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HomeMy WebLinkAboutPermit Mechanical 1995-05-23R ESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: FlI,{G ELI) LOT BLOCK: JOB NUMBER 225 Fifth Street Springf leld, Oregon g7417 TAX LOT SUBDIVISION: - CITY: ADD STATE: PHON E: ZIP: HERDDITION DEMOLISH DESCRIBE WOR NEW- REMODEL ADDFIESS EXPI RES PHON E CONTRACTOR'S NAME GENERAL: PLUMBING MECHANICAL: ELECTBICAL: CONST. CONTRACTOR # _ OFFICE USE - WATER HEATER FLOOD PLAIN: SQUARE FOOTAGE:RANGE: ZONING CODE: LAND USE:QUAD AREA: A OF BLDGS: OCCY GROUP: N OF STORIES: , OF BDRMS: --SECONDARY HEAT: _ CONSTR. TYPE HEAT SOURCE: # OF UNITS: .- To req made uest an inspectlon, you must call 726'3769. Thls ls a24hour recordlng. All lnspections requestecJ before 7:00 a.m. will bethe same worklng day, lnspectlons-requested after 7:oo a.m. wlll be made the following work day. Temporary Electric d;ulJs":::l:::'Final Plumbing - When ailplumbing worl< ls complete. Slte lnspectlon - To be made after excavation, but prior tosettlng forms. Rough Electrical - Prior to Final Elictrical - When ail electrical work is complete.cover, Underslab Plumbing/ Electrical / Mechanlcal - Prior to cover.Electrical Service - Must be approved to obtaln permanent electrlcal power. Final *g$4",, - when au mechanical work ls complete. Footlng - After trenches are excavated.Flreptace - Prlor to faclng materlals and lramlng lnsp. Final Building - When alt requlred lnspections have beenapproved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prlor to cover. Foundallon - After forms are erected but prlor to concrete placement.Wall/Celling lnsulallon - Prlor to cover. Underground Plumbing - Prior to fllllng trench.l-l Orywall - Prlor to taping Underlloor Plumblng/ Mechanical - Prior to lnsulatlon or decking. MOBILE HOME INSPE TIONS Wood Stove - After lnstallatlon Post and Beam - Prlor to floor lnsulatlon or decking.l--l lnsert - After flreplace approval - and lnstallatlon of unlt. Blocking and Set.Up - When all blocklng ls complete. Floor lnsulatlon - Prior to decki ng.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanltary Sewer - Prior to filling trench.Electrical Connection - When blocking, set.up, and plumbing Inspections have been approved and the home is connected to the servlce panel. Storm Sewer - Prlor to filling trench. Sidewalk & Driveway - After excavation ls complete, forms and sub-base material in place. Water Llne - Prlor to filling trench.[-l Fence - When completed Street Trees - When all required trees are planted. Final - After all required inspections are approved andporches, skirting, decks, and ventlng have been installed. Rough Plumbing - Prior to cover. OWNER: 5Rt\'u'r tl n n E E tl E {o,no, E fl E tl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Ty v - lnterior - Corner - Panhandle - Cul-de-sac S backs P.L.HSE GAR ACC N S E IS THE PROPOSED WORK IN THE HISTOBICAL DISTRICT, OR ON THE HISTOFIICAL REGISTER? - lf yes, this applicatlon must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: BUILDING PERM!T ITEM SO. FT. Main Garage VALUE (A) X $/SO. FT, 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 said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the constructlon and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Receipt N umber:- Plans Reviewed By Date Date Paid Received By Plan Check Fee: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are belng improved. Residential Bath(s) No - FEE (c) FT. FT. PLUMBING PERMIT FT. Plumbing Permit State Surcharge Tolal Charge ITEM Fix t u res Sanitary Sewer Water Storm Sewer Mobile Home ADDITIONAL COMMENTS Wood Stove/ lnsert / Fireplace Unit (D) o N0Vent Fan Mec ical Permit ryer Vent MECHANICAL PERMIT Furnace Exhaust Hood lssuance State Surcharge Total Permit By slgnature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all lnformation hereon is true and correct, and I f urther cerilfy 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 the work described 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 7Ol.O55 wiil be used on this prolect. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remain D te .{ -?3*g{ ction.ng constte at all times duri MISCELLANEOUS PERMITS Mobile Home . State lssuance State Surcharge Sidewalk .*-_ ft Curbcut --- ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT OUE (exctuding etectricat) (A, B, C, D, and E Combined) E VALIDATION: BECEIPT NUMBER DATE PAID AMOUNT R BECEIVED EC BY