HomeMy WebLinkAboutPermit Mechanical 1998-11-03SPFrInlGFIELI)
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Office: 726-3759
LOCATION OF PRO
ASSESSORS MAP:
LOT BLOGK:
*fr,
rd T
JOB NUMBER
225 Fifth Street
Sprlngfteld, Oregon 97477
TAX LOT:
I
PHONE:
6E
? 7(e7ZIP:Uove{A opSTATE:
a ea-?)95
87
CITY:
l0/1,/
ADDRESS:
OWNER:173 Ga.al
NEW
-
REMODEL ADDITION DEMOLISH OTHER
/tr 64s FUR.4/4{€,oDESCRIBE WORK:
GENERAL:
ELECTRICAL:
ADDRESS
v azfce 4t.v
EXPIRES ,111 PHONE
7z /o-140 1vb-lbe I
CONTRACTOR'S NAME
PLUMBING:
MECHANICAL:
CONST.
CONTRACTOR #
)
?
,a,
r!9Uire5
rDa
F-:
A
*o YofiAF UNlrs:
Yob
WATER H
, OF BDBMS
ZONING CODE:
SECONDARY HEAT:
SOUARE. FOOTAGE:
QUAD
- OFFICE USE -
LAND USE:
To request an lnspectlon,Thls ls a 24 hour recordlng ,A ll requested before 7:OO a.m. wlll be
made the same worklng day, lnspections requested af ter 7:00 a.m. wlll be made
REQUIRED INSPECTIONS
work day,
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
mbing - When all
work is complete.
Slte lnspectlon - To lre made
after excavatlon, but prior to
settlng forms.
Rough Electrical - Prior to Flnal Electrical - When all
electrlcal work is complete.cover,
Underslab Plumblngl Electrical /
Mechanlcal - Prior to cover.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Buildlng - When all
requlred lnspectlons have been
approved and buildlng is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover,
E Foundatlon - After forms are
erected but prlor to concrete
placement.WaltlCelling lnsulatign - Prlor to
cover.
Underground Plumbing - Prior
to filllng trench.l--l Drywall - Prlor to taP)pg. 'rt
MOBILE HOME INSPE TIONSUnderlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.Wood Stovo - After lnstallation.
Post and Beam..:- Prlor to floor'lnsulatlon or ilecklng. - ..
. l.l. ';I.-" .. .Floor lnsulation - Prior to
decking.
lnsert - After flreplace approval
and installatlon of unlt.
Blocking and Set.Up - When ail
blocklng ls complete.
Curbcut & Alrproaclr - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connectlon - Whenblocking, set.up, and plumblng
lnspections have been approved
and the home is connected to
the servlce panel.
Slorrn Sewer - Prior to filling
trench.
Sidewalk & Drlvewav - After
excavation is complete, forms
and sub-base material in place.
Water Llne - Prlor to filllng
trench.
Fence - When cci'rrpleted
Rough Plumbing - Prlor to
cover.
Streel Trees - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved andporches, sklrtlng, decks, andventlng have been lnstalled.
SUBDIVISION:-
?
FLOOD I)LAIN:
tl
n
E
E
., ).E
tl
E
E
E
tl
fl
E
Other
-
E
E
. ;1
Lot faces!r.'Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
"- Panhandle !
-
Cul-de-sac
( rs THE PROPOSED WORK IN THE -
HISTORICAL DISTFIICT, OR ON
THE HISTOFIICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
--+---
P.L.HSE GAR ACC
N
S
E
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 time
upon violation of any provisions of said ordinances.
Receipt Number:-
Plans Reviewed By Date
LAN CHECK
IMIT
E ,l
EDGNP R
Plan Check Fee:
Date Paid
Received By
BUI LDI NG
AND BUILVALUE
(A)
FT.
Mrr
Total Value
Buildlng Permit Fee
State Surcharge
Total Fee
'ii t
X $/SO. FT.
BUILDING PER
ITEM SQ.
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 Permlt
State Surcharge
Total Charge
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
informatlon hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
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 wlthout pertnission of the Buildirrg Safety Division'
I further certify that only contractors and employees who
are ln compliance with ORS 701.O55 will be used on thls
prolect.
I {urther agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
from the street, that the permit card ls located at the front
and the approved set of plans will remaln
(,(4-?[
corilt ruction.
C
mes
uresls
of
on
the property, ,t\thd sit19"Y al
,!
Wood Stove/ lnsert / Fl replace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk -.=_.-- ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Perlnits (E)
(D)
No
+tdJrtu"tL
Mechanical Permit
Vent Fan
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
TOTAL AMOUNT DUE (excluding electric
(A, B, C, D, and E Combined)
VALIDATION:
RECEIPT NUMB
DATE PAII)
AMOUNT REC
RECEIVED BY