HomeMy WebLinkAboutPermit Mechanical 1999-11-08SPRIN GFIELDR.ESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
JOB NUMBER
225 Fifth Street
Spring{leld, Oregon 97477
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/ 719ASSESSORS MAP:\ZS 3 3
LOT:BLOCK:
TAX LOT /f,3 @
SUBDIVISION: -
REMODEL ADDITION DEMOLISH OTHER
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STATE:
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CITY:
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DESCRIBE WORK:
P,lN((
ADDRESS:
OWNER:
NEW
((oq/ 4d_
ADDRESS
20 t{tt/u
16-( 62 t* Oar"c; Q.
EXPIRES .f PHONE
7 7 Lo *7 t-ju
CONTRACTOB'S NAME
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
RANGE:
# OF BDRMS
- OFFICE USE -
LAND USE:
WATER HEATEFI:
FLOOD I)LAIN
g OF UNITS:
OUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SOUARE. FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To reguest an inspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be ma<Je the following work day.
REQUIRED INSPECTIONS
I femnorary Electrlc Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumblng worl( is complete.
Site lnspection - To be made
after excavatlon, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.
Electrical Servlce - Must be
approved to obtain permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Building - When all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover,
Other 6,+t / ''
Foundatlon - After forms are
erected but prlor to concrete
placement.Wall/Celting lnsulatlon - Prlor to 6/4d SA(//G
cover.
Underground Plqmblng - Prior
to fllllng trench.Drywall - Prlor to taplng
MOBILE HOME INSPECTIONS
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stovo - After lnstallatlon
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approvql
and installatlon of unit.
Blocking and Set.Up - When all
blocking is complete.
Floor lnsulation - Prior to
decking.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home lras been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Eleclrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home is connected to
the service panel.
Storrn Sewer - Prior to fllling
trench.
Water Llne - Prlor to filling
trench.
Rough Plumblng - Prlor to
cover.
{itr€et Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, sklrting, decks, and
ventlng have been lnstalled.tl
fl
32/51
ZONING CODE: _
l-_| Underslab Plumbingl Electrical/|J Mechanlcal - Prlor to cover. I I
E
E
E
tl
I--l Sidewalk & Driveway - After
'J excavation is complete, forms
and sub-base material ln place.
l--l Fence - When coinpleted.ll
E
I
::l
il .
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type -
-
lnterior
-_
Corner
-- Panhandle l
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
E
i- IS THE PROPOSED WORK TN THE..
HISTORICAL DISTRICT, OR ON
THE HISTOFIICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
BUILDING PERNITT i i' ,T
VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
x $/so. FT.ITEM
Main
Garage
Carport
SQ. FT.
BUTLDING VhIIIr, FLAru CHECK
AND BUILDING PERMIT
This pernrit 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.
Plans Reviewed By Date
Receipt Numbe
Plan Check Fee:
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
Nt
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
. FT.
ADDITIONAL COMMENTS
7 ^','
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
State Surcharse / eS +. 4f
./{),@
Total Permit
,r?//)
,fZzr/.
'<oa
(D)
No
,fo
Vent Fan
-,/ 50-a,ia'
Mechanical Permit
lssuance
MECHANICAL PERM!T
Furnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby cerilfy that all
lnformation hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accorrJance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work described
herein, and that NO OCCUPANCy will be made of any
structure without perrnission of the Buildirrg Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.0S5 will be used on this
prolect.
I further agree to ensure that all required lnspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of
/ (*t-1
1.
plans wlll remaln
n.s
Signature
Date
on the site I times
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, D and E Combined)
n./ 5p-@--
f.O
/z/
AMOUNT RECEIVED
RECEIVED BY
DATE PAI[)
VAI-IDATION:
FIECEIPT NUMBER