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Home My WebLink AboutPermit Mechanical 1998-04-27RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office:726-3759 SPRINGFIELEI LOCATION OF PROPOSED WORK:sles o JOB NUMBER ff:- 225 Fifth Street Sprlngfleld, Oregon 974 TAX LOTASSESSORS MAP: LOT:BLOCK:SUBDIVISION 1l t -but'{PHONE: ZIP:S ocSTATE: F r.T ?. LJc,.tfck S< gs T \.rr.rt>*H, OWNER: ADDRESS: CITY: <'-6ra ADDRESS (-r e qFJ t C t Lg L t-Ler t c - (\r*ts, J,, c(to o .<t.+(=(o € 9.<rl -7 CONTRACTOR'S NAME DESCRIBE WORK:rte EMOLISH MECHANICAL: ELECTRICAL: PLUMBING: GENERAL: 6as EXPIRES 6)-CONST. CONTRACTOR # r.sc rf f Ft NEW - REMODEL ADDITION -o../h D .3 PHONE - OFFICE USE - WATER HEATER: ZONING CODE: RANGE: QUAD AREA: * OF BLDGS: SECONDARY HEAT SQUARE FOOTAGE: LAND USE: OCCY GROUP: * OF STORIES: CONSTR. TYPEr HEAT SOURCE: # OF UNITS: - To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7;OO a.m. wlll be made the same worklng day, lnspections requested af ter 7:O0 a.m. wlll be made the followlng work day. REOUIRED INSPECTIONS Temporary Electrlc w Rough Mechanlcal - Prior to Flnal Plumbing - When att plumblng work ls complete.4#;Slte lnspectlon - To be made after excavation, but prlor to setting forms. Rough Electrical - Prior to Final Electrical - When all electrlcal work is complete.cover, Underslab Plumblng/ Electrlcal / Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be approved to obtain permanent electrlcal power. ffl Final Mechanlcal - When ail/ffiffiw7..*| | Flnal Buildlng -:lJ required lnspectlons have been approved and building is completed. Footlng - After trenches are excavated.J-l Flreplace - Prlor to faclng - materlals and framlng lnsp. Masonry - Steel locatlon, bond beams, groutlng. [*-l Framlng - Prlor to cover.tl Foundatlon - After forms are erected but prlor to concrete placemont. Other Wall/Celllng lnsulatlon - Prlor to cover. E Underground Plumblng - Prlor Drywall - Prlor to taplng.to fllllng trench. Underlloor Plumblng / Mechanlcal - Prior to lnsulatlon or clecklng. MOBILE HOME INSPECTIONS Wood Stove - After lnstallatlon Post and Beam - Prlor to floor lnsulatlon or decklng.lnsert - After flreplace approvgl and lnstallatlon of unlt. Blocking and Set.Up - When all blocklng is complete. Floor lnsulation - Prlor to decklng.Curbcut & AJrproaclr - After forms are erected but prior toplacement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanllary Sewer - Prior to fllllng trench. Storm Sewer - Prlor to fllllng trench. Sidewalk & Drlvewav - After excavation ls complete, forms and sub-base malerlal ln place. Electrlcal Connection - When blocking, set-up, and plumblng lnspections have been approved and the home is connected to the servlce panel. l_l Water Llne - Prlor to fllllnglJ trench. l-l Rough Plumblng - Prlor roU cover. Fence - When coirrpleted. Slreel Trees - When all requlred trees are planted. Final - After all required lnspectlons are approved andporches, sklrtlng, decks, and ventlng have been lnstalled.E 4't v lfl # OF BDRMS: - FLOOD PLAIN: E fl tl Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type v - lnterior -_ Corner - Panhandle ! - Cul-de-sac Setback PL.HSE GAR ACC N S E (._1S THE PROPOSED WORK TN THE. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls applicatlon must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: VALUE (A) Garage Carport Total Value Building Permit Fee State Surcharge Total Fee X $/SQ. FT. BUILDING PERMIT ITEM SO, FT. Main BUILDING VALUE, ISUM 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 Date Paid Received By Plan Check Fee: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) N. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS , e<sane,{-Hced+ < 6e*2/q7 a.+ wood stove/tnsert@ Vent Fan Dryer Vent No a>< 4>G,T,,A,+ //a,GB:G (D)zzez MECHANICAL PERMIT Furnace Mechanical Permit lssuance State Surcharge Total Permit 7V* By slgnature, I state and agree, that I have carefully examlned the completed apptication and do hereby cerilfy that all Information hereon is true and correct, and I further cerflly that any and all work performed shall be done in accordance wlth the Ordinanccs of the City of Sprlngfield, and the Laws of the State of Oregon perlalnlng to the work described herein, and that NO OCCUPANCy wlll be made of any structure without perrnission of the Bullding Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 701,O5S will be used on thls proiect. I further agree to ensure that all required inspections are requested at the proper time, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remain on the site at all imes during constructlon. Slgnature Date MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolitlon State Surcharge Total Miscellaneous Perrnils (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Comblned) .2DATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER : ai FT. - FT. q9