HomeMy WebLinkAboutPermit Mechanical 1998-02-10RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:
SPRIhlGFIELD
ze
JOB NUMBER ?got<a
225 Fifth Street
SpringflelrJ, Oregon 97477
TAX LOT:O>
SUBDIVISION:
--
BLOCK:
4:, - zrp, ?)/2?
naPHONE:
STATE:CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
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DESCRIBE WORK:
ADDRESS EXPIRES ,11 PHONECONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR ,'
- oFFtcE usE -
WATER HEATER:
FLOOD I)LAIN:
RANGE:
OUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SQUABF. FOOTAGE:
, OF BDRMS;
-
OCCY GROUP:
I OF STORIES:
ZONING CODE:
CONSTR. TYPEr
HEAT SOURCE:
, OF UNITS: _-
To request an Inspectlon, you must call 726-3769. Thls ts a24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
l-l Temporary Electric
t___J
Rough Mechanlcal - Prior to
cover.
Flnal Plumbing - When att
plumbing work ls complete.
Slte lnspectlon - To be made
after excavation, but prior to
setting lorms.
Rough Electrical - Prior to Flnal Electrlcal - When all
electrical work is complete.cover.
Underslab Plumblng/ Electrical /
Mechanlcat - Prlor to cover.Electrical Servlce - Must be
approved to obtain permanent
electrlcal power.
w Final Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.[l Flreplace - Prlor to facing
-
materlals and framlng lnsp.
Flnal Building - When all
requlred lnspections have been
approved and bulldlng is
comp,eted.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.
Foundallon - After forms are
erected but prlor to concrete
placemont.
Other
Wall/Celling lnsulatton - Prlor to
cover.
Underground Plumblng - Prior
to Illllng trench.Drywall - Prlor to taplng
MOBILE HOME INSPECTIONS
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decking.Wood Stove - After lnstallation
Post and Bsam - Prlor to floor
lnsulation or decklng.lnsert - After flreplace approval
and lnstallatlon o[ unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulation - Prior to
decl<lng.Curbcut & Alrproach - After
forms are erected but prior to
placement of concrete.
Plumbing Connectlons - When
home lras been connected to
water and sewer.
Sanltary Sewer - Prior to fllling
trench.Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base material in place.
Water Llne - Prlor to filling
trench.n Fence - When coiilpleted.
Str€et Trees - When all requlred
trees are planted.
Final - After all required
inspectlons are approved andporches, sklrting, decks, and
ventlng have been lnstalled.
E
Rough Plumblng - Prior to
cover.
LAND USE:
E
E
E
E E
E
E
E
E
P.L.HSE GAR ACC
N
S
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
-
lnterlor
-
Corner
-
Panhandle !
-
Cul-de-sac
Set i.-1S THE PROPOSED WORK IN THE .
HISTORICAL DISTRIC"T, OR ON
THE HISTORICAL REGISTER?
-
ll yes, thls applicatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
VALUE
(A)
:; 't
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERfiiIT
SQ. FT. X $/SQ. FT.ITEM
Main
Garage
Carport
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 Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
BUILDING
AND BUIL
E,
PE
LU
D GN MR IT
Date Paid
Received By:
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
ITEM
Flxtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
FT.
FT.
N!
FT.
PLUMBING PERMIT
Plumbing Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)2Z-,2?
E7
No
/4,efr:B2r* /=.*Mechanical Permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accorrJance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon perlalnlng to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure without perrnission of the Building Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 wlll 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 tlre street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
Date
on the site at all times durin g constructio
Slgnatu re
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Mlscellaneous Permits (E)
?,e
DATE PAII)
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
,, . i ..
,i,
Receipt Number:_
'|.PLAN CHECK
TOTAL AMOUNT DUE (excluding electricat) _---
(4, B, C, Q and E Comblned)
B2