HomeMy WebLinkAboutPermit Mechanical 1998-06-22SPrtIhlGFIELDRESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
JOB NUMBER 7
LOCATION OF PROPOSED So 4.
ASSESSORS MAP:o2o zl TAX LOT DfrSoz
LOT BLOCK:SUBDIVISION:
PHONE:
€n-,n^quU ZIP:STATE:J
7*z -t 1s2
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CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER --.
ADDBESS
4-,I
F
EXPIRES .1 PHONECONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
DESCRIBE WORK:
CONST.
CONTRACTOB #
GENERAL:
PLUMBING
UN
PERMI
FOR
IF THE WORK
- OFFICE USE -
LAND USE:
ZONING CODE:
FLOOD I)LAIN:
PERMIT IS NOT SECONDARY HEAT:
SQUARE FOOTAGE;
OUAD AREA:
* OF BLDGS:
wArER HEATER:--_1fty 190 DA
OCCY GROUP:
*,OF STORIES:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be ma<le the followlng work day.
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prior to
cover.
Flnal Plumblng - When altplumbing work ls complete.
SIte lnspection - To be made
after excavatlon, but prior to
setting lorms.
Rough Electrical - Prior to Flnal Electrical - When all
electrical work is complete.cover
Underslab Plumbing/ Electrical /
Mechanical - Prlor to cover.Electrical Service - Must be
approved to obtain permanent
electrlcal power,
V Final Mechanlcal - When att
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prior to facing
materlals and framing lnsp.
Flnal Buildlng - When att
required lnspectlons have been
approved and building is
completecl.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.
Foundatlon - After forms are
erected but prior to concrete
placement.
Other
Wall/Celling lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllling trench.l--l Drywatl - Prlor to taping
MOBILE HOME INSPE TIONSUnderiloor Fiurnbirig/ Idechanlcal
- Prior to lnsulatlon or decklng.Wood Stove - After lnstallation
Posl and Beam - Prlor to floor
lnsulatlon or decking.lnsert - After flreplace approval
and installation of unlt.
Blocking and Set.Up - When alt
blocklng ls complete.
Floor lnsulation - Prior to
decking.Curbcut & AJrproaclr - After
forms are erected but prior to
placemcnt of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to fllling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Stonn Sewer - Prior to fllllng
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-hase malerial in place.
Water Line - Prlor to filling
trench.
Fence - When coi'rrpleted.
[itreet Trees - When all required
trees are planted.
Final - After all required
lnspections are approved and
porches, sklrting, decks, and
ventlng have been lnstalled.
Rough Plumbing - Prior to
cover.
E
225 Fifth Street
Sprlngfleld, Oregon 97477
)-.
IHIU
# OF UNITS:
---, OF BDRMS:
-
E r
tl
E
tl
E
E
E
E
E
fl
E E tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle I
-
Cul-de-sac
ks i IS THE PROPOSED WORK IN THE.
HISTORICAL DISTRI T, OB ON
THE HISTORICAL REGISTER?
-
lf yes, this appllcatlon must be slgnedand approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
P.L.HSE GAR ACC
N
S
E
'i
VALUE
(A)
M IT
,a
Total Value
Building Permit Fee
State Surcharge
Total Fee
FT. 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 Ordlnance
adopted by the City ot Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Receipt Number:-
Plans Reviewed By
,t
E
Date
Date Paid
Plan Check Fee:
"lPLAN CHECK
RMIT
!BUILDING \TALUE
AND BUILDING P
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 Sgwer
Water
Storm Sewer
Moblle Home
FEE
(c)
FT.
FT.
N!
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 certlfy
that any and all work performed shall be done in accorrlance
wlth the Ordinanccs of the City of Sprlngfield, 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 perrnission of the Buitding Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.05S wiI be used on thls
proiect.
I further agree to ensure that all required inspections 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 remaln
Slgnature
Date
on the site at all times during
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
MECHANICAL PERMIT
/f.do
Total Miscellaneous Permits (E)
(D)
No
C*1 F"
/D.0)t6 "7f
L6 y,)
Mechanical Permit
lssuance
State Surcharge
Total Permit
0i4,.<.( __I
Furnace
Exhaust Hood
Vent Fan
TOTAL AMOUNT DUE (exctuding electricat)
(A, B, C, O and E Comblned)
RECEIPT N
DATE PAID,
AMOUNT R
RECEIVED
L
VALIDATION:
UMBER
ECEIVED
BY
t{Lv
U)
q
Received By: