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HomeMy WebLinkAboutPermit Mechanical 1992-12-07- SP'rI,\rGFIELr) RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: JOB NUMBER qUbb) 225 Fifth Street Springfleld, Oregon 97 477 eq)o N. 1aL0' ASSESSORS MAP:lloSl4 f TAX LOT:oq3pc) LOT BLOCK: PHONE:OWNER: /1/ 3A4 STATE:zlPCITY:OE ADDRESS: ' ay'zo 7z3,a.2.n4 rt NEW - REMODEL ADDITION DEMOLISH OTHER DESCFIIBE WORK: ADD EXPIRES /o s/-Ps PHONECONTRACTOR'S N MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # GENERAL: PLUMBING 5 WATER HEATER:RANGE: - OFFICE USE - LAND USE: ZONING CODE: FLOOD PLAIN * OF UNITS: SECONDARY HEAT: SQUARE FOOTAGE: OCCY GROUP: * OF STORIES: QUAD AREA: I OF BLDGST CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recording. All lnspections requested before 7:00 a.m. will be made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS Temporary Electric Rough Mechanlcal - Prior to cover. Final Plumbing - When all plumblng work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain perrnanent electrical power. lr-]final Mechanical - When all4 mechanical work is comptete. Footlng - After trenches are excavated.Fireplace - Prior to faclng materials and framing lnsp. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, groutlng.Framing - Prior to cover. Foundatlon - After forms are erected but prior to concrete placement. Other Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to-filling trench.Drywall - Prlor to taping. MOBILE HOME INSPECTIONS Underlloor Plumbing / Mechanical - Prior to insulatlon or decking.Wood Stove - After installation. Post and Beam - Prior to floor lnsulation or decklng.lnsert - After fireplace approval and installation of unit. Blocking and Set.Up - When all blocking is complete. Floor lnsulatlon - Prior to decking.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumblng Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Electrlcal Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to filllng trench. Sidewalk & Driveway - After excavation is contplete, forms and sub-base material in place. Water Llne - Prlor to filling trench. Fence - When completed. Street Trees - When all required trees are planted. Final - After all required inspections are approved andporches, skirtlng, decks, andventing have been installed. l-l Rough Plumblng - Prior tot--J cover. SUBDIVISION:- 7/l- fr/B # OF BDRMS: - tl E tl E E E E tl tl E E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Typ- - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAFI ACC N S E IS THE PFIOPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTOBICAL REGISTER? - lf yes, this application must be slgnedand approved by the Historlcal Coordinator prior to permit issuance. APPROVED BUILDING PERMIT VALUE (A) SQ. FT. X $/SO. FT.ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ThiS permit is granted on the express condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, inctuding theDevelopment Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of said ordinances. Plans Reviewed By Date Receipt Nu Plan Check Fee Date Paid: Received By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residentiat Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE No (c) FT. FT. FT. Plumbing Permlt State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent Mechanicat Permit )V\r""- lssuance State Surcharge Total Permit (D) MECHANICAL PERMIT I3 .oo N0 lo .oCI J< e<.f s Furnace Exhaust Hood Vent Fan By signature, 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 wlth the Ordinances 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 permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with ORS 7O.|.OS5 will be used on this project. 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 r)/'tlaa Signature Date at all times duri ruct ion.on the site i MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding etecrricat) ?S.-73 (A, B, C, D, and E Combined) VALIDATION: RECEIPT NUMBER l..,{lA AMouNr REcEtvED 0S.=)< t> )-lqa i9gRECEIVED BY DATE PAID