HomeMy WebLinkAboutPermit Mechanical 1999-08-12RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726.3769
Offlce:726.3759
TEL])
JOB NUMBER ??'0 26q
225 Fifth Street
Sprlngfleld, Oregon gl 4tZ
LOCATION OF PROPOSED WOFIK:
ASSESSOBS MAP:lt o1 z(?- /
TAX LOT:3 S6e
LOT
-
BLOCK:SUBDIVISION: -
OWNEB:
ADDRESS:
CITY:
PHONE:
STATE:ZIP..
DEMOLISH OTHER
DESCRIBE WORK:
NEW
-
REMODEL ADDITIO
ADDRESS EXPIRES .l PHONE
CONTRACTOR'S NAME
GENERAL:
ELECTRICAL:
MECHANICAL:
PLUMBING:
CONST.
CONTRACTOR ',
To request an lnspecilon, you must call 726-3769.
made the same worklng day, lnspectlons reques
, Thrs ls a 24 hour recordrng. Ail rnspecilons requested before 7:00 a.m. wiil bet€c, after 7:00 a.m. wlll be made the followlng work day.
REOUIRED TNSPECTIONS
Temporary Electrlc Rough Mechanlcal - prlor to Flnal Plumblng - When altcover.lumbln g worl< ls complete.
Slte lnspectlon - To be madoafter excavatlon, but prlor tosettlng forms.
Rough Electrlcat - prlor tocover.I Electrlcal - When altectrlcal work ls complete.
n Underslab ptumblng/Etoctrlcal/
-
Mechanlcat - prlor to cover,Electrlcal Servlce - Must be
approved to obtaln permanent
olectrlcal power.
lnal Mechanlcal - When allhanlcal work ls complete.
Footlng - After trenches are
axcavated.
l-l Flreplace - prtor to factng
-
materlals and framlng lnsp.
l-l Framtng - prtor to cover.
Flnal Bulldlng - When allrequlred lnspectlons have beenapproved and bulldlng iscompleted.[l fvtasonry - Steel locatlon, bond
-
beams, groutlng,
Foundatlon - After forms areerected but prlor to concreteplacomont.
hor
Wall/Celllng lnsulatlon - prlor to
cover.
f-l Underground plumblno - prtorU to flltig Gncir.--"-"'o [-l DrywaI _ prlor to taptng
Underlloor Plumblng/ Mechanlcat
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPE TIONS
Wood Slovo - Aftor lnstallatlon.
l--l Post and Beam - prior to flooru lnsulatlon or decktng. f] ,-"r:1, :.lflgr ftreptace approval- and lnstallatlon of unlt.
n Alocklng and Set.Up - When all
-
blocklng ls complete.
Floor lnsulatlon - prlor to
deckl ng.Curbcut & Alrproach - Afterforms are erected but prlor toplacomont of concrete.
Plumblng Connections - Whenhome has been connected towater and sewer.Sanltary Sewer - prlor to fllllng
trench.
Storm Sewer - Prlor to fllllng
trench,
Sldewalk & Drlvewav - Afterexcavation ls cgmplote, formsand sub.base materlal ln place.
Electrlcal Connectton - Whenblocklng, set.up, and plumblnglnspectlons have been approvedand the home ls connected tothe service panel.[-l Water Llne - prlor to filting
-
trench.
[l Rough plumblng - prtor tou cover.
[-l fence - When coi,lpteted.
n Stroet Trees - Whcn all requlredu treeg are planted.
Flnal - After all requiredtnsp€cilons are approved andporchos, sklrtlng, decks, andventlng have been lnstaileo.
E
l.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Iotal helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle \'
-
Cul-de-sac
ks ( I iE PFIOPOSED WORK TN THE .
HTv,OBICAL DlSTBlgf, OR ON
THE. HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must b6 slgned
and approved by the Hlstorlcal
Coordlnator prlor to permlt issuance.
APPROVED:
P.L.HSE GAR ACC
N
S
E
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
''.,t
X $/SQ. FT. = VALUE
BUILDING PERMTT ,
ITEM SO. FT.
Main
Garage
Carport
Thls permit ls granted on the express conditlon that the sald
constructlon shall, ln all respects, conform to the Ordinance
adopted by the City of Springfleld, includlng the
Development Code, regulating the constructlon and use of
bulldlngs, and may be suspended or revoked at any tlme
upon vlolation of any provlsions of sald ordlnances.
Recelpt Number:-
Plans Bevlewed By Date
Plan Check Fee:
Date Pald
Fleceived By;
DIN
BU ILDING
AND BUIL
rue, i5rRN cHEcK
G PERMIT
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties wlthln tlre City llmlts whlch are belng lmproved.
ITEM
Fixtures
Resldential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N'
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
- FT.
ADDITIONAL COMMENTS
a
L
Wood Stove/ lnsert/Flreplace Unlt
Dryer Vpnt t' (c - uu,f --
Mechanical Permit
lssuance
State Surcharge
Total Permit (D)
--1-u,0o
-Cu,
\1I
No
["0 u
Vent Fan
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed appllcatlon and do hereby cerilfy that all
lnformatlon hereon ls true ancl correct, and I f urther ceril(y
that any and all work performed shall be done in accordance
wlth tho Ordinances of the City of Sprlngfleld, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCy will be made of any
structure wlthout perrnission of the Bulldlrlg Safety Divislon.
I further certlfy that only contractors and employees who
are In compllance with ORS 701.0S5 wlll be used on thls
prolect.
I further agree to ensure that all required lnspections are
requested at the proper tlme, that oach address ls readable
from tho street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
Slgnature
Date
on the slte at all tl d u rlng on.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Permlts (E)
TOTAL AMOUNT DUE (oxcludtng electrtcat)
(A, B, C, D, and E Comblned)
9{rfr
l7>
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
FT.