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HomeMy WebLinkAboutPermit Mechanical 1997-10-24 ~ RESHH:NTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT: SPRINGFIELD BLOCK: ,JOB NUMBER-_2czJ 6S ~ 225 Fifth Street Springfield, Orego\! 97477 t TAX LOT: SUBDIVISION: OWNER: ~ ADDR~~~" .~~LDCf CITY: ~\~ B a DESCRIBE WORK: ~ 5 \\.0 :r ,.(.~rn~ \ ('Jl. c....." 9-n QAi~ \'f)',1U.\.') "--' ~ 0-,,1/' \ STATE: I..)L,.....I C"~D , ~ "'~,\_~ '\:"~0T~dLO.D 'ADDITION~ DEMOLISH. NEW REMODEL aU,AD AREA: 1/ OF BLDGS: OCCY GROUP: 1/ OF STORIES: WATER HEATER: D. Te~porary Electric o Site Inspection - To be made after excavation, but prior to . setting forms. o Underslab Plumbing/ Electrical/ Mechanical - Prior to cover. o Footing - After trenches are excavated. , D 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 Underfloor Plumbing/Mechanical - Prior to Insulation or deckIng. o Post and Beam - Prior to floor In'sulatlon or decking. . o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. ',! . . o Water Line - PrIor to 'filling trench. , o Rough Plumbing - ~r!or to cover. PHONE: ~QlD"'~SJ ZIP: OTH ER ADDRESS CONST. CONTRACTOR 1/ PHONE REQUIRED .INSPECTIONS o Rough Mechanical - Prior to cover. o Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o FIreplace - Prior to facing materials and framing Insp. o Framing - Prior ,to ,cover.., . ~.. o Wall/Ceiling Insulation -:- Prior to cover. o Drywall - Prior to taping. ' o Wood Stove - After Installation. o Insert - After fireplace approval and Installation of unit. '. , o Curbcut & Approach - After .forms are erected but prior to placement of concrete. o Sidewalk & Driilew3}' - After excavation Is complete, forms and sub,base material in place. o Fence - When completed. o Street Trees - When all required trees are planted. EXPIRES 4(A<.f'lS ~) FLOOD PLAIN: ZONING CODE: 1/ OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: o Final Plumbing - When all plumbing work Is complete. D Final Electrical - When all' ~ e/cal work is complete. ~~~~~echanical - When all mechanical worl< Is complete. o Final Building - Wh~n all required Inspections have been approved and building is completed. . ~her &A-S Se:(2(;-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, ' CONTRACTOR'S NAME GENERAL: PLUMBING: MECHANICAL: ~ ~~(1~ fj ~ \~Ta..~.,.. ~7i I ,'(),JA.,Q::q:; \Q. \4( 1"10\ ) . l) ELECTRICAl. , - OFFiCE USIiMO~'t-- , "'\~~ 'P ~ ~O"'\ LAND USE: \~" \~ .~ \~ u, \'f:.i-~\ - ~~~\ ~ \\C~. 1/ O~~~:\.~~? ~~~ 'YO \\0 ?~~~~ N~Ji€J~ p~t"S~\JO "'\~\~ O~\) ~'W6-. .~\J"'\~ G~ci\j ~~O~. - O~~~AN~Q"" G .0.\\ \.l . ~~, \'= - To request an inspection, you must call f'i!l'i-3769. ThIs Is a 24 hour recording. Alllnspeclions requested before 7:00 a.m, will be made the sarne working day, Inspect,ions requested after 7:00 a.m. wi/I be made the foi/owlng work day. o Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the ,home is connected to the serv'ice panel. o Final - ,After all required inspections are approved and porches, skirting, decks, and ventl[Jg have been installed, .~. Lot faces 'lot Type Lot sq. ftg. Interior' Lot coverage Corner Topography Total height Panhandle Cul-de-.sac . .-,.... J BUILDING PERMIT ITEM sa. FT. X $/ sa. FT. Main ( .' , '.. , '. f I' ;~._:' Garage Carport Total Value Building Permit Fee Stale Surcharge Total Fee (A) , "\::~:" . ~ ':., . '. .. ~.: . , 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. Setbacks HSE GAR ACC I PL. IN Is Jw '\ E , , VALUE " ,J -,- (B) SYSTEMS DEVELOPMENT. CHARGE (SDC) .. . .... . PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO Sanitary S~wer Water FT. FT. Storm Sewer FT. Mobile Home PlumbIng Permit' State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood. Vent Fan NO Wood Stovellnsert/Flreplace Unit Dryer Vent ~C; LLr " ~Jr Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS I Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut It Demolition ) State SurchargtJ '" . Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ..:" "FEE. . ,. /:~ '~.;.::...:. ""/7~ 7/ .', , ,'//,l!I'} :'~';f}. .. ,. ., '. f,.,.... _., rr~ j . ~.'. ....i .,.'.. .,'}, :.. ''''1/~' j - ',' ," . . ''':f'/: . '-1 " . ~t :(.;~II , jUls;- -1(0 . -- ~J-O APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express conditio'n'lhatthe 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 Che9k Fee: Date Paid: ~ . , Receipt Number: Received By: Plans Reviewed By Date Systems Development Ch~ar.ge .I~. ~.u~(on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS .. ~ .' ~ ..... " ':. . .. I,::;:~ ,.: . . 1. .~ ."r',_ ....:,/.. /1 )/,,; i.. . . ... J~;. " j ;.: . ": I i.t "J,It.. 1...'/;. .... , t'" _: "";:':'ffi! ;' .(,--.. . :......- -~~;.'t.>f By,slgnature; 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 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 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 all times during construction. ~ Slgn~L~h~L\ (~ 1 Date \()~~y -~') f VALIDATION: '" Q' '1..rJ-... RECEIPT NUMBER rA 'I f:)J~ f D-d-c.f-- q 7 -'.'" 1- ~ AMOUNT RECEIVED !::t:cI-W RECEIVED BY c::::::k'l A J I DATE PAID