HomeMy WebLinkAboutPermit Mechanical 1998-01-07RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Office: 726.3759
JOB NUMBER o1dl
225 Fifth Street
Sprlngfleld, Oregon 97 477
LOCATION OF PROPOSED WORK://z lTtz c 57
ASSESSORS MAP:TAX LOT:
LOT
-
BLOCK:SUBDIVISION:
--
.9on+/qft-d7 3=PHONE:
4,2,2
E. O6o,oo
zVtt,, €7-
STATE: 4d n'Etp:
OWNER:
ADDRESS:
CITY:
NEW --- REMODEL ADDtrtoN DEMOLTSH orHER
-
Z.- r'-DESCRIBE WORK:
ADDRESS EXPIRES ,t PHONE
6tr nr
CONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
- OFFICE USE -
WATER HEATER:
ZONING CODE:
RANGE:
QUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SQUARE. FOOTAGE:
LAND USE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
-
To request an lnspectlon, you must call 726-3769. Thls ls a24 hour recordlng, All lnspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
Temporary Eleclrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumblng - When allplumblng worl< is complete.
Slte lnspectlon - To lre made
after excavatlon, but prlor to
settlng forms.
Rough Electrical - Prior to Final Electrlcal - When all
electrlcal work ls complete.cover,
Underslab Plumblngl Electrlcal /
Mechanlcal - Prlor to cover.Electrical Service - Must be
approved to obtaln permanent
olectrlcal power.
nal Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.tl Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Building - When all
required lnspectlons have been
approved and bullding is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Foundallon - After forms are
erected but prlor to concrete
placement.Wall/Celllng tnsutatlon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.[---| Drywall - Prlor to taplng
tl MOBILE HOME INSPE TIONSUnderlloor Plumblng / Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stovo - After lnstallatlon.
Posl and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approaclr - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanltary Sewer - Prlor to fllllng
lrench.Eleclrlcal Connection - When
blocking, set.up, and plumblng
inspections have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prlor to fllllng
trench.
Sidewalk & Drivewav - After
excavation ls complete, forms
and sub-base material in place.
Water Llne - Prlor to filling
trench.
Fence - When coinpleted.
Street Trees - When all requlred
trees are planted.
Flnal - After all required
inspectlons are approved andporches, sklrtlng, decks, and
ventlng have been lnstalled.
E
Rough Plumblng - Prlor to
cover.
4>vzz
ELECTRICAL:
-
# OF BDRMS:-
FLOOD PLAIN:
tl
tl
tl
Other
-E
Lot faces
Lot sg. ftg.
Lot coverage
Topography
Total helght
Lot Type'- _
-
lnterior
-
Corner
-
Panhandle r
-
Cul-de-sac
Setbacks
PL.HSE GAB ACC
N
S
w-=
E
- THE PROPOSED WORK TN THE -
HISTORICAL DISTBIGT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPBOVED:
BUILDING PERMTT
VALUE
(A)
*
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
SO. FT. X S/SO. FT.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, includlng the
Development Code, regulating the constructlon and use of
buildings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
Plans Beviewed By Date
Recei pt Numbe
BU I LDI NG LUE,LAN CHECK
Date Paid:
Received By:
Plan Check Fee
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
ITEM
Fixtures
Resldential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
do(D)
No
t^J
/o
,75+ ,/f
Vent Fan
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERM!T
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertalning to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure without perrnission of the Bullding Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 7O1.O5S wlll be used on thls
prolect.
I further agree to ensure that all requlred 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 plans will remaln
ater
on the site at all !i mes durin
fs lgnature
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (exctuding electricat)
(4, B, C, Q and E Comblned)qr.)
a
eoAMOUNT RECEIVED
DATE PAII)-? I
VALIDATION:
RECEIPT NUMBER
:i
.l ,
N'
FT.
-
t<, -
RECEIVED BY