HomeMy WebLinkAboutPermit Mechanical 1999-03-25RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726.3769
Offlce: 726-3759
SP,lINGFIELO
JOB NUMBER
qqbs a,t(D
225 Fifth Street
Sprlngfleld, Oregon g7 477
LOCATION OF PROPOSED WOFIK:
ASSESSORS MAP:iTof a>--3>t-t TAX LOT:
LOT BLOCK:SUBDIVISION:
lhr<PHONE:
6(.ZIP:STATE:
'l . /."no(OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
I,f s (IG
a-J Sen/l.t
DESCRIBE WORK:
Nr." 6
ADDRESS
\I s ,U{1q J-1
(
EXPIRES 3 PHONECONTRACTOR'S NAME
GENERAL:
ELECTRICAL:s 110
PLUMBING:
MECHANICAL:
CONST.
CONTRACTOR #
-7Y
- OFFICE USE -
WATER HEATER:
ZONING CODE:
RANGE:
QUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SOUARF. FOOTAGE:
LAND USE:
OCCY GROUP:
* OF STORIES:
FLOOD PLAIN:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
--
To request an lnspectlon, you must call 726'3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. will bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
n Temporary Etectrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When allplumblng worl< ls complete.
Slte lnspectlon - To be made
after excavatlon, but prlor to
settlng lorms.
Rough Electrical - Prlor to Flnal Electrlcal - When all
electrlcal work is complete.cover
Underslab Plumblng/ Electrlcal /
Mechanlcat - Prlor to cover.Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Bulldlng - When ail
requlred lnspectlons have been
approved and bullding is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placemont.
Other
Wall/Celllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.[-l Drywall - Prlor to taptng
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPE TIONS
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 lnsulation - Prior to
decklng.Curbcut & Approach - After
forms are erected but prior toplacement of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to f llllng
trench,Electrlcal Conneclion - When
blocking, set-up, and plumbing
lnspections have been approved
and the home ls connected to
the servlce panel.
Storm Sewer - Prlor to fllllng
trench.
Sldewalk & Drlveway - After
excavatlon ls complete, forms
and sub-base material ln place.
Fence - When coiilpleted.Water Llne - Prlor to filllng
trench.Flnal - After all required
lnspectlons are approved andporches, sklrtlng, decks, and
ventlng have been lnstalled.
Street Trees - When all requlred
trees are planted.
[-l Rough Plumbing - Prior toU cover.
q1 c{ c7
, OF BDRMS:
-
E
tl
tl
E
E
fl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
,.HE PROPOSED WORK TN THE .
HISTORICAL DISTRI T, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED
PL.}.ISE GAR ACC
N
S
E
VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
.,t
x $/so. FT.
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City ol Springfield, including the
Development Code, regulating the constructlon 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 the City limits which are being improved,
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N.
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
210
Wood Stove/ lnsert/ Flreplace Unit
rmit
(D)
N0
tc
t
Vent Fan
Dryer
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
lssuance
State Surcharge
Total Permit
By slgnature, I state and agree, that I have carefully examined
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther cerflfy
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 perlainlng to the work descrlbed
herein, and that NO OCCUPANCY wlll be made ol any
structure wlthout perrnission of the Bulldlng Safety Divislon.
I further certify 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 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
Slgnature
Date s
on the slte at all es during constructlon,
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permlts (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)
IJzW
VALIDATION:
2(,?
RECEIPT NUMBER c3s>1=
ctcsA . [\11r d/1ARECEIVED BY
AMOUNT BECEIVED
DATE PAII)
, i,