Loading...
HomeMy WebLinkAboutPermit Mechanical 2001-8-14 (2) OWNER' ~j?.Y"\ ~o.L'J ADDR""'O'" €39-9 lli.utrltY CITY: ~~O ol \J DESCrK' 1~..a:buL ~ NEW REMODEL ADDITION RESIDENTIAL PERMIT APPLICATION Inspecllons: 726.3769 Office: 726.3759 LOT' . SPRINGFIELD .1,...., BLOCK: STATE:~ ('-'"n-"\cl~ DEMOLISH OTHER . 0/-00"67'-{-<J( JOB NUMBER 225 Filth Street Springfield, Oregon 97477 (JOliN SUBDIVISION' PHONE: _ YJU-( J--f:::L+ ZIP' q "=1.~..rA ADDRESS' CON ST. CONTRACTOR' EXPIRES ',""' PHONE CONTRACTOR'S NAME GENERAl' PLUMBING: 1/l17lv>A Ln L ,. , MECHANIC~ur- -q1,Q)U~-1qCS / /)m #J) ELECTRICA' . %rJ 6J~ 7 26~oloo - OFFICE USE - QUAD AREA' LAND USE: FLOOD PLAIN' . OF BLDGS: . OF UNIT~' ZONING CODE: OCCY GROUP' CONSTR. TYPE: . OF BDRMS' . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANGE:_ SQUARE' FOOTAGE: To request an Inspection, you must catl 726.3769, This Is a 24 hour recording. Alllnspecllons requested be foro 7:00 a,m, will bo made the same working day. Inspectlons requested after 7:00 a.m. ,,:,",111 be made the following work day. D Temporary Electric D Site Inspection - To be made "atter excavation, but prior to setting forms. D Underslab Plumblng/Elactrlcall Mechanical - Prior to cover. o Footing - Alter trenches are excavated. o Masonry - Steel location, bond beams, grouting. . D Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing -.: Prior to filling trench. D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or decking. D Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. o Waler Line - Prior 10 filling trench. o Rough Plumbing - Prior to cover. , ough Mechanical - Prior to cover. D Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. D Wall/C.elllng Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Stovo - After It~sta"atlon. o Insert - After fireplace approvel and Installation of unit. o Curbcut & Approach - After forms are erected but prIor to placement of eoncrt!le. D Sidewalk & Driveway - After exe'avetlon Is complete, forms and sub.base material In place. o Fence - \Nhen cCiY'Ipleted. D Street Trees - Wh~n all required trees are planted. D Final Plumbing - When all plumbing w~>rl( Is complet.c. D Final Electrical - When all electrical work Is complete. ~ Mechanical - When all mechanical work Is complete. D Final Building - When all required Inspections have been approved and building Is r completed. DOther MOBILE HOME INSPECTIONS o Blocking and Sel.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. D Final - After all required Inspections are approved and porches, sklrllng, decks, and venting havo been Installed. , Lot faces Lot ~yp. Lot sq, fig, Interior Lot coverage Corner Topography Panhandle' Total height Cul.de.sac BUILDING PERMIT ITEM SO. FT, '( " X $/SO, FT. a Main Garage Carport Total Val ue Building Permit Fee State Surcharge Total Fee (A) c~. f'-f-! ';;';\ P.L. HSE N ---.. S w , ' "'.IF .:~~.~'~f~'~i' - .." ".(~, ~ .~ .~ . IS THE PROPOSED WORK IN THE _ HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? t . -..... Setbacks GAR Accl -1 II yes, this application must be signed and approved by the Historical , Coordinator prior to permit Issuance. ~_..!.---..J-L___-: APPROVED' VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. FT, FT, Storm Sewer Mobile Home Plumbing Permit State Surcharge Tolal Charge (C) MECHANICAL PERMIT Ie. Furnaco Exhaust Hood Vent Fan N' Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance -, State Surcharge Total Permll (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Stale Surcharge Sidewalk II Curbcut II Demolition Slate Surcharge FEE u~ ( .1"-: A> IV') '/DV? , 1-1~ (0\ ' Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) iJ(=+Y (A, B, C, 0, and E Combined) C I ' 7. " 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 Dovelopment 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 Developmenl Charge Is due on all undeveloped properties within tho 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 carlHy 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 tho City or Sprlngflold, and the Laws of the State of Oregon perlalnlng to tho work described herein, and that NO OCCUPANCY will be made or 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 lo ensure that all required .Inspectlons are requested at the proper time, that each address Is readable from the street, that the pormlt card Is located at the front of the prop y. and tho approved set or plans will remain on the site a all times ring construction. \ Signature " Date VALIDATION: RECEIPT NUMBER bC(( ~ DATE PAI~ /t(j:) / AMOUNT RE;Elvff,/7) RECEIVED BY ,~ D "" -< -<07.) DD ;::o-cz: !:!:!I"l}~ ("') 0:0" :D ..CO ('."'11 ................... ::c I 1--1("')*1--1.0 .,,-C -"'0 ;.aJ.l..>w.. w .. :z: 1--1. r-.J 0"- OwJ. O.t;:... ........,.,-..,,"-',...- j' .. ....... '-"