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HomeMy WebLinkAboutPermit Mechanical 1995-10-3 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 S~RINGFIELD " LOCATION OF PROPOSED WORK: i~ '70 A'Sk, / 70 2- _~ 2 :3 / ",(' ASSESSORS MAP: .....--<LOT: OWNER: ff~h ))yrr~$ ADDRESS: ' 2-030 N"'-rvo...rcJ CITY: ~'-'~~hV J BLOCK: STATE: (114?-, DESCRIBE WORK: ~h~ oJ J' ~ JCW {L (' 1-1<-e1? ADDITION r; .r- a.. ':j cw .Q, rV\a. ce NEW REMODEL CONTRACTOR'S NAME GENERAL: PLUMBING: DEMOLISH OTHER JOB NUMBER ~9 51 S-C;;;cj 225 Fi fth Street Springfield, Oregon 97477 TAX LOT: /J47/TZJ , SUBDIVISiON: PHONE: ~6":-sl '13 ZIP: 97</0 c:- ADDRESS CONST. CONTRACT0R It PHONE MECHANICAl' &v fYj{tr H({cc{ 'j 30IJ r:. 'v(!'r-I!-i Ev~ ,,{lU/AJ\ act!.T ELECTRICAL: QUAD AREA: It OF SLOGS: OCCY GROUP: It OF STORIES: WATER HEATER: 6'f'1f3-s - OFFICE USE - LAND USE: /I OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: EXPIRES //-/L(-C;S- ~98-~<j FLOOD PLAIN: ZONING CODE: /I OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: I 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, ,0 Temporary Electric D Site Inspection - To be made, after excavation, but prior to setting forms, o Underslab Plumbing/ Electrical! Mechanical - Prior to cover, D 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 trench. o o Underlloor Plumbing/ Mechanical - Prior to Insulation or decking, Post and Beam - Prior to floor Insulation or decking: " o Floor Insulation- Prior to decki ng, o Sanitary Sewer - Prior to filling trench, D Storm Sewer - Prior to filling trench, ' o Water Line - Prior to filling trench, , o Rough Plumbing - Prior to cover, REQUIRED INSPECTIONS f'7l" Rough Mechanical - Prior to ~over. o 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 t'O cover:, o Wall/Ceiling Insulation - Prior to cove~ . ' , . 0 Drywall - Prior to taping. o Wood Stovo - After Installation. ' ,0 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. D Street Trees - When all required trees are planted. , o Final Plumbing - When all plumbing work is complete, "rx'f' Final Electrical - When all ~Iectrlcal work Is complete. , Ix1' Final Mechanical - When all ..~ mechanical work Is complete, o Final Building - When all required Inspections have bee'n approved and building Is completed. o Oth~r MOBILE HOME INSPECTIONS D 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. o Final - After all required inspections are approved and porches, skirting, decks, and venting have been ,installed, Lot faces Lot sq, ftg. Lot coverage Topography Total height Lot Tyr; Interior Corner Panhandle Cul-de-sac . f:. Setbacks I P.L. 'HSE GAR I ACC I N I I I S I -/ I Iw I I I I E I r I BUILDING PERMIT ITEM SQ, FT. X $/SQ, FT, Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM 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 /, Dryer Vent Wood StovellnsertlFlreplace Unit NO Mechanical Permit Issuance State Surcharge (7 j- + r'~.,r Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTALAMOUNT DUE (excluding clect..rl~al) (A, B, C, D, and E Combined) , FEE ~rAJ_ /5/6'0 / 6J 0-0 / 20 2tb _2.-C 2tf:> ,2- 6 . IS THE PROPOSED WORK IN THE _ 'HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and, approved by the Historical Coordinator prior to permit issuance, 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, Plan Check Fee: Date Paid: Receipt Number:__u__u__ Received By: Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties wilhLn tho City limits whlcll 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 o(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 imes daring ~nstrucllon, ~ ~ / Signature , ( ~ Date 10 -1 - ~c;:, VALIDATION: RECEIPT NUMBER /cy / ~ 3 /L)/~/~r 0~~ c/~ DATE PAID AMOUNT RECEIVED RECEIVED BY