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HomeMy WebLinkAboutPermit Mechanical 1998-01-28& RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 720-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP:0 3d LOT - BLOCK: GFIELE, afr, JOB NUMBER 225 Fifth Street Spri ng f leld, Oregon 97 477 C ao<f TAX LOT: SUBDIVISION: - 0 e oo h OWNER: ADDRESS: CITY: 91tPHONE: ZlPi al f^\+v ADDITION DESCRIBE WORK: NEW- REMODEL OTHER t /4 ADDRESS q1 ,(\oc ts L {, -? EXPIRES .1 PHONECONTFIACTOR'S NAME MECHANICAL: ELECTBICAL: PLUMBING: GENERAL: _ OFFICE USE - LAND USE:FLOOD PLAIN r OF UNITS: QUAD AREA: I OF BLDGS: SECONDARY HEAl: SQUARE FOOTAGE:WATER HEATER: OCCY GROUP: * OF STORIES: ZONING CODE: CONSTR. TYPE: HEAT SOURCE: 1b request an Inspectlon, you niust cail 72e-3769. Thls ls a 24 hour recorciing. All inspectioi-rs requesieci before l:OO a.m. wiil ber.ade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS Temporary Electrlc Rough Mechanical - Prlor to cover. Final Plumblng - When ailplumbing worl( is complete. Slte lnspectlon - To lre made after excavation, but prior to setting forms. Rough Electrlcal - Prior to Flnal Electrlcal - When allcover.cal work is complete. E Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover.Eleclrical Servlce - Must be approved to obtaln permanent electrlcal power. Final Mechanical - When all mechanical work ls complete. tl Footlng - After trenches are excavated.Flnal Building - When all requlred lnspectlons have been approved and buildlng is completed. Flreplace - Prlor to faclng materlals and framlng lnsp.Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prlor to cover. OtherFoundatlon - Alter forms are erected but prlor to concrete placement.Y:JYSe!;yb;"%;:I Drywalr - Prror," lll$o, Prlor to Underground Plumblng - Prior to fllllng trench.q -h Underlloor Plumblng / Mechanlcal - Prior to lnsulatlon or decklng.Wood Stove'b O?,., lnstatlation..i'o*. ''' ''' lnsert - After fffitace approvql and lnstallatlon of unlt. MOBILE HOME INSPE TIONS Post and Beam - Prlor to lloor lnsulatlon or decklng. Blocking and Set.Up - When ail blocklng is complete. Floor lnsulallon - Prlor to decking,Curbcut & Alrproach - After forms are erected bUt prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanltary Sewer - Prior to fllllng trench.Electrical Connection - When blocking, set-up, and plumbing lnspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to fllling trench. Sidewalk & Driveway - Alter excavation is complete, forms and sub-base material in place. Water Llne - Prlor to filling trench. Fence - When cor-rrpleted Rough Plumbing - Prlor to cover. Street Trees - When all required trees are planted. Final - After all required inspections are approved andporches, sklrting, decks, and ventlng have been installed.tl t Qgc t zt I -A , OF BDRMS: -RANGE: fl E tl E E tl E tl tl tl tl tl t,: : i'- l'1 Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type -- - lnterior - Corner - Panhandle ! - Gul-de-sac i IS THE PROPOSED WORK TN THE . HlsToRtcAL DtsTRtcT, oR oN THE HISTORICAL REGISTER? - ll yes, this application must be slgned and approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: . ', '. !* BUILDTNG PERMIT t .. VALUE (A) Total Value Building Permit Fee State Surcharge Total Fee SO. FT, X $/SO. FT. ./ ITEM Main Garage Carport ' r| BUILDING VJqLUE, 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. Receipt Number:- Plans Reviewed By Date Plan Check Fee: Date Paid Received By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tlre City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sgwer Water Storm Sewer Moblle Home FEE (c) N' FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge . FT. ADDITIONAL COMMENTS Wood Stove/ lnsert/Flreplace Unit Dryer Vent fu-e-(D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By slgnature, I state and agree, that I have carefully examined the completed application and do hereby certify that all lnformation hereon is true and correct, and I f urther cerflfy that any and all work performed shall be done in accorrJance with the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertainlng to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure without perrnission of the Building Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 701.OSS will be used on thls proiect. 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 permlt card ls located at the front of the property, and the approved set of plans will remain 7o,t on the site at all tim during construction. Slgnature Date Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electricat) (A, B, C, Q and E Combined) 1- Js -1DATE PAI[') AMOUNT HECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBEFI P,L.HSE GAR ACC N S E FT. #K.-- 4lo-,'- MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolitlon State Surcharge