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Home My WebLink AboutPermit Mechanical 1995-08-03FIELD RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 JOB NUMBER 225 Fifth Street Spri ngf I eld, Oregon 97 477 /o5? .', +( +h LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT - BLOCK:SUBDIVISION: -7eb-@? tLrn € pe eLL PHONE: d<-? 7 tzPztPSTATE: /o I P RilA s ? .r. tvILOWNER: ADDRESS: CITY: NEW - REMODEL ADDITION DEMOLISH OTHER OF t){DESCRIBE WORK: EXPIRES PHONEADDRESS -/6e tCs.o-T;?s 7 CONTRACTOR'S NAME MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # GENERAL: PLUMBING ScoF/E ld E/4 RANGE: * OF BDRMS: - OFFICE USE _ LAND USE: ZONING CODE: FLOOD PLAIN WATER HEATER * OF UNITS: SECONDARY HEAT: SQUARE FOOTAGE: QUAD AREA: * OF BLDGST OCCY GBOUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. Thls ls a24hour recording. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS Temporary Electric Mnougt Mechanical - Prior to ,)a cover. Final Plumbing plumbing work - When all is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrlcal work is complete.cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Electrica! Service - Must be approved to obtain permanent electrlcal power. I#Final Mechanical - When all frnecnanical work is complete. Footing - After trenches are excavated.Fireplace - Prlor to faclng materlals and framlng lnsp. Final Building - When all required lnspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Other Foundation - After forms are erected but prior to concrete placement.Wall/Celling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.Drywall - Prior to taping MOBILE HOME INSPESI'IONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installatlon Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace approval and lnstallation of unit. Blocking and Set.Up - When all blocking is complete. Floor lnsulation - 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. Sanitary Sewer - Prior to filling trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Fence - When completed.Water Line - Prior to filling trench.Final - After all required inspections are approved and porches, skirting, decks, and ventlng have been lnstalled, Rough Plumbing - Prior to cover. Street Trges - When all required trees are planted. 2rtzes /e ^ o* ,- / rAxLor ct?Coeo ( .l{e.te tl r tl E E E tl f E E tl 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 W E BUILDING PERMIT ITEM SO. FT.X $iSQ. FT.VALUE Main Garage Carport Total Value Buildlng Permit Fee State Surcharge Total Fee (A) Plan Check Fee Date Paid: Receipt Numbe Received By: Plans Beviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE N0 FT. FT. FT. Plumblng Permlt State Surcharge Total Charge (c) ADDITIONAL COMMENTS MECHANICAL PERM!T Furnace Exhaust Hood // Vent Fan N0 Wood Stove/ lnsert/ Fireplace Unit Dryer Vent Mechanical Permlt lssuance State Surcharge, ?f * r{5 Total Permlt (D) /5?o /o.oo / zo zo By slgnature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all lnformation hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance wlth the Ordinances of the City of Springf ield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are ln compliance with ORS 701.055 will be used on this prolect. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property,.the approved set of plans will remain on the site at all during Slgnature Date n.o\- MI$CELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolltlon State Surcharge Total Miscellaneous Permlts (E) VALIDATION: RECEIPT NUMBER *f6r DATE PAID AMOUNT RECEIVED RECEIVED BY Zo TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ^4t? : THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? lf yes, this application must be signed and app!'oved by t he H istorical Coordinator prior to permit issuance. APPROVED: BUILDING VALU E, PLAN CH ECK 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.