HomeMy WebLinkAboutPermit Mechanical 1998-12-23RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3269
Office: 726.3759
LOCATION OF PROPOSED WORK:Z65o
ELt)
JoB NUMBEa 74zS:A
225 Fifth Street
Sprlngfteld, Oregon 91 4ll
AJ. zo f\
ASSESSOBS MAP:zTAX LOT:
LOT BLOCK:SUBDIVtS|ON: _
To request an lnsoectlon, you must cail 726:3769. Thl s ls a 24 hour recordlng. All lnspecilons re quested before 7:00 a.m. will bemade the same worklng day, lnspections requestect after 7:00 a.m. wlll be made the followlng work day.
REOUIRED TNSPECTIONS
l-_l Temporary Etecrrtc m Rough Mechanical - prlor to Flnal Plumblng - When ailplumblng worl( ls complete.
Slte lnspectlon - To be madoafter excavatlon, but prior tosettlng forms.
[-l Understab plumblng/ Electrical /
-
Mechanlcal - prlor to cover.
f-l Footlng - After trenches are
-
excavated.
l--l tvtasonry - Steel tocailon, bond
-
beams, groutlng,
Flnal Buildlng - When allrequired lnspecilons have beenapproved and building iscompleted.
Eleclrlcal Conneclion - Whenblocklng, set-up, and plumbinginspections have been approvedand the home ls connected tothe servlce panel.
Rough Electrlcal - prlor tocover.Final Electrical - When altelectrical work is complete.
Final Mechanical - When allmechanical work ls complete.
Final - After all requiredlnspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
w
Foundatlon - After forms areerected but prlor to concreteplacement.
I Sanitary Sewer - prior to fliltn
- trench.
I Storm Sewer - prtor to flillngJ trench.
I Water Line - Prlor to lilling
trench.
Rough Plumblng - Prlor to
cover.
w erorh
-l Unaerground ptumblng - prlorJ to filllng trench.
l Underlloor Plumblng/ Mechanlcat
- Prlor to lnsulailon or decklng.
-l Post and Beam - prior to floor
- lnsulatlon or decklng.
l Floor lnsulalion - prlor todecklng.
MOBILE HOME INSPECTIONS
[-l Blocking and Set.Up - When ail
-
blocklng ls compleie.
Plumbing Connections - Whenhome lras been connected towater and sewer.
Slreot Trees - When all requlred
trees are planted.
PHONE:
q)11 7ZIP:STATE:
CO,Z
CITY:
€(Jo g\
ADDRESS:
OWNER:
?4+n
DESCRIBE WORK:
ADDITION
r (t v..J a{
NEW.- REMODEL DEMOLISH OTHER
CONST.
CONTBACTOR #AODRESS
zs
a
Lo t[t-r
EXPIRES ,3 PHONE
CONTRACTOB'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTBICAL:
- OFFICE USE -
LAND USE:
# OF UNTTS: --..-
WATER HEATER:
FLOOD PLAIN
QUAD AREA:
r OF BLDGST
SECONDARY HEAT:
SQUARE. FOOTAGE:
, OF BDRMS: _--
RANGE:
OCCY GROUP:
* OF STORIES:
ZONING CODE: _.
CONSTR. TypEr
HEAT SOURCE:
I
s
)+)t-.q>
[-l Electrical Service - Must be
-
approved to obtaln permanent
electrlcal power.
l-l Flreplace - prtor to factngu materlals and framlng lnsI
n Framlng - prlor to cover.
l-_l wail/Ceillng tnsulatlon - prtor to
-
cover.
l-_l Drywail - prlor to taplng.
l-l WooO Stovo - Afrer lnstailatton.
1-l tnsert - After flreptace approval
-
and lnstallatlon of unlt.
[_l Curbcut & Atrproach - After'J forms are erected but prior toplacemcnt of concrete.
[--l SiOewatk & DrivewaV - After
-
excavation ls complete, formsand sub-base material in place.
I--l Fence - Vrthen coinpleted.tt
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle :'
-
Cul-de-sac
., THE PROPOSED WORK IN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this appllcatlon must be slgned
and approved bY the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
ACCP.L.HSE GAR
N
S
E
Plans Reviewed By Date
Receipt Numbe
Plan Check Fee:
Date Paid
Received By:
BUILDING VALUE
AND BUILDING P
, FrRu cHEcK
ERMITVALUE
(A)
'l .,1.
BUTLDING PERMIT
Total Value.
Building Permit Fee
State Surcharge
Total Fee
SO. FT. X $/SO. FT.ITEM
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties withln tlre City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
do
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N'
FT.
PLUMBING PERMIT
Plumbing Permlt
State Surcharge
Total Charge
. FT.
rAtuod-€{crc+ I n sert / Fl re p t ace U ntt/'Vf ),/E-
Dryer Vent
-e>/2
#
(D)2.9,26
No
2-*
3, --
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
Informatlon hereon is true and correct, and I lurther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlnO to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure wlthout perrnission of the Bulldlrrg Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 will be used on thls
proiect.
I further agree to ensure that all required lnspections 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 will remain
Slgnature
\L-<aDate
on the slte at all ti durlng constructlon
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk _ ft
Curbcut .--._'- ft
Demolition
State Surcharge
Total Miscellaneous permlts (E)
TOTAL AMOUNT DUE (excluding electricat)(A,B,qQandEComblned)
DATE PAII)
AMOUNT BECEIVED
BECEIVED BY
VALIDATION:
RECEIPT NUMBER
This permit is granted on the cxpress condition that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
bulldings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
FT.