HomeMy WebLinkAboutPermit Mechanical 1997-08-27ENTIAL
/'T APPI'CAI,ON
tlons:726.3t69
:726.3759
AT]ON OF PROPOSED WO
;ESSOFS MAP:
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JoBN,MBE^%
225 Fif th Street
Sprlng(leld, Oregon 97 477
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rAx LoT C a F, *zt
r:BLOCK:SUBDIVISION
PHONE:a ? a- 7 g's 7,WNER:
\DDRESS:
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3IO D ts t
CITY:Scrr^<q,.\t STATE:OP ZIP:?7 r/tJ
\e c +uDESCR]BE WORK:c4_
NEW
-
BEMODEL ADDITION DEMOLISH OTHER
PLUMBING:
ELECIRICALT
ADDRESS
l4
EXPIRES .? PHONE
th c)t-t n a (
CONTBACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR ''
I OF BDRMS:
LAND USE:
WATER HEATER:
FLOOD PLAIN
,I OF UNITS;
RANGE:
OUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SQUARF. FOOTAGE:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE;
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
n femporary Electrlc Flnal Plumbing - When all
plumblng worl< ls complete.
Slte lnspectlon - To be made
after excavatlon, but prlor to
settlng forms.
Flnal Electrlcal - When alt
electrical work is complete.
Underelab Plumblngl Electrlcal,
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
lVflnat Mechanlcat - When ailA,mechanlcal work ls complete.
tl
tl
tl
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Bulldlng - When all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placemont.
ffi orher A*S ' ' -
E WalllCblllng lnsulallon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.tl Drywall - Prlor to taplng
MOBILE HOME INSPE TIONStl
tl
Underlloor Plumblngl Mechanlcal
- Prlor to lnsulatlon or decklng.E Wood Stovo - Alter lnstallatlon
Post and Beam - Prlor to lloor
lnsulatlon or decklng.E lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When ail
blocklng ls complete.
Floor lnsulation - Prlor to
decklng.Curbcut & Approaclr - After
forms are erected but prlor to
placement of concrete.
Plumblng Connections - When
home has been connected lo
water and sewer.
Sanltary Sewer - Prior to fllllng
trench.Electrlcal Conneclion - When
blocklng, set.up, and plumblng
lnspectlons have been approved
and the home ls connected to
the servlce panel.
Storm Sewer - Prlor to fllllng
trench.
Sldewalk & Drlveway - After
excavatlon ls complete, forms
and sub-base materlal ln place.
Water Llne - Prlor to filllng
trench.
Fence - lVhen coi-rrpleted.
Rough Plumblng - Prior to
cover.
Street Trees - When all requlred
trees are planted.
Flnal - After all required
inspectlons are approved andporches, sklrting, decks, andventlng have been installed.tl
f e-d+loc- *rro41
- OFFICE USE -
ZONING CODE:
-
jVnough Mechantcat - prtor to
.lAeover.
l-l Rough Electrlcat - Prlor toU cover.fl
E
E
l
I
Lot laces
Lot sq. ftg.
Lot cgverage
ToPograPhY
Total helght
Lot TYPe
--
lnterlor
--
Corner
-
Panhandle i
-
Cul'de'sac APPROVED:
BUILDING E LAN CHECK
AND BUILD ING P RMIT
Thls permit is granted on the cxpress condition that the said
construction shall, In atl respects, conform to the Ordinance
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 ordlnances.
Plan Check Fee:
Date Pald:
Becelpt Num
Recelved By:
Plans Reviewed By Date
N
S
W
E
VALUE
(A)
t
Main
Garage
Carport
Total Value
Bulldlng Permit Fee
State Surcharge
Total Fee
X $/SQ. FT.
BUILDING PERMIT
ITEM SO. FT.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties withln the City limlts which are belng lmproved.
I,TEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
Nc
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Tolal Charge
- FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
5'rc/5P
,7f t,l5i
/r//d)
(D)
N0
ZO
aat oo*i d,/f ,
ao
Vent Fan
Mechanlcal Permit
lssuance
State Surcharge
Total Permit ^y
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
lnformatlon hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done ln accorrlance
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 will be made of any
structure wlthout permission of the Bulldlng Safety Divislon.
I further certily that only contractors and employees who
are ln compllance wlth ORS 701.055 wlll be used on thls
prolect.
I further agree to ensure that all required lnspections are
reguested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the lront
of the property, and the approved set of plans will remaln
on the site at all times durlng construcilon.
Slgnature
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
Stato Surcharge
Sidewalk
-
tt
Curbcut
-
ft
Demolltlon
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excludlng electrtcat)
(A, B, C, Q and E Comblned)
D,/zolr@Lr--
>/O
VALIDATION
RECEIPT NUMBER
DATE PAII)
AMOUNT RECEIVED
RECEIVED BY
GARHSEP.L.
FT.
x