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Home My WebLink AboutPermit Mechanical 1997-01-15RESIDENT'AL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 Ure INGFIELD /)\ JOB NUMBER q 225 Fifth Street Sprlngfleld, Oregon 97477 TAX LOT LOCATION OF PROPOSED WORK: ASSESSOBS MAP:1 LOT: L BLOCK: PHONE: ZlPiSTATE: re CITY: fhADDRESS: OWNER: NEW - BEMODEL ADDITION DEMOLISH OTHER DESCFIIBE WORK: ME ADDFIESS 7 RH EXPIFIES PHONE ELECTRICAL: CONTRACTOR'S CONST. MECHANICAL: CONT GENERAL: PLUMBING RANGE: r OF BDRMS: _ OFFICE USE _ WATEFI HEATEFI: FLOOD [)LAIN:OUAD AREA: # OF BLDGS SECONDARY HEAT: SOUARE FOOTAGE; LAND USE: OCCY GFIOUP: * OF STORIES: CONSTR. TYPE HEAT SOURCE: # OF UNITS: -_-ZONING CODE: _ To request an lnspectlon made the same worklng ' you must call 726'3769. Thls ls a24hour recordlng. All inspectlons requested before 7:00 a.m. wlll beday, lnspections requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED TNSPECTIONS Rough Mechanlcal - prlor to cover.l--l Finat ptumbins - Whcn ail'J plumblng worl( ls complete. l-l Rough Electrical - prior tot----J cover.Final Electrlcal - When allelectrical work is complete. Electrical Servlce - Must beapproved to obtaln permanent electrlcal power. Final Mechanical - When allmechanlcal work ls complete. Flnal Buildlng - When allrequired lnspectlons have beenapproved and building is completed. Flreplace - Prlor to faclng materlals and framlng lnsp. Framlng - Prlor to cover.hOther Wal!/Celling lnsutatlon - prlor to cover. E ,'.tffiffil"l,lflJn'.'-olns - Prior [l Drywan - prror to taprns Underlloor Plumblng / Mechanlcal - Prior to lnsulatlon or decking. MOBILE HOME INSPE TIONS Wood Stovo - After lnstallation. Post and Beam - Prlor to floorlnsulatlon or decklng.lnserl - After flreplace approval and lnstallatlon of unlt. [--l Blocking and Ser.Up - When ail - blocklng ls complete. Floor lnsulation - Prior to decklng.Curbcut & Alrproach - After forms are erected but prior toplacement of concrete. Plumbing Connections - Whenhome has been connected towater and sewer. [-l Sanitary Sewer - prior to fiiling - trench. l-_l Storm Sewer - Prior to fliling - trench. Sidewalk & Drlveway - After excavation is complete, forms and sub-base materlal in place. Electrical Connection - Whenblocking, set-up, and plumblng lnspections have been approvedand the home is connected tothe servlce panel. Water Line - Prlor to filling trench. Fence - lVhen completed. Rough Plumbing - Prlor to cover. Strest Trees - When all requlred trees are Planted. Final - Alter all required inspections are approved and porches, skirting, decks, and ventlng have been installed' SUBDIVISION: - -a?na>4 [--l femporary Etecrrtc l--l Slte tnspectlon - To be made|J after excavatlon, but prior tosettlng forms. l--l Underslab Ptumblng/ Electrical/ - Mechanlcal - prior to cover. [l Footlng - After trenches are|J excavated. l--l Masonry - Steet tocatlon, bondu beams, groutlng. l--l Foundatton - After forms are - erected but prlor to concrete placement. tl tltltl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type r - lnterior - Corner - Panhandle - Cul-de-sac Setbacks PL.HSE GAR ACC N S E --1S THE PROPOSED WORK iN THE . HISTORICAL OISTRICT, OR ON THE HISTORICAL REGISTER? - ll yes, this applicatlon must be slgned and approved by the Historlcal Coordinator prlor to permit issuance. APPROVED BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, ln all respects, conform to the Ordinance adopted by the City ol 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 Fleviewed By Date Receipt Numbe Plan Check Fee: Date Paid Received By: VALUE (A) x $/so. Fr. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SO. FT. Main Garage Carport Systems Development Charge is due on all undeveloped properties within tlre City linrits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Besidential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) N0 FT, FT. PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge - FT. By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certify that all lnformation hereon is true and correct, and I f urther certlly that any and all work performed shall be done in accordance wlth the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertainlng to thc work descrlbed herein, and that NO OCCUPANCY will be made of any structure without perrnission of the Building Safety Divislon. I further certily that only contractors and employees who are in compliance with ORS 701.055 will be used on thls prolect. I further agree to ensure that all required inspections are reguested at the proper tlme, that each address ls readable from the street, that the permlt card ls located at the front Date lon plans wlll remalnof the prope on the site Signatu Wood Stove/ lnsert/ Fl replace Unit N;;;;; lssuance state surcharse 'l3ZG\ lfuw'n Total Permit (D) MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - ft Curbcut -- ft Demolition State Surcharge Drver Vent-'oialryuLtUP Total Miscellaneous perrni ts (E) NoVent Fan MECHANICAL PERMIT Furnace Exhaust Hood TOTAL AMOUNT DUE (exclu,dlng ctectrica,, 4(A, B, C, D, and E Combtned) 2'/3 I-qDATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: BECEIPT NUMBER i.', :;- .: TM,ta- . /5- t lf: 'ii )5m)