HomeMy WebLinkAboutPermit Mechanical 1999-4-26
RESIDENTIAL
PERMIT APPLICATION
Inspections 7263769
Office 7263759
ASSESSORS MAP
LOT
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SPRINGFIELD
Si,
BLOCK
OWNER
ADDRESS
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CITY
DESCRIBE WORK
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NEW
REMODEL
CONTRAGrOR'S NAME
DI
GENERAL
PLUMBING
MECHANICAL
ELEGrRICAI
STATE
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!+PI4T
Po tr' fJ
ADDITION
DEMOLISH
OTHER
JOB NUMBER 390 j Sf'
225 FI fth Streel
Springfield, Oregon 97477
TAX LOT
&01 r) 7
SUBDIVISION
PHONE
7cJ 7- CO 7'-/
ZIP
C/7 C/7j
ADDRESS
CONST
CONTRAGrOR #
EXPIRES .-, PHONE
DECT~ - T ,_/1-/(',
Pv I'JDLJ)622' E04';!t:lLV7<j<lil OZ.106'1
q';5--6,o~
AlIEN110N Oregon ~aTh&i:W~~~11ty
follow rules ad~e rules are set fo~h
Notlflcawn Cen rough OAtll1ol-6lY,
.., 3,~52.001.Q9~~lTP\a::; :' .hl> rilles by
J090 You may obtam o~ ~e telephon~
callmg the c~tM n Utility NOUlI"o".:,r,
-_er fortM~rpg\l,?:~2-34<1.)
Center isl.8Q(J.
RANGE
QUAD AREA
# OF BLDGS
OCCY GROUP
# OF STORIES
WATER HEATER
_._.or"'tltn
FLOOD PLAIN
ZONING CODE _
# OF BDRMS
SECONDARY HEAT
SQUARe FOOTAGE
To request an Inspection, you must call 7263769 This 15 a 24 hour recording All Inspections requested before 700 a m will be
made the same working day, Inspections requested after 700 a m will be made the following work day
o Temporary ElectrIc
O Site Inspection - To be made
after excavatlon, but prior to
settlng forms
o Underslab PlumblnglElectrlcal1
Mechanical - Prior to cover
o Footing - After trenches are
excavated
D Masonry - Steel location, bond
beams, grouting
O Foundation - After forms are
erected but prior to concrete
placement
o Underground Plumbing - Prior
to filling trench
D Underlloor Plumbing/Mechanical
- PrIor to Jnsulatlon or decking
o Post and Beam - Prior to floor
Insulation or decking
O Floor In5ulalloo'- PrIor to~
decking
o Sanitary Sewer - Prror to fllllng
trench
o Storm Sewer - Prior to fltllng
trench
O Water Line - Prior to fdllng
- trench
o Rough Plumbing - PrI<;>r to
cover
,
REQUIRED INSPECTIONS
[]21 Rough Mechanical - Prior to
cover
o Rough Electrical - Prior to
cover
o Electrical Service - Must be
approved to obtain permanpnt
electrical power
o Fireplace - Prior to facing
materials and framing lnsp
o Framing - PrIor to cover
o Wail/Ceiling Insulation - Prlor'to
cover
o Drywall - Prior to taping
o Wood Stovo - After Installation
o Insert - After fireplace approvlll
and Installation of unit
o Curbcut & Appro.wh - After
forms are crpcted but prior to
.. placement of concrete
o
Sidewalk & Dflvew<lV - After
excavation is complete, fOI ms
and sub base material In place
o Fence - When ('Ottlpleted
'-
o Street Trees - When all required
trees are planted
o Final Plumbing - When all
plumbing worl< Is complete
o Final Electrical - When all
electrical work IS complete
~mal Mechanical - When all
mechanIcal work Is complete
o Final Bu,ldlng - \/Vnen all
required InspectIons have been
approved and buildIng IS
completed
o Other
MOBilE HOME INSPECTIONS
o Blocking and Set Up - When all
blocking Is complete
o Plumbing Connections - When
home has been connected to
water and sewer
D Electrical Connection - When
blocking, set up, and plumbing
Inspections 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
venting have been Installed
I
Lot faces
,
Lot sq ftg
Lot Type
Intenor
Lot coverage
Corner
Topography
Total height
Panhandle
CuI de ::.ac
,
BUILDING PERMIT
,
ITEM
SO FT
X $/SO FT
Main
Garage
Carport
Total Value
BUilding Permit Fee
Slate Surcharge
lotal Fee
(A)
Setbacks
I PL 'HSE IGAR' ACC I
I I
S I \
:' + --
N
VALUE
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
'TEM
Fixtures
ReSidential Bath(s) N~
Sanitary Sewer FT
Water FT
Storm Sewer FT
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood StoveJlnsert/Flreplace Unit
JDI IJw,..,-J
,
Mechanical Permit
Issuance
State Surcharge
Total Permit
(0)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
SIdewalk
It
Curbcut
It
DemolItion
State Surcharge
Tolal Miscellaneous PermIts (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C. D, and E Combined)
FEE
1~(/iJ
U~P~
'iJ1. I;
-i.(.tJ
I" '!HE PROPOSED WORK IN THE.
HISTORICAL DISTRICT. OR ON
THE HISTORICAL REGISTER?
If yes, this appl'catlon must be signed
and approved by the H,storlcal
Coordinator prior to permit Issuance
,APPROVED
~ , 11
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This PCrrIllllS granted on the express condition that the said
construction shall, In all respects, conform to the OrdInance
adopted by thc C'ly 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
By signature, I state 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 Ordinances of the City of Springfield. and the Laws
of the State of Oregon pertaining 10 the work described
heroin, and that NO OCCUPANCY will bo mado of Clny
structure without permIssion of the Building Safety DIvision
I further certify that only contractors and employees who
are In compliance WIth ORS 701055 will be used on thIs
project
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 Is located at the front
of the property, and the approved set of plans Will remain
on the site at~;rlng construction
c:/_
Signature ~',~
/ .
Datp
~-~~- 7r
VALIDATION
d1J'tff
DATEPA'r> -f/).~/'ftj'
AMOUNT RECEIVm /;J ~-h
RECEIVED BY ~c.Ju.L/
RECEIPT NUMBER