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HomeMy WebLinkAboutPermit Mechanical 1992-5-18 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Ollice: 726,3759 LOCATION OF PROPOSED WORK: . SPRINGFIELD t:r BLOCI" ASSESSORS MAP: LOT' OWNER:_JI'N\..... J)Dn~l~ ADDRE'"'' Q ~ '10 R \\Jl eNl. CITY SOf'\l'\.,\~\dd.. DESCRIBE WORK: I-l-f:.A-r W l \\\O..ms &. STAT'" oe. . 9::?C>7:a6 JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT' ~~~ SUBOIVISION: PHONE: '14 '7 - S'I 'tJ ZIP: q1l/1? p tJl'{\ i> 3 +on - 3lD ,.DDD 't>1 U ~ REMODEL ~ ADDITION NEW CONTRACTOR'S NAME GENERAl' DEMOLISH OTHER ADDRESS CONST. CONTRACTOR' PHONE :;;~M:;::AL~l_o{'(\~or'~"r\ ~~-~~~;~ ELECTnlCAL: _'--'. OUAD AREA: . OF BLDGS: OCCY GROUP' . OF STORIES' WATER HEATER: ~ ()c.jla.O - OFFICE USE - LAND USE: . OF UNIT~' CONSTR. TYPE: HEAT SOURCE: RANGE: EXPIRES v./ ~OL q:J.'--i;;~--~:gi-o-J FLOOD PLAIN: ZONING CODE:_ . OF BDRMS: SECONDARY HEAT: 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 ma(lc the same working day. Inspecltons requested after 7:00 a.m. will be made the following work day. o Temporary Electric I I Site Inspection - To be made after excavation, but prior 10 setting forms. o Underslnb Plumbing/ Electricall Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, Grouting. o Foundation - Atter forllls are erecte(! bul prior 10 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 decking. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water L1no - Prior to fIlling trench. . o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o 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 taPing., o Wood Stove - After installation. o Insert - After flrep!lace 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 malOr,lal In place, o Fence - When corflPlctClL o Street Trees - When all required trces arc planted. o Final Plumbing - When all plumbing work is complete. D Final Electrical - When all electrical work is complete. IE] Final Mechanical - When all mechanical worl~ is complete, o Final Building - When all required inspections have been approved and building is completed. D'O'hcr MOBILE HOME INSPECTIONS o BlockIng and Se,t,Up - When all blocking is complete. o Plumbing Connections - When home has been connected to water and sewer, o Electrical Conncclion - 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 laces Lot Type. Lol sQ. fig. Interior Lot coverage Corner Topography Total lleight Panhandle Cul.de-sac BUILDING PERMIT ITEM sa. FT. \ X. $/SO. FT. .. Main GarilUC Carport Total Value Building Permit Fee Stale Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanilary Sewer FT. --~ Waler FT. Slorm Sewer FT. Mobile Horne Plumbing Permit Stale SUlchmuc Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsert/Fircplacc Unil Dryer Vent # ,~~@P. 'a?~~.-O Mechanical Permi I Issuance Slate SUlchnrge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Slate Surcharge Sidewalk It Curbeul It Demolition State Surcharge Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding eleclrlcal) (A, B, C. D. and E Combined) _ THE PROPOSED WORK IN THE ~ISTORICAL DISTRICT. OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical S;oordinator prior to permit issuance. Selbacks I P.L. I HSE GAR ACC I N S E W ., - "----- ~----------- APPROVED' VALUE FEE ~I-~ -e> /0. at? -7:? ~~22 BUILDING VALUE, PLAN CHECK I AND BUILDING PERMIT This permit is qranted on tile express condition Ill;}t tile said , .. ~ . ., t.. construction shalt. in allrc'sPccls,"confornf to tile Ordinance adopted by. the Cily of 'Spri.nglield, includil1Q the DeveloplIlent Code, re~lulating 'Iile con~~lhl<;lion and 'use of buildin{js, and lTlay be ~;u~~pended or revoked al any time upon violation or any provisions of snid ordinanccs, Plan Checl< fee: ___ Date Paid: Receipt NUlllbc'.' Received By: Plans Reviewed By Date . '':'Systems Developrpent 'Charge is due on all undeveloped properties wj}hi~ ~hc,City limits w.hich;are being improved, " ,.... ... . . 1 ADDITIONAL COMMENTS By signatme, I stale and agree, that I have carefully examined the completed application and do hereby certify that all information 11Oreon is true and correct, and I furttlcr ccrllfy that any and all work performed shall be done in accOIdnncc with the Ordinances of lhe City of Springfield, and the Laws or the State of Oregon pertaining to tile work described IlCrein, and tlial NO OCCUPANCY will be rnade of any structurc 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 furlher agree to enSlHe thaI all required inspeclions arc requested at the proper lime. that each address is readable from the slreet, thai thc permit card is located at the front of Ihe property. and llle approved set of plans will remain on the sile at all times during construction. Signature 9~&aZJ 5-/4-IfcJ.. Dalo VALIDATION: t,<<.Bib DATE PAID -!>Y.8-9"2 AMOUNT RECEIVED _:ZC;;:?;::;-- ~~~ RECEIPT NUMBER RECEIVED BY