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Home My WebLink AboutPermit Mechanical 1999-4-29 . . RESIDENTIAL PERMIT APPLICATION 1r ~ ) f i JOB NUMBER Inspections: 726-3769 Office: 726,3759 225 Fifth Street Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: 7c?t/ ASSESSORS MAP' 11 n 3. 3 I.( I 2- /:5',/'00 TAX LOT: SUBDIVISION: LOT' BLOCK: Rt:' /7 ADDp''''~' 7,;/'; r'7tJd71- I//~ ~r,';~7;;')~ k1-0LJ:-~ pHONF' 7~-.o7..?'~ OWNER: STATE: ~,.... ZIP' 7'?Y 7? / CITY' DESCRIBE WORK' .2.L7>7'-><I/ Ar ,t..,I..;",r/J<-r- NEW REMODEL ADDITION DEMOLISH OTHER CONST, CONTRACTOR' CONTRACTOR'S NAME GENERAl' PLUMBING' MECHANICAL:.M.mL ~~ ELECTRICAl' ADDRESS EXPIRES ~ PHONE 7{)l, ~ ~'NW 3;1:;"-,,:>1'.3 sr 1./", I\'T"'T'Cf,,JTlnl\J'1 Henon law requlfe~ yuu ~.v f~HewOJ1ero:e:JOIl\!ld.PY the uregoll UlII"1 o 'li' ation Center. Those rules are set forth LAJ~ ~A~ !l52 ec~ X1i\ ."'n"2tU>AR 952A!Bb-D PLAIN' In , pies of the rules by . OIiJOllI)r~<lU may obtain co h~ING CODE:_ allinl. the center. \Note: Ill" tel~~ . CONST9i, ,y '6~rMnn Iltili'" NOtlflCatl@Jf BDRMS: numo'n~",- '" HEAT sOURcE;enteris 1-BOO-332-2344). SECONDARY HEAT: QUAD AREA: · OF BLDGS: OCCY GROUP: . OF STORIES: WATER HEATER' RANG~' SQUARE FOOTAGE: To request an Inspection. you must call 726-3769, This Is a 24 hour recording, All Inspections requesled belore 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 o Temporary Electric o Rough Mechanical - Prior to cover. o Final Plumbing - When all plumbing work Is complete, , . O Site Inspection - To be mado after excavation, but prior to setting forms. o Rough Eleclrlcal - Prior to cover. D Final Electrical - When all electrical work Is complete. o Underslab Plumbing/Electrical/ Mechanical - PrIor to cover. o Final Mechanical - When all mechanical work Is complete. , 0 Electrical Service - Must be approved to obtain permanent electrical power. o Footing - After trenches are excavated. o Final Building - When all required Inspections have been approved and building Is completed. D Fireplace - Prior to facing materials and framing lnsp. o Masonry - Steel location, bond beams, grout! ng. o Framing - Prior to cover. .' o Other o Foundation - After forms are erected but prior to concrete placement. o Wail/Ceiling Insulation -:- P,rlor to cover. o Undorground Plumbing - Prior to filling lrench, o Drywall - Prior to lapl,ng, MOBilE HOME INSPECTIONS D Underlloor Plumbing/Mechanical - Prior to Insulation or decking, D Wood Stovo - After Installallon, D Blocking and Set.Up - When all blocking Is complete, D Post and Beam - Prior to tloor Insulation or decking,. D Insert - After IIreplace epproval and Installation of unit. o Plumbing Connections - When home has been connected 10 water and sewer. O Floor Insulation - Prior to decKI ng, o Curbcut & Approach - After forms are erected but prior to plaoemont or concrete. o Sanitary Sewer - Prior to tilling trench, o Electrical Connection - When blocking, set-up, and plumbing Inspections have been approved and the home Is connected to the service panel. o Sidewalk & Driveway - After excavation Is complete, forms and sub-base material In place. o Storm Sewer - Prior to filling trench. D Fence - When completed, D Water Line - Prior to filling trench. o Final - After elf required Inspections are epproved and PQrOhOB, Bklrting, deckB, and venting heve been Instelled, o RQUllh Plumblnll .,.. Prior to cover, D Strait TrOGl - Wh~n 811 roqulred trees ere planted, : t ,. :::~. . t"1" ,", L~t ~y. . ',il'.' . 1;1.', Lot faces Setbacks IS THE PROPOSED WORK IN THE. Lot sq, ftg, Interior I P.L, HSE GAR Accl HISTORICAL DISTRICT, OR ON IN THE HISTORICAL REGISTER? Lot coverage Corner II yes, this application must be signed " Is alld approved by the Historical Topography Panhandle Coordinator prior to permit issuance. Total height Cul,de,sac W ---- ,E - , _.....! APPROVEf" BUILDING PERMIT '~I '~ '~ ITEM SQ, FT, X $/SQ, FT, ~ VALUE BUILDING "ALUE, PLAN CHECK AND BUILDING PERMIT Garage " This permit is granted on the express condition that the said construction shall, In all respects, conform to the Ordinance adopled 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. Main Carport Plan Check Fee: Date Paid: Total Value Receipt Number: Building Permit Fee Received By: Slate Surcharge Tolal Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDe) (B) Systems Development Charge Is due on all undeveloped properties within tho City limits which are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. FT, FT. Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Total Permit (D) 10. Ou l.{!j 1) ~.l4 By signature, I stale and agree, that I have carefully examIned the completed application and do hereby certify that all Information hereon Is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordlnancus of Ihe 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 permission of the Building Safety Division. I further certify that only contractors and employees who are In compliance with ORS 701,055 will be used on this project. Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryer Vent IJ '/J / I I. "\ Ji.dd ~ Y6 ~ MIt.. ) Mechanical Permit I / I~oo Issuance State Surcharge Curbcut II I further agree to ensure that all required Inspections are requested at the proper time, that each address Is readable from ille street, that the permit card Is located at the front of the property, and the approved set of plans will remain on the site at all times during c tlon Slgnature_#~ /,.,r ~ ~ -/ V-' -, ij- ?.4--#q;' ( ;i Date MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Demolillon State Surcharge VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED TOTAL AMOUNT DUE (excluding electrical) (A. B, C. D, and E Combined) RECEIVED BY 03)7r'""O c.J /21 /7''f ;]~~tI Total Miscellaneous Permils (E)