HomeMy WebLinkAboutPermit Mechanical 1998-08-05SPRTNGRESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726.3769
Office:726-3759
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JOB NUMBEFI
225 Fifth Street
Springfleld, Oregon 97 477
tt 2s |L/PqLOCATION OF PROPOSED WORK:
ASSESSORS MAP:L TAX LOI
LOT
-
BLOCK:SUBDIVISION
o,reSTATE:ZIP:CITY:
ADDRESS:
OWNEB:
NEw t'REMoDEL ADDtloN DEMoLtsH orHER
DESCRIBE WORK:
ADDRESS EXPIRES ,a PHONE
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONTRACTOR'S NAME
GENERAL:C
CONST.
CONTRACTOR #
o"""b%ffi Soffi #"#"o@S""'t[',ffi"S]rypE:r oF Sr@fiE@etelepltffir$ SoURCE:
IS NOT
----..rHrsPEBMlI TEJAIE WORK
r S
E:
the Oregon Utility
_ OFFICE USE _
r OF BDRMS:
WATER
ZONING CODE:
FLOOD I)LAIN:
To request an lnspectlon, you must call 726-3769. Thls ls a24hour lflq&$usEHU)oqu ested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be macle the followlng work day.
OU INSP ECTIO NS
Temporary Electrlc echanlcal - Prlor to Flnal Plumbing - When allplumblng worl( is complete.
Site lnspectlon - To be made
after excavatlon, but prior to
settlng forms.
[l Rough Elecrrical - Prior totJ cover.Final Electrical - When all
electrical work is com plete.
Underslab Plumblngl Electrical /
Mechanlca! - Prlor to cover.Electrlcal Servlce - Must be
approved to obtain permanent
electrlcal power.
echanical - When all
hanical work ls complete.
Foollng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Buildlng - When ail
required lnspectlons have been
approved and bullding is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Olher
Wall/Celling lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.Drywall - Prior to taping
MOBILE HOME INSPE TIONSUnderlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approvql
and lnstallatlon of unlt.
Blocking and Set-Up - When atl
blocking ls complete.
Floor lnsulalion - Prior to
decking.Curbcul & Agrproaclr - After
forms are erected but prlor to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer-
[-l Sanitary Sewer - Prior to fillinglJ trench.
[-l Storm Sewer - Prior to flllingu trench.
Sidewall< & Driveway - After
excavation ls complete, forms
and sub-base material in place.
Electrlcal Conneclion - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the servlce panel.
Water Line - Prlor to filling
trench.
Fence - When cciilpleted
Street Trees - When all requlred
trees are planted.
Fin
Rough Plumbing - Prlor to
cover.
I
PHONE:
\
lawQUAD
E
E
E
E
E
E
[--l Flnal - After alt required|J lnspectlons are approved andporches, sklrtlng, decks, and
ventlng have been lnstalled.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type -
-
lnterior
-
Corner
-- Panhandle r
-
Cul-de-sac
, -S THE PROPOSED WORK TN THE -
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
l, yes, thls applicatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED
P,L.TiSE GAR ACC
N
S
E
k
VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
X $/SQ. FT.
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
BUILDING VALUE, i5LRru CHECK
AND BUILDING PERMIT
This pernrit is granted on the cxpress 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
Reoeipt Number
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
ITEM
Fixtures
Flesidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
Nc
FT.
PLUMBING PERMIT
FT.
Plumblng Permlt
State Surcharge
Total Charge
. FT.
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
information hereon is true and correct, and I f urther cerilfy
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 pertalnlng to the work descrlbed
herein, and that NO OCCUPANCy wiil be made of any
structure without perrnission of the Bullding Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.0S5 wlll be used on lhls
prolect.
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 permit card ls located at the front
of the property, and the approved set of plans will remaln
Slgnature
-Date
on the site at all times d ring
Wood Stove/ lnsert/ Flreplace Unit
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolitlon
State Surcharge
tt lI
4{, 7f
Total Miscellaneous Ferrnits (E)
No
t{t o
21. to
Vent Fan
Vent
(D)
MECHANICAL PERMIT
Fu rnace
Exhaust Hoorj
Mechanical Permit
lssuance
State Surcharge
Total Permit
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, Q and E Combined)
?a
)a
0
VALIDATION:
FIECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY