inspections have been materials and framing Insp. approved and building is completed. o Temporary Electric o Site Inspection - To be made after excavatIon, but prIor to setting forms. o Masonry - Steel location, bond beams, grouting. o Foundation - Atter forms are erected but prior to concrete placement. o Underground Plumbing - Prior to HlIlng trench. o Underlloor 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. D Storm Sewer - Prior to filling trench. o Water LIne - Prior to 'fllllng trench. o Rough Plumbing - Prior to cover. o Framing - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping: o Wood Stovo - After Installation. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After I forms are erected but prior to placement of concrete. o Sidewalk & Driveway - Afler excavation Is complete, forms and sub.base material in place. o Fence - When completed. o Street Treos - When all required trees are planted. . o Other MOBilE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. D Plumbing Connoctlons - 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 15 connected to the service panel. o Final - After all required Inspections are approved and porches, skirting, decks, and ventIng have been Installed. , .,' ~;: \;(;~.~', . . . l~l ~y. Lot faces Setbacks IS THE PROPOSED WORK iN THE. I PL ACC I .. HISTORICAL DISTRICT, OR ON lot sq. fig. Interior HSE GAR IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Is I and approved by the Historical Topography Panhandle ~~~- --1' Coordinator prior to permit issuance. Total height CuI-dc-sac - APPROVED: X $/sa. FT. ~ VALUE ". ., BUILDING VALliE, PLAN CHECK AND BUILDING PERMIT BUILDING PERMIT' ITEM sa. FT. ';1 " ~ Garage Carport " This permit Is granted on the express condition that the ssld cOnstruction shall, In all respects, confom\ to' the Ordinance adopted by the City of Springfield, I 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. Main Plan Check F~e: Date Paid: Total Value Receipt Numb"'''' Building Permit Fee Received By: State Surcharge Total Fec (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) , .,. . (B) Systerrs Developmenl Charge Is due o{l all undeveloped properties within the City limits which are being Improved. PLUMBING PERMIT ITEM FEE ADDITIONAL COMMENTS Fa R.. f-lC'N.<;') (lO()T)!lrT 09 Y<''' UJAR.R.f-rJ q \..)111' 1-< Lint" -::?:l 5 .~() C-,n Q1." FA..-1>1 Ad Ff I) c~ p/l ( 1/9 /Jillrf I () R q....:J..Si 7 7 Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. FT. FT. v.>hof\.o,~ ..5J.../J- 747- 79/1 Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge (e) MECHANICAL PERMIT Furnace Vent Fan N' 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 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 wHhout permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with OAS 701.055 will be used on this project. Exhaust Hood Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) .;l./o,.l.O 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 01 plans will remain on the site at all times during construction. Signature '\)n t'Yl \-\ () VY1 10 +-'U' \ Date 1 0 - \ 5, Q K- MISCELLANEOUS PERMITS Mobile Home State Issuance Stale Surcharge Sidewalk It Curbcut fl Demolition State Surcharge VALIDATION: ~ nq RECEIPT NUMBER I / t.9 DATE PAID Ii /2r /.q s< ~ - /)( O/'. Co AMOUNT REC . .c.. () '. 'LI } RECEIVED B 1/ )() ) - 'I - Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined)