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HomeMy WebLinkAboutPermit Mechanical 1994-1-10 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: If} A- \ ~ \'1D?J8'o21~ - ASSESSORS MAP: LOT: BLOCK: JOB NUMBER Q4, )()2!7 ) --' TAX LOT: 0-6~ -.", SUBDIVISION: OWN ER~ _ _\ )B\'\ \ (~Q\ ti --0 ) PHON E: l.JtJ (0 - J q 1-1 ADDRESS:' \\\4 ~\lm 05\\.) \LfllUL:> 1'(\ _ CITy",~j\lJVf'rf,~~\U,:v ST:TE' lUM J(YJrL DESCRIBE WORK: n~ D) ()l r)~\~ A ~~ ' NEW REMOD:L \ AD~T~O~ DEMOLISH \ ~THER CONTRACTOR'S NAME ZIP: Cfr 14() r; , . ADDRESS CONST, CONTRACTOR # PHONE o Rough Mechanical - Prior to cover, o Rough Electrical - Prior to cover, o Electrical Service - Must be approved to obtain permanent electrical power. EXPIRES GENERAL' PLUMBING: - _ MECHANICAL:\1)_~OYlr\\tIDlX'<\D~t\C!S V.O ,~'l()\gSF-(1?~90l', .4brrntJ ELECTRICAL: (-51,-44-' o Masonry ..,..... Steel location, bond bear;ns, grouti ng. D Foundation - After fOrms are , erected but.'prior to concrete placement. o Underground Plumbing - Prior to filling trench, o Underfloor Plumbing/Mechanical - Prior to insulation or decking. , D Post and Beam - Prior to ffoor insulation or decking, QUAD AREA: ....,S ;;...;.. OFFICE USE - LAND USE: FLOOD PLAIN: # OF BLDGS' # OF UNITS' ZONING CODE: OCCY GROUP' CONSTR. TYPE: # OF BDRMS: # OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANG!=" 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 made the same working day, inspections requested after 7:00 a,m, will be made the following work day, REQUIRED INSPECTIONS D Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/ElectricaIJ Mechanical - Prior to cover, o Footing - After trenches are excavated. ' o Floor Insulation - Prior to decki ng, D Sanitary Sewer - Prior'to filling, trench. o Storm Sewer - Prior to filling trench, D Water Line':"" Prior to filling trench. D Rough Plumbing - Prior to cover. o Final Plumbing - When all plumbing work is complete, o Final Electrical -,When all electrical work is complete. o Final Mechanical - When all mechanical work is complete, o Final Building - When all required inspections have been approved and building is completed. . o Framing, - Prior to cover, P' ()~'" r-- ~ 0 ^ 'I> f"\j ) . ther ~,\~UU ' o Wall/Ceiling Insulation"':'" Prior to , (_J.LIj!lO{ >~ D cover. J ~ (j o Drywall - Prior to taping, o Fireplace - Prior to facing materials and framing Insp; o Wood Stove - After installation, 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 are planted, ,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. I o Final - After all required inspections are 'approved and , , porches, skirting, decks, and venting have been installed. 'Lot faces Lot Type Setbacks i J THE PROPOSED WORK IN THE I P.L ACC I "- Lot sq, ftg. Interior HSE GAR HISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Lot coverage Corner Is I If yes, this application must be signed Topography Panhandle and approved by the Historical I Coordinator prior to permit issuance, Total height Cul-de-sac W ,E I APPROVED: BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT. VALUE Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO Sanitary Sewer FT, Water 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 [e 4"Vent~ /) 01 (Jyf) {) . . n cYrY-\yy- , ~h~n~;cal Permit /' c0 ~: ,. '/0,00 .'D a1~ 1:] Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge 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: 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 Information 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 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 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, Signatu(7~//~/k~ /~ 1/ V Date !/ / VALIDATION: //3~ DATE PAID /- /()~ AMOUNT REC~j c!2-:5% RECEIVED B~/" 7\/./J(j/ ) ~ - RECEIPT NUMBER