HomeMy WebLinkAboutPermit Mechanical 1998-09-29t'r
IELE,RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
fifi,
JOB NUMBER
225 Fifth Street
Spring{leld, Oregon 97477
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ASSESSORS MAP:l7 0125 tL
TAX LOT o?to o
LOT BLOCK:SUBDIVISION
PHONE:
t?-t'tl STATE ZIP:
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S z3-A *.jOWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
G/E ie +qee-It4DESCRIBE WORK:
ADDHESS
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EXPIRES .:, PHONE
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CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
NST,
NTRACTOR #
GENERAL:
PLUMBING
To requ
made tl
lest an lnspectlon, you must call 726'3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll behe same worklng day, lnspections requested af ter 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
l_l remporary Electrtc Rough Mechanical - Prlor to
cover.
Final Plumbing - When allplumbing worl< is complete.
Slte lnspectlon - To lre made
after excavatlon, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When allelectrical work is complete.cover,
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.Electrical Service - Must be
approved to obtain permanent
electrlcal power.
Mechanlcal - When all
hanical work ls complete.
Footlng - After trenches are
excavated.ll Flreptace - prlor to factng
-
materlals and framing lrrsp.
l-_l Framlng - prior to cover.
Final Buildlng - Vrihen ail
required lnspectlons have beenapproved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
Foundallon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celtlng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.[-l Drywall - Prlor to taping.
E Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decking.
MOBILE HOME INSPECTTONS
l-l Wood Stove - After tnstailation
Post and Beam - Prlor to floor
insulatlon or decklng.lnserl - After flre;rlace approvql
and installation of unlt.
Blocking and Set.Up - When altlclocklng ls complete.
Floor lnsulation - Prior to
decking.Plumbing Connections - When
home lras been connected to
water and sewer.
Sanltary Sewer - Prior to fllling
trench.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sutl-base malerial in place.
Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Waler Llne - Prlor to filling
trench.
Fence - When ccinpleted.
Streel Trees - When all requlred
trees are planted.
Final - After all required
inspections are approved andporches, skirting, decks, and
ventlng have been installed.
[-l Rough Plumbing - Prior tolJ cover.
7q
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[-l Curbcut & ApFroaclr - After'J forms are erected but prior to
placement of concretc..
E
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(i
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-_
Corner
"- Panhandle i
-
Cul-de-sac
ks i lS THE PROPOSED WORK tN THE -
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER? -.-
lf yes, this applicailon must be signedarrd approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
PL.HSE GAR ACC
N
S
E
VALUE
(A)
BUILDING PERMIT
Total Value
Building Permit Fee
State Surcharge
Total Fec
X $/SQ. FT.SQ. FT.ITEM
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
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By
,
E
Date
Receipt Numbe
Plan Check Fee:
Date Paid
Received By:
tl
-
PLAN CHECK
RMIT
BUILDING V]\LUE
AND BUILDING P
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N.
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
lnformation hereon is true ancl correct, and I f urther certify
that any and all work performed shall be done in accordance
wlth the Ordinances 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 Building Safety Division.
I further certily that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
from the street, that the permit card ls located at the front
Slgnature
Date
and the approved set of plans will remaln
n constructlon.site times
of the
on the
Wood Stove/ lnsert/ Fi replace Unit
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-__
ft
Demolition
State Surcharge
Total Miscellaneous Perrnits (E)
Drver Vent
Ge< /k^/o-
/f, du
No
(D)
to. du-,t7l7T-ffi
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
il5 tr /
Zct
VAI-IDATION
RECEIPT NUMBEB
DATE PAI[)
AMOUNT RECEIVED
RECEIVED BY
TOIAL AMOUNT DUE (excluding electrical)
-'--(A, B, C, D, and E Combined)
e