HomeMy WebLinkAboutPermit Mechanical 1998-05-18SPRIhrGFIELE)
RESIDENTIAL
PERMIT APPLICATION
lnspect
Off ice:
LOCATION OF PROPOSED WORK:
JoB NUMBE " Qrc{qL _
225 Filth Street
Sprlngfleld, Oregon 97477
TAX LOT:053 0?ASSESSORS MAP:023 Irl
LO-1.. BLOCK:
726-3
PHONE:
STATE:ZIP
7/7--Z--,OWNER:
ADDRESS:
CITY:
DEMOLISH OTHER
DESCRIBE WORK:
NEW.- REMODEL
ADDRESS EXPIRES $ PHONE
CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONSI
CONTRACTOR #
GENERAL:
PLUMBING
PERIODANY 180 DAYLAND USE:
RANGE:
QUAD AREA:
r OF BLDGS:FLOOD I)LAIN:
ZONING CODE:
SECONDARY HEAT:
SQUARE FOOTAGE:
,r OF BDBMS: ..-_
OCCY GROUP:
*,OF STORIES:
WATER HEATER:--
To request an lnspecflon, you
made the same workln g day, I
must call 726-3769. Thls ls a24 hour recordlng, All lnspections requested before 7:00 a.m. wlllnspections requested after 7:00 a.m.wlll be macle the followln g work day.
be
J-l Temporary Elecrrtc
IRED INSPECTIONS
ugh Mechanlcal - prior tocover.. Plumbing - When altbtng worl( ls complete.plum
Slte lnspecllon - To be madearter excavation, but prior toselUng forms.
il:*:",1r,,' !i?i 3: i 5, :c
r ri c a, /
Foollng - After trenches areexcavated.
M_asonry - Steel locaflon, bondDeams, grouilng,
fl Roueh Elecrricat _ prior to
-
cover.Final Electrlcal _ Whelectrlcal work is com
en all
plete.
Eleclrica.t Servlce _ Must be
?lrpr.oyeq to obtain permanenterectrlcal power.
lll?pl."9u - prtor to factngmaterlals and framing lnspl
Framlng - prior to cover.
al Mechan lcal - When allmechanlcalwork is complete.
Fjnal Buildlng - When ailre-quired.lnspecilons have beenapproved and building iscompleted.
n Foundatton - After forms areu erected but prlor to concreG-p,acemont.
Other
W-all/Celling lnsulailon _ prlor tocover.
Underground plumbl ng - Priorto fllllng trench.Drywall - prior to taplng
Underlloor plumblng/ Mechanlcat
- rrlor to lnsulatlon or clecklng.
Post and Beam - prlor to floorlnsulation or decklng.
Floor Insulalion - prior todecklng.
Sanilary Sewer - prior to flilingtrench.
Storrn Sewer - prlor to fillingtrench.
Wood Slovo - After lnstallailon.
MOBILE HOME INSPECTIONS
fl aloc&ing and Ser.Up _ When ail
-
blocklng ls compleie.1n":I - After ftreptace approvsland lnstallatlon ol unlt.
Curbcut & AJrproach _ Afterrorms are erected b(rt prior topracomont of concrete.
Sidewalk & Driveway _ Afterexcavation ls complete, formsano sub.base material in ptace.
Fence - When ccinpleted.
Plumbing Connectlons _ Whenhome has been connectect towater and sewer.
I--| y^rt:l Lrne - prlor to fiilins
-
trench.
Eleclrical Connection _ When
P]3!IilP: set'up, ano ptumoin-g'rnspecilons have been approvedand the.home is connected tothe servlce panel.
Rough plumbing
- prior tocover,E ;:';""t ;:H"*y^en arr requrred
Flnal - After all required
xt?ffi:: : s;, i I;,1'fJ8t::.xTvenung have been lnstalled.
. SUBDtVtSION: _
77q
# OF UNITS:
CONSTR. TypE:_._-
HEAT SOURCE:
t, i
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot TYPsv
-
lnterior
-
Corner
-
Panhandle !
-
Cul-de-sac
ks
PL.HSE GAR ACC
N
S
E
IS THE PROPOSED WORK TN THE .. HISTORICAL DISTRICT, OFI ON
THE HISTORICAL REGISTER?
-
ll yes, this appllcatlon must be slgned
and approved bY the Historlcal
Coordinator prior to permit issuance.
APPROVED
AND BUILDING PERMIT
This pernrit is granted on the cxpress 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
ouildings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances'
Plan Check Fee: _.--.-
Receipt Number:
DatePlans Revi ewed BY
BU I LDI NG lUe, i5lnN cHEcK
Date Paid
Received BY:
VALUE
(A)
{
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PTNidIT
ITEM
Main
Garage
Carport
SO. FT. X $/SO. FT.
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved'SYSTEMS DEVELOPMENT CHARGE (S
(B)
DC)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
SanitarY Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
Nr
Wo,,t"
FEE
FT.
FT.
FT
(c)
,f ao
i7;'
lt.?a
l{.oc
Plumbing Permit
State Surcharge
Total Charge
By slgnature, I state and agree, that I have caref ully examlned
the cclmpleted application and do hereby certify that all
lnformatlonhereonistrueandcorrect,andlfurthercertlfy
that any and all work performed shall be done in accordance
wlththeordinancesofthecityofSprlngfield'andtheLaws
of the State of Oregon pertalnlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
StrUctUrewlthoutpertnissionoftheBulldirrgsafetyDivislon.
lfurthercertifythatonlycontractorsandemployeeswho
are ln compliance with ORS 701'055 will be used on this
proiect.
to ensure that all required lnspections are
proper tlme, that each address ls readable
Slgnatu
Date
street
I ti
I further agree
at the
at the frontthat the Permit
s will remainot pland'the
during const
requested
from the s
of the Pro
on the sitr
Wood Stove/ lnsert/ Flreplace Unit
MISCELLANEOUS PERMITS
MECHANICAL PERMIT
3.0 ,
l5q
Lo:I tPt
20'do
vl.bo
Total Mlscellaneous Permits
(D)
(E)
I 0,0 o
No
/, tltt . 6a
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolitlon
Stale Surcharge
Furnace
Exhaust Hood
Vent Fan
7?117
t8
d
VALIDATION
BECEIPT NUMBER
DATE PAI[)
AMOUNT BECEIVF.D
RECEIVED BYTOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Comblned)
1
Vent