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HomeMy WebLinkAboutPermit Mechanical 1994-12-20 v??~ RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 ASSESSORS MAP: LOT: BLOCK: JOB NUMBER . '"9'~/'?9""~ 225 FI fth Street Springfield, Oregon 97477 TAX LOT: ~/~,--c..::::> . SUBDIVISION: OWNER: " PHONE' '~~Vc' ~~~:'/~ ..~~ "' . - . .~ ____ . STATE, 7?~~~~ /0/c.. DESCRIBE WORK: { ;r __ ~___ _.. ADDRESS: CITY' NEW REMODEL ADDRESS. CONST. CONT~ACTOR # PHONE CONTRACTOR'S NAME z?~. , ,- /~~~ DEMOLISH OTHER ADDITION GENERAl' PLUMBING: MECHANICAL~_"'?"'r~ ELECTRICA' . ZIP: ?;;>y> ~ r -- ~ " EXPIRES ~ ' ~/>~ ~. : ~~,. ,~~~~~ ~73IJf?'~~ ?2~.~'Y QUAD AREA: # OF BLOGS: OCCY GROUP: # OF STORIES: WATER HEATER' - OFFICE USE _ LAND USE: # OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANG E: FLOOD PLAIN: ZONING CODE: # OF BDRMS: SECONDARY HEAT: , SQUARE FOOTAG E: _ 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 mad~ the following work day. 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. 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 floor Insulation or decking. ' o Floor Insulation .,... Prlorto decking: . o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. , o Water LIne -Prior to filling trench. ' , o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cpver. o Rough'EIl:!ctrlcal ...,. Prior to cover, , o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior: to ?over. o Wail/Ceiling InsJ'ation - Prior 'to cover. , o Drywall - Prior to taping. D Wood Stovo - Afti3r Installation. o Insert - After fireplace approvl!ll and Installallon 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 60mpleted. o Street Trees - When all required trees are planted. " . o Final Plumbing - When all . plumbing w9rk Is complete. o Final Electrical - \tV.hen all .electrlcal work Is complete.' /Xl Final Mechanical - When all mechanical work Is complete. o Final Building - When all required Inspections have been approved and building Is completed. o Other MOBilE HOME INSPECTIONS o Blocking and Set-Up - Whep all blocking Is complete. o Plumbing Connections - When home has been connected to ' , water andsew1r. o Electrical .connection - When blocking, :Set-up, and pluroblng 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 Lot coverage Corner Is " Topography Panhandle. Iw Total ~elght Gul.de-sac " IE BUILDING PERMIT ITEM sa. FT. x $1 sa, FT. rv)ai n Gatage Carport Total Val ue Building Permit Fee State Surcharge Total Fee (A) .; ~ ~..'.;';:: ~j:;t",~1';:';~~'.~ .S THE PROPOSED WORK tN THE - . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the HlstQrlcal , CQQrdinator prior to permit Iss'uance. Setbacks . HSE GAR ACC VALUE " SYSTEMS DEV~LO'pMENT .CHA.RGE (SDCL (B) PLUMBING PERMIT , ITEM Fixtures , Residential Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. MQblle Home Plumbing Permit State Surcharge .. Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO WQod StovellnsertlFlreplace Unit Dryer Vent ~L /~~:''\~~y. Mechanical Perml t '~tiP/~ Issuahce State'Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge TQtal Mlscellar)eous Permits (E) TOTAL AMOUNT DUE (excluding e'lectrlcal) (A, B, C, D, and E CQmblned) , FEE /~~ . - /~.:..... / ~ . 7~' .~~ '/b:,2CJ APPROVED: BUILDING VALUE, PLAN CHECK, AND BUILDING PERMIT, This permit Is granted on the express cQnditlon that the said constructi'Qn shall, In all respects, cQnfQrm to the Ordinance adopted by the City. Qf ,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 DevelQpment qharge is due Qn all undevelQped prQpertles within tho City limits which are being ImprQved. ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully examined the cQmpleted applicatlQn and do hereby certify that ali InfQrmatlQn hereQn Is true and correct, and I further certify that any and all work perfQrmed shall be dQne in accQrdance with the Ordinances of the City Qf Springfield, and the Laws of the State of Oregon pertaining to the wQrk described herein, and that NO OCCUPANCY wlli, 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 prQperty, and the apprQved set of plans will remain on the site at ~ time~--",~ng structlon./ . Slgnatur~~""-, ~ " - , Date /?-~o-9Y VALIDATION: RECEIPT NUMBER /~??6 DATE PAID /2.... - 7C:> ~7C:Y- AMOUNT RECEIVED '2 L;.h 2C> RECEIVED BY .~~......