HomeMy WebLinkAboutPermit Mechanical 1999-03-09SPRINGFIELE,?qost
JOB NUM
225 Fifth Street
Sprlngfleld, Oregon 97477
RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Offlce: 726-3759
LOCATION OF PROPOSED WOBK:.Sos N . 3dh
ASSESSORS MAP:TAX LOT:
SUBDIVISION:
--
LOT BLOCK:
1L6 -1s7.6PHONE:
q7q7ZIP:
A
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STATE:
e
+.
.s
CITY:
ADDRESS:
OWNER:
NEW
-
BEMODEL ADDITION DEMOLISH OTHER
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II
(-DESCRIBE WORK:
Go-s
hra*e( Hcat.r
ADDRESS
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EXPIRES 1 PHONECONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
CQNTRACTOBCv 6o, Se
FLOOD PLAIN
"_, ifficoNDARY HEAT
E:
tt* OF UNITS:
- OFFICE USE -
LAND USE:
SQUARF. FOOTAGE:
QUAD AREA:
r OF BLDGS:
TFTHE frolHNG coD
i?:,0," t$ Q$ponus:OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
To request an lnspectlon
made the same worklng ' you must call 726-3769. This ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. will beday' lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
IRED INSPECTTONS
l-l Temporary Electrtc Mechanlcal - Prior to nal Plumbing - When allcover.plumblng worl( ls complete.
Slte lnspectlon - To be made
after excavatlon, but prlor to
setting forms.
Final Eleclrlcal - When allelectrlcal work ls complete.
[-_| Underslab Plumblng/ Electricat/u Mechanlcat - Prior to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
olectrlcal power.
Mechanical - When all
hanlcal work ls complete.
Footlng - After trenches are
excavated,Flreplaco
Flnal Bulldlng - When ailrequlred lnspectlons have beenapproved and buildlng is
completed.
- Prlor to faclng
p.
tl Other
Prlor to 3
MOBILE HOME INSPE TIONS
llatlon
Post and Beam - Prlor to floor
lnsulatlon or.decklng.lnsert - After flreplace approvql
and lnstallatlon of unlt.
Blocklng and Set.Up - When allblocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & A3rproaclr - After
forms are erected bUt prlor toplacomont of concrete.
Plumbing Connecllons - When
home has been connected towater and sewer.
Sanltary Sewer - Prlor to fllllng
trench.
n Storm Sewer - Prtor to fllllngu trench.
Sldewalk & Driveway - After
excavatlon ls complete, forms
and sub-base material ln place.
Electrlcal Connection - Whenblocklng, set.up, and plumbing
lnspectlons have been approvedand the home is connected tothe servlce panel.
Water Llne - Prlor to filllng
trench.
Fence - When coi'rrpleted.
Rough Plumblng - Prlor to
cover.
$lreet Trees - When all requlred
trees are planted.
Flnal - After all required
lnspectlons are approved andporches, sklrtlng, decks, andventlng have been lnstalled.
(
WATER HEATEFI:
l-l Rough Electrtcal - prior to
-
cover. I I
r
E
I
E
Lot faces
Lot sg. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle I
-
Cul-de-sac
PL.HSE GAR ACC
N
S
E
Se
VALUE
(A)
/r
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
X $/SQ. FT.
BUILDING PERMIT
ITEM SO. FT.
Thls permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfleld, includlng 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 sald ordinances.
Plans Reviewed By Date
Plan Check Fee:
Recelpt Numbe
BUILDING VALUE,
AND BUILDING PE RMIT
LAN CHECK
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
propbrties wlthln tlre City limits which are being improved.
ITEM
Fixtures
Besidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
16,,1)
dD
'/5. 7i
(c)
Nt
FT.
FT.
FT.
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
e
dD
f Tahr.t6 6
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
2.Ol)
/f,oo
(D)
NoVent Fan
LO.LO
Mechanical Permit
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon perlalnlng to the work descrlbed
herein, and that NO OCCUPANCY wlll be made of any
structure wlthout perrnission of the Bulldlng Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 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
111
,times durln g constructlon
Slgnature
Date
on the slte at
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolition
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Comblned)
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0V768LVALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
I- THE PROPOSED WORK TN THE.
HISTORICAL DISTRIGT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this appllcatlon must be slgnedand approved by the Historlcal
Coordinalor prlor to permit lssuance.
APPROVED:
I o.dYTr