HomeMy WebLinkAboutPermit Mechanical 1999-11-22
RESIDENTIAL
PERMIT APPLICATION
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Inspections: 726.3769
Office: 726.3759
LOCATION OF ~ROPOSED WORK: ~
ASSESSORS MAP' / 7D 3. J 4/7.
LOT'
BLOCK:
OWNER' 0e..AJe_ W..e..$1?;Jn
ADDR"';"'" l?<lcr 0?escotf
CITY: 5f:;;oJ2..in q -Il.,qILJ
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DESCRIBE WORK~S P7M - A l::itJ
NEW REMODEL ADDITION ~
CONTRACTOR'S NAME
GENERA' .
PLUMBING'
MECHANICAL& JfA w1eIlLAAt..
ELECTRICAl'
e
JOB NUMBER
1'7/1)6 f
225 Fifth SIreel
Springfield, Oregon 97477
TAX LOT: I 'f 700
SUBOIVISION:
PHONF'
7 Z 0.../f18ts"
STATE: CJ~ ZIP: 9.7C/ 77
~AS. ~ AIJr.k ~/ UJ;e, ~
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DEMOLISH OTHER
ADDRESS
CONST.
CONTRACTOR .
EXPIRES ',":, PHONE
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b'lV I "'....ITSHALLEXPIREIFiHE~ICE USE _
QUAD AREA: TH\SP~~\~_." 'tlnC:RiHIS~li;I'l~l~~~~OT .ATTENT'ON:Or<F.I[OciDflI~I:AIN'~_ .
AU1MVnL......- -- ,l\Il=DFOR ,UlluwrUleSadopledh th"~"~' YU""J
· OF BLDGS: COI ~IIP'I"c:nnR1SABANO.o01""1)NITS: NO!if;""'in. Cen', ZONI~GfHaDlf:on Utili!"
v v,.. 00 in OAR 95 ,IA.'III'.,eruleSareseltoft'
occy GROuP:_~tl'(.Qnn,AVPERI . CONSTR, TYPE: ._. 2-001-or"~0j;r,BDRMS"" '_, II
.\ . -. UU::IU. YOU may obt~i- _ " U" -., , """'-vv,.
. OF STORIES: HEAT SOURCE: ':Rllinn th" cento~SEcBRiDAR?tHEA-r.'~
numb ~ f"~ -.. \I"O[e: the te:/ephone
WATER HEATER: RANG'" er orthe OrcspcrAE\E;IF.QWfo1GE: '
L'e"t~,.;.~ "'-,Q('I#L"~;"" ;~,....... hn..aUUII
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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 after 7:00 a.m. will be made the following work day.
o Temporary Electric
o Site Inspection - TQ be made
after excavation, but prior to
seltlng forms.
o Underslab Plumblng/Eleclrlcall
Mechanical - Prior IQ CQver,
o Footing - After trenches are
excavated.
o Masonry - SIeel IQcatlQn, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o Undorground PlumbIng - Prior
10 filling trench,
o UnderflQQr Plumbing/Mechanical
- Prior to InsulatlQn or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - PrIor to
decking. ,
D Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to tilling
trench.
O Waler Line - Prior to filling
trench.
o RQugh PlumbIng - Prior to
cover.
REQUIRED INSPECTIONS
~ Rough Mechanical - Prior to
~ cover.
D Rough Electrical - PrIor to
cover.
o Electrical Servlco - Musl be
approved to obtain permanent
electrical power.
o Final Plumbing - When all
plumbIng w9rl< Is complet.e.
D Final Electrical - Wt,en all
electrical work Is complete.
'0 Final Mechanical _ When all
~mechanlcal work Is complete.
o Final Building - When all
required Inspections have been
approved and buildIng Is
completed.
o Framing - Prior to cover, (ft' /'4-
Othel./'rr.l ~/
o 'Nail/Ceiling In~,ulaHon - Prior to
cover.
o FIreplace - Prior to facing
materials and framing lnsp.
o Drywall - Prior to laplng.
o Wood Stovo - After Installatlon.
o Insert - After fireplace approv!ll
and InstallatIon of unit.
o Curbcllt & Approach - After
forms are cH~cted but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material In place.
o Fence - When cOi-.,pleted,
o Street Trees - When all required
trees Bre planted.
,
MOBilE HOME INSPECTIONS
o BIQcklng and Set.Up - When all
blocking Is complete.
D Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home is connected to
the service panel.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
Lot faces
,.
Lot Type'
Interior
Lot sq, ltg,
Lot coverage
Corner
Topography
Total height
.
Panhandle
Cul-de.sac
BUILDING PERMIT 'I
ITEM SQ, FT,
':; ''t
X $/SQ, FT, ~
Main
Garage
Carport
Total Val ue
Building Permit Fee
State Surcharge
Total Fee
(A)
I P.L.
N
----
S
I
-~---1-
,E I
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N'
Sanitary S~wer FT.
Water FT.
Storm Sewer FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge (C)
~ MECHANICAL .PERMIT
Furnaco
Exhaust Hood
I~' yent Fan N'
\ ')I Wood StovellnsertlFlreplace Unit
'~
f ~~~i~;;~::m"
Dryer Vent
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stale Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Tolal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, e, C, 0, and E Combined)
FEE
.' " ~:,,- \1'; '\;~_t.:\ I
.(, THE PROPOSED WORK tN THE.
""HISTORICAL DISTRICT. OR ON
THE HISTORICAL REGISTER?
II yes, this appllcallon must be signed
and approved by the Historical
Coordinator prior to permit issuance.
Setbacks
HSE GAR ACC
APPROVEP'
" '!>- OJ U
BUILDING VALtJE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City 01 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.
Plan Check Fee:
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
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 Ordinances 01 the City of Springfield, 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 permission of the Building Safety Division,
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project,
I further agree to ensure that all required Inspectlons Bre
requested at the proper time, that each address Is readable
from the street, that the permit card Is located at the front
of the property, and the approved~ans will remain
on the sit times during co stru~nj)l /)
Slgnatur _ ~
Date J/,YlY99,
VALIDATION:
RECEIPT NUMBER. (j ~ Co 2. 'I ~
DATE PAID rtf"l-2}r 1
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