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HomeMy WebLinkAboutPermit Mechanical 1998-04-03RESIDENTIAL PERMIT APPLICATION lnspect Off ice: NGFTELE, :ions: 726-3769 726.3759 JOB NUMBER Qgos Y\ 225 Fifth Street Sprlngfleld, Oregon 97477 LOCATION OF PROPOSED WORK:.i {h ASSESSORS MAP:11 0 4 )(o 4z O q *e-o LOT - BLOCK: TAX LOT SUBDIVISION XNc Cct \ I PHONE: a1Y-t1STATE:ZIP: A**a^ s A 1Y7 - 2&v lVto N. -?1lOWNEB: ADDRESS: CITY: NEW - REMODEL ADDITION DEMOLISH OTH , ZO 1,I lc f ex irtDESCBIBE WORK: ADDRESS ,?e- Y -1 sca'*I 4t 78u 11qr# CONTRACTOR'S NAME PLUMBING: MECHANICAL: ELECTBICAL: GENERAL: CONST. CONTRACTOR , EXPTRES ,a PHONE, se.{ RANGF-: - OFFICE USE - LAND USE: WATER HEATEFI: ZONING CODE: FLOOD PLAIN * OF UNITS: QUAD AREA: * OF BLDGS: # OF BDRMS:-OCCY GROUP: r OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an lnspection, you must call 726-3769. This ls a 24 hor.rr recorcJlno, All lnsDections requested before 7:oo a.m w!ll bemade the salrte working day, inspections requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS Temporary Electrlc Rough Mechanlcal - Prlor to cover.l---l Final Plumbing - When ail|J plumblng work is complete. SIte lnspectlon - To be made after excavatlon, but prlor to settlng forms. Rough Electrlcal - Prlor to Flnal Electrical - When all electrlcal work is complete.cover, Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Flnal Mechanlcal - When all mechanlcal work ls complete. Foollng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framing lnsp. Flnal Building - When all required lnspectlons have been approved and bullding is completed.Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prlor to cover. E Foundatlon - After forms are erected but prlor to concrete placement.Wall/Celllng lnsulatlon - Prlor to cover. Underground Plumblng - Prior to fllllng trench.[-l Drywall - Prlor to taplng ILE HOME INSPE TTONSUnderlloor Plumblngl Mechanlca! - Prlor to lnsulatlon or decklng.Wood Slove - After lns Post and Beam - Prlor to floor lnsulatlon or decklng.lnsert - After llrep Blocking and Set.Up - When ail blocklng ls complete. and installatlon of unl Floor lnsulallon - Prlor to decklng.Curbcut & AJrproaclr - Conneclions - When been connected to forms are erected but prior to placement of concrete. er Sanitary Sewer - Prior to fllllng trench.on - WhenSidewalk & Driveway - After excavation ls complete, forms and sub-base malerial in place. bt plumblng n approvedSlorm Sewer - Prior to fllllng trench. lns and the the servl nected to Water Llne - Prlor to filllng trench. Fence - When cci-rrpleted Street Trees - When all requlred trees are planted. Final - After all required lnspectlons are approved andporches, skirting, decks, and ventlng have been lnstalled. Rough Plumbing - Prior to cover. OL SECONDARY HEAT: SOUARE FOOTAGE: E E E E tl tl ffi*er Gn=*.Euicp panel E fl Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot TV, __ - lnterior - Corner - Panhandle - Cul-de-sac Setbacks PL,HSE GAR ACC N S E .; THE PROPOSED WORK TN THE . -HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - ll yes, this applicatlon must be slgned and approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: VALUE (A) t Total Value Building Permit Fee State Surcharge Total Fee X $/SQ. FT. BUILDING PERMIT ITEM SO. FT. Main Garage Carport 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 tlme upon violation of any provisions of said ordinances. Plans Reviewed By , E Date Plan Check Fee: Date Paid Receipt Number Received By: BUTLDING VALUE AND BUTLDING P i5mru cHEcK ,RMIT SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ITEM Flxtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) FT. FT. FT. PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge Nr ADDITIONAL COMMENTS a-131, o& By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformation hereon is true and correct, and I lurther cerilfy 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 descrlbed herein, and that NO OCCUPANCy will be made of any structure without permission of the Building Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this proiect. I further agree to ensure that all required inspections are requested at the proper ilme, 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 remain on the site at all times durlng construcilon. Date 't- I n 6 Signatu re Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge * ls, -' * i-;Et-ggN No rc.- Vent Fan (D) MECHANTCAL PERMIT Furnace Exhaust Hood Mechanical Permit lssuance State Surcharge Total Permit TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 4 and E Comblned) aq3 Zrc'2 4<L) -1 RECEIVED BY VALIDATION AMOUNT RECEIVED RECEIPT NUMBER DATE PAI[) )9bostq Systems Development Charge is due on all undeveloped properties within tlre City limits which are being improved. *, Total Miscellaneous Permits (E)