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HomeMy WebLinkAboutPermit Mechanical 1992-11-13?z/5zzSPR /6 rz SUBDIVISION: TAX LOT LOCATION OF PRO ASSESSORS MAP: RESID ENTIAL PERMIT APPLICATION lnspections: 726'3769 Olflce: 726-3759 LOT: --- BLOCK: 225 Flfth Street Sprlngfleld, Oregon 97 477 . JOB NUMBER oe /67/AOr?l// S PHONE: O.-STATE: 5a ,/6 r'ay A./ s?F2CITY: ADDRESS OWNER: I ADDITION DEMOLISH OTHER DESCRIBE WORK: NEW=--- REMODEL EXPIRES PHONEADDFIESS ,4/ CONTRACTOR'S NAME CONST. CONTBACTOR # ELECTRICAL: ------ M EC HAN ICA,. K.T&. -T_Sfr GENERAL: PLIJMBING: I OF BDRMS: OUAD AREA: - OFFICE USE - FLOOD PLAIN WATER HEATER: ll OF STORIES: , OF BLDGSi - OCCY GBOUP: ----- RANGE: SECONDARY HEAT: SQUARE FOOTAGE: CONSTR. TYPE HEAT SOURCE: LAND USE; / OF UNITS ZONING CODE: To request an inspecllon, you must call 126-3169. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a'm. wlll be made the same worklng day, inspections requested after 7:00 a.m. wlll be made the followlng work day. REOUIRED TNSPECTIONS [-l rurnnorarY Electrlc x.Rough Mechanlcal - Prior to Final Plumbing - When all plumblng work ls comPlete.cover. Sile lnspectlon - To be macJe af ter excavation, but Prior to setting forms. Rough Electrical - Prior to Flnal Electrlcal - When all electrlcal work is comPlete.cover, Underslab Plumbing/ Eleclrlcal / Mechanical - Prior to cover. Electrical Servlce - Must be approved to obtain Permanent electrlcal power. X Final Mechanical - When all mechanlcal work is complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framlng lnsP. Flnal Bulldlng - When all requlred lnspectlons have been approved and building ls completed.tl Masonry - Steel locatlon, bond beams, grouting.Framlng - Prlor to cover, Foundatlon - After forms are erected but Prior to concrete placement. ,Ef o,n". Wall/Ceiling lnsulation - Prlor to cover. Underground Plumblng - Prior to filling trench.[--l Drywall - Prlor to taolng. MOBILE HOME INSPECTIONS Underlloor Plumblng / Mechanlcal - Prior to insulatlon or decklng.[-l wood Stove - After lnstallatlon. Blocklng and Set-Up - When all blocklng ls complete.Post and Beam - Prlor to floor lnsulation or decklng.lnsert - After flrePlace aPProval and lnstallatlon of unlt. Floor tnsulation - Prlor to decklng.Curbcut &ApProach - After forms are erected but Prior to placement of concrete. Ptumblng Connecllons - When home has been connected to water and sewer. Electrlcal Connection - When blocking, set-up, and plumblng lnspectlons have been aPProved and the home ls connected to the servlce panel. Flnal - After all requlred lnspectlons are apProved and porches, sklrtlng, decks, and ventlng have been lnstalled. Storm Sewer - Prlor to fllling trench. Sidewalk & Driveway - After excavatlon ls complete, forms and sub-base materlal ln Place. Water Llne - Prlor to fllllng trench, Fence - When comPleted Street Ttees - When all reqUlf€d trees are Planted. Rough Plumblng - Prlor to cover. l i, ztPt 77/-7, Ztt/,t/*t/*za2c. E E r E E tl tl E tl Sanltary Sewer - Prior to filling trench.tl E tl d Lot faces Lot sq. ftg. Lot coverage TopographY Total height Lot Type lnterior Corner -- Panhandle - Cul-de-sac P.L.HSE GAR ACC S E S THE PFIOPOSED WORK IN THE -HrsToRrCAL DISTRIGI OR ON THE HISTOBICAL FIEGISTER? - lf yes, thls appllcation must be slgned and appt'oved bY ttre Hlstorlcal Coortjinat<;r prior to pelmit lssuance. APPROVED: BUILDING PERMIT ITEM Main Garage Carport SQ. FT, X $/SQ. FT.VALUE Total Value Building Permit Fee State Surcharge Total Fee (A) BUTLDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit ls 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 CocJe, regulating the construction and use of buildings, and ntay be suspended or revoked at any time upon violatlon of any provisions of said ordlnances' Beceipt Number:- Received By: Plans Reviewed BY Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developtnent Charge is due on all undeveloped properties withirr the City limits which are being improved. PLUMBTNG PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE No FT. FT. FT. Plumbing Permit State Surcharge Total Charge (c) ADDITIONAL COMMENTS MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan No Wood Stove/ lnsert/ Flreplace Unl t ,Grfi"#n: s 74/E B va0r -ao 3.o o Mechanlcal Permlt lssuance State Surcharge Total Permlt 27hUt /5,!2 /o oo ,7r (D)25,t{ By slgnature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all lnformatlon hereon is true ancl correct, and I f urther certify that any ancl all worl< performed shall be done in accordance wlth the Orciitrances of the Clty of Springfield, and tlte Laws of the Statc of Oregon pertalning to the work described hereln, an<J tlral NO OCCUPANCY will be made of any structure witlrout pcrtltisl;ion of tlre Buildlng Salety Divislon' I further certify tlrat only contlactors and employees who are ln com;>llance witlt OFIS 701.055 will be used on this proiect. I further agree to ensure that all required inspections are requested at tlre proper time, that each address is readable from the street, t of the property,the ap of plans wlll remain on the site at I duri n. Signatu Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut __.--- ft Demolition State Surcharge Total Miscellaneous Permlts (E) VALIDATION: FIECEIPT NUMBEFI , .o75/ DATE PAID L <- ll fAMOUNT RECEIVED. FIECEIVED BY _,-_-. ,-,------ TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Comblned) ? 5.78 I ) Plan Check Fee: . . Date Paid: the permit card ls located at the front N