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Home My WebLink AboutPermit Mechanical 1993-2-24 LOCATION OF PROPOSFfrlC:'.Q.(1K' I LI]O ASSESSORS MAP: \' \U,J~CJ:) ~ RESIDENTIAL PERMIT APPLICATION . Inspections: 726.3769 Of lice: 726.3759 LOT: OWNER: \)({ \J r J." I\.{ 7D s. "kJ " "" W, ADDRESS' CITY' DESCRIBE WORK: LN;hl\ NEW REMODEL ADDITION CONTRACTOH'S NAME GENEHAL: .. SPRINGFIELD nu \+ ,Aa BLOCK: rY\~ (.S ~C\ Sq .A f' (.5Cl" Q \...\ I f\..<A H- STAT~' a -f..., New 04'-14- N,'q)\ r v DEMOLISH OTHER . cr~O~1 JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 ,. TAX LOT: 1Y) l,lli SUBDIVISION: PHONE: I'{ 7 - 1M./ q '477 I-t-fuT PU1~ ZIP: ADDHESS CON ST. CONTRACTOR' EXPIRES PHONE !'LUMBING: . .(~ - --r; --.'-~~-f;-=---- MECHANICAL th.A.___bt_~____~___ , ELECTRICAl' OUAD AREA' ,~ . OF BLDGS: OCCY GROUP' . OF STORIES' WATER HEATER: -~(3i.=fl~;t~~-J- - s~ ~ 'l)1.{ 7S 7 4-n<{ rr - OFFICE USE - LAND USF' . OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGF' FLOOD PLAIN: ZONING CODE: . OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: To requesl an Inspection, you must call 726-3769. This Is a 24 hour recording. Alllllsp€ctlcnc rcqllf)stcd before 7:00 a.m. will be made the same working day. Inspections requesled after 7:00 a.m. will be made the following work day. o Temporary Electric D Silo Inspection - To be mndn aftt:r cxcaWtlion, but prior to selting fOrllls. o Underslab Plumbing! Electricall Mechanical - Prior to cover. o Footing - After trenches arc excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underlloor Plumbing/Mechanical _ Prior to insulation or decking. o Post and Beam - Prior to floor Insulation or deckIng. o Floor Insulation - Prior to decking. o Snnilary Sewer - Prior to filling trench. o Storm Sewer - Prior to lilting trench. o Wator L1no - Prior to filling trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS Cl Rough Mechanical - Prior to l~ovcr. 1--) Rough Elcctrlc~11 - Prior 10 L- cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplnce - Prior to facing materials and framing Insp. o Frmnlng - PrIor to cover. o Wall/Ceiling Insulation - Prior to cover. o Drywall - Prior 10 laplng. o Wood Stove - After Installation. o Insert - AHer fireplace approval and Installation of unit. o Curbcut & Approach - AHer ,rorms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavatlon l~ complete, forms and sub-base material In place. D Fence - When completed. o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing worl< Is complete. o Final Electrical - WI1en all electrical work Is complete. o Final Mechanical - When all mechanical work Is complete. o Final Building - When all required Inspections have boon approved and building Is completed. o Other MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complele. o Plumbing Connections - When home has been connected 10 water and sewe~. o Electrical Connection - When blocking, set-up. and plumbing Inspections have been approved and the home Is connected to the service panol. o FInal - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. I. i :, ! lot faces lot Type . I P.l. Setbacks HSE G~ ACC l ,. PROPOSED WORK IN THE " ,XRICAl DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application musl be signed and approved by the Historical Coordinator prior to permit issuance. lot sq. Itg. Interior :! Lot coverage Corner ~----'- Topography Panhandle ~---- W IE APPROVED' Total height Cul.de,sac BUILDING PERMIT ITEM SO, FT. X $/SO. FT. VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Main 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. Garage Carport Plan Check Fee: _ Date Paid: Total Value Receipt Number: Building Permit Fee Received By: Slate Surcharge Total Fee (A) Plans rfcvlcwcdBy ------ Date SYSTEMS DEVELOPMENT CHARGE (SDq (B) Systems Develo~llIcnt Charge is due on all undeveloped properties within the City limits Wllich arc being improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Resldentlaf Bath(s) N' Sanitary Sewer FT. FT. Water Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Vent Fan N' By signature, I state and agreo, that I have carefully ex?mincd Ole completed application and do hereby certify IIlat all information hemon is true and correct, and I further certify thai any and all work performed shall be done in accordance with tile OrdinLlnces of 11m City of Sprinnfield. ;tntllhe Law~\ of Iho Slate of Ore~Jon purlainlno to Ihe worl( de~GliiJod horein, and Illill NO OCCUPANCY will "be IIWt!\! of ,my structure without pcrmit>sion of the Building Safety Division. I further certify thaI only contractors and employees who are in compliance with GRS 701.055 will be used on this project. Exhaust Hood Wood Stove/Insert/Fireplace Unit Dryor Vent Mechanical Permit Issuance State Surcharge Total Permit (D) I further agree to unsure that all required inspections arc 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, and the approved set of plans will remain on the slle at all~:s ::rl:g .conA~i~o~ Signature v~'!.LV,~;JJvr k,-'2. y 13- /I Date MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut fl Demolition State Surcharge VALIDATION: Total Miscellaneous Permits (E) r:9~,:b RECEIVED B TOTAL AMOUNT DUE (excluding electrical) (A, B. C, 0, and E Combined)