HomeMy WebLinkAboutPermit Mechanical 1998-02-10RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 226.3769
Office: 726-gt39
LD
JOB NUMBER
225 Fifth Street
Sprlng f leld, Oregon gt 4tl
LOCATION OF PROPOSED WORK:/ r{r{ Y Ao
ASSESSORS MAP:
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LOT BLOCK:SUBDIVISION
PHONE:
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I STATE:
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CITY:
ADDRESS:
OWNER:
ADDRESS
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CC KIa.9laDESCRIBE WORK:
NEW
-CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
- OFFICE USE _
BANGE:
FLOOD PLAINLAND USE:QUAD AREA:
'I OF BLDGS:
SECONDARY HEAT
SQUARF. FOOTAGE:
, OF BDRMS:
-WATER HEATER:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
-
ZONING CODE:
To request an lnspectlon, you
made the same worklng day,
must call 726'376s- Thls ls a24hout recordlng. All lnspections requested before 7:00 a.m. wlll belnspections requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
n Temporary Etectric Rough Mechanical - prlor to
cover.l--l Final Plumbing - When ail'J plumbing work is complete.
Slte lnspectlon - To be made
after excavation, but prior tosettlng forms.
Rough Electrlcal - prlor to Flnal Electrlcal - When allelectrlcal work is complete.cover.
E Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
olectrlcal power.
ffifinat Mechanlcat - When all.Frnechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Bulldlng - When ail
required lnspectlons have been
approved and bullding is
completed.Masonry - Steel locatlon, bond
beams, groutlng,
l-l Framlng - Prior to cover,
Foundatlon - After forms are
erected but prlor to concrete
placement.
Olher
Wall/Celling \(dq""1"1< 5,k ' ','
cover.\S
Underground Plumblng -to fllllng trench.
Undertloor Plumblng/\s MOBILE HOME INSPECTIONS
- Prior to lnsulatlon or deckl After lnstallation
Post and Beam - Prlor to floor
lnsulatlon or decklng.
DN{Blocking and Set.Up - When all
blocklng ls complete.- After flreplace approval
and lnstallatlon of unlt.
Floor lnsulalion - Prior to
decklng.Curbcut & Alrproaclr - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to fllllng
trench.Electrical Connection - When
blocking, set.up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
E Storm Sewer - Prior to filllng
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Water Llne - Prlor to filling
trench.
Fence - When collpleted.
Rough Plumbing - Prlor to
cover.
Street Trees - When all required
trees are planted.
FIna! - After all required
lnspectlons are approved andporchos, sklrtlng, decks, and
ventlng have been lnstalled.
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Lot faces
Lot sg. ftg.
Lot coverage
Topography
Total helght
P.L.HSE GAR ACC'
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IS THE PROPOSED WORK TN THE .. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved bY the H istorlcal
Coordinator prior to permit issuance.
APPROVED:
I
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordlnance
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 tlme
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Receipt Nu
r).
, PLAN CHECK
ERMIT
BUILD rAlUe
AND BUILDING P
Plan Check Fee:
Date Paid:
Received By:
VALUE
(A)
. l .',
tvilTBUILDING PER
Total Value
Building Permit Fee
State Surcharge
Total Fee
,it
X $/SQ. FT.ITEM
Main
Garage
Carport
SQ. FT.
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
Mobiie Home
FEE
(c)
N.
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
- FT.C rr.l
uo
-
ADDITI NAL COMMEN
OD<--
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
Mechanical Permlt
lssuance
StateSurcharge ,7,f f , {f
Total Permlt (D)
ls@
,/ o,ao
/20
2/-r Z?
litL"
Vent Fan
MECHANICAL PERMIT
Furnace
Exhaust Hood
No
By signature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
lnformatlon hereon is true anct correct, and I f urther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structure without permission of the Builditrg Safety Divislon.
I further certlfy that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
proiect.
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 ls located at the front
of the property, and the approved set of plans will remaln
hJ
on the site at all times durln g constructlon.
Slgnature
Date o4g
MlSCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding etectricat)
(A,B,qQandECombined)Z;E
a
VALIDATION:
RECEIPT NUMBER
DATE PAID
2-aAMOUNT RECEIVED
RECEIVED BY
. tt-
Lot Type
-
-
lnterior
-
Corner
-
Panhandle l
-
Cul-de-sac
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