HomeMy WebLinkAboutPermit Mechanical 1998-10-02RESIDENTIAL
PERMIT APPLICATION
f nspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
SPR!NGFIELE,
gT
JOB NUMBER /2f /
225 Fifth Street
Sprlngfleld, Oregon 97 477
LO't:ASSESSORS MAP:1702 t/4
LOT:BLOCK:SUBDIVISION: -
VA *A?s PHONE
STATE:ztPCITY:
eA kp L-a r'ts€?
ADDRESS:
OWNER:
NEW
-
BEMODEL ADDITION DEMOLISH OTHER
DESCFIIBE WORK:
CO
CO
N
NADDRESS
sT.
TRACTOR EXPIRES ,f PHONECONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
PLUMBING:
GENERAL:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll bemade the sarne worklng day, lnspections requested after 7:00 a.m. wlll be macle the followlng work day.
REOUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prior to
cover.
Flnal Plumbing - When ailplumbing worl( is complete.
ll Footing - After trenches are|J excavated.
l...| Masonry - Steel locatlon, bondlJ beams, groutlng.
l-l Foundatlon - After forms are
-
ercctod but prlor to concrete
placement.
Slte lnspectlon - To be made
after excavation, but prior to
setting forms.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.
Underground Plumbing - Prior
to fllllng trench.
Undrrlloor Plumblng / McohrnlcEl
- Prlor to lnruhtlon or clacklng.
Porl and Bcrm - Prlgr lo floor
lnsulatlon or decklng.
Floor lnsulatlon - Prior to
decklng.
Sanitary Sewer - Prior to filling
trench.
Storrn Sewer - Prior to fllling
trench,
Water Llne - Prior to filling
trench.
Rough P3umbing - Prlor to
cover.
Rough Electrical - Prior to
cover,
Electrical Servlce - Must be
approved to obtain permanent
electrlcal power.
Flreplace - Prlor to faclng
materlals and framing lnsp.
Framlng - Prlor to cover.
Wall/Celllng lnsulatlon - Prlor to
cover.
Flnal Electrical - When all
rical work ls complete.
F Mechanlcal - When all
hanical work ls complete.
Flnal Bulldlng - When alt
required lnspectlons have been
approved and building is
completed.
E
D
E
tl Drywall - Prior to taping.
f] Wood Stovo - Aftor lnstallatlon.
tl lnserl - Alter llreplace approval
and lnstallatlon gf unlt.
Curbcut & AJ:proach - After
forms are erected but prior lo
placement of concrete.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Fence - When coirrpleted.
Streel Trees - When all requlred
trees are planted.
ther
MOBILE HOME INSPE TTONS
[-l atocking and Sct.Up - When ailH blockln0 ls complete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Eleclrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home ls connected to
the servlce panel.
Flnal - After all required
lnspectlons are approved andporches, sklrting, decks, and
ventlng have been lnstalled.
E tl
E
tl
ti .
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typ
-
lnterlor
-
Gorner
"- Panhandle !
-
Cul-de-sac
.IS THE PROPOSED WORK TN THE .
HISTORICAL DISTRICI, OR ON
THE HISTORICAL REGISTER?
-
l( yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prior to permit issuance,
APPFIOVED:
PL.HSE GAR ACC
N
S
E
VALUEFT.
(A)
ntrr '
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
i;t
x $/sQ. FT.
BUILDING PER
ITEM SO.
Main
Garage
Carport
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City ol 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.
Recei pt Number:-
,l
PLAN CH ECK
Plans Reviewed By Date
Plan Check Fee
Date Paid
Received By:
RMIT
BUTLDING \ALUE,
AND BUILDING PE
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
ITEM
Fixtures
Resldential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N!
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
Z-oo
d.0a
(D)
7f
za
N0
b,ou
00
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
lnformatlon hereon is true and correct, and I lurther cerflfy
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 Bullding Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.O55 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 permlt card ls located at the front
of the property, and the approved set of plans will remaln
b.2Date
on the site at all times durin g construction.
Signature
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, Q and E Comblned)
0 1
0
L6. toECEIVED
RECEIVED BY
VAI-IDATION
UMB
,J h)
RECEIPT N
DATE PAID
AMOUNT R
. FT.