HomeMy WebLinkAboutPermit Mechanical 1998-09-17PRIhlGFIELc'RESIDENTIAL
PERMIT APPLIOATION
lnspections: 726-3769
Office:726-3759
LOCATION OF PROPOSED WOBK:
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ASSESSORS MAP:t7 bi3 s>3
JOB NUMBER
225 Fifth Street
Sprl ng f teld, Oregon 97 477
TAX LOT
LOT
-
BLOCK:
ZIP:
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1tr,STATE:
PHONE:>q6vq36
CITY:
ADDRESS:
OWNEB:
Y DEMOLISH OTHER
DESCRIBE WORK:
NEW
-
REMODEL ADDITION
ELECTFIICAL:
ADDRESS EXPIRES PHONECONTRACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
- oFFtcE USEAtTENTION:Oregon law requires you to
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ocqmJE[EOrHfiZtrD UNDER THls PERMIT lS I'GInsrR. rvpe'lll.9;.-r^-^aE llrPfrgIrE
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SOUARE FOOTAGE:RANGE:
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To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wllt be
made the same worklng day, lnspections requested after 7:0O a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When all
plumbing worl< is complete.
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Slte lnspectlon - To be made
after excavatlon, but prior to
settlng forms.
Underslab Plumblng/ Electrical /
Mechanlcat - Prlor to cover.
Foollng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placemont.
Underground Plurnblng - Prior
to fllllng trench.
Underlloor Plumblngl Mechanlcal
- Prlor to lnsulatlon or decklng.
Post and Beam - Prlor to floor
lnsulatlon or decklng.
Floor lnsulalion - Prlor to
decklng.
Sanltary Sewer - Prlor to filling
trench.
Slorm Sewer - Prlor to fllllng
trench.
Water Llne - Prior to filling
lrench.
Fough Plumbing - Prlor to
cover.
Rough Electrical - Prior to
cover.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flreplace - Prlor to faclng
materlals and framing lnsp.
Framlng - Prlor to cover.
WalllCellins lnsulatlon - Prlor to
cover.
Final Electrical - When all
cal work is complete.
Mechanical - When all
hanical work ls complete.
ilding - When all
lnspectlons have been
proved and building is
completed.
Zz5 -trtt
fr
l--l Drywall - Prlor to taplng
Wood Stove - After lnstallatlon.
- After flreplace approval
lnstallatlon oI unlt.
Curbcut & AJrproach - After
forms are erected brrt prior to
placement of concrete.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material ln place.
l-l Fence - When coiilpleted
Streel Trees - When all requlred
trees are planted.
r I
MOBILE HOME INSPECTIONS
Blocking and Set.Up - When all
blocklng ls complete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the service panel.
Final - After all required
lnspections are approved and
porches, sklrting, decks, and
ventlng have been lnstalled.
F
Flnal
9
SUBDIVISION:
-
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E
E
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Setbacks
P.L.HSE GAR ACC
N
S
E
i--S THE PROPOSED WORK iN THE -
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
VALUE
(A)
,r
Total Value
Building Permit Fee
State Surcharge
Total Fee
X $/SQ. FT.
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
This permit is granted on the cxpress condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City o{ 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.
Receipt Number:_
Plans Reviewed By
t
E
Date
Plan Check Fee:
Date Paid
Fleceived By
iSmru cHEcK
,RMIT
BUILDING \ALUE
AND BUILDTNG P
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
FT.
Nt
FT.
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examlned
the completed apptication and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accorrJance
with the Ordinanccs of the City of Springfield, and the Laws
of the State of Oregon perlainlng to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure without perrnission of the Bullding Safety Divislon.
I further certi{y that only contractors and employees who
are In compllance with ORS 701.05S will be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, 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
Signature
Date
n constructlon.on the site at all times d
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
---
,t
Demolition
State Surcharge
Total Miscellaneous Perrnits (E)
4>zreplace Unit
7 -)o
l{Oo
0o
srcuZr(€frrt
(D)
)'
,l^
r Vent
Wood
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan No
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
0r
r
VAl-IDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
Lot Type
-
-
lnterior
-
Corner
.- Panhandle i
-
Cul-de-sac
FT.