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HomeMy WebLinkAboutPermit Mechanical 1999-11-8 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: _/30 J 7CJ3 -xd ASSESSORS MAP: LOT' . SPRINGFIELD rQJ~\lc.. 2--2- - , BLOCK: OWNER:_'T:b."J~ UI'lIM(-S ADDR~"'" ,3D P..... \ +~ \ I Co. CITY:~\-I\fJ+'~UO DESCRIBE WORK: ~~~ n-C. NEW REMODEL ____ ADDITION ____ CONTRACTOR'S NAME GENERA' - STATE: ~ . JOB NUMBER ~ 9/ 5 3,~. 225 Fi Ith Street Springfield, Oregon 97477 TAX Lor: t!:) 2-7t7V SUBDIVISION' PHONE:_]fl-'3S6~ l4-~+ fv..M.p DEMOLISH _______ OTHER ________ .0- ~(" ZIP: tar'] llJ__ Wc:..~-c.. ..- ADDRESS CON ST. CONTRACTOR' EXPIRES _~ PHONE PLUMBING' MECHANICAL: A6"""'G'\d~ JJ.eo..~~~~).. ELECTRICA' . QUAD AREA- . OF BLDGS: ____ OCCY GROUP: . OF STORIES: WATER HEATER: - OFFICE USE - .' LAND USE: . OF UNITS: _ CONSTR. TYPE: ____ c;.~_-cLaw, .... -'8'3~~ HEAT SOURCE: RANGE: ___._ FLOOD PLAIN' ZONING CODE: _____ II OF oonMS: SECONOARY HEAT: SQUARE FOOTAGE: To request an Inspectlqn, 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. D Temporary Electric D Site Inspection - To be mado after excavation, but prior to setting forms. D Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. D Footing - After trenches are excavated. D Masonry - Steel location, bond beams, grouting. D Foundation - After forms are erected but prlor'to concrete placemont. o Underground Plumbing - Prior to filling trench. D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to floor .Insulatlon or decking.. D Flo~r Ins~latlon - Prior to decking. D Sanitary Sewer - Prior to fllllng trench. o Storm Sewor - Prior to filling trench. . . D Water Line - Prior to filling trench. , . D Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS D Rough MechanIcal - Prior to cover. D Rough Electrlcal - Prior to cover. D Electrical Servlco - Must be approved to obtain permanent olectrlcal power. D Fireplace - Prior to facing materials and framing Insp. D Framing - Prior to c~ver. D Wail/Ceiling Insulation - Prior to cove~ _ D Drywall - Prior to taping., D Wood Stovo - After Installation. D Insert - After fireplace approvesl and Installation 01 unit. , .0 Curbcut & Approach - After ..I' ". forms arc erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation Is complete, forms and sub-base material In place. D Fence - When completed. D Street Trees - When all required troos are planted. ' D Final Plumbing - When all plumbing worl< Is complete. - . F;:2f Final Electrical - When all ~electrlcal work Is complete. ~ Final Mechonlcal - When all 4=J mochanlcal work Is complete. D Final BUilding - When all required Inspections have been approved and buildIng is completed. DOthor MOBILE HOME INSPECTIONS o Blocking and Sel-Up - Wilen 011 blocking Is complete. D Plumbing Connccllons - When home 11a5 been connecled 10 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, skirting, decks, and venting havo boon Installod. I" lot faces Lot TYP. Interior Lot sq. ftg. Lot coverage Corner Topography I'anhandlo Total height Cul.de.sac BUILDING PERMIT ITEM SO. FT. X $/50. Fl Main '-l':" '. Garage Carport .- Tolal Value Building Permit Fee Slate Surcharge Tolal Fcc (A) Setbacks P.L. I HSE ' GAR' ACC I ~__.. I ~~ . ':l .!-, ~-i-,. ~_L VALUE " . ".':: .:'~' ;1 . a THE PROPO~ED WORK iN THE. '''HISTORICAL DISTRICT. OR ON THE HISTORICAL REGISTER? II yes, lhls application must be signed allll upprovell by the Hlstorlcul CoordlniJtor prior to permit Issuance, APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This porndlls granted on tho ox pross condition tIuH tho 8ald constructlon Shal.l,'ln,alt respects, cqnform tq, the Ordinance adopted by the City' of Springfield. including the Dcvelopment.Coae,-regulating the construction and use of oulldlngs, and may be suspended or revoked at any time upon violaOon of any provisions 'of ,said 'ord~narices, Plan Check Fee' '. .. . , Dale Paid: Receipt Number' Received By: Plans Reviewed By Dale l?YS:rEMS .DEVI;U?PMENT CHARGE (S.oq . ..... , ~~ .' .", .-.. . ! j j, '0", ": .':! ''o...... '.: ,. . . (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. FT. Storm Sewer FT. Mobile Home Plumbing Pormlt State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace /fr!:?'Ir ~~ Exhaust Hood Vent Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge lor -r .~ r Total Permit (0) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) lA, B, C. 0, and E Combined) FEE ~/"J, ) t.; d-(J /(')&0 / :>'0 2&, SV Zf>.t>v Syst.ems .o.~'velopmcnt Char,ge Is du!} 9n all undeveloped pr6'pe"it~e~ within 'the City limits ~tiicti a're being improved. ADDITIONAL COMMENTS __.)~AA'~~ r..l~1" /f~~R''9I By signature, I state and agree, that I have carefully examined the compleled 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 agreo to ensuro that all required Inspections are requested at the proper time, that each address Is readable from tho street, that the permit card Is located at the front of the pro~:tt~d the approved set of plans wtll remain ~ >< on the Sit")' _times dM COt ,stf'(Ctio: p Slgnatura - /}.v ) ~~~ Daa- 015 -qq - I VALIDATION: RECEIPT NUMBER 1'" I 2..3 DATE PAID J / / ~/'l5 AMOUNT RECEIVED (~7 .~ RECEIVED BY __._ ~~ , ,