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HomeMy WebLinkAboutPermit Mechanical 1993-4-20 RESIDENTIAL PERMIT APPLICATION -. Il1spedlol1H: 1:'1}.37()!J Oflit.:e: l~~G<l/~l!J LOCAlIOI~ OF I'I"lOf'OSED WOIlI<: __._ ASSESSOI1S ~IAP: __.________ LOT: ... ..___.. . SI'JlING'':IEL[) I]lOCK: _ _ ((.0..0_ hl\c h ,,,, VJ _._~ J ?:,__._..R.. :.!..r:..!" -..-8 : \ U .~.. OWNER: _____.. :'. ADDRESS: _ CITY: ....___ _. . DESCRIBE WOI1I<::k.c_sh II NEW.._X.._ I1EMODEI. _._ _...D{!.__. STATE: _."'O.JZ.. l-t1."'i: \- i- <:; I c> -=-GJo~c\ -e '^ ADDITION __ DEMOLISH OTHER' COf-nRAClOII'S NAME GENEflAL: _. .. JOB NUMBER _ Ct~o.<:;;;;;' f.o 22tl Flflh Slreol Sprlnulle1d, O":UOII 9'1477 PL... TAX LOT: ) ~ (')00 SUBDIVISION: PHONE: -, Y J...::::.. ,..1 '-t 1....__..._ ZIP:~J'-( 17_....... rltl.....c 1'1'-5 p s.t-=-_~ Ci.}__.. --_6~~-fLtUf; _ AUDI1E~;S CONST. CONTRACTOI1 · PI lONE ---..-.....---..-...----..-..- -....-----.-- PLUMBING: _ MECIIANICAI. t'h~Lf~.~ JLL_J\"'Il-t-L~;$ .__.__.._._-_..,...._--_._,_.,._._---~---_..- ELECTI1ICIIL: ._.____ .__ QUAD AIlEA: . OF ElLDGS: OCCY GIlOUI' . OF STORIE~;: WArER IlEAl 1:11: __~_.. l{'_~.l._G, .s-Teel - OFFICE USE - LAND USE: __.._ . OF UNITS: ___-,- CONSll1. TYPE: ___..__ HEAT SOURCE: RANGE: ___..._______ EXPIRES ~-lqo \ ")./" , --.------ ._~..__.._..__...__.n.__ ( Y...l.1y:g- FLOOD PLAIN: . ..__...._. ZONING CODE: _________ . OF BDRMS: SECOND~ HEAT: ____ _____ SQUAR1 FOOTAGE; _. :_ . .__ ____.___ To IcqlJc~jl an in~pec'l()rl, you Ill'.!!:! call 72(3.3769. Tille Is a 2,1 he'llr recording. Alllnspecllons requested hefore 7:00 a.m. will be nw(lc tllU ::;11110 wOlklnu day, Im;pcctlons requesled aller 7:00 a.lIl. will be made the following worl( day. o TempOlary Electric D Silo Inspecllon - To be made after eXI:avDllon, hul prior 10 seltlllU lulms. o UndorslaIJ Plull1IJlno/Eleclrlcel/ Mechanical - Pllor to cover. D Foallnu - Aller !ranches are oxcavullHt. D Musof1lv - Steel location, bond beams, Uroutlng. o Faundillfan - After forms me erected but prior 10 concreto placument. D Undcruround Plumbing - Prior 10 flllln!.) !rench. o Undcrlloor Plumbing/Mechanical _ Prior to Insulation or decking. o Post and Beam - Prior 10 floor Insulalion or decldng. o Floor Il1sulallon - Prior 10 dccldnu. [-I SnnllalY Sewer - Prior to filling -- Ifondt. D 510rm Sower - Pllor to IIIlIng lIench. D Willer line - Prior to fllllflO trench. o naUU" Plumblnu - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior 10 cover. D noug" Electrical - Prior 10 cover. o Eleclrlcal Servlca - Musl be approved 10 oblaln perrnanenl electrical powor. I~ Fhoploce - Prior 10 faclno malerlals and framing Insp. o Framing - PrIor 10 c,over. D Wall/Cel.llno Insulation - Prior 10 cover. D Drywall - Prior to taping. o Wood Stove - Aller Installallon. D Inserl - Aller fireplace approval and Inslallallo~ of unIt. I~ ClIIbcul & Approach - Aller forms ore omclod bul prior 10 placement of concrete. I~ Sidewalk & Driveway - Aller excavation Is completo, lorms and sub.base malerlal In place. D Fonce - When comploled. o Slreel Trees - When all required treos are planted. ,.f o Final Plulllblnu'':'''' Whell all plumbing WQfI( Is complete. D Final Eleclrlcal - When all electrical worl( Is complote. l:2r~lnal Mechanical - When all mechanical work Is. completu. D Final Building - When all required Inspections have been approved and building 19 completc(l. B Olher ....c~_t:: E..______ " MOBILE HOME INSPI;CTIONS D Blocking and Sel.Up -:- When 011 blocking Is complolo. '. 'to.. ',. D Plumbing Connections - When home has been connectud to walor and sewer. l--I Eleclrlcal Connecllon - Whell - blocking. sot-up, and I'IUlllblllU Inspoctlons have boon Dpprovnd and Ihe homo 15 connected 10 Ihe servlco pan~r. D FInal - Aller 011 re"!Jlmd Inspecllons oro approved Bnd porches, sId rUng, decl(s, and venllng havo been Installed. __ _f~~t>~~~__ __ ..BL ills.. .QAf! AC~ 1L-____ ~--~ ~--- .E._ .____. ___n_ _. Lot faloes Lot Type,_ Intorior Lol sq. IIg. Lot coveraue Cornor Topography Tolal heigh I Panhandle Cul.do.sac BUILDING PERMIT ITEM SQ. FT. X $/sa. FT. = VALUE Main. '. ", Garage Car pori , , Tolal Value Building Permll Feo Stalu Surcharue Tolal Feo (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Flxlures Aosldenllal Balh(s) N' Sanllary Sewer FT. Waler FT. FT. . '\\ Storm sewer'~; Mobile Home Plumbing !,ermll ' Stale Surchargo Tolal Charge (C) MECHANICAL PERMIT Furnace Exhausl Hood Venl Fan 'N' Wood Slovo/lnsorl/Flreplace Unil Dryer Venl Mechanical Permit \ c:, oC) InDO /5 ;:.) 0:; '5 Issuance Slale Surcharge Tolal Pormll (D) MISCELLANEOUS PERMITS Mobile Homo Slate Issuance Slale Surcharge Sidewalk II Curbcul II Dumnllllon Slalo Surchargo Tolal Miscellaneous Permlls (E) TOTAL AMOUNT DUE (excluding eleclrlcal) _'::l 0:;. "_ lA, B, C, 0, and E Combined) . _TIlE 1'F10POSEll WORI\ IN lIlE ""I"i1:nOIIlCAL DISTflICT, on ON THE IIISTORICAL !lEGISTER? ______.o___ II ynu, this appllcallon mu~1 1m sluncd anti approved by tho Hislorlcal Coordinalor prior '0 pOl'lnll Issuanco. APPROVED: __ BUILDING VALUE, PLAN CHECI< AND BUILDING PERMIT This permit Is granteel on Ihe express condition Ihat Ihe said construction shall, In all respects, conform 10 lliu Ordinilnce adopted by Iho Cily of Springfield, Including Ihe Developmenl COde, rogulating the conslruclloll and usu of buildings, and may be suspended or .evokell al any lime upon viola lion of any provisions of said orcJin.ances. Plan Check Foe: __..____ _... Dale Paid: Recelpl Nurnbcr:__._..___ Recelvcd By: Plans Revlowed Oy Dille Syslems Oevclopmcnl Cllaruc Is <lue on all undevoloped properties wllhll1 Ihe Cily limBs which am being implOved. ADDITIONAL COMMENTS By signature, I state and aoree, Ihalll1avc carefUlly examined Ihe completceJ appllcallon and 00 hereby Cllllify Ihat all Informallon hereon Is truo anti correcl, and lllllllier ccrtily Ihal any and all work performed shall be dorlO in accordance with Ihe Ordinances of the Ci Iy of Sprlnglleld, ;Hld Ihe Laws of the Slate of Oregon pcrlalnlng to the woil( describod herein, and !hal NO OCCUPANCY will bo mado 01 any structure wlthoul permission of tho Building S.;llcty Division. I further carlHy 'hal only conlractors and emplpyeo5 who are In compliance willt OAS 701.055 will be uscd on Ihis proJec!. I further agree 10 ensuro thal all required Inspoctions are roquested at tho proper lIrrw, lhat oach address Is readable Irom Ihe slreel, Il1al Ihe permll card Is localed alll1e Ironl ollho properly, and Ihe approved sel 01 plan:; will relllaln on lho silo al all limes during construe lion. Slgnaluro ____~~ iWN-.,/t't Dale _. ~bo/.p,,"~ ------ --- VALlDArION: flECEIPr NUMIlEII__ _ _Sl.1~2___.._._. DATE PAID __,"__n_. '":'bollf.-2._. --.. ---. AMOUNT RECEIVED. _f.:i.s:..-_2s.-__ RECEIVED BY ...__ _ ____m D~_._.____