HomeMy WebLinkAboutPermit Mechanical 1996-10-09RESIDENTIAL
PERMIT APPLICATION
lnspections:726.3769
Office: 726-3759
LOCATION OF PBO
ASSESSORS MAP:
LOT:
SPRINGFIELE)
K:N #t
BLOCK:
JOB NUMBER
225 Fif th Street
Spring(leld, Oregon 97477
t
TAX LOT:
SUBDIVISION
PHONE:
STATE:fiqt{ZIP:
-7 b-OWNER;
ADDRESS:
CITY:
NEW
--
BEMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
GENERAL:
ADDRESS EXPIFIES PHONE
7*
a
CONTRACTOR'S NAME
PLUMBING:
MECHANICAL
ELECTRICAL:
CONST.
CONTRACTOR '
_ OFFICE USE _
, OF BDRMS:
RANGE:WATER HEATER:
SECONDARY HEAT -
SOUAFIE FOOTAGE:
# OF UNITS:
LAND USE:OUAD AFIEA:
r OF BLDGS:
FLOOO PLAIN:
ZONING CODE
OCCY GROUP:
, OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To req
made
uest an lnspectlon, you must call 726'3760. Thls ls a 34 hour recordlng. All lnspecilons requestecl before 7:00 a.m. wlit bethe same worklng day, lnspectlons rcquested after 7:00 a,m, wlll be made the followlng work day.
R IRED INSPECTIONS
l-l remporary Etectrlc Rough Mechanlcal - prior to
cover.
Flnal Plumbing - When allplumblng worl( ls complete.
Slto lnspocllon - To be mado
after excavatlon, but prlor tosettlng forms.
Rough Electrlcal - prlor to
cover.
[--l Underslab Plumbing/ Etoctricat/
-
Mechanlcal - Prior to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Footlng - Alter trenches are
excavated.FInal Bulldlng - When allrequlred lnspectlons have been
Masonry - Steel locatlon, boncl
beams, groutlng.
Flreplace - Prlor to faclng
materlals and framlng lnsp.
Framlng - Prlor to cover,
approved and bulldin is
completed.
Foundatlon - After forms are
erected but prlor to concrete
placement.
thor
Wall/Colling lnsulatlon - prlor to
cover,
Underground Plumblng - prior
to filllng trench.[--l Drywall - Prlor ro raptng
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.
MOBILE HOME INSPECTTONS
Wood Stovo - After lnstallatlon
Post and Boam - prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approvll
and lnstallatlon of unlt.
[-l Blocktng and Ser.Up - When ail.J blocklng ls complete.
Floor lnsulation - Prlor to
decklng.Curbcut & A1:proaclr - After
forms are erected bUt prlor toplacomont of concretc.
Plumblng Connectlons - Whenhome has been connected towater and sewer.Sanltary Sewer - Prior to lllllng
trench.
Storm Sewer - Prlor to flllingtrench. ,,
Sidewalk & Drlveway - Afterexcavatlon ls COmpletc, forms
and sub.base material ln ptace.
Electrlcal Connecllon - Whenblocklng, set.up, and plumblng
lnspectlons have been approvedand tlre home ls connected tothe service panel.
Water Llne - Prlor to filllng
trench.
Fence - When completed.
Street Troos - When all requlred
trees are planled.
Flnal - After all required
lnspectlons are approved andporches, sklrtlng, decks, andventlng have been lnstalled.
Rough Plumblng - Prlor to
cover.
NR
4troAo 1/"Na-xSr SPe ,) q7
[-l Flnal Etecrrtcal - When ail
-
electrlcal work is complete.
I uN{lnal Mechanlcal - When a[s mechanlcal work ls complete.
tl
E tl
P.L.HSE GAR ACC
N
S
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type "-
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, thls appllcatlon must be slgned'
and approved by the Hlstorlcal
Coordinator prlor to pPrmit lssuance.
APPROVED
VALUE
(A)
x s/so. FT.
Total Value
Bullding Permit Fee
State Surcharge
Total Fec
BUILDING PERMTT
ITEM SQ. FT.
Maln
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permlt is granted on the express condltlon that the sald
constructlon shall, ln all respects, conform to the Ordlnance
adopted by the City of Sprlngfleld, includlng the
Development Code, regulatlng the constructlon and use of
bulldlngs, and may be suspended or revoked at any tlme
upon vlolation of any provisions of sald ordlnances.
Recelpt Number:_.
Plans Rcviewed t3y Date
Plan Check Fee
Date Pald
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties withln tho City linrlts which are being lmproved.
Rosldentlal Bath(s) No
FEE
(c)
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharoe
Tolal Charge
ITEM
Flxtures
Sanltary Sewer
Water
Storm Sewer
Moblle Home
. FT.
ADDITIONAL COMMENTS
) 44e.:
_/ns-re-ft.
Va ut
tl*s 6*s P.s erz bc:r N0
By slgnature, I state and agree, that I have carefully examlned
the compl€ted applicatlon and do hereby certlfy that all
lnformatlon hereon is true and correct, and I lurther cerilfy
that any and all work performed shall be done in accordance
wlth tho Ordinanccs of the City of Sprlngfleld, and the Laws
of the State of Oregon pertalnlng to thc work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structure wlthout perrnission of the Bulldlrrg Safety Dlvislon.
I lurther certlfy that only contractors and employees who
are ln compliance with OBS 701.055 wlll be used on thls
pro ject.
I f urther agree to ensure that all required lnspections are
requested at the proper tlme, that oach address ls readable
from tlre street, that the permlt card ls located at the front
of the property, and the approved set of ptans wlll remaln
Slgnatu re
Date
on the slte at all imes durlng constructlon
Wood Stove/ lnsert / Fl replace Unlt
Dryer Vent
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surchargp
Total Mlscellaneous Perrnlts (E)
TOTAL AMOUNT DUE (excludlng electrica
(A, B, q D, and E Comblned)
Vent Fan
(D)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
DATE PAID
AMOUNT R
RECEIVED
VALIDATION:
RECEIPT NUMBER
FT,
No