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Home My WebLink AboutPermit Mechanical 1999-6-25 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 OUlce: 726.3759 LOCATION OF PROPOSED WORK' tP' :5 i7 () '> U 2) ASSESSORS MAP' . SPRINGFIELD ~.,..I.., ?t>L>..,;> LOT- BLOCK: .---- OWNER: K'l",",- ER/s~ ~ ADDRE'"'' /,~ t;;J,...,(", 1.0,:;;9 ..; CITY' -S?.--,,..; <- -i7~o( STAT'" C:),..- 0 DESCRIBE WORK: ~ -0.// .JI<4 J?,""'fl ~,4,.:- /kn<l/.c..... NEW REMODEL ADDITION CONTRACTOR'S NAME GENERA' . PLUMBING' MECHANICAL' ~~ 4-n;t;);I&<. '" ELECTRICAl' DEMOLISH OTHER . q9()~7& JOB NUMBER 225 Fifth Street Sprlngffeld, Oregon 97477 TAX LOT: ~()6iY9' SUBDIVISION' PHONE: 7~7-r/OL/ ZIP' 9?y?? ADDRESS CaNST. CONTRACTOR' EXPIRES '.":' PHONE 7t!J t. &>s.<..v- SWc.y t/t>L> 3w>.ZS',~J>' ._; ..,.....,t I ATTENTION:ureg~'~";~~VO;~go~ Uti!it:OFFICE USE - follow rules adopte Y fe set forth "'OlICE' . QUAD AREA: . '. -"=~ f"'cntpr Those ruteri'ND USe:O" ~_ ' FLOOD P!.,8.~' - -.- ,.wlII,vv..vZ_001_0010thrOugh UI-IH 9"~~ . THIS PERMIT SHALL EXPIHE 11- I HI: vvun" · OF BLDGS:ln OAR 95 . copies et0FCuNfl'Sby UN\%WtRi~'fIERMI~ I(/."J"T 0090. You may uU'''''J'' 'Note' thP t<?leonone AUTHORIZED . ,- OCCY GROUP: ""I!:',g \h~"pnotAr. n u;i1ityC~~rrtTllcit'lOr!,E: (jUMIVIt.NCED O~1S ~I:U~~ON€[' "(Ie ber for the rego . . OF STORIES: num (jame"" ;_300_332,:I:11:'Al;.SOURCE: .. ANY 160DAYP~.d.LlARY HEAT: WATER HEATER: RANGE' SQUARE FOOTAGE: __ To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested belere 7:00 a.m. will be made the same working day, Inspections requested nfter 7:00 a.m. will be made the following work day. o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcel1 Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to lIIIlng trench. o Underlloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Boam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. o Storm Sewor - Prior to f1.lllng trench. o Water Line - Prior to filling trench. o Rough Plumbing - Prior to" cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. D Rough Eloctrlcnl - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. o Wail/CeIlIng Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Slovo - After Installation. o Insert - After fireplace approv~1 and Installation of unit. o CurbclIl & Approach - After forms are erected bul prior to placement Qf concrete. o Sidcwall( & Drlvewav - After excavation Is complete, fOlms and sub.base material In place. o Fence - When cOi'11pletcd. o Stroet Trees - Wh~n all required trees are planted. o Final Plumbing - When all plumbing w\?rl<. Is complct.c. Final Electrical - Wilen all electrical work.ls complete. Final Mechanical - When all mechanical work Is complete. o Final Building - Whon all required Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Sel-Up - When ell blocking Is complete. o Plumbing Connections - When home has been connected to watcr .1nd sewer. o Electrical Connection - When blocking, set.up, and plumbing Inspecllons have been approved and the home Is connected to the service panel. o Final - After all required Inspections are approved and porches, skirting, decks, and ventlng have been Installed. Lot faces Lol Tye Interior Lot sq. flg. Lot coverage Corner Topography Total height Panhandle' Cul-de-sac Setbacks I P.L. I HSE I GAR IN Is'. I ~l- BUILDING PERMIT ITEM SO. FT. X $ISO. FT. = VALUE Main Garage Carport Tolal Value Building Permit Fee Slale Surcharge Tolal Fcc (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Resldenllal Bath(s) N' Sanl tary S~wer Water FT. FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit 7Dnt ~ . ,~~ Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk fI Curbcul fI Demolition Slate Surcharge Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C. D. and E Combined) ......... ". 'f.." " FEE /(;fP /1). f)O t.,'j I 71 U,. u ACC I I I "'IS THE. PROPOSED WORK IN THE. .. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this appllcallon must be signed and approved by the Historical Coordinator prior to permit Issuance. APPROVED' . .~ . " BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on tho express conditIon that the said constructIon shall. In all respects, conform to the Ordinance adopted by thc 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, Plan Check Fee' Date Paid: Receipt Number' Received By: Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS I / ~~~ /7 ~GrtzJ/ f By signature, I state and agree, that I have ca.refully examined Ihe completed appllcallon and do hereby certify that all Informatlon hereon Is true and correct, and I further certify that any and all work performed shall be done In accordance with the Ordinances of the City of Springfield, and the Laws of the Slale of Oregon perlalnlng to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the BuildIng Safety Division. I further certlfy that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. I further agree 10 ensure Ihal all required Inspections are requesled at the proper time, that each address Is readable from the street, that the pormlt card Is 'ocaled at the fronl of the property, and the approved set of plans will remain on the site a%'J times during construction. Signature I ~~ - ,/ ~/zd"f~ Date / VALIDATION: RECEIPT NUMBER -rJ"J'i (,1 f DATE PAir' ~t'>/77 AMOUNT RECEIVf'}J ~ l-eI RECEIVED BY d, 'J " ......... .,... .............~ ......~......_,..'''1~~.'~....'~..~ ....-...._ ~ , ' '.