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Home My WebLink AboutPermit Mechanical 1999-5-14 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726,3759 . . 1'fOb~ / JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: -.1 y f(, ':1~/l J3~ ASSESSORS MAP' (7b 'S z..~"2 L TAX LOT: LOT' BLOCK' OWNER' Onl.t?_,' D(")Y) q...ld ADDRESsJ 11 ~ r J tfC:Ufdt741 I0>A"'d~. R r/ C ITV' .,s r.. .(.}.f ri STATE: AI f2...- r ~'< DESCRIBE WORK' -r .}/)Gt~, <.f-) J rn /) /1 P ~ NEW REMODEL ADDITION DEMOLISH OTHER Of)!1 {\() SUBDIVISION' PHONE: .2!:f1-O'LC/'7L ZIP' 9?L/7g ADDRESS CONST. CONTRACTOR . EXPIRES '.~ PHONE CONTRACTOR'S NAME GENERAL' PLUMBING' MECHANICAL: .ro1Ul~aJ)~!.1 Yl'lC... lf1/0 ()1J~ ..> ELECTRICAl' QUAD AREA' . OF BLDGS' OCCY GROUP' . OF STORIES: WATER HEATER' .:252-9 () ?//'-7~<<) - OFFICE USE - ~" ." law requires you to Al-i'lNDTIiJSe::CJIt,gon ~ - 118- 'Iti\ity FLOOD PLAIN' In utes adoptee oy l(l" v,~ ..' t f rth fot....~J.bI\'II-TOOI.f r"-"" rules are se 0 ZONING COOE: Notificatl v' ~.n1 0 through OAR 9b,,-001- 'n OP~O~h"e; J ~~tes by . OF BDRMS: , obtain COfl'"'' v' . ootWEX.p~R~e&ilel'.-,"'nt'dhetelePho~e SECONOARY HEAT: calling h 0 eg' on Utility Notification n~GE!Qrt e r _ _ -rAA\ SQUARE FOOTAGE: r...nfer is 1-11UU-,j.;>" 'Z;~.-.r- To request arl lnspactlon, you must call 726.3769. This :8 a 24 hour r~(.;mdillg. Alllnspectloi"ls requested Oefore 7:00 a.m. wll/ be made the same working day, Inspections requested after 7:00 a.m. will be made the following work day. o Temporary Electric O Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcalt Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected.but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underlloor Plumbing/Mechanical - Prior to Insuletlon or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. REQUIRED INSPECTIONS o Rough MechanIcal - Prior to cover. o Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to /aclng materials and framing Insp. o Framing - Prior to cover. o Wall/C'elllng Insulation - prior to cover. , , \ \ o Drywall - Prior to taPI~g. ' o Wood Stovo - After Installation. o Insert - After fireplace approval and Installallon of unit. , o Curbcut & Approach - After forms are erected bllt prior to placement of concrete. o Sidewalk & Driveway - After O Storm Sewer - Prior to mllng excavation Is complete, forms trench. and sub.base material in place. " ,\\~C' (\ ' o Water Line - Prior to filling ( ,~ 0 Fence - When completed. trench. '" ~ .\",\ . , ~ \\ , ~ , o Rough Plumbing -tPrlor to 0 Street Trees - When all requIred cover. "" '\ ~\ ~',\, trees are planled. .........-..... o Final Plumbing - When all plumbing w9rk Is complet.e. D Final Electrical - When all. electrical work Is complete. o Flnel Mechanical - When all mechanical work 15 complete. o Final Building - When all required Inspections have been approved and building Is completed. o Other MOBilE HOME INSPECTIONS o Blocking and Sel.Up - When BII blocking Is complete. o Plumbing Connoctlons - When home has been connected to water and sewer. o Electrical Connection - When blocking, sel-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 porchos, skIrting, decks, and venting have been Installed, Lot SQ. flg. "'",'.. ,. Lot Type . Interior . .I";:_.;..t'" .HE PROPOSED WORK IN THE. ".TORICAL DISTRICT, OR ON " THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. Lot faces Topography Total height Cul-de.sac W Setbacks , 'I HSE GAR, ACC I I I 1---- APPROVEO:^' \ - .", Lot coverage Corner Panhandle ~ I P.L. IN Is , \ '\~ E BUILDING PERMIT ITEM SQ. FT. 't X $/SQ, FT. = VALUE ", " ,/ BUILDING VALUE, PLAN CHECK AND 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 Sprlngfleld, 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 Receipt Number' Building Permit Fee 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 the City limits which are being Improved. PLUMBING PERMIT ITEM FEE ADDITIONAL COMMENTS 1/ # P , ., //J.1.J)J0Clf> ,~//?Jl3, ou Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. FT. Storm Sewer FT. Mobile Home PlumbIng Permit State Surcharge Total Charge (C) MECHANICAL PERMIT lolJ Furnace State Surcharge Total Permit (D) !5,or; ID. OJ . 'Kll) 2t. Z-i) By signature, I state and agree, that I have carefUlly examined the completed application and do hereby certify that all Informatlon hereon Is true and correct, and I further certify that any and all work performed shall be done In accordance with the Ordlnanc~s of the City of Springfield, and Ihe 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. Exhaust Hood Vent Fan N' Wood StovellnsertlFlreplace Unit Dryer Vent Mechanical PermIt Issuance Sidewalk It I further agree to ensure that all required Inspections are requested at the proper time, that each address Is readable from ttie street, that the permit card Is located at the front of the property, and Ihe approved set of plans will remain on the site at all times during construction. Slgnature~'p~jj Date ~/'O /9i9\ MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Curbcut II Demolition State Surcharge VALIDATION: RECEIPT NUMBER () '510/7 DATE PAir' S /1'117"'/ 17 AMOUNT RECEIVE~ : '?~~ l.c , RECEIVED BY /,;.{/ tJiW."y Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined)