HomeMy WebLinkAboutPermit Mechanical 1999-1-14
RESIDENTIAL
PERMIT APPLICATION
Inspeclions: 726.3769
Office: 726.3759
.
LOCATION OF PROPOSED WORK' tf99'~
/80").-0'1 () 0
~ L,:.ry
ADDRESS: #9?t. hrSJ1&-1I"-...::;
5..::70;".<; J;..-Id
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ASSESSORS MAP'
LOT'
OWNER:
~T~
CITY'
hJ-S..j~ t cL..
BLOCK:
STAT'" ~
.,
JOB NUM~ER 19CdS-c.j
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
() 2J1 06
SUBDIVISION'
PHON'"
7'11- ;2;<;2 7
ZIP: '97'/" 7 f
DESCRIBE WORK'
LhGh.// ff~2f- ;;:?......"O ~ .A~ hI-"i",d/~
NEW
REMODEL
CONTRACTOR'S NAME
GENERAl'
PLUMBING'
MECHANICAl' hh",,,- L:.r//2d~
v
ELECTRICAl'
ADDITION
DEMOLISH
OTHER
ADDRESS
CON ST.
CONTRACTOR #
EXPIRES .", PHONE
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
D Rough Electrical - Prior to
cover.
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, ATTENTION:Oregon law requires you to- OFFICE USE -
QUAD ARE1ellow rules adopted by -.!he Or~g,oIWJittx~, NOTICE: FLOOD PLAIN'
Notification Center. I hose rules ahrs61 rnl'f.l
# OF BL~~^R 952 001 0010 thrnugh OAIil !l52t:OOTs: THIS PERMIT SHALLfJ&/f.l~ IgJ~€: WORK
OCCY GR@w;J. You may obtain copies of tUI.1W~€b~YPE: AUTHORIZED UNDEl1llil~g~~~!T IS NOT
calling the center. (NOfe: the te ef' , COMMENCED OR IS ARANf)()N!':f) F()R
# OF STORI!ffiinbef-lz~''':':' I)r~g"n Iltility Noi.eAlltsmJRCE: SECONDARY HEOAT:
Center is 1-800-332-23441. G ANY 180 nAY PERIOD,
WATER HEATER: ' flAN E: SQUARE FOOTAGE:
To request an Inspection, you must call 726.3769, This Is a 24 hour recording, All Inspections requested before 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.
o Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab PlumbinglElectrlcal1
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 filling trench.
o Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - PrJ?, to floor
Insulation or decking. ~-
o FI~or Insulation - PrIor to
decking. , . '
" .
D Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior to tilling
trench. , , , .
,. t':
o Water Line - Prior h~.fllllng\
trench. , '" .
, ,
, ''0 .
o Rough Plumblng:~ Prior to
cover. ~': .
o Final Plumbing - When all
plumbing W9rl{ Is complet.e.
D Final Electrical - When all
electrical work Is complete.
~)
Electrical Service - Must be 0 Final Mechanical - When al/
o approved to obtain permanent mechanical work Is complete.
electrical power.
o Final eulldlng - When all
required Inspections have been
approved and building Is
completed.
o Fireplace - Prior to facIng
materials and framing Insp.
o Framing - Prior to co~er.
o Wail/Ceiling Insulation '- Pr!or to
cover.
\.. . .1.
o Drywall - Prior to tapl~~,
D Wood Stovo - Atter Installation.
o Insert - Atter fireplace approval
and Installation ot unit.
. 0 Curbcut & Approach - After
. . . torms are erected but prIor to
placement ot concrete.
o Sidewalk & Driveway - After
excavation 15 complete, forms
and sub.base material In place.
o Fence - When COi....lpJeted.
o Street Trees - When all required
tree.s are planted.
, ,
, ,
o Other
MOBILE HOME INSPECTIONS
o Blocklng,and Set.Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
o 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.
L~t ~ype . ,
lot faces
Lot sq.,'ltg. , ,- Interior
,
Lot coverage Corner
Topography Panhandle '{
Total height Cul.de.sac
BUILDING PERMIT "I
ITEM SQ. FT,
"
"
't
X $/SQ, FT,
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO
Wood Stovellnsert/Flreplace Unit
Dryef Vent
Aft'.
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
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';_ THE PROPOSED WORK IN THE.
, ,
""HIST08ICAL DISTRICT. OR ON
THE HISTORICAL REGISTER?
If yes, this appllcallon must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Setbacks,
I PL. HSE I GAR Acc'l
N
-----
S
W
---
E
VALUE
"
FEE
t..()o
/5.d V
lb. d ()
-I), If
2.,. k
I . \A~P~OVED'
BUILDING VALdE, PLAN CHECK
AND BUILDING PERMIT
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
oulldings, 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
cuJ~.. ~J
By signature, I stato 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 to tho 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.
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 tho approved set of plans will remain
on the site at a~~>>dur~truc~~_
Signature &'~ ~ ~
~- /1,4-10::;
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VALIDATION:
RECEIPT NUMBER tJ 32.. '>; 7/
DATE PAIf' / / /'f/1'1
AMOUNT RECEIVED I ~J ~ r1'
RECEIVED BY uJJ WW