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HomeMy WebLinkAboutPermit Mechanical 1995-11-30RESIDENTIAL PERMIT APPLICATION lnspections: 126-9169 Office: 126-JtSg SPRt FIELE) ASSESSOBS MAP 3 zZ 3 JOB NUMBER .,3 225 Fifth Street Springfletd, Oregon 97 477 TAX LOT LOCATION OF PROPOSED WOHK; LOT BLOCK:SUBDIVIStON: --- PHONE: ZIP:,ryCITY: ADDRESS: OWNER: NEW - FIEMODEL ADDITION DEMOLISH OTHER - DESCRIBE WORK: ADDBESS C; su /L/d Tzu,q Eo ects d673?6 L Fz.t EXPIRES PHONE CONTRACTOR'S NAME MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # GENERAL: PLUMBING _ OFFICE USE - QUAD AREA: I OF BLDGS: ]VRough Mechanlcal - Prior to ,Acover. FLOOD PLAIN Final Plumbing - When all plumblng wqrl( is complete. Temporary Electric Site lnspection - To be made after excavation, but prior to setting Iorms. Underslab Plumbing/ Electrical/ Mechanlcal - Prior to cover. Footing - After trenches are excavated. Masonry - Steel locatlon, bond beams, grouting. Foundatlon - After forms are erected but prior to concrete placement. Underground Plumbing - Pribr to filling trench. Underlloor Plumbing/ Mechanical - Prior to insulatlon or decklng. Post ahd Beam - Prlor to floor insulation ot decking. Floor lnsulalion - Prior to decki ng. Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. Water Line - Prior to filling trench. Rough Plumbing - Prior to cover. LAND USE: # OF UNITS OCCY GROUP: r OF STORIES: r OF BDBMS: BANGE: SECONDARY HEAT: SOUARE FOOTAGE: To request an inspectlon, you must call 726-3769. Thls is a24hour recording. All inspectlons requested before 7:00 a.m. wlll be made the sante worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS CONSTR. TYPEr HEAT SOURCE: Rough Electrlcal - Prior to cover Electrical Service - Must be approved to obtain permanent electrlcal power. Fireplace - Prior to faclng materlals and framing lnsp. Framlng - Prior to cover. Wall/Celling lnsulation - Prlor to cover lnsert - After flreplace approvql and installation of unit. Curbcut & Approach - After forms are erected but prior to placement of concrete. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. l--l Fence - When completed. Slreet Trees - When all required trees are planted. ffi finat Electrical - When all+electrical work is complete. lVfinal Mechanical - When all,la(mechanical work is complete. Final Buildlng - When all required lnspections have been approved and building is completed. MOBILE HOME INSPECTIONS Blocking and Set.Up - When all blocking is complete. Plumbing Connections - When home has been connected to water and sewer. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Final - After all required inspectlons are approved and porches, skirting, decks, and venting have been installed. 32 STATE: ZONING CODE: _ WATER HEATER: fl tl n E tl E E tl tl E E E tl r [--l Drywall - Prior to taping. l-_l Wood Stove - After lnstallation. E tl [--l other E r Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Typ* - lnterior - Corner - Panhandle - Cul-de-sac ISTHE PFIOPOSED WOBK iN THE . HrsroBlcAL DlsTRlcl oB oN THE HISTORICAL REGISTER? - lf yes, this application must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: ACCP.L.HSE GAR N S E VALUE (A) Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SO. FT. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, confprm to the Ordinance adopted by the City of Springfield,,i ncluding 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 Rcviewed t3y Date Plan Check Fee: Date Paid Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tl.re City linrits which are being improved. ITEM ' Fixtures Residential Bath(s) Sanitary Sgwer Water Storm Sewer Moblle Home FEE (c) No FT. PLUMBING PERMIT FT. FT. Plumbing Permlt State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent state surcharse t 7f /, /f MECHANICAL PERMIT ,ze-hlzo Total Permit 2a-?o Zz/( 1 (D) N0 Mechanical Permit lssuance Fu rnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby certify that alllnformation hereon is true ancl correct, and I f urther cerilfy that any and all work performed shall be done in accordance with the Ordinances of the City of Sprlngtield, and the Lawsof the State of Oregon pertaining to the work descrlbed herein, and that NO OCCUPANCy wiil be macJe of any structure without permission of the Buildirrg Safety Division.I further certify that only contractors and employees who are ln compliance with ORS 7O1.O5S will be used on thlsproiect. 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 ls located at the frontof the property, and the approved set of p 5 ct gnature Date will remain on the site at all times duri MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk _ ft Curbcut --_- ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electricat) (A, B, C, D, and E Combtned) *%_?!LaAMOUNT RECEIVED RECEIVED BY DATE PAID VALIDATION: RECEIPT NUMBER X $/SO. FT.