HomeMy WebLinkAboutPermit Mechanical 1998-10-26SPFlINGFIELE)
RESID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
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JOB NUMBER
225 Fifth Street
Springf leld, Oregon 974
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LOT BLOCK:SUBDIVISION
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CITY:
ADDRESS:
OWNER:
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NEW
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REMODEL ADDITION DEMOLISH OTHEB _-
(l-,C yr-(-DESCRIBE WORK:
ADDRESS\\r 5-tt3(C-LJ.L
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CONTRACTOR'S NAME
MECHANICAL:
ELECTFIICAL:
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CONTRACTOR'f EXPIRES 1 PHONE
GENERAL:
PLUMBING
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you to
follow rulesoccY GAnHCE: - coNSrR. rYPE:
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# OF STdHJffi
wArE R'AUff&FgEqUqEEIIqP ERM lT Al N8I
rF THqluQFKor^"r,ERMIT SHALL EXPIRE
- OFFICE USE _
FLOOD PLAIN
# OF BLDGS
LAND USE:
# oF uNlrs:
--_--JAJfENIION
To requeflhAnipspectlorq,ypq[nust calI 726-3769. ThIs Is
made the same worklng day, lnspections requested afte
a 24 hour rec ord I n s. A I I OEiflg?qg0sgBu.r.gilDeg3pFfprer 7:00 a.m. wlll be made the following work day.
7:00 a.m. will be
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanical - Prlor to
cover.
Final Plunrbing - When allplumbing worl( is complete.
Slte lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Understab Plumblng/ Electrical /
Mechanlca! - Prlor to cover.Electrlcal Service - Must be
approved to obtain permanent
olectrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated,Flreplace - Prlor to facing
materlals and framing lnsp.
Final Buildlng - When ail
required lnspections have been
approved and building is
completed.Masonry - Steel locatlon, boncl
beams, groutlng.Framlng - Prior to cover.
Foundatlon - After forms are
erected but prior to concrete
placement.Wall/Celling lnsulation - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.Drywall - Prior to taping
MOBILE HOME INSPE TIONSUnderlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stove - After installatlon.
Post and Beam - Prlor to floor
lnsulation or decking.lnsert - After flreplace approvgl
and installatlon of unlt.
Blocking and Set.Up - When alt
blocklng is complete.
Floor lnsulalion - Prior to
decking.Curbcut & Approaclr - After
forms are ert,'cted bUt prior to
placomont of concreto.
Plumbing Conneclions - When
home lras been connected to
water and sewer.
Sanltary Scwer - Prlor to tllllng
trench,Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewall< & Driveway - After
excavation ls complete, forms
and sub-base material in place.
Water Llne - Prlor to filling
trrnch,
Fence - When colrpleted.
$treel Trees - When all roquired
trees are planted.
Flnal - After all requlred
inspectlons are approved andporchos, skirting, decks, and
ventlng have been installed.
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Rough Plumbing - Prior to
cover.
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QUAD AREA:
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Lot Type
-
lnterior
--
Corner
-- Panhandle
-
Cul-de.sac
PL.HSE GAR ACC
N
S
E
IS THE PROPOSED WORK TN THE .
HISTORICAL DISTRICI, OR ON
THE HISTORICAL REGISTER?
-
ll yes, this applicatlon must be slgned
arrd approved by the Historlcal
Coordinator prlor to permit issuance.
APPBOVED:
VALUE
(A)
BUILDING PERMIT
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
SO. FT. X $/SQ. FT.ITEM
Main
Garage
Carport
This pernrit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon vioiation of any provisions of said ordinances.
Plans Reviewed By
,
E
Date
Recei pt Numbe
Plan Check Fee
Date Pald
Fleceived By:
BUILDING VALUE
AND BUILDING P
,|-
PLAN CH ECK
RMIT
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential 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 carefully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther cerflfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, 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 Buildlng Safety Division.
I further certify that only contractors and employees who
are in compliance with OFIS 701.055 will be used on thls
project., i,,r...!- .1 , \;. i -
I furthei agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from tlre 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.
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Date
Sig natu re
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Wood Stove/ lnsert/Flreplace Unit
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Oemolition
State Surcharge
Total Miscellaneous Pennits (E)
No
J, oa
>nu
Exhaust Hood
Vent Fan
(D)
MECHANICAL PERMIT
Fu rnace
Dryer Vent
6At n,..wt,
Mechanical Permlt
lssuance
State Surcharge
Total Permit
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
VAl.IDATION:
RECEIPT NUMBER
DATE PAIi)
AMOUNT RECEIVED 6
RECEIVED AY
L
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
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