HomeMy WebLinkAboutPermit Mechanical 1998-11-06SP nlGFTELDRESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOS
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ASSESSORS MAP:I
ED WORK:
7 a 3z'/
JOB NUMBER
225 Fif th Street
Springfleld, Oregon g7 4?l
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TAX LOT o O0oo
LOT:BLOCK:SUBDIVISION
ADDITION DEMOLISH OTHER
STATE:
PHONE:fq
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I -trlo)OWNER:
ADDRESS
CITY:
DESCRIBE WORK:
NEW- REMODEL
ADDRESS EXPIIlES PHONECONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
G EN ERAL:
PLUMBING
LAN D US E: -.---_--__F{otifieation€enter. Tlt@udelnrp_gellorth
wArER F$ArEn:A Y PFHi( )I }
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CONST
S NOT
AW- oFFtcE trsE AtrTENTION:Oregon
the Oregon UtilitYfollow rules adopted bY
QUAD AREA:
, oF JtgIf,CE-r OF UNITS:in OAR 952-001
0090. You maYo""" Efl88Ery[lllt EX1IE rF rHE
R. TYPE:center.{Flotsdm elePhone
ZED UNDER THIS PERMIT I#oF numberforthe
ED FOHEAT
SOURCE:
c0M _----_---Tenteri 3{ffid.s$$gd};i!i?I,:1_
SQUARE FOOTAGERANG F:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requestecl beJore 7:oo a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED !NSPECTIONS
[--l Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Final Plumbing - When allplumblng worl< is complete.
Slte lnspection - To be made
after excavation, but prlor to
setting forms.
Rough Eleclrical - Prior to Final Electrlcal - When all
electrlcal work is complete.cover
Underslab Plumbing/ Electrical /
Mechanical - Prlor to cover.Electrical Servlce - Must be
approved to obtain permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Building - Whgn all
required 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 prlor to concrete
placement.Wall/Celling lnsulation - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.Drywall - Prlor to taping.
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decking.
MOBILE HOME INSPE TIONS
Wood Slovo - After lnstallation
Post and Beam - Prlor to floor
lnsulation or decklng.lnserl - After fireplace approvql
and lnstallation of unlt.
E Blocking and Set-Up - When ail
blocking ls complete.
Floor lnsulation - Prlor to
decki ng.Curbcut & AJ:proach - After
forms are erected but prior to
placement of concrete.
Plumblng Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to f illing
trench.Electrical Connection - When
blocking, set-up, and plumblng
lnspectlons have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Drlveway - After
excavation ls completc, forms
and sub-base material in place.
Water Line - Prlor to filling
trench.
Fence - When completed.
Slreet Trees - When all requlred
trees are planted.
Final - After all required
inspectlons are approved andporches, sklrting, decks, and
ventlng have been lnstalled.
Rough Plumbing - Prior to
cover.
E
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Other
-
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P.L.HSE GAR ACC
N
S
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Typc -v
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Se b "HE PROPOSED WORK iN THE
I{STOHICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
VALUE
(A)
X $/SO, F-I.
BUILDING PERMIT
ITEM SO. FT,
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fcc
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 Cocle, 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 Rcviewed By Date
Recei pt Numbe
Plan Check Fee
Date Paid:
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developrnent Charge is due on all undeveloped
properties within thc City lintits which are being improved.
ITEM
Fixtures
Residentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N0
FT.
FT.
FT.
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/lnsert/Flreplace Unit eS--LXfrrl
/{. oo
/a,0 0
(D)
Elr-
24 ?)
tl
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certify that all
lnformatlon hereon is true ancl correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Sprlngfield, 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 Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
proiect.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permlt card is located at the front
of the property, and the approved set of. plans
Slgn
Date t_o
ll times durin g con
rematn
ont ction
MISCELLAN EOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcul
-
ft
Demolition
State Surchargg
Total Miscellaneous Perrnils (E)
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, D, and E Comblned)
63r?f
lL
VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
?r
Dryer Vent
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FIECEIVED BY