The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 1995-01-11BESIDENTIAL PEHMIT APPLICATION ln o rspect f f lce: lons: 726.3769 726.3759 JOB NUMBER ?7 225 Fifth Street Sprlngfleld, Oregon 974 77 TAX LOI LOCATION OF PROPOSED WOBK: ASSESSORS MAP:2- id LOT - BLOCK:..SUBDIVISION: STATE: pHorrrE: "-i :-< ZZ - CITY: ADDRESS: OWNER: NEW - BEMODEL ADDITION DEMOL|SH OTHER t (oc (c) DESCRIBE WORK: ADDRESS EXPIRES PHONE,L 2 7? (r CONTRACTOR'S NAME MECHANICAL: ELECTRICAL: CONS.I CONTRACTOR # GENERAL: PLUMBING - OFFICE USE - FLOOD PLAIN QUAD AREA: r OF BLDGS: OCCY GBOUP: * OF STORIES; CONSTR. TYPE; HEAT SOURCE: # OF UNITS. :ZONING CODE: , OF BDRMS: .. SECONDARY HEAT: SQUARE FOOTAGE: LAND USE: WATER HEATER: ' you must call 726'3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll beday, lnspectlons requested after 7:00 a.m. wlll be made.the folrowrng work day. REQUIRED INSPECTTONS n Temporary Etectrlc Rough Mechanlcal - prlor to Flnal Plumblng - When allcover.umblng work ls complete. Slte lnspectlon - To be made [l Rough Electrlcat _ prlor toafter excavatlon, but prlor to U "or"r.settlng forms. n Underslab Ptumblng/Etectrlcal/ - Mechanlcal - Prlor to cover. I I Electrlcal Servlce - Must beapproved to obtaln permanent olectrlcal power.[-l Footlng - After trenches are - excavated. [_l Masonry - Steel locatlon, bond - beams, grouilng. J-l Flreptace - prlor to factng - materlals and framlng lnsp. To roquest an lnspecilon, made the same worklng , Foundallon - After formg areerected but prlor to concreteplacement. Floor lnsulatlon - prlor to decklng. l-l Watel Ltne - prtor to fililng|J trench^ Rough Plumblng - prlor to cover. Flnal Electrlcal - \Al(lten ailelectrlcal work ls complete.t Flnal Mechanlcal - When allmechanlcal worl< ls complete. Flnal Bulldlng - When allrequlred lnspectlons have beenapproved and bulldlng iscompleted. t] ,'Jffi1fl;'i,:1"?.'-trns - Prror J--l Drywan - prror to taprns. Underlloor Piumblngl Mechanlcat - Prlor to lnsulatlon or decklng. I I Wood Stove - Aft6r lnstailatlon. MOBILE HOME INSPE TIONS E Po6l and Beam - prlor to floorlnsulatlon or decklng.[-l lnsert - After flreplace approval - and lnstallailon of unlt. [-l Blocklng and Ser.Up - Whep all - blocklng ls compleie. Framlng - Prlor to cover. Wall/Celllng lnsulatlon - prlor tocover. Other Plumblng Connectlons - Whenhome has been connected towater and sewer.Ill Sanltary Sewer - prtor to fullng 'J trench. Curbcut & Approach - Afterforms are erected but prlor toplacement of concrete. l-l Storm Sewer - prtor to fililng|J trench. Electrical Conn6clion - Whenblocking, set-up, and plurpbtnglnspectlons have been approvedand the home ls connected tothe servlce panel. I-l Street Trees - When all requtred - trees are planted. Final - After all requiredlnspectlons are approved andporches, sklrilng, decks, andventlng have been lnstalled. \ ^ '1 - zte, ?)/28 tl I_l Siaewatk & Drlveway - After - excavatlon ls completo, forms . and sub-base materlal ln place.: [-l Fence - When compteted. ':':,jt 1' Lot faces Lot sq. ftg. Lot coverage Topography Total leight Lot Typ( - 'lnterior t - Corner - Panhandle - Cul-de-sac Set IS THE PROPOSED WORK TN THE . HISTORICAL DISTBICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls applicatlon must be slgned and approved by the Hlstorlcal Coordinator prlor to permlt lsSuanoe. APPROVED: P.L.HSE GAR ACC N S E BUILDING PERMIT ITEM SO. FT. Main Galage VALUE a....- (A) X $/SO. FT. Carport Total Value Building Permit Fee State Surcharge Total Fee BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permit is granted on the express condition that the said construction shall, ln all respects, conform to the Ordlnance adopted by the City of Springfleld, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any tlme upon violation of any provisions of sald ordlnances. Plans Reviewed By Date Receipt Numbe Date Paid: Becelved By: Plan Check Fee: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge ls duo on all undeveloped properties wlthln the Clty limits which are being improved. ITEM Flxtures, Resldential Bath(s) Sanitary Sewer Water Storm Sev,rer Moblle Home Plumblng Permlt State.Surcharge ,/f + ,15 Total Charge (C) FEE /S,N ..1 FT. FT. PLUMBING PERMIT /zo ,/b zo ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unlt Dryer Vent 1D) NoVent Fan Mechanical Permit lssuahce State Surcharge Total Permit MECHANICAL PERMIT Furnaco Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned the completed appllcatlon and do hereby certlfy that all lnformatlon hereon is true and correct, and I f urther certlfy 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 pertalnlng to tho work descrlbed hereln, and that NO OCCUPANCY will be made of any structure wlthout permission of the Bullding Safety Divislon. I further certify that only contractors and employees who are ln compllance with ORS 701.055 wlll be used on thls proiect. I further agree to ensure that all requlred lnspections are reguested at the proper tlme, that each address ls readable from the street, that the permlt card ls located at the front of th6 property, and the approved set of plans wlll remaln on the site at all times durlng construction. Slgnature Date MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) ' )z 20r'@*- ZO ,'57Q { AMOUNT RECEIVED RECEIVED BY DATE PAID VALIDATION: RECEIPT NUMBER -l FT. TOTAL AMOUNT DUE (excluding electrical)' (A, B, C, D, and E Comblned) B P ESIDENTIAL ERMIT APPLICATION lnspectlons: 726.3769 Office: 726-3759 FIELE, JoB NUMBE ^ ?r/?-- 225 Fifth Street Sprlngfleld, Oregon 91 417 LOCATION OF PROPOSED WORK: ASSESSORS MAP:2 TAXLoT: O?7.r5- .SUBDIVISION:- % ZIP:STATE:?2/>= PHoNE: ?y'- -=24--OWNER: ADDRESS: CITY: NEW - REMODEL ADDITION DEMOL|SH orHEB DESCRIBE WORK: EXPIRES PHONEADDRESSCONTRACTOR'S NAME ELECTRICAL: MECHANICAL: PLUMBING: GENERAL: CONST.. CONTRACTOR ,' - OFFICE USE - LAND USE: r OF BDRMS: OUAD AREA: r OF BLDGST FLOOO PLAIN: OCCY GROUP: * OF STORIES:SECONDARY HEAT SQUARE FOOTAGE: WATER HEATEB:-RANGE:- # OF UNITS:ZONING CODE: [-l Unaeretab plumbtngl Electrlcal/ - Mechanlcal - prlor to cover.tl To request an lnspectlon made the same worklng l-_l Temporary Etecrrtc Slte lnspectlon - To be made after excavatlon, but prlor tosettlng forms. Footlng - After trenches are excavated, Foundallon - After formg are erected but prlor to concreteplacement. Floor lnsulallon - prlor to decklng. [-l Sanltary Sewer - prtor to fliltngu trench. [-l Storm Sewer - prtor to fililng|J trench. l-l Water Llne - prtor to fililnglJ trench. Rough Plumblng - Prlor to cover. Rough Electrlcal - prlor to cover. Electrlcal Servlce - Must be approved to obtaln permanent olectrlcal power. Flnal Plumblng - When altplumblng work ls complete. Flnal Electrlcal - \A,ttren ailelectrlcal work ls complete.s Flnal Mechanlcal - When allmechanlcal work ls complete, Flnal Buildlng - When allrequlred lnspectlons have beenapproved and bulldlng lscompleted. Other , you must call 726'3769. Thls ls a24 hour recordlng. All lnspectlons.requested before 7:00 a.m. wlll beday, lnspectlons requested after 7:00 a.m. wlll be made the foilowrng work day, REQUIRED INSPECTIONS f-l Rough Mechantcat - prtor ro .. - cover.X n [-l Masonry - Ste6t locailon, bond - beams, grouilng. Flreplace - Prlor to faclng materlals and framlng lnsp. Framlng - Prlor,to cover. [-l WallrCotilng lnsulaUon - prtor to - cover. f] ,'Jfliffii'i,lfl"ln'.'-olns - Prror [-l Drywarr - prror to taprns l--l Unaerfl oor ptumbtng / Mechanlcal Prlor to lnsulatlon or decklng. [-_l Post and Beam - prlor to ftoor.- lnsulatlon or decklng. Wood Stovo - Aft6r lnstailatlon. lnserl - After flreplace approval and lnstallatlon of unlt. Curbcut & Approach - Afterforms are erected but prlor toplacemont of concrete. Sldewalk & Drlveway - Afterexcavatlon ls completo, formsand sub-base materlal ln place. Fence - When iompleted. . Slreot Troes - When all requlred trees are planted. MOBILE HOME INSPECTIONS Block.lng and Set.Up - Whel ailblocklng ls compleie. Plumblng Connecllons - Whenhome has been connected towater and sewgr. Electrical Conneiction - Whenblocklng, Set-up, and plurgbing rnspecilons have been approvedand the home ls connected tothe servlce panel. CONSTR. TYPE: '. HEAT SOURCE: tl tl l--l flnat - After ail required.J lnspectlons are appioved andporches, sklrilng, decks, andventlng have been lnstalled. ' ti'',j t' Lot faces Lot sq, ftg, Lot coverage Topography Total [elght Lot Type - lnterlor - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E r -.S THE PROPOSED WORK rN THE - HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be slgned and approved by the Hlstorlcal Coordinator prlor to permit lssuance. APPROVED: BUILDING PERMIT ITEM SO. FT. X $/SQ. FT.VALUE (A) lv!ain Carport Gaqage Total Value Bullding Permit Fee State Surcharge Total Fee BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permlt ls granted on the express condition that the said construction shall, ln all respects, conform to the Ordlnance adopted by the City of Springfield, includlng the Development Code, regulating the constructlon and use of buildings, and may be suspended or revoked at any tlme upon vlolation of any provisions of said ordinances, Plans Reviewed By Date Plan Check Fee: Date Paid: Receipt Numb Recelved By: SYSTEMS DEVELOPMENT CHABGE (SDC) (B) Systems Development Charge ls duo on all undoveloped properties wlthln the City limits which are being lmproved. ITEM Flxturest. Residential Bath(s) Sanitary Sewer Water Storm Sevver Moblle Home FEE N0 FT. FT. (c) PLUMBING PERMIT Plumblng Permlt State. Surcharge Total Charge ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rnace Exhaust Hood Wood Stove/ lnsert/ Flreplace Unlt 24.26(D) c 2 N0 ftt *$Lr Vent Fan & Mechanical Permlt lssuahce State Surcharge Total Permlt o /Zrry. B * By slgnature, I state and agree, that I have caref ully examlned the completed appllcatlon and do hereby certlfy that all lnformatlon hereon ls true and correct, and I f urther certl(y that any and all work performed shall be done in accordance wlth the Ordinances of the Clty of Sprlngfield, and the Laws of the State of Oregon pdrtainlng to the work descrlbed hereln, and that NO OCCUPANCY wlll be made of any structure wlthout permission of the Bulldlng Safety Dlvislon. I further certlfy that only contractors and employees who are ln compllance with ORS 701.055 wlll be used on thls proiect. I further agree to ensure that all requlred lnspections are requested at the proper tlme, that each address ls readable from tho street, thal the pormlt card ls located at the front of the property, and the approved set ol plans wlll remaln on the slte at all times durlng co /qQ.3- L 2c> Slgnatu Date DATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER MISCELLANEOUS PERMITS Mobllo Homo State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAN- AMOUNT DUE (excludlng. electrical) (A, B, C, D, and E Comblned) 24.2a -l Dryer Vent4f^=