The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 1998-06-22BESIDENTIAL PERMIT APPLICATION lnspections:726-3769 Office: 726.3759 SPR!r{GFIELE) JOB NUMBER Qfo 7zL 225 Fif th Street Springfleld, Oregon 97477 i LOCATION OF PRO WORK:/rrt f ESSORS MAP 3t Szr POSED /70ASS LOT: TAX LOT:2 BLOCK:SUBDIVISION PHONE: STATE:ZIP: t CITY: ADDRESS: OWNER: ADDrroN /- DESCRIBE WORK: NEW- REMODEL DEMOLISH OTHER ADDRESS EXPIRES PHONEaCONTRACTOR'S NAME MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # G EN ERAL: PLUMBING - OFFICE USE - QUAD AREA: NOTIOE: LAND USE: # oF BLDGS: THIS pERMITSHAIL EXpIRE$TT$|ETffiRK-..- OCCY GROUP: AUTHORIZED UNDEB THISgEBHTF.IgI(tr-, OF EDRMS: # o F sro R I Es: -COMMENCED-ORIS ABAN OO\tEDpORc E wArER xearen:ANy !80eAy LEX!_OD. FTANGE: FLOOD PLAIN: ZONING CODE SECONDARY HEAT: SQUARF. FOOTAGE: To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All inspections requestecl before 7:00 a.m. wlll bemade the sarne worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day. l--l Temporary Etectric RED INSPECTIONS Mechanlcal - Prior to fettT Site lnspection - To be made after excavatlon, but prior tosetting forms. Rough Electrlcal - Prior to Ro C Final Plumbing - When altplumblng worl( is compiete. Final Electrical - When allelectrical work is complete.cover, Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are erected but prlor to concrete placement. Post and Beam - Prlor to floor lnsulatlon or decking. ' : ,: ,' tl'.'. r , ., .ttFloor lnsulation - Prlor to Sanitary Sewer - Prior to filling trench. Storm S€wer - Prior to fllling trench. Water Llne - Prlor.to. fillirlgtrench. ,. ''-' ,..' Rouqh Plumbinq - Prlor to cover. ^a - -) Fipyl C# lV I Firat Mechanlcai - When ail __:>-n"."hanicat work I s complete. Flreplace - Prlor to facing materlals and framing lnsp. Framlng - Prlor to cortii.' Wall/Celling lnsulation ;- Prior to cover. Flnal Buildlng - Whqn ail required lnspectlons have been approved and building iscompleted. t... MOBILE HOME INSPE TIONS Blocking and Set.Up - When alt blocking is complete. Plumbing Connections - When home lras been connected to water and sewer. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the servlce panel. Final - After all required inspectlons are approved andporches, skirting, decks, and ventlng have been lnstalled. Underground Plumbing - Prior to fllllno trench-k"yt 6+t Underlloor Plumblng/ Mechanical - Prior to lnsulation or decking. l-_-l orywall - Prlor to tAptno Wood Stove - After lnstallatlon lnsert - After flreplace approval and lnstallatlon of unlt. 'Curbcut & AJ:proach - After forms are erected but prior to placemcnt of concrete. Sidewalk & Driveway - After excavation is complete, forms and sub-base materlal in place. Fence - When completed Street Treos - When all required trees are planted. \ ( tl tl tl Electrical Servlce - Must be approved to obtaln permanent \ electrlcal power. [_-l Other tl tl tl Lot faces -.....I. Lot sg. ft€.. Lot coverage Topography Total height 'Lot Type - - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E I---1S THE PROPOSED WORK iN THE HISTOFIICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVEDT t. VALUE (A) X $/SO. FT, Total Value Building Permit Fee State Surcharge Total Fec BUILDING PERMIT ITEM SO. FI. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, Development Code, regulating the construc buildings, and may be suspended or upon violation of any provisions of said ordin Plans Reviewed [3y DateA n and use of Plan Check Fee: Date Paid Receipt Number Received By: cluding the any time ces. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is"due on all undeveloped properties within tlre City limits w'lhch are being improved.\ Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobiie l{ome PERMIT FEE No FT. FT, FT. (c) Plumblng Permit State Surcharge Total Charge PLUMBING ITEM Fix tu res ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent 7.oo tl.{o 200 /0.0o (D) oo f u a ,9 7 NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace 't? t'i' Exhaust Hood By slgnature, I state and agree, that I have caref ully examined the completed application and do hereby certlfy that all lnformation hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinanccs of the City of Springfield, and the Laws of the State of Orcgon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this proiect. I further agree to ensure that all requi.red inspections are requested at the proper time, that .J.ir ?lOO,e6$lsveadable from the street, that the permit card ls located at the front of the property, and the approved set of plans will remain on the site at all tlmes during construcil \ Date _QlLLelSa\ - -----r Slgnafure MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -- ft Demolition State Surchargg Total Miscellaneous Perrnits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Cornbined) o o) qr u VALIDATION RECEIPT NUMBER DATE PAID AMOUNT FIECEIVED RECEIVED BY