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HomeMy WebLinkAboutPermit Mechanical 1997-01-27TiP,lINGFIELr) RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 afr, JOB NUMBER 225 Fifth Street Springf leld, Oregon 97477 LOCATION OF PROPOSED WORK: ASSESSORS MAP:/)-?Z*21- r'Z TAX LOT aa,/4 / LOT:BLOCK:SUBDIVISION PHONE: STATE:ZIP:CITY: ADDRESS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: GENERAL: ELECTRICAL: ADDRESS EXPIRES . PHONECONTRACTOR'S NAME MECHANICA PLUMBING: CONST. CONTRACTOR # RANGE: r OF BDBMS: - OFFICE USE - WATER HEATER ZONING CODE: FLOOD I)LAIN: * OF UNI:I'S: OUAD AREA: r OF BLDGST SECONDARY HEAT: SQUARE FOOTAGE: LAND USE: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wlll be made the same working day, lnspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS Temporary Eleclric g Rough Mechanlcal - Prlor to Final Plumbing - When all plumbing worl( is complete.r. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Eleclrical - When all electrical work is complete.cover, Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover.Electrical Servlce - Must be approved to obtaln permanent electrlcal power. w Final Mechanical - When all mechanical work l5 complete.Prf/" $2 Final Building - When all required lnspections have been approved and building ls completed. Flreplace - Prlor to faclng materlals and lraming lnsp. Framlng - Prlor to cover. Other WalltCelling lnsulatlon - Prlor to cover. Underground Plumblng - Prior to fllllng trench.l-_l orywall - Prlor to taping. MOBILE HOME INSPE TIONSUnderlloor Plumbing/ Mechanlcal - Prior to lnsulatlon or decklng.Wood Stove - After lnstallation Post and Beam - Prior to floor lnsulatlon or decklng.lnsert - After fireplace approvql and lnstallatlon of unlt. Blocking and Set.Up - When ail blocklng is complete. Floor lnsulation - Prior to decking.Curbcul & Agrproaclr - 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 filling trench. Slorm Sewer - Prior to filling trench. Sidewalk & Driveway - Atter excavation is complete, forms and sub-base material in place. Water Llne - Prlor to filling trench. Fence - When completed Rough Plumbing - Prlor to cover. Streel Trees - When all requlred trees are planted. Final - After all required inspectlons are approved and porches, skirting, decks, and ventlng have been lnstalled. _-,4 4Q-.d tl - Footlng - After trenches are|J excavated. l-l Masonry - Steel locatlon, bond|J beams, groutlng. [-l Foundallon - After forms arelJ erected but prlor to concrete placement. tl tl E il tl Electrical Connection - When blocking, set.up, and plumbing inspections have been approved and the home ls connected to the service panel. E Lot Type - Interior - Corner - Panhandle - Cul-de-sac Setbac ( IS THE PROPOSED WORK TN THE . HISTOFIICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: Lot faces Lot sq. ftg. Lot coverage Topography Total height GAR ACCPL.HSE N S E VALUE (A) X $/SO. FT. Total Value Bullding Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SO. FT. Main Garage Carport 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. Plans Reviewed By Date Receipt Numbe Plan Check Fee Date Paid: Received By: BUILDING VALUE AND BUILDING P , PLAN CHECK ERMIT 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) N0 FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fl replace Unit Dryer Vent /r-'? 4+- a No 2/9..d> r? (D)_26-Za MECHANICAL PERMIT Mechanical Permit lssuance State Surcharge Total Permit Furnacc Exhaust Hood Vent Fan W*r By slgnature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all lnformation hereon is true and correct, and I f urther certlfy that any and all work performed shall be done in accordance with the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on lhls proiect. I further agree to ensure that all required inspections are reguested at the proper time, that each address ls readable {rom the street, that the permit card ls located at the front of the property, and the approved set of plans wlll remaln on the site at all times during const Date ctlon. zt^/ PSlgnatu re MISCELLANEOUS PERMITS Mobll€ Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Perrnils (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) .L440b DATE PAID AMOUNT RECEIVED FIECEIVED BY VALIDATION: RECEIPT NUMBER FT. - FT. /-Z 7-/7