HomeMy WebLinkAboutPermit Mechanical 1999-09-26RESIDENTIAL
PERMIT APPLICATTON
lnspectlons: 726-3769
Office: 726.3159
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L.JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon gl 4ll
LOCATION OF PROPOSED WORK:z fg7
ASSESSORS MAP:
TAX LOI:LOI BLOCK:SUBDIVISION
PHONE:a4
F -7?
o
STATE:ztP, ?7(7u
OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
Du e{b c,fkDESCRIBE WORK:
,a
ME ADD
Ia c
OUAD AREA:Jl lUIdXt IVHS.T
# OF UNITS:
nter
-0010 throug h oAR 952-001-
EXPIRES ,iilcal
OFFICE USEDaHing the ce
numberforthe O
ris
r OF BDBMS:
RANGE:
cation
law requires You tc
follow rules adopted bY
forth
I OF BLDGS:
CONTRACTOB'S
MECHANICAL;
PHONE
PLUMBINGT
GENERAL:
CONST,
CONTRACTOR #
WATER HEATER:
ZONING CODE:
SECONDARY HEAT:
SOUARE FOOTAGE:
CONSTR. TYPEI
HEAT SOURCE:
ELECTFIICAL:
OCCY GBOUP:
* OF STOBIES:
LAND USE:
/.
To reguest an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be ma<le the followlng work day.
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanical - Prior to
cover.
Final Plumbing - When altplumbing worl( is complete.
Slte lnspectlon - To lre made
after excavatlon, but prlor to
settlng forms.
Rough Electrical - Prior to Flnal Electrical - When all
electrlcal work is complete.cover.
Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.Electrical Servlce - 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 lnsp.
Flnal Bullding - When all
requlred lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng,Framlng - Prlor to cover.
E Foundallon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celling tnsulatlon - Prior to
cover,
Underground Plumblng - Prlor
to fllllng trench.l--l Drywatl - Prtor to taptng.
Underlloor Plumblngl Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPESTIONS
Wood Stovo - After lnstallation
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unlt.
[-_l Atocking and Set.Up - When ail
-
blocklnO ls complete.
Floor lnsulatlon - Prior to
decking.Curbcut & AJrproach - After
forms are erected but prior to
placement of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to fllling
trench.Electrical Connection - When
blocking, set-up, and plumbing
lnspeclions have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prior to fllllng
trench,
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base material in place.
water Llne - Prlor to filling
trench.
Fence - When ccilpleted.
Rough Plumblng - Prlor to
cover.
Street Trees - When all requlred
trees are planted.
Final - After all required
inspectlons are approved and
porches, skirting, decks, and
ventlng have been lnstalled.
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Tyg
-
lnterlor
-
Corner
-
Panhandle !
-
Cul-de-sac
t lS THE PROPOSED WORK tN THE -
HISTORICAL DISTRIC"T, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be signed
and approved bY the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
P.L.GAR ACCHSE
N
S
E
This pernrit is granted on the express condition that the said
consiruction 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
BUILDING TATUE, I
AND BUILDING PE
LAN CHECK
RMIT
Plan Check Fee:
Date Paid:
Receipt Num
Received BY:
VALUE
(A)
FT.
MIT
Total Value
Building Permit Fee
State Surcharge
Total Fee
,ltlt r
X $/SQ. 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)
ITEM
Fixtures
Residentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
Nr
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
. FT.
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have caref ully 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 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 Building Safety Division.
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 lnspections are
requested at the proper time, that each address is readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
on the site at all times during
4*-z-/Signature
/'24- ;t.iDate
construction
Wood Stove/ lnsert/ Flreplace Unit
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Pennits (E)
)2.,
No
t5, ly
/o-rD
/-(
Vent Fan
Dryer Vent
(D)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Mechanical Permit
lssuance
State Surcharge
Total Permit
TOTAL AMOUNT DUE (excluding electrical)
(A,B,qQandECombined)
VAI-IDATION:
RECEIPT NUMBER 03t017
q
DATE PAI[)
AMOUNT RECEIVED )<s
4rRECEIVED BY ul 4ila(/o