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Home My WebLink AboutPermit Mechanical 1999-7-19 OWNER: "-I\\'I\f "JJ~b1)OYJ ADDRES'< .l)!J Q I.J.. rYHll ) 5-{ . J1..rl7^ CITY: ~JH Irn ,,!r ('\I ~::~:p~f)n DESCRIBE WORK: -=.tnc::r&-O I Jl ~ I \ RESIDENTIAL PERMIT APPLICATION ASSESSORS MAP' LOT' . BLOCK: . \;..... JOB NUMBER 9fof 7J 225 Fifth Street Springfield, Oregon 97477 DpLrl. D~ Q1~" 1 TAX LOT' () 2(,1J 0 SU8DIVISION: PHONE:_~ ZIP: S17'177 . ~ CONST ! CONTRACTqR'S NAtylt- _l . 'AL ADDRESS .' r I CONTRACTOR' EXPIRES.::,> PHONE GENERAL:\.101llf5 ~fIllJro~ .te.--115.J...o..w.alr.e....cr..ElLC\U1e. 47 aq u -'llll. J../1lL. .J J PLUMBING' NEW REMODEL MECHANICAl' ELECTRICAl' ADDITION DEMOLISH OTHER . - OFFICE USE - ~ TION'O egol1 law li:lquites you to . r- UAD AREAl-TTEN . r '0 eg'cIN'tRi!il~E: - - - FLOOD PLAIN: follow rules aaopleO oy lne r I. I"U 1/1;;1:: · OF BLq~alil;c;atioA ContM ThMA rules a~\J~m: 1. u - ZONING CODE:_ . .<':J\R 952-001-0010 through OAR 952-0 , - n'i) t't:NMII SHAU EXPIRI: 11:11-11: '.'''....K OCCY GRID........ , ftCClfmeSlb!iYPE: Al::fflfeFUl .l-OF'BOOrMf1 0090. You may ODtaln CUIJles 0 m:r ED UNUERTHIS PERMIT' . OF STORIE&~fl: :;3~'''r 1.l\lnte:thete~.t!f.lSOURCE: COMMENCEDORISABAN.&.GQ.NbA~'lkAT: h 0 gon Utility Notification WNt:D FOR WATER HE""'I!~berfort e re 322"AMNGE: ANY1R1JnAYPERIOD SQUARE FOOTAGE: CentellS ,-tlUu-" - .:>'+'+1. . 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 (ollowlng work day. o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. o Underslab PlumblnglElectrlcal1 Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams. grouting. r '..--, Fo~ndatJon - After forms are .~ erected but prior to concrete placement. o Underground Plumbing 7 Prior to filling trench. O Underlloor Plumbing/Mechanical - Prior to Insulation or decking. -_..r_:;"-r-f'~''';'-- o Post a~d Beam -. Prior to floor Insulation or decking. o Floor. Insulation - Prior to deckl ng. o Sanitary Sewer - Prior to filling . trench. " 0 Storm Sewer - Prior to fllllng trench. o Water line - Prior to filling trench. , o Rough Plumbing ~ Prior to cover. REQUIRED INSPECTIONS o Rough MechanIcal - Prior to cover. D 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 Wail/CeIling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stovo - After Installation. o Insert - After fireplace approvlSl and Installation 01 unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is complete, forms and sub-base material in place. o Fence - \iVhen completed. o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing w~)(l< Is complet,e. F al Mechanical - When all echanlcal work Is complete. o Final Building - When all required InspectIons have been approved and building Is completed. 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. and plumbing Inspections have been approved and the home Is connected to the service panel. o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed.' Lot faces " Lo~. Type Interior '" " :!... h~'.\:r\~i Lot coverage Corner Panhandle '~. Setbacks I :L'I HSE I GAR I S I ;--~-~+~ Accl I ~ IS THE PROPOSED WORK iN THE. ....'HiSTORiCAL DISTRICT. OR ON THE HISTORICAL REGISTER? If yes, this application must be signed , .. ~ and approved by the Hlstorlca.:..L tlll Coordinator prior to permit Issuance.. Lot sQ. ftg. Topography Total height Cul.de-sac . APPROVEI" BUILDING PERMIT,! ';, 't ITEM SQ. FT. X $/SQ, FT. VALUE '. .'~ '. " BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condl't1on that the said construction shall, in all respects, conform 'to the Ordinance adopted by the City of Springfield, including the Dovelopment Code, regulating the construction and use of Oulldings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances, Main Garage Carport " Plan Check Fee: Date Paid: Total Value Bui/ding Permit Fee Receipt Number' State Surcharge Received By: Total Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on all undeveloped properties within 1I1e City limits which are being Improved. PLUMBING PERMIT ITEM FEE A~ITIONAL C~MMENTS I e /J C-[ t?.. 1/1...( c,if ,P't?11 "". ~ C, I ru//. It, ( I........ Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. Storm Sewer FT. FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Total Permit (D) Ie ()r.J Iv () \J I.}/) U. )'t1 By signature, 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 arc in compliance with ORS 701.055 will be used on this project. Exhaust Hood Vent Fan N' Wood StovellnsertfFlreplace Unit D/.~rrer VJ'"t '.leA (}AA/J.1J I I Mechanical Permit Issuance State Surcharge MISCELLANEOUS PERMITS 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 p:-0perty. and the app;oved set of plans will remain on the site at all lmes during onstructlon. I ~ Mobile Home State Issuance State Surcharge Signature Sidewalk ft Date ~- Curbcut II State Surcharge VALIDATION: RECEIPT NUMBER ,f) 3. 'f?1 q DATE PAIr> 7/1'1 If ~ s-l) AMOUNT RECEIV~~;Y' RECEIVED BY \ ." Demolition Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 'D, and E Combined)