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HomeMy WebLinkAboutPermit Mechanical 1994-12-12HESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 I]\lGFIELE) JOB NUMBER q4\qe3 225 Fifth Street Springfleld, Oregon 97477 LOCATION OF PR ASSESSOBS MAP;TAX LOT LOT BLoCK: -SUBDIVISION OWNER: CITY: ADD PHONE: ZIP: OTHER DESCRIB NEW RK: REMODEL ADDITION DEMO ADDRESS EXPIRES PHONE CONTRACTOB'S NAME GENERAL: PLUMBING MECHANICAL: ELECTRICAL; CONST. CONTFIACTOR # - OFFICE USE - LAND USE: BANGE:WATER HEATER: FLOOD PLAIN SECONDARY HEAT: SQUARE FOOTAGE: # OF BDRMS: OCCY GFIOUP; * OF STORIES: ZONING CODE: -_-. CONSTR. TYPE: HEAT SOURCEI , OF UNITS: - cover. h To request an lnspecilon, you must call 726-3769. Thlmade the same worklng day, lnspections requested ls ls a 24 hour recordlng. All inspections requesafter 7:00 a.m. wlll be made the followlng work ted before 7:00 a.m. wlll be day. ONS l--l remporary Electrtc - Prior to inal Plumbing - When ailumblng work ls complete. Slte lnspectlon - To be madeafter excavatlon, but prlor tosettlng forms. Rough Eleclricat - prior to Final Electrlcal - When ailelectrical work is complete. cover. [-l Unaerstab ptumbing/Etecrricat/ - Mechanlcal - prioi to cover.Eleclrlcal Servlce - Must beapproved to obtaln permanent electrlcal power. al Mechanlcat - When allchanical work is complete. Footlng - After trenches areexcavated.I--l Final Buitdtng - When a[ - requlred lnspectlons have l--l nlasonry - Steet tocatton, bond - Deams, groutlng. n Foundalton - After forms are - erected but prlor to concreteplacement. Flreplace - prlor to faclngmaterlals and framlng lnsfi Framlng - prlor to cover. approved and buildi been co ng is Other Wall/Celllng tnsutatlon - prlor tocover. f-l Underground ptuLJ r.'nri;;i#";."-olns - Prlor J--l Drywart - prror to taprns Underltoor plumblng/ Mechanlcat - prtor to lnsulatlon or decklng. Post. and Beam - prlor to floorlnsulatlon or decking. Floor lnsulallon - prlor todecklng. Sanltary Sewer - prior to fiilingtrench. Slorm Sewer - prlor to filllngtrench. Water Llne - prlor to filllngtrench. Rough Plumblng - prlor tocover. Wood Slove - After lnstallation MOBILE HOME INSPE TTONS I--l lnsert - After flreptace apDrovrt.- and lnstailailon oi-r;it: -tsrrvvq' I Blocking and Set.Up - When ail.J blocklng ls compleie. Curbcut & Approach - Afterlorms are erected but prior toplacement of concrete. Plumbing Connectlons _ Whenhome has been connected towater and sewer. Sidewalk & Drlveway - Afterexcavation ls complete, formsand sub-base materlal in place. Electrical Connection _ When P]::fllp, set.up, and prumbinfrnspections have been approvedand the home is connected tothe servlce panel.l--l fence - When compteted s [-l Street Trees - When ail required - trees are planted. Final - After all requiredrnspecllons are approved andporc.hes, sklrting, decks, andventlng have been installed. STATE: QUAD AREA: * OF BLDGS: 1., Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - - lnterior - Corner - Panhandle - Cul-de-sac Set i--1S THE PROPOSED WORK TN THE , HISTOBICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: P.L.HSE GAR ACC N S E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordlnance adopted by the City of Spring(ield, including the Development Code, regulating the constructlon and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plans Reviewed By Date Receipt Numbe Plan Check Fee: Date Paid Received By: VALUE (A) BUILDING PERM!T Total Value Building Permit Fee State Surcharge Total Fee SQ. FT. X $/SO. FT.ITEM Main Garage Carport Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE N0 FT. FT. FT. (n (c) Plumblng Permit State Surcharge Total Charge Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MECHANICAL PERMIT (D) cx) No Mechanical Permit lssuance State Surcharge Total Permit Furnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby certify that all lnformation hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngf ield, 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 permission of the Building Safety Divislon' I further certily that only contractors and employees who are in compliance with ORS 701.055 will be used on thls pro.iect. I further agree to ensure that all required inspections are requested at the proper time, that each address ls readable that the permlt card ls located at the front and the approved set of plans will remain z on the site all times during construction. Sig Date from the st of theMISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk .- ft Curbcul - ft Demolition State Surcharge Total Miscellaneous Permits (E) \ AMOUNT R DATE PAID RECEIVED BY VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Comblned)