HomeMy WebLinkAboutPermit Mechanical 1999-05-20x
SPRTNGFIERESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
225 Fifth Street
Sprlngfleld, Oregon 97477
LOCATION OF PROPOSED WORK:4tt fz,rr1 ST.
ASSESSORS MAP:TAX LOT oo
LOT BLOCK:SUBOIVISION
(8PHONE:
IE a1+])ZIP:O oQ-STATE:
RAcsI CwY LeOWNEB:
ADDRESS:
CITY:
DEMOLISH OTHER
(*r!r\,D
N DEL ADDITION
AS I t'".e, +- ott Si
ADDRESS
e,.t
EXPIRES ,A PHONECONTRACTOR'S NAME
GENERAL:
PLUMBING:
ELECTBICAL;
CONST.
CONTRACTOR #
FIANGE:
, OF BDRMS:
- OFF]CE USE -
ZONING CODE:
SOUARF. FOOTAGE: -
SECONDARY HEAT:
OUAD AREA:
* OF BLDGS:
LAND USE:
OCCY GROUP:
E OF STORIES:
CONSTR. TYPEI
HEAT SOURCE;
# OF UNITS: _---
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng, All lnspections requested before 7:00 a.m. wlll bemade the sante worklng day, lnspectlons roquested after 7:00 a.m. wlll be macJe the followlng work day.
REOUIRED INSPECTIONS
Temporary Eleclrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When altplumblng worl< ls complete.
tl Site Snspecllon - To be made
after excavatlon, but prior to
settlng forms.
Rough Electrical - Prlor to Flnal Electrlcal - When all
electrlcal work is complete.cover.
Underslab Plumblngl Electrlcal /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
olectrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Building - When ail
required lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.E.E OtherFoundatlon - Arter forms are
erected but prlor to concrete
placement.Wall/Celling lnsulatlon - Prlor to
cover.
Underground Pluynblng - Prior
to fllllng trench.l-l Drywall - Prlor to taplng
MOBILE HOME INSPECTIONSUnderlloor PlumQlng/ Mechanlcal
- Prior to lnsulatlon or decklng.
a
Post and Beam - Prlor to lloor
lnsulatlon or decklng.
Wood Stovo - After lnstallatlon
rl lnsert - After flreplace approvql
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulalion - Prlor to
decklng.Curbcut & Approaclr - After
forms are erected but prlor to
placoment of concrete.
Plumbing Connections - When
home lras been connected to
water and sewer;
Sanltary Sewer - Prlor to fllllng
trench.Electrlcal Connectlon - When
blocklng, set.up, and plumbing
lnspoctlons have becn approved
and the home la connooted to
the servlce panol.
Stonn Sowor - Pllor to lllllng
trench.
Sidewalk & Drlveway - After
excavatlon ls comploto, forms
and sub-base materlal ln place.
l---l Waler Llne - Prlor to fillingU trench.
Fence - lvhen coinpleted
Slreet Trees - When all roqulred
trees are planted.
Flnal - After all required
lnspectlons are approved andporches, sklrtlng, decks, and
ventlng have been lnstalled.
Rough Plumblng - Prlor to
cover.E
JoBNUMBE"%
1
MECHANICAL:
FLOOD I)LAIN:
WATER HEATER:
tl
fl
E
6*s l-rttr@
E
tl
Lot froor
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot llpe €
-
lnterlor
-_ Corner
.- Panhandle "
-
Cul-de-sac
-S THE PROPOBED WOBK iN 7HE- HrsroRrcAL DrBrRtcr, oR oN
THE HISTORICAL REGISTER?
-
lf yes, this appllcation must be slgned
arrd approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
GAR ACCP,L.HSE
N
S
E
VALUE
(A)
t
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
SQ. FT. X $/SO. FT
BUILDTNG PERTVIIT ' .'
,' '|
BUILDING VALUE, PLAN CHECK
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, 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.
Plans Beviewed By Date
Receipt Numbe
Plan Check Fee:
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developmont Charg€ ls duo on all und€veloped
properties wlthin tlre City limits which are being lmproved,
ITEM
Fixtures
Besidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N.
FT.
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
D?AOD 4,+r LiE
Mechanical Permlt
lssuance
State Surcharge / 7 f +, 4f
Total Permit (D)
/4/U.
/,2'
No
2614
Vent Fan
/5*/oP
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby cerilfy that all
lnformation hereon is true ancl correct, and I f urther certify
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Springfir:ld, 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 Buil<Jirrg Safety Division.
I further certify that only contractors and enrployees who
are In compliance with ORS 701.055 will be used on this
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
atu re 1
Date
ans w n
on the site at times d cons
MISCELLANEOUS PERMlTS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Oemolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excludlng electrical)
(A, B, C, D, and E Comblned)
-)z Zo-4-a ^
VAI-IDATION:
BECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
?
RECEIVED BY
2-o