HomeMy WebLinkAboutPermit Mechanical 1999-6-16 (2)
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JOB NUMBER_~
225 Filth Slreel Uf\ OC{,O \
Springfield, Oragon 97477
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SPRINGFIELD
RESIDENTIAL
PERMIT APPLICATION
~~
LOCATION OF PROPOSED WORK' c:? fJ'f'l
il 03 '+'3 Lf <...t
Inspections: 726.3769
Office: 726.3759
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ASSESSORS MAP'
TAX LOT'
SUBDIVISION:
LOT'
BLOCK:
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OWNER'
PHONF'
ADDRE"'"
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ZIP' 7'7'1?'7
STATF'
CITY'
DESCRIBE WORK:
REMODEL
NEW
ADDITION
DEMOLISH
OTHER
CONST.
CONTRACTOR'
CONTRACTOR'S NAME
GENERAl'
PLUMBING'
MECHANICAl ,)/-4~ ~".,j}.::t: /~
v
ADDRESS
EXPIRES .'C PHONE
3YS-.;>f,37
t:/n
7 [)!- O.x....r
f~/L';
ELECTRICAl'
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follow rules adopteo ov the OregUfJ SMi'fE USE -
Notification Cent€'. fhoSfL'A.:!.lD' 8iltset forth
In VAN ~:><<-UU1-UOl 0 through OAR 952-001-
nnon Vn" ~~.. ~"'taln cO......r.lF.,iJH~T"...,,- ....
~ 1..1It,.-::=: VI u.... tU._~ OJ
calling the center (NotPcCfN'sf.,!\3I'tYfll:?
numoer tor the Dregon Utility Notification
C...n'Q' ,. 1-ROO-3!;LE~1l4>q!JRCE:
RANGE: _
NOTICE:
THIS PERMIT $UAQflE!}lf1!m: IFr: I;: wen"
AUTHORIZED ZlblliliiiG ~~E.flMl:r-l&NST
COMMENCEDD8~ONFnFOP
ANY 180 DAY PFRlgn .
SEe !'ilUARY HEAT.
QUAD AREA'
. OF BLDGS:
OCCY GROUP:
. OF STORIES.
WATER HEATER:
SQUARE FOOTAGE: __
To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be
made the same working day, Inspections requested afler 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Temporary Electric
o Final Plumbing - When all
plumbing W9rl< Is complete.
~U9h Eleclrlcal - Prior 10
cover.
~l Electrical - When all
electrical work.ls complete.
D Site Inspection - To be made
after excavation, but prior to
setting forms.
~l Mechanical - When all
mechanical work Is complete.
o Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
o Electrical Service - Must be
approved to obtaIn permanent
electrical power.
o Footing - After trenches are
excavated.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
o Fireplace - Prior to facing
materials and framing Insp.
o Masonry - Steel location, bond
beams, grouting.
o Framing - Prior to cover.
DOthor
o Foundation - After forms are
erected but prior to concrete
placement.
o Wail/Ceiling Insulation - Prior to
cover.
o Underground Plumbing - Prior
to IIIl1ng trench.
o Drywall - Prior to taping.
MOBilE HOME INSPECTIONS
D Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Wood Stovo - After Installation.
o Blocking and Set-Up - When all
blocking Is complete.
o Post and Beam - Prior to floor
Insulation or decking.
o Insert - After fireplace approvlll
and Installation of unit.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Floor Insulation - Prior to
decking.
o CurbclIt & Approach - After
forms are erected bul prior to
placement of concrote.
o Sanitary Sewer - Prior 10 filling
trench.
o Electrical Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connecled to
the service panel.
o Sidewalk & Driveway - Afler
excavation Is complete, forms
and sub.base ma!erlal in place.
o Slorrn Sewor - Prior 10 filling
trench.
o Fence - VVhen COiYlpleted.
o Water Line - PrIor 10 filling
trench.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Install cd.
o Rough Plumbing - Prlor to
cover.
o Streel Troes - When all required
trees are planted.
Lot faces
Lol Type
_ Interior
Lot coverage
Corner
Panhandle ~.
Setbacks
I PL. I HSE I GAR
I
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S
I
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ACC I
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'as THE PROPOSED WORK IN THE.
.'HSTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this application must be signed
and approved by the Historical
Coordinator prior 10 permit Issuance.
Lol sq, flg.
Topography
Total height
Cui-dc-sac
APPROVED:
ITEM
SO. FT.
x $/SO. FT. =
VALUE
_~ . 'I
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
BUILDING PERMIT
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 provisions of said ordinances.
Main
Plan Check Fee'
Date Paid:'
Total Value
Receipt Number-
Building Permit Fee
Received By.
Stale Surcharge
Total Fcc
(A)
Plans Reviewed By
Dale
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within tho City limits which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
FT.
FT.
FT.
Water
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Tolal Charge (e)
l ~~;c~ANICAL PERMIT
Total Permit
(0)
15:. -
10. -
1S:1.f-S
s2.rn,~/
By signature, I state and agree, that I have carefully examined
the completed application and do hereby cerllly that all
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done In accordance
with the Ordinancus 01 tha City of Springfield, and the Laws
of the State 01 Oregon perlalnlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance with OAS 701.055 will be used on this
project.
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Sidewalk
fl
I further agree to ensure that all required Inspections are
requested at the proper time, that each address Is readable
from tho street, that the pormlt card Is located at the front
01 the properly, and tho approved sel 0/ plans will remain
on the site at all times du ng tructlo~
Signature t?~~ . ~ )
~ -//R--;;il / '-.
L/
Date
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Curbcut
ft
Demolition
State Surcharge
VALIDATION:
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
RECEIVED BY
(l'3V/4glp
lR -/(.0-0 ~
.$ ,.;)~, dO
q(W
Total Miscellaneous Permits (E)
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
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