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HomeMy WebLinkAboutPermit Mechanical 1997-3-19 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . LOCATION OF PROPOSED WORK' 57f; /7(J ~27) ~ /YJi!:t_ hrl~ 'i'~R c.r:/'fIIk ,O~ J,,/rL '('/'~/J~;{'tI4 V ':'~~tI {I. ASSESSORS MAP' LOT: " OWNER: ADDRESS' CITY: DESCRIBE WORK' NEW /' REMODEL CONTRACTOR'S NAME GENERAl' PLUMBING: BLOCK: STATE: c1.R' l'lLId ~tJ ADDITION DEMOLISH OTHER . JOB NUMBER q 7()L( ~ Co 225 Fillll Street Springfield, Oregon 97477 Dr SUBDIVISION: PHONE: _I1.W- /Jfl3 ZIP: 914' 71 ADDRESS CON ST. CONTRACTOR' '::" MECHANICAL: ELECTRICAl' ~ft:-.J L/~LII.61!:: ZW~ (j~.-,f+yrc~ . 'I QUAD AREA' . OF BLDGS' OCCY GROUP: . OF STORIES:__ WATER HEATER: - OFFICE USE - LAND USE: . OF UNITS: CONSTR. TypE:_ HEAT SOURCE: RANGE: __ EXPIRES PHONE 7t'sl/:S- !J!Li7 3~~'d./J,y FLOOD PLAIN' ZONING CODE:_ . 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 :un. will be rnad2 !he so.me working day. Inspections requested after 7:00 a,m. will be made tho following work day. D Temporary Eloctrlc o Silo Inspoctlon - To be made after excavallon, but prior to setting forms. o Underslnb PlumblngfEloclrlcal1 .Mechanlcal - Prior to cover. o Footing - After trenches are excavated. D Masonry - Steel location, bond beams, grouting. o Foundation - After forms arc erected but prior to concrete placemont. o Undorground Plumbing - Prior to filling trench. . o Underrloor Plumbing/ Mechanlcol - Prior to Insulation or decking. o Posl ond Boam - Prior to rloor Insulation or decking. D Floor Insulation - Prior to decking. D Sanitary Sowor - Prior to tilling trench. D Storm Sower - Prior to fillIng trench. o Wator Line - Prior to filling trench, o Rough Plumbing - Prior 10 cover. REQUIRED INSPECTIONS o Rough Mochanlcal - Prior to cover. o Rough Electrical - Prior to CQver. o Electrical Servlco - Must be approved to obtain permanent electrical power. o Flreplaco - Prior to racing materials and rramlng Insp. o Framing -. Prior to cover. o Wail/Ceiling Insulation - Prior to cove~ . o Drywall - Prior to taping. D Wood Slovo - AHcr Installallon. D Inserl - After fireplace approval and Inslallatlon of unIt. o Curbcul & Approach - Arter forms are erected but prior 10 placement of concrete. o Sidewalk & Drlvcwav - After excavatlon Is complete, forms and sub.base material In place. o Fence - \-Vt1On completed. o Slrool Treos - When all requIred trees are planted. o Final Plumbing - When' all plumbing worl< Is complete. . , D Final Eleclrlcal - When all electrical worl< Is complete. l~al Mechanical - When all ~chanlcal work Is complete. D Final Building - When all required Inspections have been approved and building Is completed. DOthor MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o Plumbing Connecllons - When home has been connected to water and sewer. o Eleclrical Connecllon - When blocking, set-up. and plumbing Inspections have been. approved and the homo Is connected to the service panel. o Final - Alter all required Inspectfons are approved and porches, skirtIng, decks. and venting have been Installed. Lot faces LOI TY. Interior LOI sQ. fig. lot coverage Corner Topography TOlal height Panhandle' Cul-dc.sac r. :::'. ,..... ".,', '\'j ,.;,. .IS THE PROPOSED WORK IN THE. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Historical CoordInator prior to pcrmlt Issuance. PL. Selbacks , , , I HSE GAR ACC I N S E W ---- - ---- APPROVED: BUILDING PERMIT ITEM SQ. FT. X $/SQ, FT. ~ VALUE Main Garage Carport Tolal Value Building Permil Fee Stale Surcharge Tolal Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Balh(s) N' Sanitary S~wer Water FT. FT. FT. Storm Sewer MobIle Home Plumbing Permit Stato Surcharge Total Charge (C) MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan N' Wood Stovc/lnsert/Flroplace Unit Dryer Vent Mechanical Permit Issuance Stale Surcharge--4 fUZo C~ A&~'~ Tolal Permll (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk II Curbcut II Demolition Slale Surcharge Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding eleclrical) (A. B, C, 0, and E Combined) " FEE /~~1Jb .75 .'i'7 ')..0, ;). U (2(17 .d-() BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condItion thaI the saId construction shall, In all respects, conform to the Ordinance adopted by Ihe Cily 01 Springfield. including the Developmenl Code, regulating Ihe construction and use of buildings, and may be suspended or revoked al any time upon violation of any provisions of said ordinances. Plan Check Fee' Dale Paid: Recelpl Number' Received By: Plans Reviewed By Date Systems Development Charge Is due on all undeveloped properties within tile City limBs which arc being Improved. ADDITIONAL COMMENTS By signature, I stalo and agree, that I have cnrefully examined the completed application and do hereby certify that all Information hereon Is true and correct, and I further cerllfy that any and all work performed shall be done In accordance with the Ordinances of the City of Sprlngfleld, and the laws of the State of Oregon pertainIng to tho work described herein, and that NO OCCUPANCY will be made of any structure without permission of the BuildIng Safety Division. I further certify tl1at only contractors and employees who are In compliance wllh ORS 701.055 will be used on thIs project. I further agree 10 ensure Ihat all required Inspections are roquested at the proper time, that each address Is readable from Ihe slreet. that the permit card Is located allhe front of the property, and the approved set of plans will remain on the site at all times durl~gAcon>>ruct1on. Slgnalure / 'MId't.iJ~~ --1'1:... ~ Date I' Y /if 4'7 VALIDATION: RECEIPT NUMBER ,2 IffsV! '3 - ['.1{ 'L[ / -:J-&.)'" /l) DATE PAID AMOUNT RECEIVED RECEIVED BY -.L4t ---