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HomeMy WebLinkAboutPermit Mechanical 1992-8-11 RESIDENTIAL PERMIT APPLICATION - Inspections: 726.3769 Ollicc: nr;.375~J LOCATION OF PROPOJSED Jt,.(lnl(. ~ \ ASSESSORS MAp. r; L) .::5~~~4- LOT: t? ic If' ADDRESS. If ~ / ?v,4/f 4j .s///'///~ F/~CP, BLOCK- .s~(,/I"..1es ;f~ OWNER: CITY: STAT". od'FC()A/ .. qA\m1 JOB NUMBER 225 Filth Street Springfield, Orellon 97477 TAX LOT: .ti-){.J~ ') SUBDIVISION' PHON"- 7' Sl7- oS-;z. ~ ZIp. 97 Sl77 DESCRIBE WORK: TA4I! ouT eCFrrll/C i'I/,47rA ,l/M7~'" N/sr4t'C tP,4,s 1.V,47"'~ &#~ NEW REMODEL ADDITION CONTRACTOR'S NAME GENERAL: DEMOLISH OTHER ADDRESS CONST, CONTRACTOR' EXPIRES PHONE :~UCMHB;::;:: -~-~;'dj-N - ;/~7/~( -. ELECTRICAL. QUAD AREA: . OF BLDGS: OCCY GROUP: . OF STORIES. WATER HEATER: &/'Joor "" ~'7# 70S"'IS- - OFFICE USE - LAND USE: " OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANG". 1;2.-~/-9;). ~ ~Y::Zf/J/ FLOOD PLAIN' ZONING CODE:_ . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: To request an Inspection, you must call 726-3769. ThIs Is n 24 hour recording. AIlln3pectlons requested be,foro 7:00 a.m, wIll be made the same working day. Inspections requested aftcr 7:00 a.m. will be made the following work day. o Temporary Electric D Sito Inspection - To be made after cxcavnlion, hul prior to sctlill{l forllls. o Undcrslab Plumbing/Electrical/ Mechanical - Prior to cover. o Footing - After trenchos are excavated. o Masonry - Steel locatIon, bond beams, gl'Outing. o Foundation - After forms me erected but prior to concrete placement. o Underground Plumbing - Prior 10 filling trench. [J Underlloor Plumbing/Mechanical - Prior to insulation or decking. o Post and Beam - PrIor to floor Insulation or decking. o Floor Insula lion - Prior to decking. [J Sanilary Sewer - Prior to filling trenctl. o Storm Sewer - Prior to lilllng trencll. o WDtcr Line - Prior to filling trench. o Rough Plumbing - Prior to cover. .REQUIRED INSPECTIONS ~~~e~h M. '~M- Prior to D Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing fl13lcrlals and framing Insp. o Framing - Prior to cover. o Wail/Ceiling Insulntion - Prior to cover. o Drywall - Prior to taping. o Wood Slove - After Installation. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms arc erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is complete, (orms and $ul>.b<1se rnalmlal In place. D Fence - When completed. ,0 Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing work Is complet,e. D Final Electrical - When all electrleal ~Plele. ~ Fina~'_'~__ '~..t- When all F mechanical worl<: Is complete. 'I o Final Building - When all required InspectIons have been approved and building Is completeej, 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 Electrical Connection - When' blocking, set-up, anel plumbing Inspections have been approved and tho home Is connected 10 the service panel. " , D Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. .: J :' Lot faces Lot Type_ " Lot sq, ftg, Interior Lot coverage Corner Topography Panhandle Total height Cul-dc.sac BUILDING PERMIT ITEM SO. FT. X $/SO. FT. Main Garage Carport Total Value Building Permit Fcc State Surcharge Total Fec (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sewer FT. FT. Water Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) I MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnscrtlFireplacc UnIt Dryer Vont Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge: Sidewalk It Curbcut It Demolition State Surchargo I Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (exeludlng electrical) (A. 8, C. D, and ~ Combined) _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. Setbacks ~ HSE GAR ACC N ---- ~---- W IE VALUE FEE $'~ ,OJ &s.'D !-i.~ .' D ~ APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition lhal the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code. regulating the construction anclur.c of buildings, and may bo suspended or revoked [II any time upon viol.llion of any provisions of said ordinances. Plan CllCGk Fee: Dale Paid: Receipt Number' Received By: Plans Reviewed By Date Systems Developmenl Charge is due on all undeveloped properties within the City limits which arc being improved, ADDITIONAL COMMENTS By signature, 1 stale and agree, that I have carefully cx?mincd the completed application and do hereby certify thai all Information hereon Is true and correct, and 1 further certHy that any and all work performed shall be done in tlccordtll1CC with the Ordinances of the City of Springfield. and the Ltlws of the Stale of Oregon pertaining to the worl~ 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 aro in compliance wlttl ORS 701.055 will be used on this project. I further agree to ensure that all required inspections arc requested at the proper time, that each address is readable from the street, that tile permit card is located at the front of the property, and the approved set of plans will remain on the site at f1 timos ?'1uring construction. Signature fJ~ J~ , Datp S-7-r?- VALIDATION: 5RC...:~ RECEIPT NUMBER ' l) '02 ) DATE PAin R'll.c(~ AMOUNT REf!Iff:i;. -LJS.fD RECEIVED rflJt{ I\(L----,