HomeMy WebLinkAboutPermit Mechanical 1998-09-16SPRINGFIELE,RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726.3769
Office: 726-3759
LOCATION OF PROPOSED WOB
7Yte rJOB NUMBER
225 Fifth Street
Springf leld, Oregon 97 477
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ASSESSOBS MAP:l-/033 TAX LOT /1700
LOT BLOCK:SUBDIVISION:
--
PHOr'{E
ztP
/U
STATE:oz
OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
coNrRAcroR's NAME ADDRESS 38Nilooo^ , ExprRES {, pHoNE
GENERAL:
?l(I lr1)6W glLtr
ELECTRICAL:
MECHANICAL:
PLUMBING:
To request an ln
made the same
spectlon, you must call 726-3769. Thls is a24hour recordlng. All lnspections requested before 7:00 a.m. wlll beworklng day, lnspections requested after 7:00 a.m. will be macte the following work day.
REQUIRED INSPECTIONS
l-l Foottng - After trenches arelJ excavated.
n fUasonry - Steel locailon, bondlJ beams, grouilng.
[-l Flreplace - prtor to factng
-
materlals and framing lnsp.
Temporary Electrlc
Slte lnspectlon - To tre made
after excavatlon, but prlor to
settlng forms.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placemont.
Post and Beam - prlor to ,loorlnsulatlon or decklng.
Floor lnsulatlon - prior to
decklng.
Rough Mechanical - prlor to
cover.
Rough Electrical - Prior to
cover-
Electrical Servlce - Must be
approved to obtain permanent
electrlcal power.
Flnal Plumblng - When allplumbing worl( is complete.
Flnal Electrical - Wt.ren all
rical work is complete.
Mechanical - When allchanical work is complete.
Flnal Building - Mihen allrequired lnspections have beenapproved and building is
completed.
her /r n-e
MOBILE HOME INSPE TIONS
Plumbing Connections - Whenhome has been connected towater and sewer.
E ,'dtffiH!"irlfl"tn'."olng - Prlor l-l Drywan - prror to taprns
l--l Underltoor Plumblng/ Mechanlcal
Prior to lnsulatlon or decklng.
f-l Sanitary Sewer - prior to filtinglJ trench.
I-l Storm Sewer - prior to filling
-
trench.
Framlng - Prior to cover.
Wall/Celling lnsulatlon - prlor to
cover.
Wood Stove - After lnstallatlon
Sidewalk & Driveway - Afterexcavation is complete, formsand sub-base material In place.
lnserl - After flreplace approval
and installation of unit.
[--l Blocking and Ser.Up - When ail
-
blocking is complete.
Curbcut & Alrproach - After
forms are ert:cted bUt prior toplacement of concrete.
Electrical Connection - Whenblocking, set-up, and plumbing
lnspections have been approvedand the home is connected tothe servlce panel.Waler Llne - Prior to filting
trench.
Rough Plumbing - prior to
cover.Slreel Trees - When all requlred
trees are planted.
Final - After all requiredinspectlons are approved andporchos, sklrilng, decks, andventlng have been lnstalled.
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4t q77
E
fl
n Fence - Vlhen coiilpleted.
fl
Lot faces
Lot sg. ftg.
Lot coverage
Topography
Total height
Lot Type -.-
-
lnterior
-
Corner
-- Panhandle
-
Cul-de-sac
Setbac
PL.HSE GAR ACC
N
S
E
1s-rnr PRoPoSED woRK rN THE -
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be signed
arrd approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
, rl.
BUILDING \ALUE, PLAN CHECK
AND BU!LDING 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 ol 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
Receipt Numbe
Plan Check Fee:
Date Paid
Beceived By:
VALUE
(A)
'i
Total Value
Building Permit Fee
State Surcharge
Total Fee
X $/SO. FT.
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N?
FT.
FT.
FT.
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
?,so
t{. () o
(D)
1J 7f
NoVent Fan
/0. tt
zC. t,t
replace UnitWood Stove
r Vent
Mechanical Permlt
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hoorj By signature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther certlfy
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 descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without pertnission of the Building Safety Divislon.
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 tho street, that the permlt card ls located at the lront
of the property, and the approved set of plans will remaln
Date b
ripSonstructton.
t7t-t*-r-u
on the site at all times du
Signature
?1J bz
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneous Pertnits (E)
qt
VAI-IDATION
RECEIPT NUMBER
DATE PAI[)
ZG t*AMOUNT BECEIVF.D
RECEIVED BY
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Comblned)
i,
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