HomeMy WebLinkAboutPermit Mechanical 1998-12-02'rIhlGFIELE'RESIDENTIAL
PERMIT APPLICATI
lnspections: 726-3769
Office: 726-3759
?,N'.xP'nr lF THE
.iI.)fr;t THIS PERMIT 2fr,!.\i]AI'IDONED
0t* t4e,uJOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97 477
LOCATION OF PBOPOSED WORK:L )z A/. llt\
ASSESSOBS MAP;t-)6) As 2t TAX LOT oCtoz
LOT:- BLOCK:SUBDIVISION
PHONE:
A$.ZIP:STATE:,nY I ?
h
I C
L /v.
CITY:
ADDRESS:
OWNER:but
NEW
-
REMODEL ADDITION DEMOLISH OTHER 6
}rc hJ<+ .( H -*erDESCRIBE WORK:\at( I -s.<f ..1- kLt
ADDRESS
1--7'(
C,J
ts i L(cq.
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
fvCONST.
CONTRACTOR ,EXPIFIES .t PHONE
r OF BDRMS:
- OFFICE USE -
RANGE:
QUAD AREA:
* OF BLDGS:
SECONDABY HEAT:
SQUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE
HEAT SOURCE:
LAND USE:FLOOO PLAIN:
# OF UNITS: _ZONING CODE: _
Tc request an lnspection
made the same worklng ' you rnust cail 726'3769' Thls is a24hour recording. Atl tnspections requested before 7:oo a.m. wlll beday, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTTONS
l-l remporary Etecrrtc Rough Mechanlcal - prlor to
cover.Flnal Plumbing - When ailplumbing worl( ls complete.
l-_l Site lnspection - To be mades after excavatlon, but prior tosetting forms.
Rough Electrical - prior to Final Electrlcal - When allelectrical work is complete.cover.
Underslab Plumblng/ Eleclrlcal /
Mechanlcal - Prlor to cover.
Foollng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
tl Foundatlon - After forms are
erected but prlor to concrete
placemont.
f-l Underground ptumblng - prtor4 to fllllng trench.
l--l Underltoor Ptumblng/Mechanlcat
Prlor to lnsulailon or decklng.
E Post and Beam - Prlor to floorlnsulatlon or clecklng.tl
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approactr - Afterforms are erected but prior toplacement of concrete.
Plumbing Connecllons - Whenhome has been connecled towater and sewer.l-l Sanitary Sewer - prior to filnng
-
trench.
l--l Storm Sewer - prtor to fililng
-
trench.
Sidewalk & Driveway - Afterexcavation ls complete, formsand sub-base material in place.
Electrlcal Conneclion - Whenblocking, set-up, and plumbing
lnspections have been approvedand the home is connected tothe servlce panel.
t] lyjl:*lne - Prlor to litrtns [_l Fence - when coiirpteted
Rough Plumbing - Prlor to
cover.Slreel Trees - When all requlred
trees are planted.
Final - After all requiredinspectlons are approved andporches, sklrting, decks, andventlng have been lnstalled.
t-)
WATER HEATER:
Mechanlca! - When all
work ls complete.
- When all
lnspectlons have been
and building is
INSPECTIONS
and Set.Up - When allls complete.lnsert - After flreplace approvaland lnsta,latlon of unlt.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type-
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Se , rS THE PROPOSED WORK lN THE -
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
PL.}JSE GAR ACC
N
S
E
VALUE
(A)
'?
Total Value
Building Permit Fee
State Surcharge
Total Fee
x $/so. FT.
BUILDING PERMIT
ITEM SO. FT.
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 ol Springfield, including the
Development Code, regulating the constructlon and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
,}
PLAN CH ECK
Plans Fleviewed By Date
Becei pt Numbe
Plan Check Fee:
Date Paid
Received By:
RMIT
BUILDING VALUE, I
AND BUILDING PE
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City lirnits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
Nc
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
. FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
#)u >''/(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
fr-E -#J6. -
,-lS t , t{S-
MECHANICAL PERMIT
Furnace
Exhaust Hood 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 certlfy
that any and all work performed shall be done in accordance
with the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertaining to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure wlthout perrnission of the Buildlng 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 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 remain
Signature
Date
on the site at all mes during constructlon
rvv19
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Pennits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)'\)
>o
-]-ol (
AMOUNT FIECEIVED
BECEIVED BY
DATE PAID
VALIDATION:
BECEIPT NUMBER