HomeMy WebLinkAboutPermit Mechanical 1999-10-28RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.9769
Office: 726-gti9
LOCATION OF PBOPOSED WORK:
NGF
JOB NUMBER f? tlo I
225 Fifth Stredt
Sprlngfletd, Orego.t 91 471
Qez S ?s
Z Lr -co ?>PHONE:
on-STATE:ZIP:
S-?,/'
7
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CITY:
ADDRESSI
OWNER:
5'n EDESCRIBE WORK:
NEW- REMODEL ADDITION DEMOLISH OTHER
,4 trl 0!traZz-
ADDRESS
pa1/a x u/
EXPIRES ,"1 PHONE
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CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR 'f
Cent
WORKfollow rules ad THISPERMITOUAD AREA:
Nott!!ca,!
1-A,IHOREED UI OF BLDGS:ISNOT* OF UNITS:6,"-----cot![vf Ervc E D O R090. YotOCCY GROU CONSTR. TYPE:ca!'PERI$BI BDBMS:
'# OF STORIES: .-.--HEAT SOURCE:SECONDABY HEAT:
eris 1_Bo0_3gp_e.S44lWATER HEATER:RANGE:SOUARE FOOTAGE:
_ OFFICE USE
ASSESSORS MAP:7 07 3 23'f
TAX LOT o 2?o t
LOT BLOCK:SUBDIVISION:
-
To request an Inspgctlon, you rn',rst call 726'3769. Thls ls rr 2.i i]ou'r recoicllng. Alt lnspectlons requested before 7:00 a.m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED TNSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Plumblng - When ail
umblng worl< ls complete.
Slte lnspectlon - To lre made
after excavation, but prlor to
settlng forms.
Rough Electrical - Prlor to
Underslab Plumblngl Electriqal /
Mechanlcal - Prlor to cover.
f-l Footlng - After trenches are|J excavatocl.
Masonry - Steel locatlon, bond
beams, groutlng.
E Foundation - After forms are
erected but prlor to concrete
placemont.
Underground Plumblng - Prlor
to fllllng trench.
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
Posl and Beam - Prlor to floor
lnsulatlon or decklng.
Floor lnsulatlon - Prlor to
decklng.
Sanltary Sewer - Prlor to filllng
trench.
Stonn Sewer - Prior to fllllng
trench.
Water Llne - Prlor to filling
trench.
Rough Plumblng - Prlor to
cover.
tl
fl
E
cover.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flreptace - Prlor to faclng
materlals and framlng lnsp.
Framlng - Prlor to cover,
Wall/Celtlng lnsulatlon - Prlor to
cover.
Drywall - Prlor to taplng.
Wood Slovo - Afler lnstallatlon
lnsert - After flreplace approval
and lnstallatlon ol unlt.
Curbcut & Approach - After
forms are erected but prior to
placomont of concrete.
Sidewalk & Driveway - After
excavatlon ls complete, forms
and sub-base materlal ln place.
Fence - When cofnpleted.
Street Trees - When all requlred
treee are planted.
Flnal Electrlcal - When all
electrlcal work ls complete.
@,rl Mechanlcal - When all
hanlcal work ls complete.
Flnal Bulldlng - When altrequlred lnspectlons have been
approved and bulldlng ls
completecl.
or
Flnal - After all requlred '
lnspectlons are approved and
porchos, sklrtlng, decks, ancl
ventlng have been lnstalled,
C=+ t 0 7/E
MOBILE HOME INSPECTIONS
Blocklng and Set.Up - When att
blocklng ls complete.
Plumblng Connectlons - When
home has been connected lo
water and sewen
Electrlcal Connectlon - When
blocklng, set-up, and plumblng
lnspectlons have been approved
and the home ls connected to
the servlce panel.
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I t ,,
Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle \'
-
Cul-de'sac
Setbacks i IS THE PROPOSED WORK TN THE .. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTEFI?
-
l( yes, this applidation must be slgned
arrd apProved bY the H istorlcal
Coordinator prlor to permit issuance.
APPROVED:
i5mru cHEcK
,RMIT
Plan Check Fee: _--
Date Paid:
Recei pt Number:-
Beceived BY:
Plans Reviewed BY Date
Systems Development Charge ls due on all undeveloped
properties within tlre City limits which are being improved.
ADDTTIONAL COMMENTS
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 lurther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure wlthout perrnission of the Builcling Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.O55 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
on the site at all times during constructlon.
X stgn"t,
,i -,
BUILDING \TALUE,
AND BUILDING PE
This permit is granted on the express condition that the said
consiruction shall, in all respects, conform to the Ordinance
adopted by the City of Springfleld, 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'
PL.HSE GAR ACC
N
I
S
E
,.',I
ITEM SO. FT. X $/SQ. FT.VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
Main
Garage
Carport
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Fixtures
Besidentlal Bath(s)
Sanitary Sewer
Water
E
(c)
Plu
N!
FT.
FT.
PLUMBING PERMIT
Total Charge
Surc
Storm Sewer
Moblle Home
Permlt
rharge
/{) oo
/d'd tt
2(..f4(D)
No
rt/Fl
Lsrc
MECHANICAL PERMIT
/r/r/- /1.-/^
Vent
Mechanical Permlt
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
Wood Stove/lnse
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
--
ft
Demolltlon
State Surcharge
Total Mlscellaneous Permlls (E)
TOTAL AMOUNT DUE (excludtng electrtcat) _(A,B,qQandECopblned)
3603
zc..s-L
0
VAI-IDATION
UMBER
AMOUNT RECEIVED
RECEIVED BY
RECEIPT N
DATE PAII)
Date