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HomeMy WebLinkAboutPermit Mechanical 1999-1-25 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726-3759 ~. LOCATION OF PROPOSED WORK: :)~;:) 17~~ 2-J }-] ASSESSORS MAP: LOT' ~""1" ,". ~.'.:~. BLOCK: ---~- JOB NUMBER!l_90j 1) 7 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION: tJ 37/16 OWNER~Q.L~k' ~( ~)hv\-O DO- ADDRESS~ l & ~ -::J UJ 2 1 J\ CITY: Sn, j\ t' n, ',~ -l~, ill d '-----'~...L ",)1 \ DESCRIBE WORK, Cc,. Cw . J-t M ;t I ~/ (] iA. CfIDd; r! ,m.; n ~ NEW '>( REMODEL ' ADDITION 'DEMOLISH OTHER I CONTRACTOR'S NAME I'/(;f- ,1/, A) ] / / / GENERAl. PLUMBING: MECHANICAL: ELECTRICAL: QUAD AREA: II OF BLDGS: OCCY GROUP: II OF STORIES: WATER HEATER: CONSr:, uireS you. '.'"' , O{\l'ore~'NM,.f~ffi~gon Utlht)EXPIRES A11EN I \ adopted by the les are set forth to\lU~J ~.~IQ~ nter. ,\ I~~ rl' OAR ~62..0C~ - l'1,:,titicatlo~ -u~, _ ~l)1 () thrOUg~ ~ \\='.'3 rilles bY in OAR 950! ma\f obtain cOP'~the telepho~e OO~v. :~')the center. \Net~ti\iW Not\ll~a\'on r.alhng ...' a ()rAOOn -;:Wn ""nmberlOI lH ..:: 1_ROO-$~~-~ ' , I 'elll"" ,- - OFFICE USE - SJLQU '--' ClUt, I STATE' ' ~ ADDRESS LAND USE:_ II OF UNITS: CONSTR, TYPE: HEAT SOURCE: RANGE: __ /4 h ~;)S 7.:<' ZIP: ~/lf 77 , JU A()( 0 fVV\ - 0 " . I PHONE: ,~ PHONE FLOOD PLAIN: ZONING CODE: II OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: lllf'l'''11'''^I''''. i\1Vi IVIIom. To request an Inspection, you must call 726-3769, This 1~i11i:-48~~U{lcgr9A~g, ~V~Mg~F.tlfr!f~ WeP~~ted before 7:00 a.m, will be made the same working day, 'Inspections requested after tl:60 a.il1Y1WIII ip,e rha~ tlie following work day. R'eiftl~sPEe1r.elNsllS PERMIT IS NOT S ""m~M~!\Ir.FD n8 IS ABANDONr=n FOR Ro h Mechanical ':- Prior to Final Plumbing - When all o er. ANY?f1O [V\Y PERIOD. o plumbing w()rl< Is complete. o Temporary Electric o Site Inspection - To be made after excavation, but prior. to setting forms. o Underslab Plumbing/ Electrical/ 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 tre~~h. , o Underfloor Plumbing/Mechanical -,Prior to insulation or decking. o Rough Electrical ....,. Prior to cover. '~, '., .... . -, ,.' o Electrical Service - Must be approved to obtain permanent electrical power. D Final Electrical....,. When all electrical work is complete. ~I Fi-2 Mechanical - When all ~~~anical work Is complete, o Final Building - When all required Inspections have been approved and building is completed, . o Framing - Prior to covE::!- CJ ~ . \ ')!.Lr' '~:';'~ ~ '. . '" n 0 er &-;r J V..,LJV , .f o Wail/Ceiling Insulatlo'n' -::' Prior to cover, o Fireplace - Prior to facing materials and framing Insp, i' . ~ *' 0, .t D Drywall - Prior to t~rl.n~:;...; o Wood Stovo - After I~stallatlon. D Post and Beam - Prior to floor Insulation or de'ckln'g. 0 l':'Isert - After fireplace approvlll ~ " ,,' i..\:: .' e " --I.' " ,I j. and Installation of unit. O Floor'lnsulation - Prior to decking. ,- " '. 0 Curbcut & Approach - After ;. ',.' forms are erected but prior to placement of concrete. o Sanitary Sewer - Prior to filling trench. ' D Storm Sewer - Prior to mllng trench. ' " '. I ~' ,,..;. "';'t"...... ...~ O Water Line - Prior to filling trench. I, ", ! t ~ . " O Rough Plumbl~p ~ 'Prior to cover,' , :", }, o Sidewalk & Driveway - After excavation Is complete, foi'ms and sub-base material In place. o Fence - When cOi','pleted, O ,Street Trees - When. '~I~'r~qulred trees are planted. '....~, " MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. D, Plumbing Connections - When home has been connected to water and sewer. D 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.' " " ' Lot faces, Lot Typ Lot, sq, ftg. '- . ;. , Interior Lot coverage Corner Panhandle r Topography , 1:9.\;:l.1 height Cul-de'sac !:' BUILDING' P~ER~IT ITEM SO. FT. .:t,: ':;!1' .:t X $/SO, FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A), SYSTEMS DEVELOPMENT CHARGE (SDC) , ' Syste'1ls Development Charge is, due on all undeveloped properties within the City limits which are being improved. (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S~wer FT. Water FT, Storm Sewer FT, Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stovellnsert/Flreplace Unit Dryer Vent J I c,.,., f1v II c.. Mech~n';C~I\ pe/mi:t ," Issuance State Surcharge Total Permit, (D) MISCELLANEOUS PERMITS' Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge Total Mlscella,neous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) , ;., ; ,Ii:' i,-", ,:, .,.'-,i ;:~;','\{~~?" I P.L. VALUE " FEE ~. () 0 / I ;5;017 LD.Ov 'ft. 7;- U.H) ,~'.I' Setba'cks ' HSE GAR ACC' ~S THE PROPOS~D WORK iN THE. -HISTO!=iICAL DiStRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed ane;! approved ,by the Historical C.oord I nator prior: to permi t issuance. N S w E \ ~'. \ APPROVED: _...,~ , . .r't-., . ;i~ .~.!' 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: ' i.,,- < Plans Reviewed By Date 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 ali 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 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 e'nsure 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 :~g::~"iI:\~}:~~ t~ ' U Date { - &.'3 ..q 9 VALIDATION: o 32 ~ 70 I / ~r I f'7 I .' j/tJJ' RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY