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HomeMy WebLinkAboutPermit Mechanical 1998-08-05SPRTNGRESIDENTIAL PERMIT APPLICATION lnspectlons: 726.3769 Office:726-3759 0?v afr, JOB NUMBEFI 225 Fifth Street Springfleld, Oregon 97 477 tt 2s |L/PqLOCATION OF PROPOSED WORK: ASSESSORS MAP:L TAX LOI LOT - BLOCK:SUBDIVISION o,reSTATE:ZIP:CITY: ADDRESS: OWNEB: NEw t'REMoDEL ADDtloN DEMoLtsH orHER DESCRIBE WORK: ADDRESS EXPIRES ,a PHONE PLUMBING: MECHANICAL: ELECTRICAL: CONTRACTOR'S NAME GENERAL:C CONST. CONTRACTOR # o"""b%ffi Soffi #"#"o@S""'t[',ffi"S]rypE:r oF Sr@fiE@etelepltffir$ SoURCE: IS NOT ----..rHrsPEBMlI TEJAIE WORK r S E: the Oregon Utility _ OFFICE USE _ r OF BDRMS: WATER ZONING CODE: FLOOD I)LAIN: To request an lnspectlon, you must call 726-3769. Thls ls a24hour lflq&$usEHU)oqu ested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be macle the followlng work day. OU INSP ECTIO NS Temporary Electrlc echanlcal - Prlor to Flnal Plumbing - When allplumblng worl( is complete. Site lnspectlon - To be made after excavatlon, but prior to settlng forms. [l Rough Elecrrical - Prior totJ cover.Final Electrical - When all electrical work is com plete. Underslab Plumblngl Electrical / Mechanlca! - Prlor to cover.Electrlcal Servlce - Must be approved to obtain permanent electrlcal power. echanical - When all hanical work ls complete. Foollng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framing lnsp. Flnal Buildlng - When ail required lnspectlons have been approved and bullding is completed.Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prlor to cover. Foundatlon - After forms are erected but prlor to concrete placement. Olher Wall/Celling lnsulatlon - Prlor to cover. Underground Plumblng - Prior to fllllng trench.Drywall - Prior to taping MOBILE HOME INSPE TIONSUnderlloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or decklng.Wood Stovo - After lnstallatlon. Post and Beam - Prlor to floor lnsulatlon or decklng.lnsert - After flreplace approvql and lnstallatlon of unlt. Blocking and Set-Up - When atl blocking ls complete. Floor lnsulalion - Prior to decking.Curbcul & Agrproaclr - After forms are erected but prlor to placement of concrete. Plumbing Connections - When home has been connected to water and sewer- [-l Sanitary Sewer - Prior to fillinglJ trench. [-l Storm Sewer - Prior to flllingu trench. Sidewall< & Driveway - After excavation ls complete, forms and sub-base material in place. Electrlcal Conneclion - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the servlce panel. Water Line - Prlor to filling trench. Fence - When cciilpleted Street Trees - When all requlred trees are planted. Fin Rough Plumbing - Prlor to cover. I PHONE: \ lawQUAD E E E E E E [--l Flnal - After alt required|J lnspectlons are approved andporches, sklrtlng, decks, and ventlng have been lnstalled. Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - - lnterior - Corner -- Panhandle r - Cul-de-sac , -S THE PROPOSED WORK TN THE - HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - l, yes, thls applicatlon must be slgned and approved by the Historlcal Coordinator prlor to permit issuance. APPROVED P,L.TiSE GAR ACC N S E k VALUE (A) Total Value Building Permit Fee State Surcharge Total Fee X $/SQ. FT. BUILDING PERMIT ITEM SQ. FT. Main Garage Carport BUILDING VALUE, i5LRru CHECK AND BUILDING PERMIT This pernrit is granted on the cxpress 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 Plan Check Fee: Date Paid Reoeipt Number 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 Flesidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) Nc FT. PLUMBING PERMIT FT. Plumblng Permlt State Surcharge Total Charge . FT. ADDITIONAL COMMENTS By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all information hereon is true and correct, and I f urther cerilfy that any and all work performed shall be done in accorrlance with the Ordinanccs of the City of Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed herein, and that NO OCCUPANCy wiil 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 701.0S5 wlll be used on lhls prolect. I further agree to ensure that all required inspections are requested at the proper tlme, that each address ls readable from the street, that the permit card ls located at the front of the property, and the approved set of plans will remaln Slgnature -Date on the site at all times d ring Wood Stove/ lnsert/ Flreplace Unit MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -- ft Demolitlon State Surcharge tt lI 4{, 7f Total Miscellaneous Ferrnits (E) No t{t o 21. to Vent Fan Vent (D) MECHANICAL PERMIT Fu rnace Exhaust Hoorj Mechanical Permit lssuance State Surcharge Total Permit TOTAL AMOUNT DUE (excluding electricat) (A, B, C, Q and E Combined) ?a )a 0 VALIDATION: FIECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY