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Home My WebLink AboutPermit Mechanical 1998-08-12RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 INGFIELE, JOB NUMBER (f tooS 225 Fifth Street Spri ng f leld, Oregon gl 471 LOCATION OF PBOPOSED WORK:asa3 lu /6fr tt ASSESSOHS MAP:t7 oV z ''{ )q TAX LOT: LOT BLOCK:SUBDIVISION: -- tz 1V6-€6oGPHONE: R-t dR 4 o,t)?t vzzZIP: EL) STATE: >5 J Ge-< fe(dCITY: ADDRESS: OWNER:73 tV- lbfil NEW -- REMODEL ADDITION DEMOLISH OTHER -_ [@4s -fDESCRIBE WORK:otr AODRESS t-v6-rc alto$d EXPIRES ,3 PHONE CONTRACTOR'S NAME ELECTBICAL: GENERAL: MECHANICAL: PLUMBING: CONST. CONTRACTOR # To request an lnspection, you must call 726-3769. Thls is a24hour recordlng. All lnspections requested before 7:00 a.m. will bemade the same working day, lnspections requested after 7:00 a.m. wlll be made the followlng work day. IRED INSPECTIONS Temporary Electric gh Mechanlcal - Prior to Final Plumbing - When ailplumbing worl< is complete.cover. Site lnspection - To tre made after excavatlon, but prior to setting lorms. Flnal Electrical - When allelectrical work is complete. Underslab Plumblng / Electrical / Mechanlcal - Prlor to cover.Electrical Service - Must be approved to obtaln permanent electrlcal power. F Mechanical - When allical work ls complete. Footlng - After trenches are excavated.l-l Flreplace - Prtor to facing - materlals and framing lnsp. Flnal Buildlng - When ail required lnspections have been approved and building is completed. Framlng - Prlor to cover. Foundatlon - After forms are erected but prior to concrete placement. Other WalllCelting lnsulation - Prlor to cover. Underground Plumbing - Prior to filllng trench.l-_.l Drywall - Prior to taping. Underlloor Plumbing/ Mechanlcal - Prior to lnsulatlon or decklng. MOBILE HOME INSPE TIONS Wood Stove - After lnstallation. Post and Beam - Prior to floor insulatlon or decking.lnserl - After fireplace approvql and lnstallation of unit. Blocking and Set.Up - When allblocklng ls complete. Floor lnsulation - Prior to decking.Curbcut & Alrproaclr - After forms are erected btrt prior to placement of concrete. Plumbing Connections - When home lras been connected to water and sewer. Sanitary Sewer - Prior to fllling trench.Electrical Connection - When blocking, set.up, and plumbing inspections have been approved and the home is connected to the servlce panel. Slorrn Sewer - Prior to filling trench. Sidewall< & Driveway - After excavation ls complete, forms and sub-base material in place. Water Llne - Prlor to filling trench. Fence - When ccinpleted. Street Trees - When all requlred trees are planted. Final - After all required lnspectlons are approved andporches, skirting, decks, and ventlng have been lnstalled. Rough Plumbing - Prior to cover. .6 tl [-l Rough Elecrrical - prior tot-l cover-fl Masonry - Steel locatlon, bond beams, grouting. E E tl E tl tl tl tl tl tl fl tf PL.GAFI ACCHSE N S E try__ Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type _ - lnterior - Corner - Phnhandle I - Cul-de-sac S THE PROPOSED WORK TN THE rsroRtcAL DlsTRlcT, oR oN THE HISTORICAL REGISTER? - lf yes, this application must be slgned arrd approved by the Historical Coordinator prior to permit issuance. APPROVED: VALUE (A) IMIT Total Value Building Permit Fee State Surcharge Total Fee FT. X $/SQ. FT. BUILDING PER ITEM SO. Main Garage Carport AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respccts, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of ouildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. BUILDING VI\LUE, Plans Rcviewed By Date Fleceipt Numbe Plan Check Fee Date Paid: Received By: LAN CHECK SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tlre City lirnits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sgwer Water Storm Sewer Mobile Home FEE (c) N. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge - FT. ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent /f,ov lt,'0,,,(r/{-fii(D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have carefully examined 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 with the Ordinanccs of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without perrnission of the Buildir.rg Safety Division. I further certify that only contractors and enrployees who are in compliance with OFIS 701.055 witl be used on this proiect. 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 is located at the front of the property, and the approved set of plans will remain I times d "rtP Date C- t )--? on the site Signature con6iructlon. ,/lwd.* 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 Comblned) 6 I t VALIDATION RECEIPT NUMBER DATE PAI[) 9/0cb ZL z,oAMOUNT RECEIVED RECEIVED BY rT.