HomeMy WebLinkAboutPermit Mechanical 1995-08-05SPFIIR
P
ESIDENTIAL
ERMIT APPLICATION
lnspectlons: 726.3769
Office: 726.3759
2 s/z7LJOB NUMBER
225 Fifth Street
Sprlngf leld, Oregon 97477
LOCATION OF PROPOSED WORK:5 o
ASSESSORS MAP:TAX LOT:
SUBDIVISION:
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PHONE:/vs
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STATE:
ADDRESS:
OWNEB:
CITY:
NEW
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REMODEL ADDITION DEMOLISH OTHER
qi.l Ur(lY\SDESCR]BE WORK:
AODRESS EXPIRES PHONE
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ELECTRICAL:
1-)Y
CONTRAC'TOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
CONST,
CONTBACTOR 'f
FLOOD PLAIN
_ OFFICE USE -
WATER HEATER:
* OF UNITS:ZONING CODE:
r OF BDRMS:
QUAD AREA:
r OF BLDGS;
LAND USE:
OCCY GROUP:
* OF STORIES:SECONDARY HEAT:
SQUARE FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlr:n, you must call 726.3769. Thls ls a 24 hour recordlng. All lnspecilons requested before 7:00 a.m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made lhe followlng work day.
Temporary Etectrlc
REQUIRED INSPECTIONS
T)dnough Mechanlcat - prtor to.::H.!over.Flnal Plumbing - When alt
plumblng work ls complete.
Slte lnspectlon - To be made
after excavatlon, but prlor to
settlng forms.
Rough Electrlcal - Prlor to Jt'flnat Electrlcal - \Mten ail
zA"l""trlcal work is complete.scover.
Underslab Plumblng, Electrlcat /
Mechanlcat - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When all
lcal work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Bulldlng - When all
requlred lnspectlons have been
approved and bullding ls
completed.fl Masonry - Steel locatlo n, bond
beams, groutlng.Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
I
WalllCbltlng lnsrltatton - Frlor to
ffi otn".
a4<
cover.
J-l Underground Plumblng - prtor]J to lllllng trench.Drywall - Prlor to taplng
tf Underlloor Plumblng / Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPE TTONS
Wood Stovo - After lnstallatlon.
Posl and Beam - Prlor to floor
lnsulatlon or decklng.[_l tnsert - After flreplace approval
-
and lnsta,latlon of unlt.
Blocklng and Set.Up - Whep all
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approach - After
forms are erected but prlor toplacement of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Jl Sanltary Sewer - Prtor to filtng
-
lrench.
Storm Sewer - Prlor to fllllng
trench.
Sldewalk & Drlveway - After
excavatlon ls complete, forms
and sub-base materlal ln place.
Electrlcal Connectlon - Whenblocklng, set.up, and plurpblng
lnspections have been approved
and the home ls connected tothe servlce panel,
[-l !V:te1 Llne - Prlor to flntng l--l Fence - When compteted|J trench.
Street Trees - When all requlred
trees are planted.
[--l Final - After ail required.- lnspectlons are approved andporches, sklrilng, decks, andventlng have been lnstalled.
Rough Plumblng - Prlor to
cover.
RANGE:
tl
tl
E
,: b, ::;l' :1r I
Lot faces
Lot sq. ftg.
Lol coverage
Topography
Total tlelght
Lot Typt
\v
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
acks
P,L.HSE GAR ACC
N
S
E
iS THE PROPOSEO WORK TN THE -
HlsroBtcAL DlsTRlfi, oR oN
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved by the Hlstorlcal
Coordinator prlgr to permit lssuance.
APPFIOVED:
BUILDING PERMIT
ITEM SO. FT. X $/SQ. FT,VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
l\.laln
Garlage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit ls granted on the express conditlon that the sald
construction shall, ln all respects, conform to the Ordlnance
adopted by the City of Sprlngfield, includlng the
Development Code, regulating the constructlon and use of
bulldings, and may be suspended or revoked at any tlme
upon violation of any provislons of sald ordlnances.
Plans Reviewed By Date
Plan Check Fee;
Date Paid:
Recelpt Num
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties wlthin the City limits which are being improved.
ITEM
Flxturest
Ftesldentlai Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
N0
FT.
FT.
FT.
(c)
PLU MBING PERMTT
Plumblng Permit
State. Surcharge
Total Charge
ADDITIONAL COMMENTS
TaV lS 16,664t{ t--
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Flreplace Unit
State:surcharge ,? f *.'t{.2L.20Total Permit
4zn)
(D)
/,2 o
Dryer Vent
Mechanical .Permit
lssuahce
_/24-
/<,e
By slgnature, I state and agree, that I have carefully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon hereon ls true and correct, and I f urther cerilfy
that any and all work performed shall be done ln accordance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout permission of the Bulldlng Safety Divislon.
I further certlfy that only contractors and employees who
are ln compllance with ORS 701.055 wlll be used on thls
proJect.
I further agree to ensure that all requlred lnspectlons are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans wlll remaln
on the slte at all times durlng constructlon.
-?rDate
Slgnature
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (oxcludlng electricat)
(A, B, C, Q and E Comblned)-e7
2 J-
VALIDATION:
RECEIPT NUMBER
DATE PAID
/a 5e 2-
7oAMOUNT RECEIVED
RECEIVED BY