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Home My WebLink AboutPermit Mechanical 1999-2-2 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 - LOCATION OF PROPOSED WORK: d:2/ ;;;l.!._~'rl""" ASSESSORS MAP' /7 0 3 2.- '1 '1'1- .4.l1;" ,h{)",6~<J J _ -;:J. 17. LL..l:.;. ~ .Fv-.~ P-"/ ~'JoM f'._/d STATE: ' ~ /-----n ' Jb,:/ ~ I ADDITION LOT' OWNER: ADDRESS: CITY: DESqRIBE WORK' NEW REMODEL CONTRACTOR'S NAME GENERA' . PLUMBING' MECHANICAL: I/.lhHE~/21~ ELECTRICAl' QUAD AREA: ~",d;'" ~ ~r BLOCK: DEMOLISH OTHER ~. ff6/lf\ JOB NUMBER 225 Filth Street Springfield, Oregon 97477 eJ TAX LOT: SUBDIVISION' r)2.7'1<7 PHONF' 7S1~-~ ZIP: ~ 7 Y77 ADDRESS CONST. CONTRACTOR . EXPIRES '::'> PHONE 7~ &!s~;I" &!LU-- V /r 1- S' -"?'i .~j'c.. .'?2.3f' - OFFICE USE - LAND USE: ,~r.rEN:ION:Oregcm ~X'DEj>LtWil1P. vou to .O!':-n '.U'C" adopted oy ilie Oregon Utilit Notification Center. TlZcmJf)lJlee<!!Mf' ,. y !n OA~.952'001-001 0 l"l59.uE!B~Sl"9~;~~~~': 0000, ,'\'u ",,,y obtain copies of the rules by callina the center. (1:'>~ltW\GYe/i1fd'if;. numbe~or the Oregll~},I1i~tY. f!{s/:m(61@.n ::ianter Is 1-8(j(j-~:f2'2344). · OF BLDGS: M....T'I"'/'" ioU IV"': OCCY GROUP: -:-! :,3 ;'[{;i/(,'( s-: !;,::t. EXPIREA\2~pjlRvV1Jfl~: . OF STORIES: ^'_'TIJC'[)'6=~ '..'~~(,En THIS f't~i}Jilr?Y,~9~: WATER HEATEA"mAM;::MI';::nm'll<: ABAND'Eliil:il.!>f-:)a 1\1.1 Iuvunl I l...'UVLJ., . OF UNITS' To request an Inspection, you must call 726.3769, TIlls 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 followIng work day. D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Electrical! Mechanical - Prior to cover. D Footing - Alter trenches are excavated. D Masonry - Steel location, bond beams, grouting, o Foundation - After forms are erected but prior to concrete placement. o 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 - Prior to filling trench. o Storm Sewer - Prior to filling trench. D Water Line - Prior to filling trench. , , D Rough Plumbing - P~lor to cover. REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. D Rough Electrical - Prior to cover. D Electrical Service - Must be approved to obtaIn permanent electrical power. D Fireplace - Prior to facing materIals and framing Insp. D FramIng - Prior to cover. D Wall/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Stovo - After Installation. D Insert - After fireplace approval and Installation of unit. D Curbcut & Approach - After forms are erected but prior to placement of concrete. o Sldewall< & Drivewa'y - After excavation Is complete, forms and sub.base material in place. o Fence - When cor.lpleted. o Slresl Trees - When all required trees are planted. D Final Plumbing - When all plumbing w9rl< Is complet.e. D Final Electrical - When all electrical work.ls complete. D Final Mechanical - When all _ mechanical work Is complete. /? ) D Final ulldlng - When all ro red Inspections have been pproved and building Is completed. DOther MOBILE HOME INSPECTIONS D Blocking end 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 Final - After all required Inspections are approved and porches, skIrting, decks, and venting have been Installed. , , lot faces ,'. Lot sq, Itg. L~I ~ype_ Interior ., lot coverage Corner Panhandle ~ Topography Total height Cul-de.sac BUILDING PERMIT '(1 .'~ " ITEM SQ, FT, X $/SQ, FT, = Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fcc (A) I P.L. IN Is w E VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Balh(s) N' Sanitary S~wer Water FT. Storm Sewer FT, FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsert/Flreplace Unit Dryer Vent .j'&J fi..~Cf VIOl-I: Mechanical Permit Issuance State Surcharge Total Permit (0) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut fl Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) FEE I); {J0 /1. _ U trrj, J!J 2(.1-.1 r .' .j:: :,~l.:\(\' ~s THEPROPOSED WORK tN THE. ''''HISTOI:\ICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance, Setb"cks 'HSE GARIACcl I I APPROVED' BUILDING \PALIk PLAN CHECK AND BUILDING PERMIT 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, Plan Check Fee' Date Paid: Receipt Number' Received By: Plans Reviewed By Dale Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS By signature, I stale and agree, that I have ca'refully 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 are In compliance with ORS 701,055 will be used on this project. I further agree to ensure that all required Inspections are requested at the proper time, that each address Is readable from tho street, that the permit card Is located at the front of the property, and the approved set of nl::"'''r "'lIke~ -- :::::.:" 7--7~' ",vo · l Date 7~/-.<?/:j L:../" VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY O)2-l ?j 7_ } 2.. 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