HomeMy WebLinkAboutPermit Mechanical 1999-01-19RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
SPRINGFI
7700 6E
w,
JOB NUMBER
225 Fifth Street
Springfleld, Oregon gl 4ll
TAX LOI 0'{ 1 ooASSESSORS MAP:l'l 03 7.lrll
LOT BLOCK:SUBDIVISION
PHOI.,'E:tv
STATE:ZIP:
q
CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDIT|ON DEMOLTSH oTHER
DESCRIBE WORK:
ADDRESS
tct
EXPIRES a PHONE
CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
XPIHE
RANGF-: SOUARE FOOTAGE
il,J I s PF-G&IP$TVC!1E Ar:
FLOOD I)LAIN:
ZONING CODE
To req uest an NS pect lon yo U m ust 726-3769.Thr S a 24 ir OU r record AI tins.ns pec o ns req uested be fo re 7:0O a m.lt bemadehesameworkngday,NS pect on req uested af ter 7:00 a.m. wlll be macle
REQUIRED INSPECTIONS
he fol workowng day.
n Temporary Etectrlc Rough Mechanlcal - prlor to
cover.I--l Flnal plumbing - When ail'J plumbing worl< ls complete.
Slte lnspectlon - To be made
after excavatlon, but prior to
settlng forms.
Rough Electrical - prior to Flnal Electrlcal - When allelectrical work is complete.cover.
Underslab Plumblngl Electricat/
Mechanlcal - Prlor to cover.Electrica! Servlce - Must be
approved to obtain permanent
electrlcal power.
I Mechanlcal - When allmechanical work ls complete.
Footlng - After trenches are
excavated.[-l Flrepta,:e - prtor to factng
-
materlals and framing lnsp.
Flnal Building - \tihen altrequired lnspectlons have beenapproved and building isMasonry - Steel locatlon, bond
beams, groutlng.leted
Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.Wall/Cerlling lnsulatlon - Prlor t
cover.
Underground Plumblng - Prior
to fllllng trench.I-_l Drywall - Prtor to taplng
Underfloor Plumblng / Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPE TIONS
Wood Stove - After lnstallation.
Post and Beam - Prlor to floor
lnsulatlon or decklng.tnsert - After fireplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When ailblocklng is complete.
Floor lnsulallon - Prlor to
decking.Curbc'.rt & AJrproach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home ltas been connected to
water and sewer.
Sanltary Sewer - Prior to f llllng
trench.Eleclrical Connection - When
blocking, set.up, and plumbing
lnspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to fllllng
trench.
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base malerial ln place.
Water Llne - Prlor to filling
trench.[-l fence - When coii'rpleted.
Rough Plumblng - Prior to
cover.
Street Trees - When all requlred
trees are planted.
Final - After all required
inspectlons are approved andporches, skirting, decks, and
ventlng have been lnstalled.
occY
, oF s0.oc8
toF
WATER HEATER:-
call is
E
E
T
tl
E
EE
E
i,
i.i ,
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typ.
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
P.L.}.ISE GAR ACC
N
S
E
Set i rS THE PROPOSED WORK tN THE -
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
arrd approved by the Historlcal
Coordinator prlor to permit issuance.
APPFIOVED:
BUILDING PERMTT ,
(A)
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
SO. FT. X $/SQ. FT.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
This pernrit is granted on the cxpress condition that the said
construction shall, in all respects, conform to the Ordinance
sdarpted by the City of Springfield, including the
Development Code, regulating the constructlon and use of
ouitdings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Systems Development Charge is due on all undeveloped
properties within tl're City limits which are being improved.
Receipt Numbe
LAN CHECK
MIT
E t
E RDGNP
Plar Check Fee:
Date Paid
Received By:
Plans Reviewed By Date
BT'ILDING
AND BUIL
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
(/lobile ,-lorYie
FEE
(c)
Nr
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
- FT.
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examlned
the sompleted application and do hereby certlfy that all
lnf.: rmation hereon is true and correct, and I f urther certlfy
thal any and all work performed shall be done in accordance
wir r the Ordinanccs of the City of Springfield, and the Laws
of lhe State of Oregon pertainlng to the work descrlbed
6sv,rin, and that NO OCCUPANCY will be made of any
strL'cture without perrnission of the Building Safety Division.
I fu'ther certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
pro ect.
I fr,;rther agree to ensure that all required inspections are
rec Jested at the proper time, that each address is readable
{rorn tlre street, that the permlt card ls located at the front
of lhe property, and the approved set of plans will remain
Slgnatu re
Date
on the site at all times duri construction
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
lt
Curbcut
-
ft
Demolition
State Surcharge
/ {ot
/a.o o
,/c 7i
Total Miscellaneous Fennits (E)
DrTpr Ye
0-4s
nt
No
rcuu{9Flreplace Unit
u, ?.o
Wood S
Vent Fan
(D)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Mechanical Permit
lssuance
State Surcharge
Total Permit
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)
PECEIPT N
DATE PAID,
AMOUNT FI
BECEIVED
f
BY
32 rctrVALIDATION:
UMBER
ECEIVED
VALUE
2,Oo