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HomeMy WebLinkAboutPermit Mechanical 1996-04-22RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726.3759 ELc, qt, JoB NUMBE^.-%e,&e-- 225 Fifth Street Spri ng fleld, Oregon gr7 477 LOCATION OF PROPOSED WOBK: ASSESSORS MAP:TAX LOT:O LOT: - BLOCK:SUBDIVISION 7 47 Z>.7o*PHONE: ZlPi Eru ?STATE: OWNER: ADDRESS: CITY: DESCRIBE WORK: ADDRESS EXPII.IES PHONE /D+b77 -4t5 CONTRACTOR'S NAME ELECTRICAL: MECHANI CONST. CONTRACTOR # GENERAL: PLUMBING RANGE: r OF BDRMS: - OFFICE USE - LAND USE: WATER HEATER: ZONING CODE: SECONDARY HEAT: SOUARE FOOTAGE '+ OF UNITS: QUAD AREA: * OF BLDGS: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an inspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All inspections requested before 7:00 a.m. wlll be made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day. REQUIRED INSPECTIONS Temporary Electrlc W Rough Mechanical - Prlor to cover. l--l Final Plumbing - When ailtJ plumblng worl< is complete. Site lnspection - To be made after excavatlon, but prior to setting forms. [-l Rough Electrical - Prior to4 cover-Final Electrical - When all electrical work is complete. Underslab Plumblng/ Electrical / Mechanlcat - Prior to cover,Electrlcal Service - Must be approved to obtain permanent electrlcal power. Final Mechanical - When all mgghanical ;ryork ls complete.c?.fi ?dSrrae Flnal Building - When all required lnspectlons have been approved and building is completed. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framing lnsp. Masonry - Steel locatlon, bond beams, groutlng. Foundallon - After forms are erected but prior to concrete placement. Olher Underground Plumblng - Prior to fllllng trench. MOBILE HOME INSPECTIONS Underlloor Plumblng / Mechanlcal - Prior to insulatlon or decklng.Wood Stovo - After lnstallation Post and Beam - Prlor to floor insulatlon or decking.lnsert - After flreplace approval and lnstallatlon of unit. Blocking and Set.Up - When all blocklng is complete. Floor lnsulation - Prlor to dect<ing.Curbcut & Agrproach - After forms are erected but prior to placement of concrete. Plumbing Connectlons - When home lras been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Eleclrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the servlce panel. Storm Sewer - Prior to fllling trench. Sidewalk & Driveway - After excavation ls complete, forms and sub-base material ln place. Water Llne - Prior to filling trench. Fence - When completed. (itreet Trees - When all required trees are planted. Final - After all required inspectlons are approved and porches, sklrting, decks, and venting have been installed.Rough Plumbing - Prior to cover. FLOOD PLAIN: E m tl tl l--l Framlng - Prlor to cover. [--l WatllCelling lnsulallon - Prlor tol-J cover. l--l Drywall - Prlor to taping. E E fl n tl tf tl tl D tl tl fl E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Typ* - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E IS THE PROPOSED WORK iN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL FIEGISTER? - lf yes, this application must be signed and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: VALUE (A) BUILDING PERMIT Total Value Building Permit Fee State Surcharge Total Fec SO. FT. X $/SO. FT.ITEM Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City o( 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 Receipt Numbe Plan Check Fee Date Paid: Beceived By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City lirlits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) FT. FT. N0 FT. PLUMBING PERMIT Plumblng Permit State Surcharge total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MECHANICAL PERMIT Z%-* (D) e _we N0 ./5,o4Mechanical Permit lssuance State Surcharge Total Permit Fu rnacc Exhaust Hood Vent Fan By slgnature, l.state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereon is true ancl correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ield, and the Laws of the State of Oregon pertainlng to the work descrlbed 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 701.055 wiil be used on this proiect. I further agree to ensure that all reguired inspections are requested at the proper time, 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 remain 1-z?t6 es duringon the site at all ti Slgnature Date truction. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk --.- ft Curbcut -_ ft Demolition State Surcharge Total Miscellaneous perrnits (E) TOTAL AMOUNT DUE (excluding electrtcat) (A, B, C, D, and E Combined) VALIDATION: RECETPT NUMBER < ':4 2a( /-2>.zDATE PAID AMOUNT RECEIVED FIECEIVED BY €;= Trrraz