HomeMy WebLinkAboutPermit Mechanical 1997-09-292A C f)So. sz
!;Prr NGFTELDRESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
JoB NUMBE
" 22/23/-
225 Fifth Street
Spri ng f ield, Oregon g7 417
LOT:
-
BLOCK:SUBDIVISION:---
PHONE:668 6o-e y
STATE:ztP
E/y'52477,
?zq 7y
2.q6a
CITY:
ADDRESS:
OWNER:
70/ooo
?vo
Z^$frll -
ADDITION
DESCRIBE WORK:
NEW- REMODEL DEMOLISH OTHER
ADDRESS EXPIRES PHONECONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL
CONST.
CONTBACTOR #
_ OFFICE USE _
LAND USE:
, OF BDRMS
WATER HEATER:
FLOOD I)LAIN:
HEAT SOURCE:
RANGE
QUAD AREA:
# OF BLDGS
SECONDARY HEAT:
SOUARF. FOOTAGE:
OCCY GROUP:
# OF STORIES:
CONSTB. TYPE: _
# OF UNITS:
-
ZONING CODE:
To request an inspectlon, you must call 726-3769. Thls is a 24 hour rccorcling. All inspections requestecJ before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. will be made the following worl< day.
REQUIRED INSPECTIONS
w Rough Mechanical - Prior to Final Plumbing - When altplumbing worl< is complete./4a
Site lnspection - To be made
after excavation, but prior tosetting forms.
Rough Electrical - prior to Final Electrical - When allelectrical worl< is complete.cover
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.Eleclrical Service - Must be
approved to obtairr perrnanent
electrical power.
f/ Final Mechanical - When alt'a mechanical worl( is complete.X fu+r'2 44sFoollng - After trenches are
excavated.Flreplace - Prlor to facing
materlals and framing lnsp.
Final Building - When all
required lnspections have beenapproved and building is
completed.Masonry - Steel locatlon, boncl
beams, groutlng.Framlng - Prior to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
fZl otrer
Wall/Ceiling lnsulation - Prlor to
cover.
Underground Plumbing -- Prior
to filling trench.l-_.l Drywall - Prlor to raptng
Underlloor Plumbing/ Mechanical
- Prior to insulatlon or decking.
MOBILE HOME INSPE TIONS
Wood Stove - After lnstallation
Post and Beam - Prlor to floor
lnsulation or decking.lnsert - Af ter f lreplace approval
and installatlon of unlt.
Blocking and Set.Up - When allblocking ls cornplete.
Floor lnsulalion - Prior to
deckl ng.Curbcut & AJrproach - After
f6rms are erected but prior to
placement of concretc...
Plumbing Connections - Whenhome lras been connected to
water and sewer.
Sanilary Sewer - Prior to f illing
trench.Eleclrical Conneclion - Whenblocking, sel.up, and plumbing
inspections have been approved
ancl the home is connected to
the servlce panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - Afrer
excavation is completc, forms
and sub-base malerial in place.
Water Llne - Prlor to filling
trench.[-l Fence - lVhen compteted.
Rough Plumbing - Prior to Slreel Trees - When all required
trees are planted.
Final - After all required
inspectlons are approved andporches, skirting, clecks, andventing have been lnstalled.cover.
ASSESSoRS rvrne: /? ^a ?' ?2 -.l* rAX Lor; 02 aob
LOCATION OF PROPOSED WOFIK:
11 -ro
*-
l--l femporary Etectric
tl
tl
tl
E
tl
r
fl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-_
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
E
IS THE PROPOSED WOFIK iN THE
HISTORICAL DISTFIICT, OR ON
TIJE HISTORICAL REGISTER?
-
lf yes, this application must be signed
arrd approved by the Historical
Coordinalor prior to permit issuance.
APPROVED
BUILDING PERMIT
ITEM SO. FT.X $/SQ. FT,VALUE
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fce (A)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the cxpress condition that the said
construction shall, in all respects, conform tb the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the oonstruction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee
Date Paid
Flecei pt Number:-..
Received By
Plans Reviewed [3y Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlrc City linrits which are being improved.
PLUMBING PERMIT
ITEM
Fix tu res
FEE
Residential Bath(s)NO
Sanitary Sewer
Water
Storm Sewer
Mobile ]-lome
FT.
FT.
FT.
Plumblng Permit
State Surcharge
Total Charqe (c)
ADDITIONAL COMMENTS
MECHANICAL PERM!T
Furnace
Exhaust Hood
Vent Fan N0
Wood Stove/ lnsert/ Fireplace Unil
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit
IS
(D)-.. 2a^<t[9.
By slgnature, I state and agree, that I have caref ully examined
tlre completed application and do hereby certify that all
lnformation hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinanccs of the City of Springf ield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are in corrrpliance with ORS 70.1.055 will be used on this
pro ject.
I further agree to ensure that all requi.ed inspections are
requested at the proper time, that each address is readable
from the street, that the permit card ls located at the front
of the property, and approved set of plans will remain
on the site at all during const
Signature
Date a . t1 ?'/
Total Miscellaneous Perrni ts (E)
VALIDATION:
RECEIPT NUMBER
DATE PAID 7
AMOUNT RECEIVED
RECEIVED BY _--
?-?e.9
2.e
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
Stalc Surcharge
Sidewalk
--
ft
Curbcut
--
ft
Demolition
State Surcharge
-2?-+32