HomeMy WebLinkAboutPermit Mechanical 1999-06-14RES!DENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
SPFlItYGFIELT'
?fo7?6.JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97477
LOCATION OF PROPOSED WOFIK:2za r/ 32"
ASSESSORS MAP:/7 bz 9o z/TAX LOT:/7oo
LOT:BLOCK:SUBDIVISION:
PHONE:
STATE:ztP
/2
726- r q3,
4z q77CITY:
ADDRESS:
OWNEB:
NEW
-
REMODEL ADDITION DEMOLISH OTHEFI
€nt S fiurDESCRIBE WOFIK:
ADDFIESS
u//3/s'78o"-,t
EXPIRES PHONECONTRACTOR'S NAME
GENERAL:
ELECTRICAL:
MECHANICAL:
PLUMBING:
CONST.
CONTBACTOR #
- OFFICE USE -
To request an lnspectlon, you must call 726'3769. Thls ls a 24 hour recordlng. All lnspectlons requestecl belore 7:00 a.m. will bemade the sanle worklng day, lnspectlons requested after 7:OO a.m. wlll be macle the followlng work day.
REOUIRED INSPECTIONS
Temporary Electrlc Mechanlcal - Prior to Flnal Plumbing - When ailplumbing worl< is complete.
E Slto lnspoctlon - To tre madc
after excavation, but prior to
setting forms.
Rough Electrlcal - Prlor to Flnal Electrlcal - Wlren ail
electrical work is complete.cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power,
rl Mechanlcal - When all
hanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lrrsp.
Flnal Buildlng - When alt
reguired lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.ert
Foundatlon - After forms are
erecled but prlor to concrete
placement.
ther i/-P?-7--
Wall/Celling lnsulatlon - Prlor to
cover.
Underground Plumbing - Prior
to fllllng trench.l--.l Drywall - Prlor to taptng.
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or ctecking.
MOBILE HOME INSPECTIONS
Wood Stovo - After lnstallation
D Porl and Bcem - Prlor to floorlnlulrtlon or deoklng,ln..rl - Attcr tlrcplaoc approvll
and lnstallatlon of unlt.
[-l glocking and Set.Up - Whon altu blockln0 l6 completG.
Floor lnsulalion - Prior to
docl<lng.Curbcut & Approach - After
fqrms are €rrected btrt prior to
placoment of concrete.
Plumbing Connections - When
homo has been connected to
water and sewcr,
Sanltary Sewer - Prior to fllling
trench.Electrical Connection - When
blocklng, set.up, and plumbing
lnspections have been approved
and the home is connected to
the service panel.
Stonn Sewer - Prior to filling
trench.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base materlal ln place.
[--l Water Llne - Prlor to fillingu trench.
Fence - When ccmpleted.
Rough Plumbing - Prlor to
cover.
$lreet Trees - When all requlred
trees are planted.
Final - After all required
inspections are approved and
porches, sklrting, decks, and
ventlng have been installed.
fl
/> )1
-Notif
ieatieH-Ce nte r.torth
you to
0090. You maY
forthe E.L, ____---
SOURCE:
FIANGE:
QUAD
toF
LAND USE:
in OAR952-001-001
# OF STORI
OCCY G
WATE R H EATNfiYISO-PAY TEIPq
E
tl
rE
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typ,
-
lnterior
-
Corner
.- Panhandle
-
Cul-de-sac
IS THE PROPOSEO WORK iN THE -
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTEFI?
-
lf yes, this application must be signed
arrd approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
PL.ACCHSEGAR
N
S
E
VALUE
(A)
BUILDING PERMIT
Total Value
Bulldlng Permlt Fse
State Surcharge
Total Fee
SO. FT. X S/SO, FT.ITEM
Main
Garage
Carport
This permit is granted on the express 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 proviaionc of cald ordinanceg.
Plan Check Feo;**-
'i
PLAN CH ECK
Plans Flcviewed t3y Date
Date Paid
R6colpt Number
Received By
RMIT
BUTLDING VALUE,
AND BUILDING PE
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fix tu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
Nr
FT.
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
. FT.
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certify that all
lnformation hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Sprlngfir,'ld, and the Laws
of the State of Orcgon pertaining to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Builclirrg Safety Division.
I further certify 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 is readable
from tlre street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
Date
Signature
Wood Stove/ lnsert / Flreplace Unit
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Mlscellaneous Perrnits (E)
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, D, and E Comblned)
tCo o
l-. oo
qs/ ts'
21-ta
No
D
Vent Fan
Vent
(D)
MECHANICAL PERMIT
Furnace
Exhaust llood
Mechanical Permit
lssuance
State Surcharge
Total Permit
6u
h/
I6
0?+,{ 3 fVAI-IDATION
UMB
AMOUNT RECEIVED
RECEIVED BY
BECEIPT N
DATE PAIi')
.:
FT.
o lt/rr