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HomeMy WebLinkAboutPermit Mechanical 1993-3-17 'RESIDENTIAL . PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' '1 [r c. {'~D-ts 9; /4- 7-1- v ASSESSORS MAP' /'7CJ~ 27 LOT' BLOCK' IJ / hv.-r5 '7 If (" Sea -tk C/ )a- 1/ ~/J/urJ"eU ...4.. s--lrU.t OWNER' ADDRESS' r~ CITY: DESCRIBE WORK' NEW REMODEL CONTRACTOR'S NAME GENERA' . PLUMBING: . JOB NUMBER q.~ I?S 3' 5' 225 Filth Street Springfield. Oregon 97477 TAX LOT: -.15.14 ~ SUBDIVISION' PHONE: _'71//- ~/() 9 STAT~' tJ[( ZIP: 97/l,...... "r fud- /XJ...",O l . DEMOLISH OTHER ADDITION ADDRESS CONST. CONTRACTOR # PHONE MECHANICA' . tJ, /.i/J I '11M -'l4)~ ? /'~-'U,~ P-Yn-.F '7~~$l-S- ELECTRICAl' tu. <i?- , ?-:. EXPIRES J-:J.-':JI-<}3 3 W-~~I - OFFICE USE - QUAD AREA' LAND USE: FLOOD PLAIN' # OF BLDGS' # OF UNITS: ZONING CODE: OCCY GROUP' CONSTA. TYPF' # 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. 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 Slle Inspection - To be made atter excavation, but prior to setting forms. o Under.lab Plumbing/ Eteclrlcal/ 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 filling trench. o Underfloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to deckl ng. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Waler Line - Prior to filling trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS ~Rough Mechanical - Prior to ~cover. rvr"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 Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stove - After Installation. o Insert - Aft~r fireplace approval and Instailatlon 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 required trees are planted. o Final Plumbing - When all plumbing work Is complete. . , ~Flnal Electrical - When all ~electrlcal work Is complete. ~lnal Mechanical - When all r mechanical work Is complete. o Final Building - When all required InspectIons have been approved and building is completed. DOthor MOBILE HOME INSPECTIONS o Blocking and Sel.Up - When all blocking I. complete. o Plumbing Connections - When home has been connected to water and sewer. o EleClrlcal 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 ventlng have been Installed. r-:-u , Lot facos Lot TYP. Lot sq, flg. Interior 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 Total Fee (A) ,,' ". 'I I P.L. IN Is Iw IE VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) 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 Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) FEE /?1rV, ~.e;". tH!J /0,00 75 ..25-7"> 7C::.7S " , ~, , . .' ,,' ,.~ ' l' l' \ I" '.~ ;. .\/ 'f.' :t'./ ,I, IS THE PROPOSED WORK tN THE 'HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Hlstorlcat Coordinator prior to permit Issuance. Se t bac ks 'HSE'GAR'ACcl 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 City limits which are being improved. ADDITIONAL COMMENTS 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 Ordinancos 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 are In compliance with ORS 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 tImes du Ing construction, ~gnature Date /) 1'7 -9<. VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED ?1J.'SD 7,//7/93 ( 7<;;7f' .~ RECEIVED BY