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HomeMy WebLinkAboutPermit Mechanical 1995-3-23 . .~ SPRINGFIELD RESIDENTIAL PERMIT APPLICATION /'S:-OZ/rJ JOB NUMBER &~ Clo'7 <:4 Inspecl/ons: 726.3769 Ottlce: 726.3759 225 Fifth Street Springfield. Oregon 97477 A~rCb' 7T .1/ LA,. I~ lOCATION OF PROPOSED WORK' XASSESSORS MAP' .171) 3 '<LOT' /") (''''' /... / .3 TAX lOT: SUBDIVISION: BLOCK: )fr,t ),lJ((" q CJ../ ~~pt / ..a/~)~ APn-(Y~T ~/A-tf-.IL /hr.-"l OWNER: ADDR~SS: CITY' 7-11:. - 79,~/ PHONE: 97~77 ~ F./ ,ta ,~/r STATE: ZIP: .~,;J ~ -.~.- ~p /.. r '.. DESCRIBE WORK: NEW REMODEL ADDITION DEMOLISH OTHER CONST. CONTRACTOR' CONTRACTOR'S NAME .-7 GENERAL' PLUMBING: ADDRESS EXPIRES PHONE /'la;...n7<2 MECHANICAL' t ELECTRICA' . - OFFICE USE - QUAD AREA' LAND USE: FLOOD PLAIN: . OF BLDGS' · OF UNITS' ZONING CODE:__ OCCY GROUP' CONSTA. TYPE: . OF BDRMS: . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANG~' SQUARE FOOTAGE:_ To request an Inspection, you must call 726.3769. This Is a 24 hour recording. Alllnspecllons requested belore 7:00 a,m, will be made the same working day, Inspections roquested after 7:00 a.m. will be made the following work day, REQUIRED INSPECTIONS D Temporary electric D Rough Mochanlcal - Prior to cover. D Flnol Plumbing - When illl plumbing worl< Is complete. D Site Inspection - To be made after excavation, but prIor to setting forms. D Rough Eloctrlcal - Prior 10 cover. , D Final Electrical - When all electrical WOrk Is complele. D Underslab Plumblngl Electrlcall Mechanleal - Prior to cover. o ElectrIcal Servlco - Must be approved to obtaIn permanent electrical power. D Final Mechanical - When all mechanIcal work Is complete. o Footing - After trenches are excavated. o Flnol Building - When all required Inspections have been approved and building Is completod. o Fireplace - Prior to 'acing materials and framing Insp. o Masonry - Steel location, bond beams, grouting. o Framing - Prior to cover. o Foundation - After forms are erected but prior to concrete placement. o Other o Wall/Celllng Insulation - Prior to cover. O Underground Plumbing - Prior to flfllng trench. o Drywall - Prior to taping. MOBILE HOME INSPECTIONS D Underlloor Plumbing/Mechanical - PrIor to Insulation or decking. D Wood Stovo - After Installation. D Post and Beam - PrIor to floor Insulation or decking. D Blocking and Set.Up - When all blockIng Is complete. D Insert - After fireplace s"pproval and Installation of unit. o Floor Insulation - Prior to decking. o Plumbing Connections - When home has been connected to water and sewer. o Curbcut & Approach - After forms are erected but prior 10 placement of concrete. D Sanitary Sewer - PrIor to filling trench. o Electrical Connection - When blockIng, set.up, and plumbing Inspectlons have been approved and the home Is connected to the service panel. o Sidewalk & Driveway - Alter excavation Is compiclo, forms and sub-base materIal In place. D Storm Sewer - Prior to fillIng trench. o Water line - Prior to 1IIIIng trench: D Fence - When completed. D Final - After all requIred Inspectlons Bre approved and porches, skirting, decks, and ventlng have been Installed. D Rough Plumbing - PrIor to cover. D Street Trees - When al/ required trees are planted. ~ .f,:: .', . LOI Type. . .::'i Lot faces Setbacks ' IS THE PROPOSED WORK tN THE. I PL. IHSE .., HISTORICAL DISTRICT, OR ON LOI sq. Itg. Interlor GAR ACC IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Is I and approved by the Historical Topography Panhandle Iw I I I I Coordinator prior to permit Issuance. Total height Cul.de.sac LLLLJ APPROVED: ! I BUILDING PERMiT ITEM SO. FT. X $/SO. FT. VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Garage " This permit Is gran led on the express condlllon 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 vlolatlon of any provisions of saId ordInances. Plan Check Fee: Main Carport Total Value Date Paid: Building Permit Fee Receipt Number' Received By: Stato Surcharge Total Fee (A) Plans Reviewed 8y Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. PLUMBING PERMIT ITEM FEE ADDITIONAL COMMENTS Fixtures Residential Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sower FT. Mobile Home Plumbing Permit Stato Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood ?~H <tM r.;1 4'. S"O I By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all In(ormatlon hereon Is true and correct, and I further certify that any and all work performed shall be done In accordance with the Ordinances 01 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 thai only contractors and employees who are In compliance with ORS 701.055 will be used on this project. Van t Fan N' Wood Stovellnserl/Flreplace Unit Dryer Vent Mect,anlcal Permit Issuance >4-~'1 ~~ State Surcharge ,2...' -I- ' 1'*"'/ (D) .37 4-.~? 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 fronl of the property, a he approved set of plans wllf remain on the site all tlm s dur~; co~u/7' -I' 'Signature u?,J ~~ , Total Permit MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Datp ~/z Yf"/ Sidewalk It Curbcul It DemolitIon State Surcharge TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and' E' Combined) 4~7 I VALIDATION: RECEIPT NUMBER DATE PAIP AMOUNT RECEIVED RECEIVED BY /~ 7()~ '1/23hi .:1 /S,7 V~ ~ Total Miscellaneous Permits (E)