HomeMy WebLinkAboutPermit Mechanical 1998-07-28RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WOBK:
SPrlINGFIELO
JoB NUMBEa 3[931L-
225 Fi{th Street
Springfleld, Oregon 97477
53t {
ASSESSORS MAP:l7n?\52y TAX LOT:o7J tto
tor:BLOCK SUBDIVISION
PHONE:
ztPOASTATE:
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CITY:
ADDRESS:
OWNER:
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NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ADDRESS
7
EXPIBES q, PHONECONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL;
CONST,
CONTRACTOR #
GENERAL:
PLUMBING
you to
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."i.$oro?i##ii8er:L-
Inphone__
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ENTION:Ore onl
Nqtification Center Ebon e gl bo dce_set_todb___
in OAR 952-001-OO1 R 952-001-occv e ntldlEPERMlr SHALL EXPIFE tF THE TYPE:ay obtai'n
calling the centeo or srdMEtlaREEplJNDIBlHS PERM fpffi@puncr:r.(AbmMmtB
numberforthewArER FEQI,EffNCED OR ts ABANpON ED MRCE.-€enter i
* OF UNITS:
QUAD AREA:LAND USE:
, or SLdOTICE:
- OFFICE USE -ATT
To request an lnspectlon, you must call 726'3769. Thls ls a24 hour recordlng. All lnspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be ma<le the followlng work day.
n femporary Etectrlc
IIRED INSPECTIONS
h Mechanlcal - Prlor to Fi - When all
is complete.U
Slte Inspectlon - To be made
after excavatlon, but prior to
settlng forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover,
Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Mechanical - When all
ical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Buildlng - \rtihen all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.htFoundatlon - After forms are
erected but prlor to concrete
placement.Wall/Celllng lnsulallon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.[l Drywall - Prlor to taptng
MOBILE HOME INSPECTIONSUnderlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stove - After lnstallation
Post and Beam - Prlor to tloor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When ail
blocking ls cornplete.
Floor lnsulallon - Prior to
decking.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to fllllng
trench.Eleclrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home is connected to
the servlce panel.
Stonn Sewer - Prior to filling
trench.
Sidewall< & Drlveway - After
excavation is complete, forms
and sub-base maleria, in place.
Water Line - Prlor to filling
trench.
Fence - When ccinpleted
Street Trees - When all requlred
trees are planted.
Final - After all required
inspections are approved and
porches, sklrting, decks, and
ventlng have been installed.
Fin
h Plumbing - Prior to
77 t/7 7
E
E
tl
tl
E
E
E
fl
n
tl
Curbcul & Agrproach - After
forms are erected but prior to
placement of concrete.
tl
E
Lot faces
Lot sg. ftg.
Lot coverage
Topography
Total height
Lot Type _
-
lnterior
-
Corner
-
Panhandle !
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
E
i ._ S THE PROPOSED WORK tN THE -
HISTOBICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
arrd approved by the Historlcal
Coordinator prlor to permit issuance,
APPROVED:
VALUE
(A)
+
X $/SQ. FT.
BUILDING PERMIT
ITEM SO. FT,
Main
Garage
Carport
This pernrit is granted on the cxpress 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
ouildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
BU I LDI NG
AND BUIL
E,
PE
LU NLA Hc cE K
D (:N ITMR
Plan Check Fee:
Date Paid
Receipt Number:
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limlts which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
/€,ot
FEE
(c)
Ne
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permlt
State Surcharge
Total Charge
w
16 >,
Storm Sewer
Moblle Home
Nt L il"-/ ^
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
f .00
2.ao
(D)
l"rL
0tt
2 6za
No
,f
Dryer Vent
Vent Fan
10,d0
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlnsd
the completed application and do hereby certlfy that all
information hereon is true and correct, and I further cerilfy
that any and all work performed shall be done in accorrJance
with the Ordinances of the Gity of Sprlngfield, 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 Building Safety Divislon.
I further certify that only contractors and employees who
are In compliance with OFIS 701.055 wlll be used on thls
prolect.
I further agree to ensure that all required inspections are
requested at the proper tlme, that each address ls readable
from tlre street, that the permlt card ls located at the front
of the property, and the approved set of plans wlll remaln
Slgnatu
Date 2 1
on the site at all times durin g constructlon,
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-.--
ft
Demolitlon
State Surcharge
Total Miscellaneous permits (E)
TOTAL AMOUNT DUE (exctuding electricat)(A, B, C, Q and E Combined)
U
2
Z qb
VALIDATION:
FIECEIPT NUMBEFI
DATE PAID
AMOUNT RECEIVEO
RECEIVED BY
.l ,
Total Value
Building Permit Fee
State Surcharge
Total Fec