HomeMy WebLinkAboutPermit Mechanical 1998-07-01(
RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-9769
Offlce: 726.9159
LOCATION OF PROPOSED WORK:
IELI)
-70 4 36 7t OT)7
JOB NUMBER 3oL
225 Fifth Street
Sprlngfleld, Oregon gl 4Zl
. TAX LOI
6t'h
ASSESSORS MAP;
LOI BLOCK:
-
SUBDIVISION
PHONE:jtr
E
STATE:
L11
ZIP:rf
2 LI
oL,q1CITY:
ADDRESS:
OWNER frTl
NEW -_- REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ADDRESS
l..<lr s Ce
v
EXPIRES ,.a pHoNE
CONTRACTOR'S NAME
ELECTRICAL:
GENERAL:
MECHANICAL:
PLUMBING:
CONST.
CONTFIACTOR #
- OFFICE USE -
NCI?[UEn. rYPE
OUAD AFIEA:
r OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE:
, OF BDRMS: -.-
LAND USE:
#OF UNITS: .-
TH I$PEI$'fl tP BSff L+€XPIRE-IETHE WO RK
AUFIIOREFJ{INDEBfH lS PFRlvllT ls NOTWATER HEATER:-
OCCY GROUP:
/ OF STORIES:
ZONING CODE:
FLOOD PLAIN:
To request an lnspecilon, you must call s r recordrng. Ail rnspecilons requested before 7:00 a.m. will bewlll be made the followlng work day,
made the same worklng day, lnspecilons
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - prlor to
cover.I--l Flnal Ptumblng - When ail
-
plumblng worl< ls complete.
Slte lnspectlon - To be mado
after excavatlon, but prlor tosettlng forms.
Rough Electrlcal - prlor to Eleclrlcat - When allcover,cal work ls complete.e
l-_| Underslab PlumbtnglEtecrrlcal /
-
Mechanlcal - Prlor lo cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
al Mechanlcal - When allmechanlcal work ls complete.
Foollng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Framlng - Prlor to cover.
Flnal Bulldlng - When altrequlred lnspectlons have been
approved and bulldlng is
completed.tl Masonry - Steel locatlon, bond
beams, groutlng.
tl Foundallon - After forms are
erected but prlor to concrete
placemont.
OthertlWalt/Celllng lnsulatlon - Prlor to
cover.
Underground Plumblng - prlor
to fllllng trench.[-l Drywall - Prtor to taptng.
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME TNSPECTIONS
[-l Wood Stove - After tnstailarton
Posl and B€am - Prlor to floor
lnsulatlon or decklng.[-l lnsert - After flreplace approvql'- 6nd lnstallatlon of unlt.
[-l Slocklng and Set.Up - When ailu blockln0 ls cornplete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Agrproaclr - After
forms are erected but prlor toplacement of concrele.
Plumblng Connectlons - When
home lras been connected to
water and sewer.
Sanltary Sewer - Prlor to fllling
trench.
Slorm Sewer - Prlor to fllllng
trench.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base malerlal ln place.
Electrlcal Connection - Whenblocklng, set-up, and plumblng
lnspectlons have been approved
and the home ls connected tothe servlce panel.
Waler Llne - Prlor to filling
trench.
Fence - lVhen ccinpleted
Rough Plumblng - Prlor to
cover.
Streel Trees - When all requlred
trees are planted.
Flnal - After all required
lnspectlons are approved andporches, sklrtlng, decks, andventlng have been lnstalled.E
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IS THE PROPOSED WORK TN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, thls appllcatlon must be slgned
and approved by the Historlcal
Coordlnator prlor to permlt lssuance.
APPFIOVED:
P.L.}JSE GAR ACC
N
S
E
Lol faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
Se
VALUE
(A)
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
t
X $/SQ. FT.
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
This permit is granted on the express condition that the said
constructlon shall, ln all respects, conform to the Ordlnance
adopted by the City of Sprlnglleld, includlng the
Development Code, regulating the constructlon and use of
buildings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
Plans Beviewed By Date
Receipt Numbe
BU I LDI NG
AND BUIL
LAN CHECK
MIT
LU E t
E RDGNP
Plan Check Fee:
Date Paid:
Fleceived By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties withln the City limits which are being improved.
ADDITIONAL COMMENTS
t"AX*; /h!4*vr--r WnJ.a-ac
U
ITEM
Flxtures
Resldential Bath(s)
Sanltary Sewer
Water
Storm Sewer
fulobile Honre
FEE
(c)
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
Nt
. FI:
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
4to.-.7{t.4!#h-g(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the corrtpleted applicatlon and do hereby certlfy that all
lnformatlon hereon ls lrue and correct, dnd I lurther certlly
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 perlalnlng to tho work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout pertnission of the Bulldlrrg Safety Divislon.
I furlher certify that only contractors and employees who
are ln compllance with ORS 701.055 wlll be used on thls
proiect.
I lurther agree to ensure that all requlred lnspections are
requested at the proper tlme, that each address ls readable
{rom tlre street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
Slgnature
Date 6 -L7 -qg
on the slte at all mes durlng constructlon.
+
MISCELLANEOUS PERMlTS
Mobile Home
State lssuance "
State Surcharge
Sldewalk ._-....- ft
Curbcut ..--- ft
Demolitlon
State Surcharge
Total Mlscellaneous Pertnils (E)
TOTAL AMOUNT DUE (ercluding e---'rical)
(A, B, q D, and E Comblned)
VALIDATION:
RECEIPT NUMBER Voto rE
7--t q<
DATE PAID
AMOUNT REC*'{F.D
FIECEIVED BY
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