HomeMy WebLinkAboutPermit Mechanical 1998-12-31SPRIhrGRESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726.3759
JOB NUMBER ? E/S? T
225 Fifth Street
Springfleld, Oregon g7 4ll
LOCATION OF PBOPOSED WORK:?lBo (Y1<t /o Cr**
ASSESSORS MAP:t7o3z5 z>TAX LOT D u
LOT:BLOCK:SUBDIVISION:
€/u)a-r
€OWNER:
ADDRESS:
CITY:
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PHONE:
ZIP:
7
STATE:OL
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ADDITION DEMOLISH OTHER
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NEW- REMODEL
DESCRIBE WORK:e€_ I A5e
ADDRESS
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EXPTRES ] PHONECONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
OUAD ffifl{Catinn Center Those rilles areSetlbrtJ$E: ___
--__-MMEFMIT
NUTIGEItoF ZONING CODE:
occY GROHH@he telep0n6rR. rY PE:
#oF srdHt E& *ffi{## Yr};;trrsetruo u n c e,
WATER HEATER:RANGE: SOUARF.FOOTAGE:
FLOOD PLAIN:
- OFFICE USE _
follow rules adopted by the Oregon Utility
res you
To request an inspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. will be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be macle the followlng work day.
REOUIRED INSPECTIONS
n femporary Electrlc | 1 XRough Mechanlcal - Prior tol...r cover.
Final Plumbing - When allplumbing worl< is complete.
SIte lnspectlon - To be made
after excavatlon, but prior to
setting forms.
Rough Electrlcal - Priclr to Final Electrical - When all
electrical work is complete.cover-
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.
f]rtind Mechanical - When aillJ mechanical work ls complete.
Footlng - After trenches are
excavated.Flreptace - Prlor to faclng
materlals and framing lnsp.
Flnal Buildlng - When alt
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.
E Foundatlon - After forms are
erected but prlor to concrete
placement.Wall/Celling lnsulatlon - Prlor
cover.
Underground Plumblng - Prlor
to fllllng trench.Drywall - Prior to taping.
MOBILE HOiJiE INSPESI IONSUnderlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.Wood Stove - After lnstallation.
Post and Beam - Prlor to floor
lnsulatlon or decklng.- After flreplace approval
Blocking and Set.Up - When alt
blocklng is complete.
and lnstallatlon oI unit
Floor lnsulation - Prior to
decking.Curbcut & A1:proaclr - After
forms are erected br.rt prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to fllling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Stonn Sewer - Prior to fllling
trench.
Sidewallr 8: Driveway - After
excavation is complete, forms
and sub-base material in place.
Water Llne - Prlor trc filling
trench.
Fence - When cclrpleted
Rough Plumbing - Prlor to
cover.
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porchcs, sklrting, decks, and
ventlng have been lnstalled.
o
WORK
tl
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tI
tl
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fl
E
Electrical Servlce - Must be
approved to obtain permanent
electrlcal power.
Qs
tl
Etf
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Ty6 _
-
lnterior
--
Corner
-
Panhandle "
-
Cul-de-sac
Setbacks
P,L.HSE GAR ACC
N
S
E
IS THE PROPOSED WORK }N THE.
HISTOBICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
arrd approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
t+
BUILDING PERMTT
ITEM SQ. FT. X $/SO. FT.VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING TAIIIE, i5I-NU 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
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Recei pt Numbe
Plan Check Fee:
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residentlal Bath(s)
Sanitary Sgwer
Water
Storm Sewer
Mobile Home
FEE
(c)
Ni
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
. FT.
FT.
FT.
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
with the Ordinanccs of the City of Sprlngf ield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Buildir.rg Safety Divislon.
I further certify that only contractors and enrployees who
are In compliance with OFIS 701.O55 will be used on this
proiect.
I further agree to ensure that all required inspections are
requested at the proper tlme, that each address ls readable
from tlre street, that the permlt card ls located at the front
of the property, and the approved
Slgnature
Date
of plans will remaln
on the site at ruction.times during
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
/S, ot
Lfc ?i
zL>
Total Mlscellaneous Perrni ts (E)
G.+ /'.rt
(D)
(),0 o
NoVent Fan
Dryer Vent
Wood replace Unit
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
2o
3
0 32y \7VAI-IDATION
RECEIPT NUMBER
DATE PAII-)
AMOUNT RECEIVED
RECEIVED BY
Main
Garage
Carport