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HomeMy WebLinkAboutPermit Mechanical 1997-10-16 OWN~~' C ') \ \ \ \'; M"'.{- L\ ~~~ ADDRESS:' :\ ~{<)(p eLC I'lV\~ CITY: S{).(-\ 0~ h Q 10 ~ - ~ \ D~SCRIBE"WOR~: V-.-0~;;s'~~r~:I[r C~~~ NEW REMODEL. r . ADDITION RESIDENTIAL PERMIT APPLICATION Inspection,s; 726-3769 Office: 7.26-3759 1:-..,1 "', CONTRACTOR'S NAME GENERAL: . ~l==.\ \= SPRINGFIELD " BLOCK: G<::::, (1' e...vTS 'bt- JOB NUMBER Qil5iY- 225 Fifth Street Springfield, Oregon 97477 s\ TAX L01: SUBDIVISION: PHONE: IYlo- OY d- S STATE: rQ Q ~ l"Y""'\ Lt....)~ bn" ()\~ic\Q_, DEMOLISH OTHER ZIP: 9~<...{/'X ffi ~ ~r\~c._e..- ~JjL) ~ ( ~\ , q . ADDRESS' , \-\-6~ LD, ~ t\.\u CONST. CONTRACTOR # PHONE PLUMBING' MECHANICAL: ELECTRICAL: ~.;\ '.c' QUAD AREA' # OF SLDGS: OCCY GROUP: # OF STORIES: WATER HEATER: . .,....... ""''''',;"..t-''''''''''''''';- - OFFICE USE - LAND USE: # OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: EXPIRES,~ FLOOD PLAIN: ZOI':JING CODE: # OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: To request an Inspection, you must call 726-3769, This Is a 24 hour recording. AILlnspectlons requested before 7:00 a.m. will be made the same working day,lnspections requested after 7:00 a.m, wi'.' be made the following work day. REQUIRED INSPECTIONS o Temporary Electric o Rough Mechanical - Prior to cover. D Roug'hElectrical ...,. Prior to cover. ~ ~~~ ~O~O~ o Electrical S~.~~\!. .:...~~t\<&~ eo. approved,. t~"/.>fb~af ~t~an~ tl('\Cl;..'ele~~\.po,~~" S) '(UP o Footing - After trenches are ~O \~~\ r:J~?- _... b..~\)O~€ excavated. ~ 'f.~~ ~r ~o facing . \~ ~e!la~~ framing Insp, o Masonry - Steel location, bond ~~\~ ~C~\) ~O\). . beams, grouting. ~a~~~.l;; Prior to cover. o Foundation - After forms are ~ \~, ' erected but prior to concrete Wall/Ceiling Insulation '"7 Prior to placement. ' cover.' . O Site Inspection '- To be made after excavation, but prior to setting forms. o Underslab Plumbing/ Electrical/ Mechanical - Prior to cover. 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. D Storm Sewer - Prior to Hlllng trench. ' o Water Line - Prior to filling . trench. D, Rough Plumbing - Prior to cover. o Drywall - Prior to taping. D Wood Stovo - After Installation. D Insert - After fireplace approvlll and Installation of unit, .DCurbcut & 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 ,St~eet Trees - When all required trees are planted. . D Final Plumbing - When all 'plumbing W9rl< Is complete. . D Final Electrical ,- When all e7work is complete. ~inal Mechanical - When all mechanical work Is complete. o Final Building - When all , required Inspections have been approved and building Is completed. D Other (A-S ~ , Gn-s SU-t2iNu_ 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 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 venting have been Installed. ,.~~ ;h, \ '~ "1'" . .;;.,.... '. ""J 1 ~,l)~Y~;tt~\: -- Lot faces Lot Type Lot sq. ftg. Interior I P.L. IN Lot coverage Corner ~. Is Topography Panhandle . Iw Total height Cul-de-sac IE BUILDING PER~IT 'ii ITEM SO. FT, [Ii' X $/SO. FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee VALUE " (A) SYSTEMS DEVELOPMENT CHARGE (SDC) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/Insert/Fireplace Unit Dryer Vent ~ &.A<5/\ /U-- Mechanical Permit Issuance State Surcharge -+ 6.03. Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) (B) FEE ~/C;. -- -1f 10, - ..- 1'7~+ .4-5> Setbacks . HSE . GAR ACe' ,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. APPROVED: BUILDING VAu1E, 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 Infoq'Tlatlon hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances 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 struoture without permission of the Building Safety Division, I furthercertify that only contractors and employees who are In complla'nce 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 all times during construction. Slgnature~: ~~~\~\ \ Date l6/tLP /~-, I ( VALIDATION: RECEIPT NUMBER DATE PAID I () AMOUNT RECEIVED ;).,, ~~ - ICb - q -, ~ro. d-e.> ~U RECEIVED BY