HomeMy WebLinkAboutPermit Mechanical 1998-07-03SP}|INGFIELDRESID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PBOPOSED WOFIK:
ASSESSORS MAP:
LOT:
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afi,
JOB NUMBER
225 Fifth Street
Spring{leld, Oregon 97477
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SUBDIVISION
7TAX LOT
BLOCK:
L,
OWNER:
ADDRESS:
CITY:
sh PHONE:
STATE ZIP:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
//r u,l G+s /rueDESCRIBE WOBK:
tl^a i":-
ADDRESS
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EXPIFIES 3 PHONECONTRACTOR'S NAME
MECHANICAL:
ELECTFIICAL:
CONST.
CONTBACTOR ',
GENERAL:
PLUMBING
ATTENTION:Oregon law requires you tt oFFlcE usE -
euAD enee'for,r.9w,lures=adgpteg Wffifl:B!$IFHo--- NOfleE.
r oF BLDGfiffioughOAPB$!{flpr THI.9PEBMIT
FLOOD I)LAIN:
ofcEftg+R9
e telephonecallino the center. (Note:
fi wr rbe-r for the Oregon Uti
SHAg[,EXPftEM
QoMMENoED
32-23ftflNG
occy G Ro0990.Yqu-nay lbtain copies fYru' -- AUTH0BIZED UNDEPrffigPERffithl, OF STORIE lity Nffiifft6&0fFcE:OR lsffiruprgillE6pgp---
Center is 1-800-3 E. __ ANy tgO DAy pERIOOunRE FoorAGE:WATER HEATER:
To request an inspectlon, you must call 726'3769. Thls is a24hour recordlng. All lnspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be macle the following work day.
[-l remporary Etectric
IIRED INSPECTIONS
h Mechanical - Prior to Final Plunrbing - When allplumblng worl< is complete.t.
Slte lnspection - To tre made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When allcover.electrical work is com plete.
[-l Underslab Plumbing/ Electrical/|J Mechanlcal - Prior to cover,Electrical Service - Must be
approved to obtain permanent
electrlcal power.
Mechanical - When all
ical work ls complete.
Footlng - After trenches are
excavated.Flnal Buildlng - When allrequired lnspectlons have beenapproved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
Flreplace - Prlor to faclng
materlals and framing lnsp.
Framing - Prior to cover./:/t rr/rFoundatlon - After forms are
erected but prior to concreteplacement.
7
Wall/Ceiling lnsulation - prlor to L
cover.
E ,'.tffii:f,i*nJn'.'-orng - Prior J-l Drywau - prror to tapins
Underlloor Plumbing/ Mechanicat
- Prior to lnsulation or clecking.
MOBILE HOME INSPECTIONS
Wood Stove - After lnstallation.
Post and Beam - Prlor to floorlnsulation or decking.l-_l lnsert - After flreplace approval
-
and installation ot unlt.
Blocking and Set.Up - When altblocklng ls complete.
Floor lnsulalion - Prior to
decking.Curbcut & Alrproaclr - After
forms are erected but prior toplacemcnt of concrete.
Plumbing Connections - Whenhome has been connected towater and sewer.Sanitary Sewer - prior to fiiling
trench.
Stonn Sewer - Prior to filling
trench.
Sidewalk & Driveway - Afterexcavation is complete, formsand sub-base material in place.
Electrical Conneclion - Whenblocking, set-up, and plumbing
Inspecilons have been approvedand the home is connected tothe servlce panel.
Waler Line - Prior to filling
trench.
Fence - lVhen cctirpleted.
Final - After all requiredlnspectlons are approved andporches, sklrilng, decks, andventlng have been lnstalled.
R
Rough Plumbing - Prior to
cover.I-_l Street Trees - When ail required
-
trees are planted.
L
l'o
170 t0
fl
€
PL.HSE GAR ACC
N
S
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Typu
-
lnterior
-- Corner
-- Panhandle
-
Cul-de-sac
Set IS THE PROPOSED WORK TN THE .
HISTORICAL OISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be signed
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
X $/SQ, FT.
BUTLDING PERMTT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pernrit 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 Reviewed By Date
Plan Check Fee:
Date Paid
Receipt Number
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
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N.
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
. FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit q.50
2.o,
/{, uu
:(<'7{
No
u
Vent Fan
Z(. >o(D)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Drver Vent
Gn
Mechanical Permit
lssuance
State Surcharge
Total Permit
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Builditrg Safety Division.
I further certify that only contractors and employees who
are in compliance with OFIS 701.055 will be used on thls
proiect.
prop
ree
sdu
the
S
Date
g construct ion.
I further agree to all required inspections are
that each address ls readable
ard ls located at the front
will remaln
requested
from th
of th
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permi ts (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Combined)
VALIDATION
RECEIPT NUMBER
DATE PAIi)
A.MOUNT RECEIVED
070
RECEIVED BY
7
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