HomeMy WebLinkAboutPermit Mechanical 1999-07-09SP}lINGFIELDRESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Office: 726-3759
??o ? 2tJOB NUMBEB
225 Fifth Street
Sprlngfleld, Oregon 97477
>4LOCATION OF PROPOSED WOBK:
ASSESSORS MAP:t7b23t/I TAX LOT:Teto o
LOr BLOCK:SUBDIVISION:
PHONE:
STATE:ZIP:
OWNEB:
ADDRESS:
CITY:
OTHERSH
DESCRIBE WOFIK:
NEW
-
REMODEL ADDITION
GENERAL:
ELECTRICAL:
ADDRESS
Jy? 7ca z
EXPIRES 61 PHONECONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
CONST.
CONTRACTOR #
- OFFICE USE -
To request an ln OD,you must cal 726-3769.Thl S 24 hour rec ordl n s.A NS pe ct on S re qu ested fo re 7:00 a.m.bellbe
l-_l Flnal Plunrblng - When aillJ plumbing worl< ls complete.
il
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be macle the followlng work day.
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
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tl
tl
tl
tl
E
Feollng - After tronchgs are
excavated.
Masgnry - Steel locatlon, bond
boamc, 0Ioulln0,
l-l Flropttc. - Prior to frcingu materlals and lramlng lnsp.
l-l Framlng - Prior to cover.
l--l WalttCelllng tnsulatlon - Prlor to|J cover.
SIte lnspectlon - To be mado
after excavatlon, but prior to
setting forms.
Underelab Plumblng/ Electrical /
Mechanlcal - Prlor to cover,
Rough Electrlcal - Prior to
cover.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Drywall - Prlor to taplng.
Wood Stovo - Aftor lnstallatlon
lnserl - After flreplace approvgl
and lnstallatlon of unlt.
Curbcut & Alrproaclr - After
forms are erected but prlor to
placement qf cancrete.
Sidewalk & Drlveway - After
excavatlon ls complete, forms
and sub-base materlal ln place.
I Fence - When coinpleted.
$treet Trees - When all roqulred
lrees aro Pl8ntoc,
Flnal Electrlcal - When all
electrical work ls complete.
Mechanlcal - When all
anlcal work is cgmplete.
Flnrl Bulldlng - When all
roqulrrd lnapaotlgna h.va b.anapprovod and bulldlng lo
completed.
MOBILE HOME INSPECTTONS
Blocklng and Set.Up - When alt
blocklng ls complete.
Plumbing Conneqtlons - When
home l'ras been connected to
water and sewer.
Electrical Connection - When
blocking, set.up, and plumblng
lnspections have been approved
and the home ls connected to
the servlce panel.
Flnal - After all requlred
lnspectlons are approved and
porches, sklrting, decks, and
venilng have betn tnltclled,
Foundatlon - After lorms ar€
erected but prior to concrete
placement.
Underground Plumblng - Prlor
to lllllng trench.
Underlloor Plumblng/ Mechanlca!
- Prlor to lnsulatlon or decklng,
Post and Beam - Prlor to floor
lnsulatlon or decklng.
Floor lnsulation - Prlor to
decklng.
Srnltrry Sewer - Prlor to tlltlng
trench.
Storm Sewer - Prior to fllllng
trench.
Water Llne - Prlor to filling
trench.
Rough Plumbing - Prlor to
cover,
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot TVpe
-
lnterlor
_- Corner
-
Panhandle i
-
Cul-de-sao
(S THE PROPOSEO WORK TN THE.
HtsToBtcAL OlSTRtCr, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
P.L.HSE GAR ACC
N
s
E
(A)
: VALUE
Total Value
Building Permit Fee
State Surcharge
Total Foo
'rl t
X $/SQ. FT.
BUILDING PENMIIT :
ITEM SQ. FT.
Main
Garage
Carport
BUlLDlrrrC Vhr-tjr, i5tRru CHEC
AND BUILDING PERMIT
This permlt is granted on the express condltion that the sald
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the constructlon and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
K
Plan Check Fee:
Date Paid:
Receipt Num
Beceived By:
SYSTEMS DEVELopMENT CHARGE (sDe)
(B)
Systems Development Charge ls due on atl undeveloped
properties wlthln tho City llmits which are being improved,
ITEM
Flxtures
Resldentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
FT.
(c)
Plumbtng rermlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unlt
l,foo
/0,0 0
/-r-z-,2fl(D)
N0Vent Fan
Vent
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon ls true and correct, and I f urther cerilfy
that any and all work performed shall be done in accorrJance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structure wlthout perrnission of the Bullcllng Safety Divislon.
I further certify that only contractors and employees who
are In compllance with OFIS 701.055 wlll be used on thls
proiect.
I further agree to ensure that all required lnspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
Date
on the slte at all mes durlng c
Slgnature
tlon.
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excludlng electricat)
(A, B" C, Q and E Comblned)
VAI-IDATION
FIECEIPT NUMBER
DATE PAID r
AMOUNT RECEIVED
RECEIVED BY
26
{r,
FCnE Eoviewoa-By - -- Drt.
N.
FT,
FT.
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