HomeMy WebLinkAboutPermit Mechanical 1996-09-09ASSESSoBS uee: /?'aV -2<:^72 rAX Lor:
SPNII\rGFIELD
55
Qfr,
y'aae
;:JOB NUMBER %
LOCATION OF PROPOSED WORK:
RESIDENTIAL
PERMIT APPLICATION
lnspections:726.3769
Office: 726-3759
13s
225 Fif tlr street
Sprlngfleld, Oregon 97477
SUBDIVISION:---LOI:- BLOCK
STATE ZIP:
4
17r--
PHONE:4 - o./z\54r-7{
CITY:Spr,'r^ qQt lJr --=i
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ADDRESS EXPIRES PHONE
CONTBACTOR'S NAME
MECHANICAL:
ELECTRICAL
coNsT.
CONTRACTOR ,
G EN ERAL:
PLUMBING
- OFFICE USE _
LAND USE:
, OF BDRMS:
RANGE:WATER HEATER
HEAT SOURCE
QUAD AREA:
r OF BLDGS:
FLOOD PLAIN:
ZONING CODE
SECONDARY HEAT:
SOUARE. FOOTAGE:
,/ OF UNITS: =-
CONSTR. TYPE:
--
To requ
made tl
est an lnspectlon, you must call 726'3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll behe sante worklng day, lnspectlons requested aft.er 7:00 a.m. wlll be made the {ollowlng wort( day.
REQUIRED INSPECTIONS
Temporary Eloclrlc w Rough Mochanlcal - prlor to Flnal Plumblng - When allplumblng worl< ls complete.
Slto lnspoction - To be madc
alter excavatlon, but prlor tosettlng forms.
ry, vrzorr-z
Rough Electrlcal - prior to Flnal Electrlcal - When ail
electrlcal work is complete.cover
Underslab Plumblng/ Electrical /Mechanlcal - Prlor to cover.Electrlcal Servlco - Must be
approved to obtaln permanent
electrlcal power.
w Flnal Mechanlcal - When allmechanlcat wqrk ]! complete.47s f#rr<e;
FInal Buildlng - When allrequlred lnspectlons have beenapproved and bullding is
completed,
Footlng - Af ter trenches are
excavatod.[l Flreplaco - prlor to factngtJ materlals and lramlng lnsplMasonry - Steel locatlon, boncl
beams, groutlng,
Framlng - Prlor to cover.
Foundatlon - After (orms are
erected but prior to concrete
placement.
Othor
Wall/Cellin0 lnsulatlon - prlor to
cover.
t] l'J''flii:;"ii::Jn'.'-orns - Prior [-l orywan - prror to taprns
Underlloor Plumbtng/ Mechanlcal
- Prior to lnsulatlon or decklng.
MOBILE HOME INSPECTIONS
Wood Stovo - Af ter lnstallatlon
Posl and Boam - Prlor to floorlnsulatlon or decklng.[-_l lnsert - A,tor flreptace approvat
-
and lnstallailon ol unlt.
l--l Blocktng and Set.Up - When ail.J blocklng ls compleie.
Floor lnsulatlon - Prlor to
deckl ng.Curbcut & Alrproaclr - Afterlorms are erected bUt prlor loplacemont of concrete.Sanltary Sewer - Prior to fllllng
trench.
Storm Sewer - Prlor to f llilngtrench. I
Sidewalk & Orlveway - Af terexcavatlon ls complctc, formsand sub.base materlal In place.
Electrlcal Connection - Whenblocklng, set.up, and plumblnglnspectlons have becn approvedand the home ls connected tothe servlce panel.Waler Llne - Prlor ro f illlng
trench.
Fence - Wfren completed
Street Treos - When all requlred
trees are planted.
Flnal - After all requiredlnspectlons are approved andporchcs, sklrtlng, decks, andventlng have been lnstalled.
Rough Plumblng - prlor to
cover.
,
OCCY GBOUP:
I OF STORIES:
E tl
l--l Plumbing Connectlons - When
-
home lras been connected towater and sewer.
Lot (aces
Lot sq. ftg,
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de.sac
-.THE
PROPOSED WOBK iN THE .
HISTORICAL OISTRICT, OB ON
THE HISTORICAL REGISTER?
-
I( yes, thls apptlcatlon must be slgned
and approved by the Hlstorlcal
Coordinator prlor to permit issuance.
P.L.HSE GAB ACC
N
5
E
VALUE
(A)
X S/SO. FT.
Total Value
Bullding Permit Fee
State Surcharge
Total Fec
BUILDING PERMIT
ITEM SO. FT.
Maln
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is grantecl on the cxpress condltlon that the sald
construction shall, in all respects, conform to the Ordlnance
adopted by the City of Springfield, includlng the
Development Code,'regulating the constructlon and use of
bulldings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
Plans Rcviewc<J By Oate
Plan Check Fee
Date Paid
Receipt Number
Receiveci By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties wlthln the City linrlts which are belng improved.
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
No
FT.
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
Stat6 Surcharoe
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unlt
Oryer Vent
(D)
No
1*o
Vent Fan
Mechanlcal Permlt
lssuance
State Surcharge
Total Permlt
+Efe
24-2>
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have carof ully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon horeon ls true and correct, and I further certlly
that any and all work performed shall be done in accordance
wlth tho Ordinanccs of the Ci ty of Sprlngfield, and the Laws
of the State of Orcgon perlalnlng to thc work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structure wlthout peilnission of the Bulldlrrg Safety Dlvlslon.
I further certlfy that only contractors and employees who
aro ln cornpliancc witlr ORS 701.055 wlll be used on thls
pro ject.
I further agree to ensurc that all required lnspections are
requested at the proper tlme, that oach address ls readable
from the street, that the permlt card ls located at the front
d the approved set ol plans wlll remaln
Slgnature
Date
of the property,
rlng const tlontlmon the slte
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
lt
Curbcut
-_
ft
Demolltlon
State SurchargP
Total Mlscellaneous Pertnlts (E)
VALIDATION:
RECEIPTNUMBEB -27I.?o+
22.2?
DATE PAID
AMOUNT RECEIVt:D
RECEIVED BYTOTAL AMOUNT DUE (excludin! etectrtcatl
(A, B, C, D, and E Comblned)
2z- ??
'APPROVED:
-