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Home My WebLink AboutPermit Mechanical 1995-5-17 {~/hL/~...4? #V)5'>a=:-~ ,f7~9' G-;-:~~ 4p~ " , / DESCRIBE WORK0/?TA"'~ 6h':7HP~ ~ .M~~~ ~ ;r' ~/~/, RESIDENTIAL PERMIT APPLICATION Inspections 7263769 Office 7263759 LOCATION OF PROPOSED WORK ASSESSORS MAP LOT OWNER ADDRESS CITY NEW REMODEL CONTRACTOR S NAME GENERAL t SPRINGFIELD .IJ .o.i" -- ~~"'C"'~ 1-' - JOB NUMBER -:7'5""'~bS-~ 225 Fifth Street Springfield, Oregon 97477 TAX LOT ~c::::>~OC SUBDIVISION PHONE 77b->/??~ BLOCK STATE ~/9 ZIP -9 ;/ 7"'7.-SS:: ADDITION DEMOLISH OTH ER ADDRESS CONST CONTRACTOR # PHONE - OFFICE USE - LAND USE # OF UNITS CONSTR TYPE HEAT SOURCE RANGE - REQUIRED INSPECTIONS D Rough MechaOlcal - Prior to cover D Rough Electrical - Prior to cover D Electncal Service - Must be approved to obtain permanent electrical power D Fireplace - Prior to facIng materials and framing Insp EXPIRES PLUMBING MECHANICAL/~~~?'t!k7-;-~~:~~~7?? ./::4c'V,.E;"':::-~95'V-7'~. ELECTRICAL QUAD AREA # OF BLDGS OCCY GROUP # OF STORIES WATER HEATER FLOOD PLAIN ZONING CODE # OF BDRMS SECONDARY HEAT SQUARE FOOTAGE To request an InspectIOn, you must cdll 7263769 ThIs Is a 24 hour recording All InspectIOns requested before 700 a m will be made the same working day, Inspections requested after 700 a m will be made the following work day D Temporary ElectriC D Site Inspection - To be made after excavation, but prior to sellIng forms D Underslab Plumbing/ Electrical/ Mechanical - Prior to cover D Footing - After trenches are excavated D Masonry - Steel location, bond beams, grouting D Foundation - After forms are erected but prior to concrete placement D Underground Plumbing - Prior to filling trench D Underlloor Plumbing/Mechanical - Prior to Insulation or deckIng D Post and Beam' - Prior to floor InsulatIOn or decking D Floor InsulatIOn - Prior to decking D Sanitary Sewer - Pnor to filling trench D Storm Sewer - Pnor to Oiling trench D Water Line - Prior to fillIng trench D Rough Plumbing - Prior to cover D D Framing - PrIor to cover Wall/Ceilmg Insulation - Prior to cover D Drywall - Prior to taping D Wood Stove - After Installation \, D Insert - After fireplace approval and installation at unit D Curbcut & Approach - After forms are erected but prior to placement of concrete D Sidewalk & Driveway - After excavation IS complete, forms and sub base material In place D Fence - Wtlen completed D Street Trees - When all required trees are planted D Final Plumbmg - When all plumbing work Is complete D Final Electrical - When all electrical work Is complete rn Final Mechanical - When all mechanical work Is complete D Final Bulldmg - When all requIred Inspections have been approved and building IS completed [Zj Other ~ ~.z?:"</~_ MOBILE HOME INSPECTIONS D Blocking and Set Up - When all blocking Is complete D Plumbing Connections - When home has been connected to 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 Fmal - After all reqUired Inspections are approved and porches, skirting, decks, and venting have been Installed ~- Lot faces Lot Type I Lot sq ftg InterIor I PL IN Lot coverage Corner Is Topography Panhandle Iw Total height CuI de sac IE '. ,.~ , ':, 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 pnor to permit Issuance Setbacks HSE GAR-ACcl I 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 Furnace Exhaust Hood Vent Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit ~//'7. /:> ..... _-Lt9. ...... ~5' -~ " ~ -, '2.6. 2~ Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State SurCharge Sidewalk II Curbcut II Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding elecl"cal) (A, B, C, D, and E Combined) APPROVED BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit IS qranted on the express condition thai the said construction shall, In all respects, conform to the Ordinance *. adopted, by the City of Springfield Including the Development Code, regulating the COl)structlon and use of buildings, and may be suspended or reVoked at any tIme upon Violation of any prOVISions of said ordinances .... Plan Check~Fee Date Paid Receipt Number Received By Plans Reviewed By Date Systems Development Charge IS due on all undeveloped properties Within t1w City limits which are being unproved ADDITIONAL COMMENTS By signature, I stale and agree, that I have carefully examined the completed application and do hereby certHy that all Information hereon IS true and correct, and J further certify that any and all work pcrformed shall be done In accordance with the Ordinances of the City of Sprlngflcld, and the Laws of the Slate of Oregon pertaining to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure Without permission of the BUilding Safety DIvIsion I further certIfy IIlat only contractors and employees who are In compliance With ORS 701055 Will be used on thiS project I further agree lo 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 t.I~Y dUring constructIOn Slgnalure-.i!~. ~ c5--=--I?-T? Date VALIDATION DATE PAin / '7 7"'6 t7" -5-,1/..<9 ~ -:Z~_ :;>- ~~ .0'1./- RECEIPT NUMBER AMOUNT RECEIVeD RECEIVED BY