HomeMy WebLinkAboutPermit Mechanical 1999-05-055 IELD
REs'ffFNIIttrcArroN
lnsoections: 726'3769
office: 726-3759
.JOB NUIvIBER
225 Fif ttr Street
Spri rrg f i elrl, Oregon 97477
4Loc
SUBDIVISION: -- '
LOCATION OF PROPOSED WORK:ssa N 3s-i\\ rf,-,^rtlFrut
ASSES..RS *o", lJ o.x t.1 4)=_____-__ TAX r-otr
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ADDRESS:
CITY:
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DESCRIBE WORK:
ADDt'IESS
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EXPIRES PHONE
ATTEN"f ION:Orego n iaw requlres YOU tcr
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL;
CONST.
CONTRACTOR #
n
in OAF
).
_ OFFICE USE oAR 952-001-952-001-0010 through
rules bYLAN D U S E: -------4090-You may obtaiooop*qqott
calling theY OF UNITS:
nurnoerlo rthe
-__=€sntsr iS
WATER HEATER RANGE
SECOT\IDARY HEAT:
SQUAR[: FOOTAGE:
QUAD AREA:
* OF BLDGS:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE
HEAT SOURCE:
To request an inspectlon, you must call 726'3769. Tlris is a24hour recordlng. All inspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requestecl after 7:00 a.m. wlll be mac.le the following work day.
REOUIRED INSPECTIONS
Temporary Electrlc Rough Mechanical - Prior to
cover.
Final Plumbing - When allplUrnbing worl< is complete.
Site lnspectlon - To be made
after excavation, but prior tosetting forms.
Rough Electrical - Prlor to Final Electrical - When all
electrical work is complete.covcr
Underslab Plumblng/ Electrical /
Mechanicat - Prior to cover.Electrical Service - Must be
approved to obtairr permanent
electrical power.
inal Mechanical - When allrneclranical work is complete.
Footlng - After trenches are
excavated.Fireplace - Prlor to facing
materlals and framing lnsp.
Final Building - \Aiherr allrequired lnspectlons have beenapproved and building is
co rn pleted.l--l Masonry - Steel locatlon, boncl
-
beams, grouting.Framing - Prior to cover.
Foundatlon - After forms are
erected but prior to concrete
placement.
Other
Wall/Ceiling tnsulatlon - prlor to
cover
[l Unaerground Plumblng - prior
-
a| | to filli;s i;;"h f-'l Drvwall - Prior to laplng.
MOBILE I.IOME INSPESTIONS
Wood Stove - After lnstallation
[--l lnsert - After fireptace approvql,- and installation of unlt.
[--.l Blociiirrg and Set-Up - When ail
-
blrrcl<ini) is complete.
Curbcut & AJrprroach - Afterforrr[; are orectcd b(rt prlor to
placL.tncn t of concrete.
Plurrrbing Connections - WhenIrornc lras been connected to
w;rtc.r arrd sewer.
Sidewall< & Driveway - Afterexcavation is complete, formsantl sul.r-base material in place.
Electrical Connection - When
blocl<ing, set-up, and plumbinginspections have been approved
an.J tlre home is connected tothe::ervice panel.
Ferrce - lVhen ccinplet'dd.
Slre@t Trees - When all required
trccs are planted.
Final - After all requiredinspections are approved andporclrcs, skirting, decks, andventing have been lnstalled.
Cl 0 lcr\
E
r
t]E
T_l Underltoor Plumbing/Mechanicat
Prior to lnsulatlon or decking.
l--l Post and Beam - prior to ftoor
-
lnsulatlon or decking.
l--l Ftoor lnsulalion - Prior tolJ decking.
[-l Sanitary Sewer - Prior to fiiling
-
trench.
[--l Storrn Sewer - Prior to fiiling
-
trench-
I--l Water Llne - Prlor to fiilinglJ trent:h.
l-l Rougtr Plumbing - Prior tolJ cover.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
___- lnterior
-_ Corner
__ Panhandle
=- Cul-de-sac
Se
PL.IJSE GAR ACC
N
S
- THE PROPOSED WORK TN THE .HISTORICAL DISTFIICT. OR ON \Tl{E t-ilsroRrcAL REGTSTER?
^Julf yes, this applicailon,must be slgnedarrd approved by ine Historical
Coordinator prior to permit issuance.
BUILDING PERMIT
VALUE
(A)
SQ. FT. X $/SQ, FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
This pernrit is granteri on the express condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, inctuding theDevelopment Code, regulating the construction and use ofbuildinqs, and may be suspended or revoked at any timeupon violation of any provisions of said ordinances.
Plans Roviewed By Date
Receipt Numbe
BUILDING VALUE, PAND BUILDING PER
LAN CHECK
MIT
Date Paid
Reccived By:
PIan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
Fl'.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
N"
_ Fl.
By sigrraiure, I state and agree, that I have carefully examined
tlre conr pleted application and do hereby certify that all
information hereon is true and correct, and I f urther certlty
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Buildirrg Safety Division.
I further certify that only contractors and employees who
are in compliance with OFIS 701.055 will be used on this
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
from tho atro6t, thal tho pormlt oetc lr ln6al0d rt lh6 lfont
ti
y, and the set of plans will remaln
ng construction.
Date
$ion"tu,"
of the propert
on the site at
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
---
ft
Demolition
State Surcharge
Total Miscellaneous Pertnits (E)
No
replace Uni
GATu'la, €
I Jr. *'
----------
4 E. -:'
*_ra. -J{-LIS
Vent Fan
Dryer Vent
Wood
(D)
MECHANICAL PERMIT
Furnace
Exhaust llood
Mechanical Permit
lssuance
State Surcharge
Total Permit
>0
e
AMOUNT RECEIVF-D
FTECEIVED BY
DATE PAIi)
TO1AL AMOUNT DUE (excluding electrlcal)
(A, B, C, Q and E Cgmbined)
APPFIOVED:E
VAI-IDATION:
FIECEIPT NUMBER
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