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HomeMy WebLinkAboutPermit Mechanical 1995-8-1 Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WOfJJS;....~ ~'"?f.\ ASSESSORS MAP: \\ D~u~ 6 ! RESIDENTIAL PERMIT APPLICATION LOT: . SPRINGFIELD . q~\23~ JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 ()\C\D\ BLOCK: , TAX LOT: SUBDIVISION: DESCRIBE WOr-lI<:..__._,_, NEW F1EMODEL ,_ ~ PHONE: ~I' \32-.1 ~-r+ -A STATE: ZIP: 9 \)\ f'(l~ .. ADDITION DEMOLISH OTHER _ CONTRA,CTOR'S NAME GENERAL: ADDRESS CONST. CONTRACTOR It PHONE EXPIRES PLUMBING: -'..\ MECHANICAL~\'\lJfY\<L C'~~ - '\, ELECTRICAL: R<r \\O~ -{o'2~.qlo ~.~ QUAD AREA: It OF BLDGS: ______ . OCCY GROUP: __,___ It OF STORIES: ____. WATER HEATER: _00___._________,_._ - OFFICE USE _ " LAND USE: FLOOD PLAIN: 1/ OF UNITS: CONSTR, TYPE: HEAT SOURCE: RANGE: ZONING CODE: It OF BDRMS: SECONDARY HEAT: 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 sanle worl<lng dny,lnspectlons requested after 7:00 a,m, will bo made lho following worl< day, D Temporary Electric D Site Inspection - To be mado after excaVAtion, but prior to setting forfl1~, o Underslab Plumbing/ Electrical! Mechanical - Prior to cover, o Footing - Arter trenches are excavated, o Masonry - Steel location, bond beams, grouting, D Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to fllllnQ trench, D Underfloor Plumbing/ Mechanical - Prior to Insulation or decl</ng, o Post and Bea~ - Prior to floor Insulation or decl<lng, o Floor Insulation - Prior to decking, o Sanitary Sewer - Prior to filling trench, D'Storm Sewer - Prior to filling trench, O Water Line - Prior to filling trench, O Rough Plumbing - Prior to cover, REQUIRED INSPECTIONS .,.--'. , L:J Rough Mechanical - Prior to cover, o Final Plumbing - When all plumbing w~:HI< Is complet,e, D Rough Electrical - Prior to cover, , o Final Electrical - When all electrical work Is complete, o Electrical Service - Must be approved to obtain permanent electrical power. . ~1a1 Mechanical - When all mechanical work Is complete, o Fireplace - Prior to facing materials and framing Insp, o Final Building - When all required Inspections have been approved and building Is completed, o FramIng - Prior to cover. o Other o Wail/Ceiling Insulation.,... Prior to cover. o Drywall - Prior to taping, , . o Wood Stovo - Arter Installation, MOBILE HOME INSPECTIONS o Insert - After fireplace approval and Installation of unit. . o Blocking and Set.Up - When all blOCking Is complete, o Curbcut & Approach - After forms are erected but prior to placemont of concrete, o Plumbing Connections - When home has been connected to water and sewer, o Sidewalk & Driveway - After excavation is complete, forms and sub.base material In place, o Electrical Connection - When blOCking, set.up. and plumbing Inspections have been approved and the home Is connected to the service panel. o Fence - When completed, o Street Trees - When all required trees are planted. o Final - After all required InspectIons are approved and porches, skirting, decks, and venting have been Installed. ,',' Lot TYPO. .. Lot laces Setbacks I PoL. ACC I Lot sq, fig, Interior HSE GAR IN Lot coverage Corner Is Topography Panhandle Iw Total height Cul-de-sac IE ~ .S THE PROPOSED WORI< IN THE "HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed ilnd approved by the Historical Coordinator prior to permit Issuance. " BUILDING PERMIT APPROVED: . ITEM SQ, FT. X $/SQ, FT. = VALUE Main Garage . I Carport Total Value Building Pormit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM - I Fixtures " I Residential Bath(s) NO Sanitary Sewer FT, Water FT., Storm Sewer FT, Mobile Home FEE Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood. Stove/Insert! Fireplace Unit Dr~ep ~ ~Wd fWlXML _ (_.. - M~chanlcal Permit JS.aJ Issuance 70. w d;.~ State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 9& .020 BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is grantc(J on the express condilion tllaltlle said construction shall, in all respects, conform to tile Ordinance adopted by the City of Springfield, including the Development Code, regulating the cOr)$truction and use of buildings, and may be suspended or revol<ed at any time upon violation of any provisions of said ordinances, Plan Check Fee: Date Paid: .. ___ '_'n_ .__.. '.._. _.._._._____...._. Receipt Number:.__.., _______..__________ Received By: ----. --~..._------- Plans Reviewed By Date Systems Development Charge Is due on all undeveloped properties within tll0 City limits which are being improved, I ADDITIONAL COMMENTS ---_._.._.~_.._-- By signature, I stale ilnd agree, thaI 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 Stato of Oregon pertaining to tho work described heroin, and that NO OCCUPANCY will be maejo of any I structure without permission of the Bulldillg Safety Division, I further certify that only contractors and employees who are In compliance with ORS 701,055 will be used on this prolect. I further grao 10 ensuro that all required Inspections are requeste at the proper lime, thaI oach address Is readable from the st eet, that the permit card is located at the front of the prop~\ y, Clnd the approved set of plans will remain on the site a\ all times d",~~',"CtlOn SI t r~~_~~ _' , VALIDATION: 0c...~'6 RECEIPT NUMBER \ \) ~ . 8.(.q;:) DATE PAID --- - - "If.... AMOUNT RECElv~~J.(') , if-'<:.) RECEIVED BY 1 J:)n... J