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Home My WebLink AboutPermit Mechanical 1999-02-02RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 IELE, t+JOB NUMBER 225 Fifth Street Sprtngfleld, Orelon 97477 LOCATION OF PROPOSED WORK:5t o 3+u"sfucr-r ASSESSORS MAP:A d-On LOT - BLOCK: TAX LOT SUBDIVISION: - OR ZIP:CITY:STATE:7 PHONE:7.// -7{3t ADDRESS: 'al OWNEB:9c ,a^/qr v//,10 )'/ , r NEW - REMODEL ADDITION ><. DEMOLISH OTHER o q 2 h<a7, rDESCRIBE WORK: N N may obtain on the telephone I nft, COco jn OAB CONTRACTOR'S NAME *ilfi,ZfD Uru ,"jI$ pERfiitr Center,s I MECHANICAL: ELECTRICAL: GENERAL: PLUMBING ADDRESS RANGE: - OFFICE USE - WATER HEATER ZONING CODE: FLOOD I)LAINQUAD AREA: * OF BLDGS: SECONDARY HEAT: SOUARE. FOOTAGE: 'f OF BDRMS: - LAND USE: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: '{ OF UNITS: ___ To request an inspection, you must call 726'3769. Thls is a24hour recording. All lnspections requested before 7:00 a.m. will bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be ma<Je the followlng work day. REQUIRED INSPECTIONS Temporary Electric Rough Mechanicat - Prior to cover. Final lrlumblng - When allplumblng worl< ls comptete. Site lnspection - To lre made after excavation, but prior to setting forms. Rough Electrical - prior to Underslab Plumblng/ Electrical / Mechanlcal - Prior to cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are erected but prior to concrete placement. Underground Plumbing - Priorto filling trench. cover_ Eleclrical Servlce - Must be approved to obtain permanent electrical power. fffina Mechanlcat - When alt|J mechanical work ls complete. Flnal Electrlcal - When allelectrical work.is complete. Flnal Building - When allrequired inspectlons have been approved and building is completed. Plumbing Connectlons - Whenhome has been connected to water and sewer, [-l Fireplace - Prlor to facing - materlals and framing lnsp. [--l Framlng - prior to cover.p.d.'n*-fue-*eU* MOBILE HOME INSPECTIONSUnderlloor Plumblng/ Mechanlcal - Prior to lnsulatlon or decking.Wood Stove - After lnstallation. Post and Beam - Prior to floor insulatlon or decking. Floor lnsulalion - Prior to decking.Curbcut & AJrproach - After forms are erected but prior toplacement of concrete.Sanitary Sewer - Prior to filling trench. Slorrn Sewer - Prior to filling trench. Water Llne - Prior to tilling trench.[--l fence - When ccinpteted. Rough Plumbing - Prior to cover. [--l lnsert - After flreplace approvsl - and installation of unit. [--l Btocking and Ser.Up - When ail - blocklng ls complete. Wall/Celllng lnsulatlon - prlor to cover. [-_l Drywall - prior to taping Sidewall< & Driveway - After excavation is complete, fotms and sub-base material in place. Electrical Connection - Whenblocking, set-up, and plumbing inspections have been approvedand the home is connected tothe service panel. [--l {itreor Trees - When ail requtred - trees are planted. Final - After all requiredinspections are approved andporches, sklrting, decks, andventlng have been installed. Qq q E/titity are set forth E E tl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior -_ Corner -- Panhandle - Cul-de-sac PL.HSE GAR ACC N S E i IS THE PROPOSED WORK TN THE . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be signed arrd approved by the Historlcal Coordinator prior to permit issuance. APPROVED: BUILDING PERMIT VALUE (A) ; 'r, 't ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee SQ. FT. X S/SQ. FT. , .] BUILDING VALUE, PLAN CHECK AND 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 construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plans Reviewed By Date Plan Check Fee: Date Paid: Receipt Num Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. FEE (c) Nc PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ITEM Fixtures Residential Bath(s) Sanitary'Sewer - FT. Water Storm Sewer Mobile Home FT. ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent fu{=: (D) N0 *rq" - ,76 + ,*5 +ak !g Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust l'lood 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 f urther certlfy that any and all work performed shall be done in accordance with the Ordinanccs of the City of Springfield, 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 perrnission of the Building Safety Division. I further certify 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 is readable from the street, that the permit card ls located at the front of the property, and the approved set of plans will remaln gnatu 7v6.2 2 6"" g constructionon the site at all times du MISCELLANEOUS PERMITS Mobile Home State lssuarrce State Surcharge Sidewalk - ft Curbcut -- ft Demolition State Surcharge Total Miscellaneouo Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) N -q AMOUNT RECEIVED BECEIVED BY DATE PAI[') VAI-IDATION: RECEIPT NUMBER EI.