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Home My WebLink AboutPermit Mechanical 1999-12-03tt'fr-B RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 SPRINGFIELD JOB NUMBER 225 Fifth Street Sprlngfleld, Oregon 97477 LOCATION OF PROPOSED WORK:* rls 32.-/ ASSESSORS MAPI l LOT - BLOCK: TAX LOT to qoo SUBDIVISION: - PHONE: ZIP:.w-STATE: OWNER: ADDRESS: CITY: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: PLUMBING: ADDFIESS a EXPIRES A PHONECONTRACTOR'S NAME GENERAL: MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # - OFFICE USE - LAND USE:QUAD AREA: I OF BLDGS: FLOOD PLAIN: ZONING CODE SECONDARY HEAT: SQUARE FOOTAGE:RANGE:WATER HEATER: OCCY GROUP: * OF STOFTIES: CONSTR. TYPE HEAT SOURCE: # OF UNITS: --- To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be macle the following work day. REQUIRED INSPECTIONS [--l femporary Electrtc M nough Mechantcat - prtor tolz\cover.Final Plumbing - When allplumbing worl( is complete. Site lnspectlon - To be made after excavatlon, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. Underslab Plumblng/ Electrical / Mechanlcal - Prior to cover.Electrlcal Servlce - Must be approved to obtain permanent electrlcal power. ffi finat Mechanlcat - When ail.Hgnechanical work ls complete. pf finat Buitding - When ail/ftequlred lnspectlons have been approved and building is completed. Footlng - After trenches are excavated,Flrep!ace - Prlor to faclng materlals and framing lnsp.Masonry - Steel locatlon, bond beams, groutlng. [-_l Framlng - Prlor to cover. Foundatlon - After forms are erected but prlor to concrete placemont.Wall/Celling lnsulatlon - Prlor to x EI or'er ./{ut /lcfEllild*,\ cover,I Underground Plumblng - Prior to fllllng trench.[-l orywall - Prlor to taptng. Underlloor Plumblng/ Mechanlcal - Prior to lnsulatlon or decking. MOBILE HOME INSPECTIONS Wood Stove - After lnstallation. Post and Beam - Prlor to floor lnsulatlon or decklng.lnsert - After fireplace approval and lnstallatlon of unlt. Blocking and Set.Up - When all blocklng ls complete. Floor lnsulatlon - Prior to decklng.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connectlons - When home lras been connected to water and sewer, Sanltary Sewer - Prior to filllng trench.Electrical Connection - When blocklng, set-up, and plumbing lnspections have been approved and the home ls connected to the service panel. Slonn Sewer - Prlor to fllling trench. Sidewall< & Drlveway - After excavation is complete, forms and sub-base materlal ln place. Water Llne - Prlor to filling trench. Fence - When coitrpleted Rough Plumblng - Prlor to cover. Str€et Trees - When all requlred trees are planted. Final - After all required inspectlons are approved andporches, sklrting, decks, andventlng have been lnstalled. 77/o'n o1-lnar t , OF BDRMS:- E D tl E E E E E n if E rt .Lt- Lot faces Lot sq. ftg. Lot coverage Topography Total height '\Fri.) r' A Lot Type - lnterior - Corner - Panhandle - Cul-de-sac s\. i IS THE PROPOSED WORK iN THE " HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - ll yes, this applicatlon must be slgned arrd approved by the Historlcal Coordinator prlor to permit issuance, ,APFhOV E6: PL.HSE GAR ACC N S E I '! BUILDING PERMIT VALUE (A) ITEM Main Garage Carport Total Value Building Permit Fee Slate Surcharge Total Fee SO. FT. X $/SQ. FT. i rf BUILDING VALUE, PLAN CHECK AN D BUILDING PERMIT This pernrit 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 ouildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Receipt Number:- Plans Reviewed By Date Plan Check Fee: Date Paid Received By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tlre City limlts which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N. FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert / Fl replace Unit Dryer Vent Mechanical Permit lssuance State surcharge /.f,'+ , bU Total Permit (D) 1o-'oz,tfur / Vare 3),c-9 NoVent Fan a />orz_{ t /e.:3_2/p MECHANICAL PERMIT Fu rnace Exhaust Hood 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 further cerilfy that any and all work performed shall be done in accordance with 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 perrnission 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 lhls prolect. 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 Slgnatu re Dat6 on th all times during constru MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidowalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Fermits (E) TO"IAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Comblned)49k CQ DATE PAIi) AMOUNT RECEIVED FIECEIVED BY VALIDATION: RECEIPT NUMBER r.i \