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HomeMy WebLinkAboutPermit Mechanical 1991-11-26 I ~/ SPRINGF'ELD RESIDENTIAL PERMIT APPLICATION JOB NUMBER q //3 'J::S , r WiL. :<0&0 B R.1J-tAlw- 27 -22., ~ Inspections: 726-3769 Office: 726-3759 225 Fifth Street Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: TAX LOT: O~/J/7 I /7/J~ . .. <.;.... - ASSESSORS MAP: BLOCK' SUBDIVISION: LOT: OWNER: ~.;~ rI.rv:Jv ADDRESS:' ~~(ob" '_~~ CIW ~ 0 STATE' {}" DESCRI~E ~ORK' - MAl Q ~- / ;)M I~ NEW REMODEL ADDITION DEMOLISH 1(/7-d-~16'" PHONE: ZIP: 4;1lJ--7, OTHER CONST. CONTRACTOR # CONTRACTOR'S NAME ADDRESS EXPIRES PHONE GENERAL: PLUMBING: .it MECHANICAL: -zJt:- 1 D s: tiS- ~ /~~ 4:Ab1 w.SiA. ---~,,'/~~?I-I{ . ( D '3 tl-lf,-~{r:l ELECTRICAL: - OFFICE USE - QUAD AREA: LAND USF" FLOOD PLAIN: #OF BLDGS: # OF UNITS: ZONING CODE: OCCY GROUP: CONSTR. TYPE: # OF BDRMS: # OF STORIES: HEAT SOURCE' SECONDARY HEAT: WATER HEATER: RANGE: SQUARE FOOTAGE: 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. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. D Temporary Electric o Final Plumbing - When all plumbing work is complete. o Site Inspection - To be made after excavation, but prior to setting forms. o Rough Electrical - Prior.to cover. o Final Electrical - When all electrical ,work is complete. ~ Final Mechanical - When all ~echanical work is complete. o Underslab Plumbing/Electrical/ . Mechanical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. O' Footing - After trenches are , 'excavated. o Final Building - When all required i'1spections have been approved and building is ' completed. o Fireplace - Prior to facing materials and framing Insp. D Masonry - Steel location, bond beams, grouting. . ,0 Framing - Prior to cover. tzr Other ~S . LINE. D Foundation - After forms are erected but prior. to concrete placement. o Wall/Ceiling I~sulation -: Prior to cover, . D Underground Plumbing - Prior . to filling trench. D Drywall - Prior to taping. MOBILE HOME INSPECTIONS D Underfloor Plumbing/Mechanical, - Prior to i nsu lation or decki ng. D Wood Stove --:- After installation. D Blocking and Set.Up - When all blocking is complete. D Post and Beam - Prior to floor insulation or decking. D Insert - After fireplace approval and installation of unit. o Plumbing Connections -. When home has been connected to water and sewer. o Floor Insulation - Prior to decking. . o Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sanitary Sewer - Prior to filling trench. o Electrical Connection - When blocking, set.up, and plumbing inspections have been approved and the home is connected to the service panel. o Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. o Storm Sewer - Prior to filling trench. D Water Line":'" Prior to filling trench. . 0 Fence - When completed. D Final - After all required insp~ctions are approved and . porches, skirting, decks, and venting have been installed. D Rough ~Iumbing - Prior to cover. o Street Trees -'- When all required trees are planted. Lot Type Setbacks Interior I PL. HSEGAR ACC I IN I Corner Is I Panhandle Iw I Cul-de-sac IE I Lot faces Lot sq. ftg. Lot coverage Topography Total height BUILDING PERMIT ITEM SO. FT. X $/SO. FT. VALUE Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan NO Wood Stove/lnsertlFireplace Unit Dryer Vent Mechanical Permit /' oM 10, /,t:;.1HJ e: - / CJ. ' D ,75 25,75 Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Su rcharge Sidewalk ft Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) 2--~.7S- ',- ',-= . 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. N~ / . Plan Check Fee: Date Paid: Receipt Number' Received By: Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS . . By signature, I state and agree;-tha"t 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 s~ al!-ti/Jes'~uri~~~uction. )(s,gnatoe" f~ R U~ 'Date 1/ -o-b-4 { VALIDATION: RECEIPT NUMBER 311/ //-2& ~91 2.S-,7j- ~ >r:::;>J _4 l DATE PAID AMOUNT RECEIVED RECEIVED BY