HomeMy WebLinkAboutPermit Mechanical 1994-03-08RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT
JOB NUMBER 2
225 Fifth Street
Springfield, Oregon 97477
sr'o
./
BLOCK:
TAX LOI SH
SUBDIVISION:
PHONE:
ZIP()STATE:
, // TJ-4u/4 A,/
SpCITY:
ADDRESS:
OWNER:
(.-/'
DEMOLISH OTHERDESCRIBE WORK:
NEW
-
FIEMODEL ADDITION
PHONEEXPIRES
ADDRESS
C
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
- OFFICE USE -
WATER HEATER:
SECONDARY HEAT
SQUARE FOOTAGE:
# OF BDRMS:
QUAD AREA:
# OF BLDGS:
LAND USE:
OCCY GROUP:
# OF STORIES:
CONSTB. TYPE:
HEAT SOURCE:
# OF UNITS:
To request an inspectlon' You
made the same working day'
must call 726'g769' Thls is a 24 hour
f n"-p=u"tion" requested after 7:00 a'm'
REOUIRED INS
[-l remPorary Electric Rough Mechanical - Prior to l---l Final Plumbing - When all
t---l pi"r"ning work is comPlete'
nspections requested before 7:00 a'm
the following work day'
,B
Final Electrical - When all
ui""iti"ur work is comPlete'
Final Mechanical - When all
-"Jn"nii"t work ls complete'
Final Building - When all
lJ;;i.;J i;aPictions have been
apbroved and building ls
comPleted.
ffi otner
MOBILE HOME INSPE TIONS
Blocking and Set'UP - When all
blocking is complete'
Plumbing Connections - When
;;;;ii; been connected to
water€nd sewer'
will be
recordlng. All I
wlll be made
PECTIONS
:i l:,, ::3ffj ii.x,o..Ii,? il LX. "
setting forms'
H,:1i'""1?:"r':si:?i:':'"'J:?:"
Footing - After trenches are
excavated.
Masonry - Steel locatlon' bond
beams, grouting'
Foundation - After forms are
Lr-#iEJ-0", Prior to concrete
placement.
Underground Plumbing - Prior
to fllltng trench'
Undertloor Plumbingl Mechanlcal
]'i-tiot-io lnsulation or decki ng'
Post and Beam -. Prior to f loor
insulation or decKing'
Floor lnsulation - Prior to
decking.
Sanitary Sewer - Prior to fllling
Rough Electrlcal - Prior to
cover.
cover.
WaltlCelling lnsulation - Prior to
cover'
Drywall - Prlor to taping'
Electrical Service - Must be
;;;;e to obtain Permanent
electrical Power'
',[Bni : ;." I'*1: J''"Jl;
Framing - Prlor to cover'
Wood Stove - After lnstallation'
lnsert - After flrePlace approval
"nl-ln"t"rt"tion
of unit'
Curbcut & APProach - After
i"-ttiJ-*" "t6it"o
uut Prior to
placement of concrete'
Sidewalk & DrivevuaY - After
i-i""li,?ii", ts comPlete' forms
;;;i;;;:6""; materrar rn Prace'
Fence - When comPleted'
trench
Storm Sewer - Prior to filling
trench
Water Line - Prlor to fllling
trench.
cover.
Electrical Conneclion - When
;i;;ki;;; ""t-uP,
and orumbins
i;;;;;iil;" have been aPPro.ved
;;i;;;;.-e is connected to
the service Panel'
Rough Plumbing - Prior to Street Trees - When all required
trees are Planted'
Final - After all required
in"IL"tion" are aPProved
."-tLnL", ski rting, decks'
IJ"ii"s hr," been install
and
and
ed.
J
r
tlr
r
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
E
q --r-S THE PROPOSED WORK lN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER? .-
lf yes, this application must be signedand approved by the Historical
Coordinator prior to permit issuance.
APPROVED;
BUILDING PERMIT..
VALUE
(A)
SQ. FT. X $/SQ, FT,ITEM
Main
Garage
Carport
Total Value
Building permit Fee
State Surcharge
Total Fee
Pllt_LD_t.ryc VALUE, PLAN CHECKAND BUILDING PENMif -"-YI\
This permit is granted on the express condition that the saidconstruction shall, in all respecis,
"onfor.n io-tne Ordinanceadopted by the City
. of Spiinsri"iJ, incruding theDevelopment code. regurating inu "in"trr"tion "no use ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions
"t ""iJ orJinances.
Plan Check Fee:
Date Paid:
Plans ewed By Date
Feceipt Numbe
Received By:
SYSTEMS DEVELO PMENT CHARGE (SDC)
(B)
Systems menDevelop ch tsarge du e o aln u evend lopedroprtipeESwithlncihelimtyitswhtcharebeinsrovedmp
ITEM
Flxtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
N0
(c)
Plumbing permit
State Surcharge
Total Charge
ADDI TIONAL COMMENTS
Wood Stove/lnsert/Fireptace Unit
Dryer Vent
MECHANICAL PERMIT
/oy
(D)7-rZ
N0
Mechanical permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By signature, I state and agreg that I have carefully examinedthe compreted apprication and do n"r"iv
"urtify that ailinformation hereon is true and correct, anO t f urtner certifythat any and ail work performed shalt b; ;;;; in accordancewlth the ordinances of the city.f a;;;nr,";I, and the rawsof the State of Oregon pertaining to tne work describedherein, and that NO OCCUPA|.fCV *,fi O" made of anystructure without permission or tnu erli;inJ"a.r",, Division.I further certify that only contractors -o-ulrproy"es who
ii|,fl,i"orrance with oRS 701.055;;;;; used on this
Date c)z q -ta
I further agree to ensure that all required inspecti ons arerequested at the proper time,that each address isfrom the street,readablethat the pe rmit card is located at the frontof the property,and the roved set of plans wlll remainon the site at all ng construction.
atu re
State lssuance
State Surcharge
Sldewalk t+
Curbcut t+
Demolltion
State Surcharge
(E)
Total Miscell aneous permits
MISC
Mobile
ELLANEOUS PERMITS
Home
TOTAL AMOUNT DUE(A, B, C, e and E Com
(excludi ng electricat)
bined)
7r 7f
DATE PAID
AMOUNT FIECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
-
-
-
-
-
-
-
FEE
-
-
-
/< ao---l.--_
4*s /+a sf-- "
-
-
-
-
7r
-
-
_
_
-
-