HomeMy WebLinkAboutPermit Mechanical 1998-09-17RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726.3759
4e rr 67JOB NUMBER
225 Fifth Street
Springfleld, Oregon gZ 4tl
LOCATION OF PROPOSED WORK:,Z-a^{{ rt
ASSESSORS MAP:1763 27 t 3 TAX LOT D
LOT
-
BLOCK:SUBDIVISION: ---
1a b" //OWNER:PHONE:
ZlPi
(a.
o
lASTATE:12
ADDRESS:
' 8'/ 57/
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
t2fu-taK
ADDRESS
/t
EXPIRES :, PHONECONTRACTOR'S NAME
GENERAL:
ELECTRICAL:
MECHANICAL:
PLUMBING:
CONST.
CONTFIACTOR #
To request an inspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7;00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be ma<Je the followlng work day.
REQUIRED INSPECTTONS
Rough Mechanlcal - Prior to
cover.
Final Plumbing - When allplumblng worl( is complete.
Rough Eleclrical - Prlor to
cover,
Eleclrlcal Servlce - Must be
approved to obtain permanent
electrlcal power.
Flreplace - Prlor to faclng
materlals and framlng lnsp.
Framlng - Prlor to cover.
Wall/Celllng lnsulatlon - Prlor to
cover.
Final Electrical - Wlren all
electrical work is complete.
Final Mechanlcal - When all
mechanical work ls complete.
Flnal Building - Vrihen all
required lnspectlons have been
approved and building is
completed.
ther
MOBILE HOME INSPECTIONS
Blocking and Set-Up - When ail
blocking ls complete.
Plumbing Connections - When
home lras been connected to
water and sewer.
Electrical Connection - When
blocklng, set-up, and plumbing
lnspections have been approved
and the home is connected to
the service panel.
Final - After all required
lnspections are approved andporches, sklrting, decks, and
ventlng have been installed.
[-l Drywall - Prlor to taptng
Wood Stove - After lnstallatlon
lnserl - After flreplace approval
and lnstallatlon of unlt.
Curbcut & Ag:proaclr - After
forms are erected but prior to
placement of concrete.
Sidewall< & Drlveway - After
excavation is complete, forms
and sub-base material in place.
Fence - lVhen cci'rrpleted
Street Trees - When all required
trees are planted.
4
_ OFFICE USE -law requires
QUAD AREA:LAND USE:,OTFIH
OCCYI'HB+EHIAITSHATLEXPIBE]F THE
, OFAI'OH(mIZFD TJNNEH THIS PERMIT
wArmlH!f,fi HfiErcE-IgXEANB0N E0 FOhA N G E.
J-l Temporary Etectrlc
T-l Site tnspection - To be made|J after excavatlon, but prior to
settlng forms.
[--l Underslab Ptumblng/ Electrical /
-
Mechanlcal - Prlor to cover.
l-l Foollng - After trenches areIJ excavated.
l---l Masonry - Steel locatlon, bond|J beams, groutlng,
n Foundatlon - After forms are
-
erected but prlor to concrete
placement.
[-l Underground Plumblng - Prioru to fllllng trench.
l--l Underlloor Ptumblngl Mechanlcat
Prior to lnsulatlon or decklng.
l-l Post and Beam - Prior to floor|J lnsulation or decklng.
n Floor lnsulalion - Prior tolJ decking.
l-l Sanltary Sewer - Prior to fllllngu trench.
I---l Storm Sewer - Prior to fllling
'J trench.
l--l Water Llne - Prlor to filling
'J trench.
[-l Rough Plumbing - Prior toU cover.
E
rules
E
il
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type -
-
lnterior
-
Corner
-- Panhandle ;
-
Cul-de-sac
bac i -S THE PROPOSED WORK lN THE -
HIS]'ORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, this application must be slgned
arrd approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
GAR ACCP.L.HSE
N
S
E
BUILDING VhIUE, iiMTU CHECK
AND BUILDING PERMIT
This pernrit is granted on the cxpress condition that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springfleld, including the
Development Code, regulating the construction and use of
ouildings, 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:
BUILDING PERMIT ,
VALUESO. FT.
(A)
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
". i*
X $/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
Mobile Home
FEE
(c)
No
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examlned
the completed application 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 accordance
with the Ordinanccs of the City of Springfield, and the Laws
of the State of Oregon pertainlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Building Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
proiect.
I further agree to ensure that all required lnspections are
requested at the proper time, that each address ls readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remaln
on the site at all times during construction.
Signature
Date
Wood Stove/ lnsert/Fireplace Unit
Dryer Vent@__
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
---
ft
Demolition
State Surcharge
2-o o
i5 4"
/ 0.4o
L{\. 7f
Z( zo
Total Miscellaneous Permits (E)
6 o,
(D)
MECHANICAL PERMIT
Fu rnace
Exhaust Hoorj
Vent Fan No
Mechanical Permit
lssuance
State Surcharge
Total Permit
TOIAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)
?2
r
7
VAI-IDATION:
RECEIPT NUMBER
DATE PAI[)
AMOUNT RECEIVED
RECEIVED BY
il ilqr7
. FT.