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HomeMy WebLinkAboutPermit Mechanical 1995-11-20 RESIDENTIAL PERMIT APPLICATION Inspeclions: 726,3769 Office: 726.3759 LOCATION OF PROPOSED WORK: /703 ASSESSORS MAP: LOT: NEW . SPRINGFIEL.D (!.r, ~7 BLOCK: . JOB NUMBER 7' 5' I ~/7 225 Fifth Street Springfield, Oregon 97477 , TAX LOT: SUBDIVISION: t"'9 :? 5' /'1l; " PHONE: 7~ 10 - 6{ g ()3 STATE: 012 OWNER HG/lJRY HOME-If. ADDRESS :d3d.'/.,_jlf)ilA)~,/_,J!.-7' CITY: SP~ /4l./3.E.L;::;'/.J) ______ DESCRIBE WORt( B.6PLAtlE Bits Fuf(fJA(J;6.. ADD AI R (lfl/>,JDr,//J JUEf2 REMODEL __ ADDITION DEMOLISH CONTRACTOR'S NAME GENERAl. -------.------. _ ZIP: 10-; (j 7 I-f OTHER ADDRESS CON ST. CONTRACTOR N PHONE EXPIRES PLUMBING' MECHANICALQ,,'Q.~t-+ nOli) ~~Q..~ I q5l ::D\)f'l St. ~ltk J) / ~~f~\~ G,r\\.l '1 '7 ODq&D wh,/% ?~-D/{)t) ELECTRICAL: OUAD AREA: . OF BLDGS: OCCY GROUP: . OF STORIES: __,______ WATER HEATEf1: _...__'_____,_,_ - OFFICE USE _ LAND USE: N OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: FLOOD PLAIN' ZONING CODE:__ . OF BDRMS: SECONDARY HEAT: SOUARE FOOTAGE: __ To requesl an Inspecllon, you musl call 726,3769. This Is a 24 hour recording. Alllnspecllons requested belore 7:00 a.m. will be made the same worl<lng dny, Inspections requested after 7:00 a,m. will bo made tho (ollowlng work day. D TornporOlry Electric o Sito Inspection - To be mado after excavation, but prIor \0 sellIng forms. o Underslab Plumbing/Electrical I Mechanical - Prior to cover. o Fooling - After trenches are excavated. o Masonry - Steel location, bond beams, groullng. D Foundation - After forms are erecled but prIor to concrete placemont. o Underground Plumbing - Prior to fllIlnQ trcnctl. o Underlloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Bca~ - PrIor to floor InsulatIon or dCcldng. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to fl/lIng trench. o Storm Sewer - Prior to filling trench. o Wator Llno "'" Prior 10 filling trench, o Rough Plumbing - PrIor to cover. REQUIRED INSPECTIONS o Rough Mochanlcal - PrIor to cover. o Rough Electr~cal - Prior to cover. , o Eleclrlcal Service - Must be approved to obtain permanont olectrlcal power. o Fireplace - Prior to (acing materials and framing Insp. o Framing - Prior to cover. o Wall/C'elllng Insulallon - Prior to cover. D Drywall - PrIor to taping. D Wood Stovo - After Instal/allon. o Insert - After fireplace 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 materIal In place. o Fence - When completed. o Street Trees - When all required trees Bre planted. o Final Plumbing - When all plumbing w9rl< Is complet,e. ~Flnal Electrical - When all ~ electrical work Is complete. i'571' Final MeChanical _ Wh~n all ~mechanlcar work Is complete. o 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 ConnectIons - When home has been connected to water and sewer. o Electrical Connoction - 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 faces Lot Type. Lot sq. Itg. InterIor I P.L. IN Is Iw IE Setbacks , HSE ' GAR' ACC I I I I -.J .S THE PROPOSED WORK IN THE 'HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes. this application must be signed and approved by the Historical Coordinator prior to permit Issuance. Lot coverage Corner Topegraphy Tolal height Panhandle Cul'de,sac APPROVED: BUILDING PERMIT ITEM SO. FT. X $/SO. FT. = VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Garage " This permit Is granloeJ on the express condillon Ihat the said construcllon shall, In all resp0cts, conform to tlle Ordinance adopted by the City 01 Springlleld. including the Development Code, regulating the cOr)$lruclion and use of buildIngs, and may IJe suspended or revol~cd at any lime upon violation of any provisions of said ordinances. Main Carport Plan Check Fee: Total Value Dale Paid: Building Perml t Fee Recel pt Nurnber:.~_. _.___...h_______ State Surcharge Received By: Total Fee (A) Plans Reviewed 'By. --.----,--. Dale SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Syslems Development Charge Is due on all undeveloped propertlos within thn City limits which are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residential Bath(s) N' Sanllary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace ~.......u? MechanIcal Permit J 5' ~o /C)""O 12..0 24>.. 2vo By signature, I stale <lnd agree. that I have ctlrefully examIned the compleled application and do hereby certHy 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 Ordlnences ollhe City of Springfield, and the Laws of the Slate 01 Oregon pertaining to the work described herein, and thai NO OCCUPANCY will be made 01 aoy structure without permission of the Building Safety Division. I furlher cerllfy that only contractors and employees who are In compliance with ORS 701.055 will be used on this prolect. Exhaust Hood Vent Fan N' Wood. Stovel Insert/Fireplace Unit Dryer Vent Issuance State Surcharge /7)' t',.fF Tetal Perml! (D) Sidewalk It I further agroo to ensure thaI all required Inspections are reQuested at Ihe proper lime, that each address Is readable from tho street, thai the permit card Is localed at the front of the property. and lhe approved set of plans will remaIn on the site at all times during constructIon. 9,/-f.-f'f (}./)aZ;U Date YhJ./~ c10, /095 -~ MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Slgnalure Curbcul It Demolition .('7 /... .2.,,0 TOTAL AMOUNT DUE (excluding electrical) ~~_ (A, B, C, 0, and E Combined) VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY / <JfO~7 !./f2D/Lr 2b~;' 0 .(/~ Slate Surcharge Tolal Miscellaneous Permlls (E)