HomeMy WebLinkAboutPermit Mechanical 1995-09-21SPFIII\|GFIELO
RESIDENTIAL
. PERMIT APPLICATION
lnspections:726'3769
Office: 726'3759
JoB NUMBE B ?S/U 3 Y
225 Fifth Street
Sprlngfleld, Oregon 97477
7Q
LOCATION OF PBOPOSED WOBK:
?-TAX LOT:4/Pa
SUBDIVISION
ASSESSORS MAP
r.\T. BLOCK:LVt.
PHONE:
ZIP:
,pa4-1
STATE:CITY:
ADDRESS:
OWNEB:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
ELECTBICAL:
ADDRESS EXPIRES -: PHON ECONTBACTOR'S NAME
DESCRIBE WORK
MECHANICA
CONST.
CONTRACTOR #
G EN ERAL:
PLUMBING
RANGE:
r OF BDRMS:
- OFFICE USE -
LAND USE:
ZONING CODE:
FLOOD PLAIN
SECONDARY HEAT:
SOUARE FOOTAGEWATER HEATER:
/ OF UNITS:
QUAD AREA:
'' OF BLDGS
OCCY GROUP:
I OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspecilon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the sanre worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
l--l Temnorary Electric w
Site lnspection - To be madc
af ter excavation, but Prior to
setting forms.
Underslab Plumblng / Electrical /
Mechanlcal - Prlor to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng,
Foundatlon - After forms are
erected but prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
Underlloor Plumbing/ Mechanical
- Prior to lnsulatlon or decklng.
Post and Beam - Prlor to floor
lnsulation or decklng.
Floor lnsulation - Prior to
decki ng.
Sanltary Sewer - Prior to f llling
trench.
Storm Sewer - Prior to filling
trench.
Water LIne - Prlor to filling
trench.
Bough Plumblng - Prior to
cover.
Rough Mechanlcal - Prlor to
cover.
Rough Electrlcal - Prlor to
cover,
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flreplaco - Prlor to faclng
materlals and framlng InsP.
Framlng - Prlor to cover.
Wall/Celling lnsulatlon - Prlor to
cover.
Flnal Plumbing - When all
plumblng work ls complete.
Flnal Electrlcal - When all
electrical work is complete.
Flnal Mechanlcal - When all
mechanical work ls cgmplete,
Flnal Buildlng - When all
requlred lnspectlons have been
approved and building is
completed.
MOBILE HOME INSPE TIONS
Blocklng and Set-Up - When all
blocking ls complete.
Plumblng Connections - When
home has been connected to
water and sewer,
Electrical Connection - When
blocking, set-up, and plumblng
lnspections have been approved
and the home is connected to
the service panel.
Final - After all required
lnspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
[--l Orywal] - Prlor to taplng
Wood Stovo - After lnstallatlon.
lnserl - After flreplace aPProval
and lnstallatlon of unlt.
Curbcut & Approach - After
forms are erected but Prlor to
placemont of concrete,
Sidewalk & Drivewav - After
excavation ls complete, forms
and sub-base materlal in Place.
Fence - When comPleted.
Str€€l Trees - When all requlred
trees are planted.
E
fl
E
E
E
B
E
fZor.er , 2,f27 6
E
E
E
E
E
3>/>*
?t?-2-7'f
tl E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Typ
-
Interior
--
Corner
_- Panhandle
..- Cul-de-sac
PL.HSE GAR ACC
S
E
IS THE PROPOS ED WORK IN THEHISTORICAL D ISTRICI OR ONTHE HISTORI CAL REGISTER? ..-
APPROVED;
lf yes, this applicailon must be slgnedand aPProved by the gistoitcal
uoordinator prior to permtt issuance.
BUILDING PERMIT
VALUE
(A)
SQ. FT. X $/SQ. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
D^t.ry.g_vALU E, PLAN CH ECKBUILDING PERMIT
Thls permit rs granted on the express condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City. of Spiingfief J, inctuding theDe.velopment code, regurating ir',. Jon.tir"ton and use ofbulldings, and may be suspended or revoked at any flmeupon violation of ar.ry provisions of said ordinances.
DalePlans Fevi ewcd L3y
Receipt Numbe
BUIL
AND
Date Paid
Received By
Plan Check Fee
MS DEVELOPMENT CHARGE (SDC)
(B)
SYSTE Systems Developmcnt Charge is due on alt undevelopedproperties within the City limits which are being improved,
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
N0
FT.
FT.
FT.
(c)
Plumblng permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
MECHANICAL PERMIT
,r?ry /<.*
%-2a(D)
44
No
Mechanlcal permlt
lssuance
State Surcharge
Total Permlt
Fu rnace
Exhaust Hood
Vent Fan
By slgnature' r state and agree, that r have care,uily examrnedthe completed application and do hereby certify that alllnformatlon hereon is true ancl correct, and I f urther cerilfythat any and all work performed shall be done in accordancewlth the Ordinances of the City of Sprlngfield, and the Lawsof the state of oregon pertainrng to the work descrrbedhereln, and that NO OCCUPANCy will be macJe of anystructure wlthout perrnission of the Building Safety Division.I further certify that only contractors and employees whoare ln compliance with ORS 7O1.O5S will be used on thlsproiect.
I further agree to ensure that all requlred inspections arerequested at the proper ilme, that each address is readablefrom the street, that the permit card rs located at the frontof the property, and the approved set of prans wirr remarnon the site at all times during construcilon.
/- 7{?aDate
Slgnatu re
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk _-_ ft
Curbcut
--
ft
Demolitlon
State Surcharge
Total Miscellaneous permlts (E)
TOTAL AMOUNT DUE (exctudtng etec\rlcat)
(A, B, C, D, and E Combtned)
VALIDATION:
FIECEIPT NUMBER ?
DATE PAID 4 -2,/.
AMOUNT RECEIVED
RECEIVED BY
14i-2o
N