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Home My WebLink AboutPermit Mechanical 1998-5-5 r/ RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORI<' ASSESSORS MAP' J 7 b /_ LOl: OWNER' L....; ~.:t 1l-( ( 5D~ C(t'A.c.\J~",- /" lc..~,^ s.....'" Law o .f2-. DESCRIB~ORK' ..:z:.I'.,rt~ \ \ I r;f- NEW"/ REMODEL ADDITION ADDR'=<'''' CITY: CONTRACTOR'S NAME GENERAl' PLUMBING' MECHANICAl ,t1'\4 rd Nl V\.~ ELECTRICAl' QUAD AREA- · OF SLOGS: OCCY GROUP' . OF STORIES: WATER HEATER: -. SPRINGFIELD 7'1 ( lA ~Ol\!;' ... "'- 'S d~ c" 6,0 e JOB NUMBER 3-X'O-S 2 ~ 225 Fifth Streel Springfield. Oregon 97477 TAX LOT' o I~ o'D BLOCK' STATF' B(~-.t v \-\ -c...-t- ..p U M VI SUBDIVISION' , . , DEMOLISH OTHER PHONE: _'3....::L1 ,OS- '7l?' ZIP: q "1''118 S' "-s i1:- ,""" i) -ht '::-~NE- ADDRESS CONST. CONTRACTOR' EXPIRES \-\ -<..-t i ~ , 7V j-7vLfr l{ Ii 0 ('J[ 'J M ,oJ:;.. oS-\ . ~f ~ q'l Y7B l?11 F-1-S7'to \'2-/u/'1fJ - OFFICE USE - . L~QJ~f.: FLOOD PLAIN' m~ B~IWIT SHAll FlfP/Re IFT//C WORK ZONING CODE:_ 8g1'19~'zm,!1NDEA TH'.~ PERMIT IS NOT · OF BDRMS' Af#.-t'1~~B~BrPA IS ABANDONF~ FDA SECONDARY HEAT: R'ANb8~ DAY PERIOD. SQUARE FOOTAGE: To request an Inspection, you must call 726.3769. This 15 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. D Temporary Electric o SHe Inspection - To be mado after excavation, bul prior 10 setting forms. D Underslab Plumblng/Eleelrleal/ Mechanlca' - Prior to cover. o Footing - Aller 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 10 filling trench. D Underlloor Plumbing/MechanIcal - P,Ior to Insulallon or decking. D Post and 8eam - Prior to floor , Insulation or decking. D. Floor Insulation - Prior to , decking, D SanHa~ Sewer - Prior to flIHng trench. D; Storm Sewer - Prior to filling trench. o Waler Line - Prior to filling trench. D Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. D Rough Electrical - Prior to " cover. D Eleelrlcal ServIce - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. D Framing - Prior to cover. D Wail/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Slave - Arter Installallon. o Insert - After fireplace approvlIl and Installation of unit. D Curbcut & Approach - After forms are erected but prior to placemont of concrete. D Sidewalk & Driveway - After excavation Is complete, forms and sub.base material In place. D Fence - "'Vllen completed. o Street Trees - When all required trees are planted. o Final Plumblng- When all , plumbing work Is 'complete. U Final Electrical':"" When all eleclrlcal work Is complete, ~ Mechanical - When all mechanical work Is complete. D Final Building - When all required Inspections have been approved and building Is compleled. o Other MOBilE HOME INSPECTIONS D Blocking and Sat.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 Final - After ull required Inspe,ctlons are approved and porches, skirting, decks, and venting have been Installed.' ,. "\:'..;: \:,. .'.1: " Lot faces LOI Type Lol sq. fig. Interior P.L. Setbacks HSEIGAR ACC 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 Historical Coordinator prior to permit Issuance. Lot coverage Corner Panhandle '{ N Is Topography Total height Cul.de-sac W _.. __ _____ ,E .L -' APPROVED: ITEM so. FT. X $/SO. FT. VALUE . .. . 't BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT BUILDING PERMIT Garage '. ThIs permit Is granted on the express condition that the saId construction shall. In all respects. conform to the Ordinance adopted by the City of Springfield, Including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Main Carport Plan Check Fee: Date Paid: Total Value Recel pi Number' Building Permit Fee Slate Surcharge ReceIved By: \ Total Fcc (A) Plans Reviewed By Dale SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Resldenllal Balh(s) N' VA\",,q ..n+\:!ib 111~ S- &-0. Of: Fixtures Sanitary S~wer Water Fl: Storm Sewer FT. FT. Mobile Home Plumbing Permit ;fv\,l. P ,j , ~:'l,' .. /', -. ~. , .... .' ~t. t .--, ~, . . . '" .,..... State Surcharge . t ,~ ,,, '- ~..~. .11 ,... ; . .. :. I , . Total Charge (C) , ., ~ i '",\,,: ,~. J .":'- . MECHANICAL PERMIT Furnace Tolal Permit , i (D) .$'.5'. - J;(o. ,.,~+.. YS-. lilp . .ro / . By signature. I state and agree, that I have carefully,examlned the completed,ap'Pllc'allo,; and do he'r~bY c,irIHy that all Information hereon Is true and correct"and t further certify . " . . ~ , '. 0 . ' that any and all work performed shall be done In accordance . . , . with the Ordinances of the City of Sp~lngfleld; and the Laws of the State of Oregon pertaining to tho work described herein, and that NO OCCUPANCY. will be made of any structure without permission of the Building Safety Division. I further cerllfy that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. '..: l"' .... _ t ..."- I" 'r' 0,' Exhaust Hood Vent Fan NO 'I ,'f: ...- .. Wood Stove/Insert/Fireplace (Unit ( ';. ' t, ~-. Dryer Vent Mechanical Permit Issua,~ce , State Surcharge . ,'I' /,..,' ..' Mobile Home . MISCELLANEOUS PERMI:rS " .," . . . I further agree (0 ensure that all required Inspections are requested at lhe proper time, that each. address Is readable . .' . frpm the street, that the permit card'ls located at the front .of the property, and the approved set of plans will remain on the site at all times during construction: " Signature ~;. ~^'J ~ 0::- - --1~ Date J State Issuance State Surcharge Sidewalk ft Curbcut II . . . , Demollllon State Surcharge VALIDATION: RECEIPT NUMBER tJ. 'i lA-i1 DATE PAIr> ? - '5 - 4' (; AMOUNT RECe> JtriCo. >C> -L.RECEIVED BY ~ Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding eleaal) lA, B, C, 0, and E Combined) .