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Home My WebLink AboutPermit Mechanical 1992-12-18SPIIIh.GFIELr)RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 h, JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: ASSESSORS MAP:/2€a -zv-v/TAX LOT:,/tu LOT:BLOCK:SUBDIVISION:- PHONE: ztPSTATE: OWNER: ADDRESS: CITY: NEW -- REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: ADDRESS EXPIRES PHONECONTBACTOR'S NAME GENERAL: ELECTRICAL: MECHANICA PLUMBING: CONST. CONTBACTOR # RANGE , OF BDFIMS: _ OFFICE USE _ LAND USE: WATER HEATER QUAD AREA: I OF BLDGS: FLOOD PLAIN: ZONING CODE SECONDARY HEAT: SQUAFIE FOOTAGE: OCCY GROUP: * OF STORIES: CONSTFI. TYPE: HEAT SOURCE: , OF UNITS: - To request an inspection, you must call 726-3769. Thls ls a 24 hour recording. All lnspections requested before 7:oo a.m. wiil bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the following work day. REQUIRED INSPECTIONS l--l Temporary Electric Rough Mechanical - Prior to cover. Final Plumbing - When allplumbing work is complete. Site lnspectlon - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Eleclrical - When alt electrical work is complete.cover. Underslab Plumblng/ Electrlcal / Mechanical - Prior to cover.Electrical Service - Must be approved to obtain permanent electrical power. W Final Mechanical - When ail mechanical work is complete. Footing - After trenches are excavated.Fireplace - Prior to faclng materials and framing lnsp. Final Bullding - When all required inspections have been approved and building is completed.Masonry - Steel locatlon, bond beams, grouting.Framing - Prior to cover. Foundatlon - After forms are erected but prlor to concrete placement.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.[-_l Drywall - Prior to taping. Underlloor Plumblng / Mechanicat - Prior to lnsulation or decking. MOBILE HOME INSPECTIONS l--l Wood Stove - After instaltation Post and Beam - Prior to floor lnsulation or decking.lnsert - After fireplace approval and lnstallation of unit. T_l Blocking and Ser.Up - When all - blocking is complete. Floor lnsulation - Prior to decking.Curbcul & Approach - After forrns are erected but prior toplacement of concrete. Plumbing Connections - When home has been connected to water and sewer. l--l Sanitary Sewer - Prior to fiiling - trench. Storm Sewer - Prlor to filling trench. Sldewalk & Driveway - After excavation is complete, forms and sub-t:ase material in place. Electrical Conneclion - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Water Line - Prlor to fllllng trench. Fence - When completed Slreel Trees - When all required trees are planted. Final - After all required inspections are approved andporches, skirting, decks, and venting have been installed. Rough Plumbing - Prior to cover. ?2q27 l--l other fl fl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - - lnterior - Corner - Panhandle - Cul-de-sac. Setbacks P.L.HSE GAR ACC N S E , _; THE PROPOSED WORK lN THE HrsToRrcAL DrsrRlcl oR oN THE HISTORICAL BEGISTER? - lf yes, this application must be signed and approved by the Historlcal Coordinator prior to permit issuance. APPROVED BUILDING VALU E, PLAN CHECK AND BUILDING PERMIT This pgrmit is granted on the express condition that the said constrbction shall, in all respects, conform to the Ordinance adopted by the City of 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 Recei pt Numbe Plan Check Fee: Date Paid Received By: VALUE (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SO. FT, Main Garage Carport SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) No FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS MECHANICAL PERMIT Furnace flz V/g. o o Exhaust Hood Wood Stove/ lnsert/ Flreplace Unit Dryer Vent (D) No hA,/' ZN^C Vent Fan trtr. /fn ,/O-a Mechanical Permit lssuance State Surcharge Total Permit By slgnature, I state and agree, that I have carefully elamlned the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with 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 permission of the Building Safety Division. I further certify that only contractors and employees who are ln compliance with ORS 701.055 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 ls located at the front of the property, and the approved set of plans will remain Signature )-rDate 7 d"ff (./ ,Cz) ll times ctionon the site MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 7a77 FIECEIVED BY --- DATE PAI VALIDATION: BECEIPT NUMBER AMOUNT FiECEIVED Hq rvey &83 cl&eDec-92 Approx. Srqrr Dore ASAp Cracked Heat Exchanger Job No 1 152 Job Nome PhoneT ILA-)'76-, Address CitY -- st":-nri"to, e"*rrn gz Stote zip Bill to Phonerffi Addre ea3 ea5 nq srote __ zip Your Purchose Order No. Billing Description Carrier Gas Furnace Syster Permit Coll For lnsp. Job Description: Conlr. Contr. Major Equiprent: 2) Carrier Therrostat/Sub-base package. t4) Arerican 5O Gallon Gas l.later Heater tlith Relief Ualve. t5) Install Double lJall Flue Pipe Seperately For Furnaee t l,later Heater. t,Kelovat f lrr sPosal uf rgtrng lias Furnace t er Heat er.8) Af l l'lork Through City Of Sprin gf ield Bui lding Departrent. Speciol lnstrilI0io8irpl-e--El-ectric Hoak Up If Safe & 0n Own Cireuit. Instal t Sitple Fi tter Asserbl.y - No Newtron Darrel tf Possible (Long Tire Friend) __ee*I erms \^A ^cctaa -Abt, t4- No. Neps RerR$Arr Job Nome : :WORK ORDER Sm. Job ' Ls. Job Dept./ Phose No.