HomeMy WebLinkAboutPermit Mechanical 1999-08-18RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WOBK:
ASSESSORS MAP:
LOt
SPRIh.GFIELE,
BLOCK:
JoB NUMBEa % //72
225 Fifth Street
Sprirrgfleld, Oregon 97477
TAX LOT 4r%
ZIP:
4
STATE:
PHoNE: ){ ': 2 2ez-OWNER;
ADDRESS:
CITY:
REMODEL x ADDIT|ON DEMOLTSH OTHER
(.DESCBIBE WORK;
NEW
-ADDRESS EXPIRES I PHONE
ELECTRICAL;
CONTRACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
r OF BDRMS:
- OFFICE USE -
WATER HEATER
ZONING CODE:
RANGE:
QUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SQUARE FOOTAGE;
LAND USE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS: ___
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recording. All lnspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be macle the following work day.
REQUIRED INSPECTIONS
l-l Temporary Electric Ex
Rough Mechanlcal - Prior to Final Plunrbing - When allplumbing worl( is complete.
Slte lnspectlon - To be made
after excavatlon, but prior to
setting forms.
4/€Rough - Prior to Final Electrical - When ail
electrical work is complete.cover.
l-l Underslab Plumblng/ Electrical/u Mechanlcal - Prior to cover.Electrical Service - Must be
approved to obtairr permanent
electrlcal power.
Final Mechanical - When all
mechanical work is complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Building - When all
required lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.
Foundatlon - After forms are
erected but prlor to concrete
placemont.
po'nu'
Wall/Celling lnsutatlon - Prtor to
cover.
l-l Unaerground Plumbing - Prior
'J to fllling trench.
J-] Underlloor Plumblng/Mechanicat
Prior to lnsulatlon or decking.
l-_l Drywall - Prlor to taptng.
n Wood Stovo - After lnstallation.
MOBILE HOME INSPECTIONS
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unit.
Blocking and Set-Up - When allblocking is cornplete.
Floor lnsulation - Prlor to
decking.Curbcut & AJrproach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home lras been connected to
water and sewer.
Sanilary Sewer - Prior to filling
trench.
Stor.n Sewer - Prior to fllling
trench.
Sidewalk & Drlveway - After
excavation is complete, forms
and sub-base malerial in place.
Electrical Connection - Whenblocking, set-up, and plumbing
lnspections have been approved
and the home is connected tothe servlce panel.
Water Llne - Prlor to filling
trench.l--l fence - When coiitpleted
Rough Plumbing - Prior to
cover.
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved andporches, skirting, decks, andventlng have been installed.
SUBDIVISION: -
c2u-=
FLOOD I)LAIN:
E
tl
fl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Tyf
-
lnterior
--
Corner
.- Panhandle !
-
Cul-de-sac
IS THE PROPOSED WORK TN THE "
HISTORICAL DISTRICT, OR ON, THE HISTORICAL REGISTER?
l{ yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
P.L.HSE GAR ACC.
N
E
VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT ;
ITEM
Main
Garage
Carport
SQ. FT. X $/SO. FT.
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordlnance
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 tlme
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Plan Check Fee:
Date Paid:
Receipt Num
Received By:
BUILDING TAIUE
AND BUILDING P
, FtRu cHEcK
ERMIT
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
Mobile Home
FEE
(c)
N.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
tAle€d-€;t€rc*tn€€ra/ Fl re place U n i t 4a
ry
(o)24,:7
N0
Hrf, ^**
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust lJoorl By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther certlfy
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 pertaining to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Bullclirrg Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
proiect.
I further agree to ensure that all required lnspections are
requested at the proper time, that each address ls readable
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 times during construction.
T
Date 'r? - /O ^9 q
Slgnatu
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
VAI-IDATION:
RECEIPT NUMBER v12qa
DATE PAII)
AMOUNT REGEIVED
BECEIVED BY
s
Er.
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