HomeMy WebLinkAboutPermit Mechanical 1998-09-03RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-9769
Office: 726-3tSg
LOCATION OF PROPOSED WOBK:o 72.T,
Lr,
.JOB NUMBEFI
225 Fifth Street
Spring fietd, Oregon gl 417
Saatz/_
ASSESSOBS MAP:
LOT or A^r.
TAX LOT
SUBDIV|SION: ----_
PIlONE
ZIP:77
z a
STATE:CITY:
ADDRESS:
OWNER:
ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NEW- REMODEL
ADDRESS EXPIRES .? PHONE
ELECTRICAL:
CONTRACTOR'S NAME
MECHANICAL:
coNsT.
CONTRACTOR #
GENERAL:
PLUMBING
RANGF-:
* OF BDBMS:
- OFFICE USE -
LAND USE:
WATER HEATER
* OF UNITS:ZONING CODE:
FLOOD })LAINQUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SQUARF. FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspection, you must call 726-3769. Thls ls a 24 hour recordlng. All inspections requested before z:OO a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be mac]e the following work day.
REQUIRED INSPECTIONS
l-l Temporary Etectrlc J\4 Rough Mechanlcal - Prior to
/4\ cover.
Flnal Plumbing - When allplumbing worl( is complete.
Slte lnspecllon - To be made
after excavation, but prior to
settlng lorms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prior to cover.Eleclrical Service - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lrrsp.
Flnal Building - When ail
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prior to concrete
placement.Wall/Celllng lnsulatlon - Prlor to
cover.
Underground Plumbing - Prior
to fllllng trench.Drywall - Prlor to taping
MOBILE HOME INSPECTIONSUnderlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decking.Wood Stove - After lnstallatlon
Post and Beam - Prior to floor
lnsulatlon or decking.lnsert 7- After fireplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When atl
lrlocklng ls complete.
Floor lnsulalion - Prior to
decklng.Curbcut & Approaclr - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home lras been connected to
water and sewer.
Sanltary Sewer - Prior to filling
trench.Eleclrlcal Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home is connected to
th'e servlce panel.
Storrn Sewer - Prior to filling
trench.
Sidewall< & Driveway - After
excavation ls complete, forms
and sub-base material. in place.
Water Llne - Prlor to filling
trench.l--l fence - When coinpleted.
Rough Plumbing - Prior to
cover.
Str€el Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, sklrting, decks, and
ventlng have been installed.
n/
E
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tl
E
tl
E
E
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tl
E
tl
tl Other
-
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
Lot Type v
-
lnterior
-
Corner
"- Panhandle
-
Cul-de-sac
P,L.HSE GAR ACC
N
S
E
Se IS THE PFIOPOSED WORK TN THE.. HISTORICAL DISTRICT, OR ON
THE HISTORICAI. REGISTER?
-
lf yes, this applicatlon must be slgned
and apProved bY the H istorlcal
Coordinator prlor to permit issuance.
APPFIOVED:
t,.{
X $/SO. FT.
BUTLDING PERMIT
ITEM
Main
Garage
Carport
SO. FT.VALUE
Total Value
Building Permit Fee
State Surcharge
Total Fee (A)
BUILDING VALUE,
AND BUILDING PE
iSmu cHEcK
RMIT
This permit is granted on the express condition that the said
consiruction 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'
Plan.Check Fee:
Date Paid
Recei pt Number:-
Received By:
Plans Heviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
Nc
- FT.
FT.
FT.
Plumbing Permit
State Surcharge
Total Charge (c)
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan N0 39"
Wood Stove/ lnsert/Flreplace Unlt
Dryer Vent 39p
Mechanical Permit
lssuance
State Surcharge
Total Permit
,4*a) /taoJo'n
, ) f* ,4.f
(o)
/20
?/r>o
By slgnature, 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 further cerilfy
that any and all work performed shall be done ln acoordance
wlth the Ordinanccs 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 perrnission of the Bulldlng 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 lnspections are
requested at the proper time, that each address ls readable
from tlre street, that the permlt card ls'located at the lront
of the property, and the approved set of plans will remaln
on the site at times during construction.
,K,nn",,
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
---
ft
Oemolition
State Surcharge
Total Miscellaneous Perrnits (E)
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVF.D
RECEIVED BY
Z
2rt
TOTAL AMOUNT DUE (excludlng electrlcat)
(A,! B, C, D, and E Cgmblned)
1,r LoZ.Ar.
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.