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HomeMy WebLinkAboutPermit Mechanical 1993-2-8 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 SPRINGFIELD LOCATION OF PROPOSED WORK: c!!) J l' J ~ -() 3-1:r1-- Z- OWNER: -j); e-yU-4- 80 m~lZe-l-6 A'DDRES~{\J(J'~\~ QJu\TQX\funD .\?-{ t--GL 'C;Ty:~5\ 1 'i-nL'~Urt -, S;ATE:' l\JJ\h() n ~ \ _~. L\ \ ~ " \ DESC~IB~WORK: S ..'~ __ P r N~:V: 'i/ REMOD~-L 'ADDITION - \.' '\' . , CONST. C~NTRACTOR'? N~ME . ,'. ", /[(, ,)A~?R,ESS ., .. 8,oN~RACTOR # GENERAL-'. , I''! 3"'1 (!~/};j; I 7/7 (!~;f..f '4:: '.'~~' .~:z 9 Y'7 PLUMBING' U/.l t!G./L~. P(/ ~~., MECHANICAL: 4/it rec--# tZu~ ~ "'11 '/.) Id.- .3./ '7 tJ / W~:/ / j1- ~ ~ . / ASSESSORS MAP: LOT: 4--5 ELECTRICAL: . QUAD AREA: '" ~ S u.) I OCCYGROUP: ~~~_ # OF STORIES: !l 'c"~ # OF BLDGS: WATER HEATER: BLOCK: DEMOLISH _.....::...__ OTHEF;! - OFFICE USE - LAND USE: rJ / f J f JOB NUMBER q~/ 1-/ 225 Fifth Street Springfield, Oregon 97477 TAX LO-f, J a "c; ~ SUBDIVISION: Wtl/t'-mcdr::/ Ills PHONE: \4i-RlNt ZIP: q\~\1 EXPIRES t-1J PHONE 7 '/7 8'7 ,(If/ "7 :L. "7 v.t 2 l' 4Jrs /~ 0y;J-l3S3 FLOOD PLAIN: ZO~ING CODE:.J.1),f ) # OF, BDRMS: '~'3 _ SECONDARY HEAT: :W SQUARE FOOTAGEc:i(')T:7-/ To request an inspection, you must call 726-3769. Thls'ls 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, f2(J Temporary Elect~ic 0: Site Inspection - To be made after excavation, but prior to setting forms., o Underslab Plumbing I Electrical/ Mechanical' - Prior to cover. M Footing - After trenches are ~excavated. , o Masonry - Steel location, bond beams, grouting, . 'tyl' Foundation - After forms are ~erected but prior to concrete placement. o U'~derground Plumbing - Prior to filling trench. REQUIRED.INSPECTIONS K7l' Rough Mechanica('- Prior to, ~ cover, , : l\71' ~oU9h Eiectrical -' Pri'o~ to ~cover,' ,_, '".. '\ rv1 Electrical Service - Must',be ~approved to obtain ,permanent electrical power, o Fireplace - Prior to faci ng materials and framing Ins'p. ~ Framing - Prior to cov~:, : I'\./f'Walll Ceiling Insulation - Prior to ~ cover. .. , ...... ~ Drywall - Prior to }aPi~g", ; ~ 1'vI1' Unde~f100~lumbin~chan~ M ~ _ Prior to Insulation or Ut;l;KJng. ~ Woos! Stove - After i~stallation.' , -z:otW ~ F',IJ, l'v-1' Post and Beam - Prior to floor ~ insulation or decking. DI Floo~ Insulation -- Prior to ,~ decking,. K:7f Sanitary Sewer - Prior to filling ~ trench, . f"YYStorm Sewer...,.. Prior to filling ~ trench. .,;', , ~Water Line - Prior t? filling .. ~ trench, . 'li)(1' Rough Plumbing '-priorto ~cove~ ; . ..~- o Insert - After fireplace approval , . ?nd installation of unit. o Curbcut & Approach -- After . forms are erected but prior to placement of concrete, . D Sidewalk & Driveway - After , excavation Is complete, forms and sub-base material in place. o Fence - When completed..-" D. Street Trees - When ,all .required trees are planted: . , '.; .' ," , , -" , 1'><1 Final Plumbing - When all ~ plumbing work is complete. .~' Final Electrical -) When all ~ electrical work is complete, IVrFinal Mechanical - When all ~ mechanical work is complete, ~ Final Building - When all ~required inspections have been approved and building is completed. o Other 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 ,Elect~ical 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 Type ~ Interior Corner Setbacks I P.L. HSE GAR ACC IN Is THE PROPOSED WORK IN~_ E HISTORICAL DISTRICT, q~, 0 THE HISTORICAL REGiStER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. Lo.t sq. ltg, Lot coverage Topography Total height &5/ Panhandle Cul-de'sac_ W E BUILDING PERMIT tQ~ X $/~c;j() =q3AO~7 .\b i* So "'~LV7 ITEM Main Garage Carport ~ ~.~D 4S-I.$ SYSTEMS DEVELOPMENT CHARGE (SDC) (B) -$lJrP l Total Value Building Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO ~ -- Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home J22 -?O Plumbing Permit State Surcharge 9." :3 ~?~~~ Total Charge (C) MECHANICAL PERMIT -6~- 4.~O --fl.. t;O_ J S4t:>O ,~~t> Furnace Exhaust Hood Vent Fan NO -4 Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit 4r;..SO /D.bO 2,q.3 $?..'53 Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut ft Demolition State Surcharge t?fA,.-) ~ 1 AW, 2~ Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) 7CJB!-~ APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. 2. 77. s-o ~ -~ -<::;' .? Date Paid: ~ ....- () Receipt Number: 7#4- Received By: ~. ~a'~~ Plan~Reviewed By . 27/ S-o - '277 /$"0 -., ,. d'tP 2, . ol{e 3-//- )'1 Dille - Plan Check Fee: Systems Development Charge is due on all undeveloped properties within the City limits which are being improved, ADDITIONAL CQMMENTS LN ~ f\ ~O'~ill (~J\ ~_~-h())\ ,C.~Ql.fnU\t thY'-fn \,[j~ k n \\(\(2 ~., PAT.H1 By signature, I state and agree, that I have carefully examined the completed application and do hereby certi fy 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 Safely 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 i1 ti~ring construction. Signature "//l~ Date ~ -.(};-.-9 ~ VALIDATION: I) CC~ RECEIPT NUMBER 40 ....z...-,/ DATE PAID 0' \~ ,q.::s o.LDLo ) AMOUNT