HomeMy WebLinkAboutPermit Mechanical 1997-12-11RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Of(ice: 726.3759
SPNINGFIELD
LOCATION OF PROPOSED WOIII(:?46l
/7ASSESSORS MAP;o1>Ue 4 '3 c, )--->
LOT;
-
BLOCK:
+h
JOB NUMBER
225 Fittlr Street
Sprlngfleld, Oregon 77
N ( trt 6as t
t
LOri
SUBDIVISION
PHONE:
lYtTZIP:
6
STATE:
* r.\-t.r\k^ s
s't h
{L,
OWNER
ADDRESS:
CITY:
NEW
-
BEMODEL ADDITION DEMOLISH OTHER
W.te6 H-c*"((ho . S rzt /f\ceDESCRIBE WORt(:atff,61o
n
ADDRESS EXPIRES PHONE
t<l^.t[?
6
H E4t,\q.. -)a
1--?*yr
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
>S
MECHANICAL
ELECTRICAL:
CONST,
CONTRACTOR #
qtto ot
s H&trgxP.t RE+F+tE-ltroRtr__
// OF UNITS:
- OFFICE USE -
WATER HEATER: TruSPEBMII
CONSTR. TYPE:
HEAT SOURCE:
QUAD AREA:
r OF BLDGST
SECONDARY HEAT;
SOUAFIF. FOOTAGE:
, OF BDRMS:
LAND USE:
OCCY GFIOUP:
A OF STOBIES:
ZONING CODE:
FLOOD PLAIN:
To request an lnspecilon,
made the sarne worklng rJ"qpfrxdfdHd 4&f,NDOilEE n s.A il ns pe lon S re q UE te d be o re 7:OOrcniltbede be
ANY 1 80
ma he fol ow ng wo rk d ay.nr{'Y P ERrqE o U R E D N S P E CT o N S
J--l Temporary Etectrtc Rough Mochanlcal - prlor to Flnal Plumblng - When allplumblng worl< ls complete.
Flnal Eloctrlcal - When ailelectrlcal work ls complete.
cover.
Sllo lnspoctlon - To be mado
af ter excavailon, bul prlor tosettlng lorms.
Rough Electrlcal - prlor tocover.
U-nderslab plumblng/ Electrlcal /Mechanlcal - prloi to cover.
Footlng - After trenches areexcavaled.
Eleclrlcal Servlce - Must beapproved to obtaln permanenteleclrlcal power.
Flreplace - prlor to faclngmaterlals and framlng lns{
Framlng - prlor to cover.
f*r(at Mochantcal - When an
-
mechanlcal work ls complete.
Masonry - Steel locailon, bonc.lbeams, grouilng.
Flnal Bulldlng - When ailrequlred.lnspecUons have beenapproved and bulldlng lscomptoled,
Foundallon - Alter forms areerecled but prlor to concreteptacemont.Wall/Celllng lnsulallon _ prlor tocover.
[Fl ott'o'
[-l UnAerground plumblno - prt^r*-J to fllllng rrench [-l Orywall - prtor ro taptng,
Underlloor plumblng/ Mechanlcal
- prtor to lnsulallon or decklng.
Posl. and Boam - prlor to floorlnsulatlon or decklng.
Floor lnsulallon - prlor todecklng.
Sanllary Sewer - prlor to fllllngtrench.
Slorm Sewer - prlor to fllllngtrench. r,
Water Llne - prlor to filllnglrench.
Wood Slovo - After lnsfallailon
MOBILE HOME INSPE TIONS
l-l Blocklng and Ser.Up _ When ail
-
blocklng ls compleie.1111, : Afrer ftreptace approvalano tnslallatlon ol unlt.
Curbcul & Alrproaclr _ Afterrorms ars erected bUt prlor toplacomonl of concrctc.
Sldewalk & Drlveway _ Afterexc_availon ls complctc, formsand sub-base materlal ln place.
Fence - When completed.
Plumblng Connoctlons _ Whennomo has been connected towaler and sewer.
Eleclrlcal Connectlon _ Whenpl::Iilg, ser.up, and plumbtnsrnspecilons have been approvida.nd the home ls connecled lothe servlce panel,
Rough Plumblng - prlor to
cover.fl Street Troos - When ail requtred
-
trees are planted.
Flnal - After all requlredrnspecilons are approved andporc.hes, sklrtlng, decks, andventtng havc been lnstalled.
/
\t
a,m.il
IS THE PROPOSED WORK IN THE .
HrsronlcAL DlsrRlcT, oR oN
THE HISTORICAL REGISTER? --
ll yes, thls appllcatlon must be slgned
and approved bY the Hlstorlcal
Coordlnator prlor to pPrmlt lssuance.
APPBOVED:
GAFI ACCP.L.HSE
N
S
E
Lot facos
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de'sac
Set
BUILDING VALUE, PLRN CHECK
AND BUILDING PERMIT
Thls permlt ls grantecl on the express condltlon lhat the sald
constructlon shall, ln all respects, conlorm to the Ordlnance
adopted by the City ol Sprlngfleld, lncludlng the
Development Code, regulatlng the constructlon and use of
bulldlngs, and may be suspended or revoked at any tlme
upon vlolation ol any provlsions of sald ordlnances.
DatePlans Rovlgwed BY
Plan Check Fee:
Date Pald
Recel pt Numbor
Recelved By:
BUILDING PERMIT
VALUE
(A)
SO. FT. X $/SO. FT.ITEM
Maln
Garage
Carport
Tolal Value
Bulldlng Permit Fee
Slate Surcharge
Total Feo
Systems Developmcnt Charge ls duo on all undeveloped
propertles wlthln tlro Clty llntlts whlch are belng lmproved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
FEE
(c)
N0
FT.
FT.
Resldentlal Bath(s)
PLUMBING PERMIT
Plumblng Permll
State Surcharge
Total Charge
Sanltary Sewer
Water
Storm Sewer
Moblle Home
ITEM
Flxtures
Wood Stove/ lnsert/ Flreplace Unll
Dryer Vent
lg.
(D)
+
+
N0Vent Fan
Mechanlcal Permlt
lssuance
State Surcharge
Total Permlt
-f_-to... P_
.,ail ,-!{
aI JFb
By slgnature, I stato and qgree, that I have carolully examlnsd
the completed appllcatlon and do hereby certlly that all
lnlormatlon hereon ls lrue and correct, and I f urther certlfy
that any and all work performed shall be done ln accordance "
wlth tho Ordinanccs of the Clty of Sprlngfleld, and the Laws
of the Stale ol Oregon pertalnlng to thc work descrlbed
heroln, and that NO OCCUPANCY wlll be mado ol any
struclure wlthout perrnisslon of the Bulldlrrg Safety Dlvlslon.
I lurther certlfy that only contractors and employees who
are ln compllance with OBS 701.055 wlll be used on thls
Proiecl.
I further agree lo ensure that all requlred lnspectlons are
requested at the proper tlme, that each addresg ls readable
f rom tho street, that the permlt card ls located at the front
ol the property, and the approved set of plans wlll remaln
S lgnatu re
\)-Date I 241
on the slte at all es durlng constructlon.
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
Slate Surcharge
Sldewalk
-
ft
Curbcul
-
ft
Demolltlon
State Surchargp
Total Mlscellaneous Pennlls (E)
TOTAL AMOUNT OUE (excludlng clect
(A, B, C, O, and E Comblned)
VALIDATION:
FIECEIPT NUMBER - 7g-L5!_-
DATEPATD-I);rt- 9-J
AMOUNT RECEII #)t",*o
RECEIVED BY .11
FT,
MECHANICAL PERMIT
Furnaco
Exhaust Hood