HomeMy WebLinkAboutPermit Mechanical 1998-08-06RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
SPrrIhlGFIELD
8
LOCATION OF PBOPOSED WORK:a l^N. la f/l
ASSESSORS MAP:o
LOT BLOCK:SUBOIVISION
JOB NUMBER
225 Fitth Street
Springfleld, Oregon 97477
TAX LOT:
PHONE:"tl:
Q<,ZIP:
o
/uo
c
STATE:
77ct L7r-7-
?zv 7Z
7 Yta
/eA
'e ld
I zf/z
CITY:
ADDRESS:
OWNER;
.o
sDESCRIBE WOBK:/U
ADDITION
OF
DEMOLISH
a+{
OTHER
.1/L
NEW-- REMODEL
ADDRESS
o
/ o-) r*ft 7+6 -rc e/
rxprnEs ,f pHoNE
CONTRACTOR'S NAME
ELECTRICAL;
MECHANICAL:
coNsT.
CONTFIACTOR #
"16 A,
GENEBAL:
PLUMBING
QUAD {ftf;@les are ppf,;$rft ..
r nr ninOAR 952-001-0010 through OAR 952-001--' -il066. %Umay-onarrcopes of thet06stslrs
o c cY G RqUfl i ng+hs€ente(Nafcth e te I e pffi S n. ry p e,
, oF srop@erlg]he Oregon Utility Notification-- -eefierfSf-ggg-€S2 -2344).H e x So U R c E :
ICEN
MIT S
AUTHOHIZED UNDER
HALL EXBFES^trhE WORK
IHeff,flu[
THIS PE
onreg o FFI CE SU Eonuriladtheerulsregoityoptedby
E:
FLOOD I)LAIN
WATER HEATEFI RANGE:COMMENCED OR IS
ZONING CODE: __
ATTE
follow
To request an lnspection, you must call 126_376g. Thls lsmade the same worklng day, lnspections requested afte
a 24 hour recordlng. All lnspections requested before 7:00 a.mr 7:00 a.m. wlll be ma<Je the following work day.
will be
Temporary Electric
REQUIRED INSPECTIONS
ffiough Mechanical - prior to'J cover.l--l Flnat plumbing - When alt
-
plumbing worl( is complete.
Site lnspeclion - To be madeafter excavation, but prior tosetting forms.
Rough Electrical - prior to Flnal Electricat - When a[electrical work is complete.
cover.
Underslab Plumbing/ Eleclrical /
Mechanlcal - Prior to cover.Electrical Service - Must beapproved to obtain permanent
electrlcal power.
al Mechanical - When ailmechanical work ls complete.
Footlng - After trenches are
excavated.Flnal Building - When allrequired lnspectlons have beenapproved and building is
completed.
Flreplace - Prior to faclng
materlals and framing lnsp.Masonry - Steel locatlon, bond
beams, groutlng.
[--l Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celling lnsulation - Prlor to
cover.
Underground Plumblng - Prior
to lllllng trench.l--l Drywall - Prlor to taplng.
MOBILE HOME INSPECTTONS
Underlloor Plumbing/ Mechanical
- Prior to lnsulatlon or decking.Wood Slovo - After lnstallation
Post and Beam - Prior to floor
lnsulation or decking.lnsert - After fireplace approvql
and lnstallatlon of unlt.
Blocking and Sel.Up - When att
blocklng is complete.
Floor lnsulation - Prior to
decking.Curbcut & A1:proaclr - After
forms are erected but prior to
placemcnt of concrete.
Plumbing Connections - When
home lras been connected to
water and sewer.
Sanitary 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.
Storm Sewer - Prior to filling
trench.
Sidewall< & Drlveway - After
excavation ls complete, forms
and sub-base material in place.
Water Llne - Prlor to filling
trench.
Fence - When ccfipleted
Rough Plumbing - Prior to
cover.
lilreel Trees - When all requlred
trees are planted.
Flnal - After all required
lnspectlons are approved andporchos, sklrling, decks, ancl
ventlng have been lnstalled.
tl
E
rl
fl
E
tl
E
Er
E
E
E
E
tl
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Typ,
-.
lnterior
-
Corner
.- Phnhandle
-
Cul-de-sac
Set ks
PL.HSE GAR ACC
N
S
E
IS THE PFIOPOSEO WORK iN THE .
HISTORICAL DISTRIST, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicallon must be slgnedand approved by the Historicat
Coordinator prior to permit issuance.
APPROVED:
BUILDING \T'qLUE, PLAN CHECK
AND BUILDING PERMIT
This pernrit is granted on the cxpress condition that the said
consiruction shall, in all respects' conform to the Ordinance
"J.pi"o 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'
Receipt Number:-.
Plans Rcviewed BY Date
Plan Check Fee:
Date Paid:
Received BY:
BUILDING PERMIT
VALUE
(A)
*,
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
SO. FT. X $/SQ. FT
Systems Development Charge is due on all undeveloped
properties within tlre City linrlts which are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
M
ITEM
Fixtures
Residential Bath(s)
SanitarY Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
FT.
FT
(c)
N.
FT.
Plumblng Permlt
State Surcharge
Total Charge
By signature, I state and agree, that I have caretully examlned
the completed application and do hereby certify that all
lnformation hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
with 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 Buildirrg Safety Division.
I further certify that only contractors and enrployees who
are in compliance with ORS 701.055 will be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remain
Date
/*.a).,Ptimes du
P- a*zt
on the site at
Signature
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolition
State Surcharge
Total Mlscellaneous Perrnits (E)
MECHANICAL PERMIT
$rs.
$to
L-l€f-.s-f
&&-Y
No
(D)
Furnace
Exhaust Hood
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
TOTAL AMOUNT DUE (exctuding etectrical)
(A, B, C, Q and E Combined)
VALIDATION:
RECEIPT NUMBER
DATE PAIi)
AMOUNT RECEIVED
4-
RECEIVED BY
?t
.i
L