HomeMy WebLinkAboutPermit Mechanical 1999-08-04RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759 '
IELE,
??rcr.JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
-, /,
LOCATION OF PRO POSEO WORK:
/?o3 3 5 'ttASSESSORS MAP:TAX LOT oZ3oo
LOT:BLOCK:SUBDIVISION
PHONE:
ORCITY:ztPSTATE:97./7 7
-o
ADDITIONrU.4 C"f? ,q S ,//
DEMOLISH OTHER
DESCRIBE WORK:
NEW- REMODEL
ADDRESS
233 ObI v
EXPIRES ,f PHONE
ELECTBICAL;
CONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
CONST,
CONTRACTOR #
PERMIIEbUI$|'lr[XPilF
M
thefollow rules adopted bY
QUAD AREA:ffiThose
, oF BLDGS: in OAFI 952-001'0010 th
OCCY GROUP:
ANY 18ODAY
NOTICE:
WATER HEATER:RANGE:
SECONDARY HEAT
center is 1 -900-332-2344)
ATTENTION:Oregorl law requlres+r/oFFtcE usE -on utilir;iEIFTHEWORK
PERMITISNIOT
SQUARF- FOOTAGE: -
To request an inspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. will be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
OUIRED INSPECTIONS
Temporary Electrlc ugh Mechanical - Prior to [-l Flnal PlunrbinglJ plumbing work - When all
ls complete.cover.
Site lnspectlon - To be made
after excavatlon, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover
Underslab Plumblngl Electrica! /
Mechanlcal - Prlor to cover.Electrical Servlce - Must be
approved to obtain permanent
electrlcal power.
Mecharrical - When all
hanical work is complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Building - When all
required lnspectlons have been
approved and bullding is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.
Foundatlon - After forms are
erected but prlor to concrete
placern6nt.
her
Wall/Celling lnsutatlon - Prlor to
cover.
Underground Plumblng - Prior l-_l Drywall - Prlor to taplng.to fllllng trench.
MOBILE HOME INSPECTIONSUnderfloor Plumblng / Mechanical
- Prior to lnsulatlon or decklng.Wood Stove - After lnstallation.
Posl and Beam - Prlor to floor
insulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon oI unit.
T_l Blocking and Ser.Up - When all
-
blocklng ls complete.
Floor lnsulalion - Prior to
decking.Curbcut & A3rproach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Eleclrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to fllling
trench.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base material in place.
Water Llne - Prlor to filling
trench.n fence - When coiilpleted
Rough Plumbing - Prlor to
cover.
Street Trees - When all requlred
trees are planted.
Final - After all required
inspectlons are approved andporches, sklrtlng, decks, and
ventlng have been lnstalled.
E
,t'
74
9-r
ADDRESS:
OWNER:
-cattir$ftgcenter.
obtain0090. You maY
# oF sroRrES: nlrmberfortheoregon
E E
tl
E
tl
E
:. ; irr'
li .
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Typ
v
-
lnterior
-_
Corner
-
Panhandle
-
Cul-de-sac
IS THE PROPOSED WORK TN THE .' HrsToRlcAL DtsTRtqr, oR oN
THE HISTOFIICAL REGISTER?
-
lf yes, this appli6atlon must be slgned
arrd approved by the Historlcal
Coordinator priot to permit issuance.
APPFIOVED:
P.L.HSE GAR ACC
N
I
I
s
E
VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
,'i
X $/SQ. FT.
BUILDING PERMTT
ITEM SO. FT.
Main
Garage
Carport
- .l
BUILDING VALIJE, PINru CHECK
AND BUILDING PERMIT
Thls permit is granted on the express condition that the said
construction shall, ln all respects, conform to the Ordlnance
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 time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Fleceipt Numbe
Plan Check Fee
Date Paid:
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Resldentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
FT.
N.
[:7.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent&. {z* _
/.oo
/0,0t
LO^5D(D)
No
fi:d-
Vent Fan
Mechanical Permlt
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood 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 cerflfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Springfield, and the Laws
of the State of Oregon perlainlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure wlthout permission of the Building Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 wlll be used on thls
proiect.
I further agree to ensure that all requlred lnspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
Slgnat
Date
of the property, and the roved set of plans will remain
on the site at all uring construction.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
lt
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Pennits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Comblned)
0
8
VAI-IDATION:
UMB 0350
1f
AMOUNT BECEIVED
RECEIVED BY
RECEIPT N
DATE PAII')