HomeMy WebLinkAboutPermit Mechanical 1999-02-01BES'DENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Offlce: 72A4759
SPR INGFIELD
fufr,
JoBNUMBE"%
225 Fifth Street
Springfleld, Oregon 97 477
4LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT
TAX LOT a >/a?
BLOCK:SUBDIVISION
STATE:ZIP:-.<22>E
PHONE:OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
/:ENItrEIAI
ADDRESS
.^c\F
CONST.
CONTRACTOR #EXPIRAS .a PHONE
- *rffi
CONTBACTOR'S NAME
PLUMBING:
MECHANICAL:
ELECTFIICAL:
r0R1\{\$
fl\
RANGF.:
'I OF BDRMS:
ZONING CODE:
D I'LAIN:
WATER HEATER:
rY 1'd
LAND US
#OFUN
HEAT SOURCE:
CONSTR. TY
SECONDARY HEAT:
SQUARE. FOOTAGE:
QUAD AREA:
* OF BLDGS:
OCCY GROUP:
* OF STORIES:
To request an inspection, you must call 726-3769. Thls ls a 24 hour recording. All lnspectlons requested before 7:00 a.m. wlll be
made the same working day, lnspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
[--l femporary Electric Rough Mechanlcal - Prior to Flnal Plumbing - When all
plumblng worl< ls complete.
Site lnspection - To be made
after excavation, but prior to
settlng forms.
B;tq/z 5.r,
Rough Electrical - Priclr to E Flnal Electrlcat - When all
electrlcal work.ls complete.cover.
Eleclrical Service - Must be
approved to obtaln permanent
electrlcal power.
W Final Mechanlcal - When all
mechanlcal work ls complete.
Footlng - After trenches are
excavated.I---l Flreplace - Prior to faclngU materlals and framing lrrsp.
Final Building - \lihen all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.
Foundatlon - After forms are
erected but prior to concrete
placement.Wall/Celling lnsulatlon - Prlor to f,o'n"'
cover.
Underground Plumblng - Prior
to filling trench.Drywall - Prior to taplng
MOBILE HOME INSPE TIONS
Underfloor Plumblng/ Mechanical
- Prior to lnsulatlon or decking.Wood Stove - After lnstallation.
Post and Beam - Prior to floor
lnsulation or decking.
Blocklng and Set-Up - When all
blocklng ls complete.
Floor lnsulation - Prior to
decking.Curbcut & AJrproach - After
forms are erected but prior to
placement r:f concrete.
Plumbing Connections - When
home lras been connected to
water and sewer.
Sanitary Sewer - Prior to fllling
trench.Eleclrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the servlce panel.
Storrn Sewer - Prior to tilling
trench.
Sidewalk & Drlvewav - After
excavation is complete, forms
and sub-base material in place.
Water Line - Prlor to filling
trench.
Fence - When ccillpleted
Rough Plumbing - Prior to
cover.
Slre€l Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
ventlng have been lnstalled.
Underslab Plumbing I Electrical /
Mechanlcal - Prior to cover.
tl
fl
r
tl
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tl
E
E
tl
E
lnserl - After fireplace approvgl
and installation of unlt.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
lnterior
Corner
Panhandle :'
Cul-de-sac
PL.HSE GAR ACC
N
S
r IS THE PROPOSED WORK TN THE .
HISTORICAL DISTRICT, OB ON
THE HISTORICAL REGISTER?
-
ll yes, this application must be signed
arrd approved bY the H istorical
Coordinator prior to permit issuance.
APPFIOVED:
VALUE
(A)
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fea
X $/SQ. FT.
Thls pernrit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, including theDevelopment Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of said ordinances.
Plan Check Fee:
--
Plans Reviewed By Date
Receipt Numbe
BUILDING
AND BUIL DIN
,I
LUE, PLAN CHECK
IG PERMIT
Date Paid
Fleceived By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within ilre City lirnits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
N'
FEE
FT.
(c)
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fi replace Unit
ti4e /?^-'b:+ s,(D) 24-?
24-
No
e
Vent Fan
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust l-lood By signature, I state and agree, that I have caiefully examlned
the completed application and do hereby certify that all
lnformation hereon is true and correct, and I f urther cerflfy
that any and ail work performed shail be done in accorrjance
with the Ordinances of the City of Springfield, and the Lawsof the State of Oregon perlaining 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 employees who
are in compliance with OFIS 701.055 will be used on thisproject.
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 frontof the property, and the approved set of plans wiil remaln
Signature
Date
times durin g construcilonon the site at
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk _ ft
Curbcut _-__ ft
Demolition
State Surcharge
Total Miscellaneous permits (E)
TOTAL AMOUNT DUE (exctuding etectricat)
(A, B, C, Q and E Combtned)
2a
DATE PAID
AMOUNT HECEIVED
BECEIVEO BY
VAI-IDATION:
RECEIPT NUMBER
E
FT.
FT.