HomeMy WebLinkAboutPermit Mechanical 1998-06-12RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Of(ice: 726-3759
:;PFlINGFIELD
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JOB NUMBER 0 o
225 Fittlr Street
Springilelcl, Oregon 97477
LOCATION OF PFIOPOSED WOR}(:a +n ,V. )'/b Qtau-
ASSESSORS MAP:3z TAX LOT:
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SUBDIVISION: ---LOT;BLOCK:
&
OWNER:
ADDRESS:
CITY:
-00bbPHONE:
-
STATE:ztP:
NEW
-
REMODEL ADDITION DEMOLISFI OTHER
DESCRIBE WOR}(:
GENERAL:
ADDRESS EXPIRES PHONE
b
CONTBACTOR'S NAME
ELECTRICAL:
MECHANICAL
PLUMBING:
CONST.
CONTRACTOB /
NOTICE:
A
EdElffitf THEdTOBK_
R ilHf{iPfdt}fidds Nor_
EOMMtrNEEDOR B FOR
_ OFFICE USE _
IZ OF UNITS:
LAND USE:
, OF BDRMS:
WATER FIEATER
ZONING CODE:
FLOOD I)LN IN
THIS PEBMIT SHALL
----TurHoBtzED
uNDEr
QUAD AREA:
I OF BLDGST
SECONDAFIY HEAT:
SOUANI: FOOTNGE:
OCCY GFOUP:
r OF STORIES:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour rccordlng. All lnspections rcquested bclorc 7;00 a.rn. wlll bo
made the sanle worklng day, lnspections rcquested after 7:00 a.m. will bc macle thc tollowlng work day.
REQUIRED INSPECTIONS
Rouglr Meclranical - Prlor to
cover.
Final Plurrrbing - When allpluml:ing worl( is complet.c.
Slte lnspoction - To lre made
af ter excavation, bul prior to
settinO forrns.
Rough Elcctrical - Prior to
covcr.elcctrical worl< is corrr plc tc.
Underslab Plumbing/ Electrical /
Mechanlcal - Prior to cover.Electrical Servlco - Mr.rst be
approved to obtain pcrrnancnt
electrlcal l)ower.
Meclrarrical - When all
hanical worl< ls cornplcte.
Footlng - After trenches are
excavated.Flreplace - Prlor lo faclng
materlals and framing Insp.
Final Uuilcling - When all
required inspectlons have been
approved and building is
complotcd.Masonry - Steel locatlon, bond
beams, groutlng..[
Framlng - Prlor to cover,tl Foundatlon - After forms are
erected but prlor to concrete
placement.
O thcr
Wall/Ccilinel tnsulation - Prlor to
c ove r.
Underground Plumbing - Prior
to fllllng trench.Drywall - Prior to taping
MOBILE I.IOME INSPE TIONSUnderlloor Plumblng / Meclranlcal
- Prior lo lnsulatlon or decking.Wood Stovc - Aftcr lnstall;rtion
Post and Bcam - Prior to floor
lnsulation or decl<lng.lnsert - AItcr f lreplace approval
and lnstallatlon oI unlt.
Blockirrg and Set.Up - Whcn all
blr:cking is cornplete.
Floor lnsulation - Prior to
deckl ng.Curbcut & Alrl.rroaclr - AItcr
forms are eroclcd bUt f)rior to
placemcr-r t oI cortcrc tcl.
Plurtrbirrg Conrrcclions - When
lloln0 lr.rs bcen collrtccted to
w;ltcr itncl sewer.
Sanitary Sewer - Prior to tllling
trcn c h.ll Elcctrical Corrncctiorr - WhcntJ t)locl(inU, sct.up, ancJ pltrntbing
irrspcctlorrs lravo bocn approvcd
and tlre flornc is connccted to
tlrc scrvlce;lanc.l.
Stonn Sower - l)rlor lo lilling
trench.
Siclewalk & Driveway - Af ter
excavation is complctc, (oilils
and su[).base rnalerial in place.
Water Llne - Prlor to lilling
trench,
Ferrce - Wl)en cornpletcd
Rough Plumbing - Prlor to
cover.
(itrost Trccs - Wlrcn all rcqulred
trces are plantcd.
Final - After all required
inspections are approved and
porchcs, sklrting, decks, and
vcntln0 havc bcen lnstalled.
F
h6
lht* I n,r't ll , luh -t
[-l Temporary Electric
Final Elcctlical - !Vtren ail
fl
tl
rl
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L]
r_l
E
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tl
tl
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tl
tl
Lot faccs
Lot sq. ftg.
Lot coverage
TopographY
Total hcight
Lot 'type
-
lntcrior'
--
Corncr
-
Panlrandlc
-- Cul-cJc-sac
acl<s
PL.HSE GAR
N
S
E
15 THE PROPOSED WORK iN THE ,
HISTORICAL DISTRICT, OR ON
TIIE HISTORICAL REGISTER?
-
It yes, this application must be slgned
arrd approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Tlris pcrmit is gra,rlecj on thc cxpress condition that the said
construction shall, in all respects, conlorm to the Ordinance
adoptecJ by the City of Springfield, including the
Development CocJe, regulating lhe construction and use of
buildings, and may be suspended or revokcd at any time
upon violation of arry provisions of said ordinances.
Plans Rcviewc<.1 t3y
Plan Chcck Fee:
Datc Paid
Flcceipt Nutnber:
Rcceived By
BUILDING
VALUE
(A)
x $/so. t--T.
PERMIT
SO. FT.ITEM
Main
Garagc
Carport
Total Valuc
Building Pcrmit Fcc
Statc Surclrarge
Total Fcc
Systems Developmcnt Charge is duc on all undoveloped
propcrties within tlrc City linrits which are bcing improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Flxtures
Rcsldcntial Batlr(s)
Sanitary Sewcr
Watcr
Storm Sewer
Moblle Home
FEE
(c)
F'T,
PLUMBING PERMIT
Plumblng Pormit
State Surcharoe
Total Charge
Ni
/
By slgnature, I state and agree, that I hqve carcf ully examlned
the completed application and do hereby certlty that all
lnformatlon hcreorr is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
witlr tlrc Ordinanccs of thr: City ot Springflcld, and the Laws
of thc Statc o[ Orcgon pertaining to thc worl< described
hcrein, and tlrat NO OCCUPATJCY will be rnade of any
structurc without pcrrnission ot the Buil<Jing Sa[ety Division.
I furtlrcr certity that only contractors and enrployees who
arc in cornpliance'witl'r ORS 701.055 wlll be used on this
pro jec t.
I f urthcr agree to ensurc that all required inspections are
r time, that cach address is readable
thc permit card ls locatcd at the front
the approved sct of plans will remain
tlrat
v,
Slgnature
b-ir-lfDate
(
ng con st ru on,CS
(
rcquestcd at the
(rom tl-rc strc
of the prop
on thc sl
Wood Stove/ lnscrt/ Flrcplace Uni I
Drycr Vont
MISCELLANEOUS PERMITS
Mobile Homc
State lssuance
Statc Surcharge
Sldewalk
-
tt
Curbcut
-_
lt
Domolition
State Surcharge
Total Mlscellaneous Pcrtnits (E)
N0Vent Fan
(D)
MECHANICAL PERMIT
Furnacc
Exhaust Hood
Mechanical Pernrit
lssuance
Stale SurcharE;e
Total Permlt
VALIDATION
BECEIT]T NUMBER
DATE PAID
AMOUNT RECEIVED
3o f
4r
TOTAL AMOUNT DUE (cxcluding clcctrical)
(A, B, C, D, and E CotrtbinecJ)FTECEIVED BY
0
.7
Date
FT.
FT.
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