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HomeMy WebLinkAboutPermit Mechanical 1996-06-25I|IhlGFIELl)RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: JoB NUMBE R ?ZDE#V 225 Fifth Street Sprlngfleld, Oregon gT 477q7zlaar ASSESSORS MAP: LOT - BLOCK: TAX LOT:21>o SUBDIVISION: -- PHONE: STATE:ztPCITY: ADDRESS: OWNER: DESCRIBE WORK: ADDITION DEMOLISH OTHERNEW- REMODEL ADDRESS EXPIRES PHONECONTBACTOR'S NAME CONST. CONTFIACTOR ,' MECHANICA] ELECTRICAL: GENERAL: PLUMBING # OF BDRMS - OFFICE USE - WATER HEATER: FLOOD PLAIN: FIANGE: QUAD AREA: r OF BLDGST SECONDAFIY HEAT SOUARF. FOOTAGE: LAND USE: OCCY GROUP: * OF STORTES: CONSTR. TYPE: HEAT SOURCE: # OF UNITS: _ZONING CODE: To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All inspectlons requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTTONS w Rough Mechanlcal - Prlor to TmaaElectrlcat J Prior to Final Plumbing - When altplumbing worl( is complete.r. gh Flnal Electrical - When alt electrical work is complete.cover. Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. fp f inat Mechanical - When ail - mechanical work ls complete.€/5 ffivrci Flreplace - Prlor to faclng materlals and framlng lnsp. Flnal Buildlng - When all requlred lnspectlons have been approved and building is completed. Framlng - Prlor to cover. Other Wall/Celling lnsulatlon - Prlor to cover. Drywall - Prlor to taping MOBILE HOME INSPE TIONS [-_l Wood Stove - Afrer lnstailatton. [-_] lnsert - After ftreptace approvalu and lnstallatlon of unlt. Blocking and Set.Up - When allblocking ls complete. Curbcul & AJrproaclr - After forms are erected but prior toplacemcnt of concrete. Plumbing Connectlons - Whenhome has been connected lo water and sewer. Sidewalk & Driveway - After excavation ls complete, forms and sub-base materlal in place. Electrical Connection - When blocklng, set-up, and plumbing lnspections have been approved and the home ls connected to the service panel. [-l fence - When compteted. Street Trees - When all required trees are planted. Flnal - After all required inspections are approved andporches, sklrtlng, decks, andventlng have been lnstalled. l--l Temporary Etectrlc I--l Site tnspectlon - To be madcs after excavatlon, but prior to settlng forms. n Underslab Plumblng/ Electrical/ - Mechanlcal - Prlor to cover. [l Footlng - After trenches are|J excavated. [--l Masonry - Steel locailon, bond - beams, groutlng. l--l Foundatlon - After forms are - erected but prlor to concrete placement. f-l Underground Plumblng - priorlJ to fllllng trench. l--l Underlloor Plumblng/Mechanlcat Prior to lnsulatlon or decklng. n Post and Beam - Prlor to floor|J lnsulatlon or decklng. l-_l Floor tnsulallon - Prlor tolJ decking. f-l Sanltary Sewer - Prior to fiiling.J trench. l--l Storm Sewer - Prtor to filling - trench. [--l Water Llne - Prlor to filling 'J trench. [-l Rough Plumbing - Prior rolJ cover. tl fl Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type- - lnterior - Corner - Panhandle - Cul-de-sac 5- lS THE PROPOSED WORK iN THE HISTORICAL DISTFIICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be signed and approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: PL,HSE GAR ACC N S E VALUE (A) X S/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fcc BUILDING PERMIT ITEM SQ. FT. 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 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. Receipt Number:- Plans Rcvicwcd l3y Date Plan Check Fee: Date Paid Beceived By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City lintits which are being improved. ITEM Fixtures Flesidential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) N0 FT. FT, PLU MBING PERMIT Plumblng Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent No 6D ,/-n .P (D)24.2 Mechanical Permit lssuance State Surcharge Total Permit MECHANICA Furnace Exhaust Hood Vent Fan L PERMITlQtE By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certify that all lnformatlon hereon is true and correct, and I lurther cerilfy that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngfield, 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 Buildlng Safety Divislon. I further certi{y that only contractors and employees who are in compliance with ORS 701.O55 will be used on thls proiect. I further agree to ensure that all required inspections are requested at the proper time, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln Signature Date mes duri ng constructlonon the site at MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surchargp Total Miscellaneous Pennits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ZZLIb d VALIDATION RECEIPT NUMB DATE PAID AMOUNT FIECEIVED RECEIVED BY FT,