HomeMy WebLinkAboutPermit Mechanical 1999-02-16INGFIELORESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726.3759
LOCATION OF PROPO WOR
ASSESSORS MAP:
LOT
Mctt?-
t
JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97477
TAX LOT:
BLOCK:SUBDIVISION
/-/),PHONE:
STATE:z>y'zzZIP:lfr
74 7 - S,szsoQ'/
CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
--
ZDESCRIBE WORK:
ME DFIESS
16/7az
CONTRACTOR'S
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
EXPIBES -' PHONE
FLOOD }]LAIN
Dcr
the
of S
4 lir OF UNITS:/aw
R. TYPE:
E OF STORIES:
QUAD A
OCCY G
,oF
LAND USE:
WATER HEATER:
- oFFlcE use -7yO
To request an lnspectlon, you ls a 24 hour recordlng. All lnspections reguested before 7:00 a.m. wlll bemade the same worklng day, lns after 7:00 a.m. wlll be made the following work day.
UIRED INSPECTIONSR
Temporary Electrlc Rough Mechanical - Prlor to
cover.
Final Flumbing - When altplumblng worl< is complete.
Site lnspectlon - To be made
afler excavatlon, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When alt
electrical work.ls complete.cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prior to cover.Electrical Servlce - Must be
approved to obtairr permanent
electrlcal power.
Final Mechanlcal - When allmechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lrrsp.
Flnal Building - When all
requlred lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
E Foundatlon - After forms are
erected but prior to concrete
placement.Wall/Celling lnsutatlon - Prlor to
cover,
Underground Plumbing - Prior
to filling trench.l-_.] Drywalt - Prlor to taping.
Underlloor Plumblng/ Mechanlcat
- Prior to insulatlon or decking.
MOBILE HOME INSPESTIONS
Wood Slove - After lnstallation.
Post and Beam - Prlor to floor
lnsulatlon or decking.lnserl - After fireplace approvql
and installatlon of unit.
Blocking and Set.Up - When allblocklng ls complete.
Floor lnsulation - Prior to
decking.Curbcul & AJrproaclr - After
forms are erected bUt prior toplacemcnt of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to fllling
trench.
Storm Sewer - Prior to filling
trench.
Sidewall< & Drivewal, - After
excavation is complete, forms
and sub-base material in place.
Eleclrical Connection - Whenblocking, set-up, and plumbing
lnspections have been approved
and the home is connected tothe servlce panel.
Water Line - Prlor to filling
trench.
Fence - When coinpleted
Streot Trees - When all requlred
trees are planted.
Final - After all requiredlnspectlons are approved andporches, sklrtlng, decks, andventlng have been installed.
Rough Plumbing - Prior to
cover.
CODE:Rtutn
fl
E
r
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type.
-
lnterior
-
Corner
.- Panhandle
-
Cul-de-sac
Setbacks
PL.I'ISE GAR ACC
N
S
E
IS THE PFIOPOSED WORK IN THE -
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
BUTLDING PERMIT ,
ITEM SO. FT.
t
X $/SQ. FT.VALUE
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fec (A)
BUTLDING VALUC, iTRTt 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.
Plan Check Fee:
Date Paid
Fleceipt Numbe
Received By:
Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
N'
FT
FT.
FT
Plumbing Permit
State Surcharge
Total Charge (c)
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit (D)
By slgnature, 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 certify
that any and all work performed shall be done in accorrlance
with the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertaining to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Bullding Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
pro ject.
I further agree to ensure that all required tnspections 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 pro
,/4 the sit,
)
--Signature
perty, and approved set of plans will remain
e at all ti
Date
du ng construction.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
---
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electric
(A, B, C, D, and E Comblned)
VAl.IDATION:
RECEIPT NUM
DATE PAII)
AMOUNT H
RECEIVE
R
N0
,l