HomeMy WebLinkAboutPermit Mechanical 1998-03-26INGFIELDR.ESIDENTIAL
PERMIT APPLICATION
lnspec
Off ice:
tions: 726-3769
726.3759 *fr,
803boJOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
TAX LOT:o3g
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LOCATION OF PROPOSED WORK:
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ESSOBS MAP;'7oz z 5>t
LOT:BLOCK:SUBDIVISION:
PHONE:
ZIP:
ADDRESS:
OWNER:
CITY:
-
ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NEW- REMODEL
ELECTRICAL:
ADDBESS
h
EXPIRES ,. PHONECONTBACTOR'S NAME
MECHANICAL:
CONST.
RACTOR #
PLUMBING:
GENERAL:
RANGF-:
r OF BDRMS:
- OFFICE USE -
LAND USE:
WATER HEATER:
FLOOD PLAIN
I OF UNITS:
OUAD AREA:
* OF BLDGS;
SECONDARY HEAT:
SOUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
ZONING CODE:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. will be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
n femporary Electrlc Rough Mechanlcal - Prior to
cover.
f-_l Flnal Plumblng - When ail|J plumblng work ls complete.
Slte lnspection - To be made
after excavatlon, but prior to
setting forms.
Rough Electrical - Prior to Flnal Electrical - When all
electrical work is complete.
Underslab Plumblngl Electrical /
Mechanlcal - Prlor to cover.- Must be nal Mechanical - When all
obtaln permanent mechanical work ls complete.
tl Footlng - After trenches are
excavated.Flnal Bulldlng - When all
requlred lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.v /6 i,t
l--l rram /g'Nor Othor Cn-
Foundatlon - After forms are
erected but prlor to concrete
placement.Wall/Celling lnsulatlon -ffe to
cover.
Underground Plumblng - Prior
to fllllng trench.n Drywall - Prlor to taplng.
MOBILE HOME INSPE TIONSEUnderlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng,lnsert - After flreplace approvgl
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulation - Prior to
decklng.Curbcut & A;:proach - After
forms are erected but prior to
placement of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to fllling
trench.Eleclrical Connection - When
blocklng, set-up, and plumblng
lnspections have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prior to fllllng
trench.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base material ln place.
Water Llne - Prlor to filling
trench.
Fence - When collpleted.
Rough Plumbing - Prior to
cover.
Str€et Trees - When all requlred
trees are planted,
Final - After all required
inspections are approved and
porches, sklrting, decks, and
ventlng have been lnstalled.
E E
tl
tl
E
tl E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type v
-
lnterior
-_ Corner
-
Panhandle !
-
Cul-de-sac
backs i --TS THE PROPOSED WORK iN THE -
HISTORICAL DISTRICI, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance,
APPROVED:
P.L.HSE GAR ACC
N
S
E
VALUE
(A)
.4
Total Value
Building Permit Fee
State Surcharge
Total Fee
i
BUILDING PERI,IIT
ITEM
Main
Garage
Carport
SO. FT. X $/SQ. FT.AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Spring(ield, 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.
Receipt Number:_
Plans Reviewed By Date
BU I LDI NG LUE,LAN CHECK
Plan Check Fee:
Date Paid
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
Fixtures
Resldential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
FT,
PLUMBING PERMIT
FT.
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have caref ully examlned
the completed apptication and do hereby certify that all
lnformatlon hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
with the Ordinanccs of the City of Springfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure wlthout perrnission of the Building Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 7O1.055 will be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remain
)
imes during construction
Date
fl.,nn.,rru
on the site at qfi-.,!
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
Slate Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Miscellaneous Permits (E)
4a.- -
(D)
Mechanical Permit
lssuance
State Surcharge
Total Permit
*rs, -Srq-=
JSLij<fut^4
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan No
TOTAL AMOUNT DUE (exctuding electricat)
(A, B, C, Q and E Combined)
^71{'
4ul
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I
J
FIECEIVED BY
AMOUNT RECEIVED
DATE PAID
VALIDATION:
RECEIPT NUMBER
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FT.