HomeMy WebLinkAboutPermit Mechanical 1997-09-14![i#,FYi#t,,n
lnspecllons: 726.9769
)ffice:726.3759
I'ON
LOCATION OF PROPO
ASSESSORS MAP:
JOB NUMBER
225 Fifth Street
Sprl n g (t el d, Oregon 97 47t
TAX LOT
SUBDIVISION:
--
LOT BLOCK:
PHONE:
ZIP:STATE:
OWNER:
CITY:
ADD
rTto OLISH OTHEFI
DESCRIBE WORK:
NEW
-
FIEMODEL
GENERAL:
ADDRESS EXPIRES .:. PHONECONTBACTOR'S NAME
PLUMBING:
MECHAN
ELECTRICAL:
CONST.
CONTRACTOR #
F
U
(-* OF BDRMS:
- OFFICE USE -
WATER HEATER:
ZONING CODE:
FLOOD PLAIN:
g OF UNITS:
LAND USE:
CONSTR. TYPE:
HEAT
QUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SQUARE. FOOTAGE:
OCCY GBOUP:
* OF STORIES:
To request an lnspectlon, you must call lng. All lnspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requ wlll be made the following work day.
RE NSPECTIONS
Temporary Electrlc Mechanlcal - Prlor to Flnal Plumbing - When all
plumblng worl< ls complete.cover.
Slte lnspectlon - To lre made
alter excavatlon, but Prior to
settlng forms.
Rough Electrical - Prior to Flnal Electrical - When all
electrlcal work is complete.cover.
Underslab Plumblng I Electrical /
Mechanlcal - Prlor to cover.
Electrical Servlce - Must be
approved to obtaln Permanent
electrlcal Power.
Flnal Mechanical - When all
mechanical work is comPlete.
Foollng - After trenches are
excavated.ll Flreplace - Prlor to faclngU materlals and framlng lnsP.
Final Building - When all
required lnsPections have been
approved and building is
Masonry - Steel locatlon, bond
beams, groutlng.
completed.
Framlng - Prlor to cover.
@orherEFoundatlon - After forms are
erected but Prlor to Goncrete
placemont.
WaltlCelllng lnsulatlon - Prlor to
cover.
n Underground Plumblng - Prior
to fllllng trench'
Drywall - Prlor to taPlng
MOBILE HOME INSPE TIONS
Underlloor Plumblng I Mechanlcal
- Fii"r to lnsulatlon or decklng'Wood Stovo - After lnstallatlon'
I--l Post and Beam - Prlor to floor| | lnsulatlon or decklng.lnsert - After flrePlace aPproval
and lnstallatlon of unlt'
Curbcut & APProacl'r - After
forms are erected btlt Prior to
placement of concrete'
Sldewalk & Drlvewav - Atter
.r."aration ls comPlete, forms
lnA "ru-n..e
materlal ln Place'
Blocking and Set'UP - When all
blocklng ls comPlete.
Floor lnsulation - Prlor to
deci<lng.
Plumbing Connectlons - When
home hal been connected to
water and sewer.
Sanltary Sewer - Prior to lllling Electrical Connection - When
UiocXing, set'uP, and Plumbing
r""oe"ti6"s have been approved
"nd tn. home is connected to
the servlce Panel'
trench.
Storm Sewer - Prlor to fllllng
trench.
Water Llne - Prlor to filllng
trench.
Rough Plumblng - Prlor to
cover.
l-l Fence - lvhen coi'lPleted'
l.-J
f---1 Strset Trees - When all requlred
t I it"es are Planted'
Final - After all required
in"Jection. are aPProved and
;;;h;;, sklrtins, decks' and
[Jniins have been lnstalled'
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THE
DISTRICT'OR ON
HIS
THE
TOBICAL
HISTORIGA L REG ISTEB?
tl Yes'thls aPPli catlon must be slgned
and aP proved bY the Historlcal
Coordinator prlo r to permit lssuanoe'
APPROVED:
\
Lot laces
Lot sq. ftg'
Lot coverage
ToPograPhY
Total helght
Lot TYPe
lnterior
-
Corner
-
Panhandle
-
Gul-de'sac
BUILDING PERMIT
VALUESQ. FT.
(A)
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
X $/SQ. FT,
construction shall, in all respects, conform to the Ordinance
adopted by the City of Sprlngfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Fleviewed By Date
Recei pt Numbe
KECcHNLAGNDLIUBITMPRGNLDIBDUNA
dsaiatthethcondilontheonISittedSThiexpresspermgran
Plan Check Fee
Date Paid:
Received By;
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties withln tlre City linrits which are being improved.
Residential Bath(s)
Sanitary Sgwer
Water
Storm Sewer
Moblle Home
FEE
(o)
N!
FT.
Plumblng Permlt
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Fixtures
. FT.
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have caref ully examlnedthe completed application and do hereby cerilfy that aillnformatlon hereon is true ancl correct, and I further cerilfythat any and all work performed shall be done in accordancewlth the Ordinances of the City of Springfield, and the Lawsof the State of oregon pertainrng to the work descrrbedherein, and that NO OCCUPANCy will be made of anystructure without permission of the Building Safety Divislon.I further certily that only contractors andlmptoyees whoare ln compliance with ORS 7O1.OSS will be used on thlspro ject.
S:
requ
from
S
I further agree to ensure that all required lnspections areested at the proper time, that each address ls readablethe street, that the permit card ls located at the frontofthe property, and the approved set of plans will remalnon the site at times during construcilon,
Date
MISCELLANEOUS PERMITS
MECHANICAL PERMTT
Permit
lssuance
Stale Surcha rrr.l30l
Total Permit (D)
(E)Total Mlscellaneous Pennils
N0
Mobile Home
State lssuance
State Surcharge
Sidewalk -.-- ft
Curbcut -- ft
Demolitlon
State Surcharge -
:
---
-_%
Wood Stove/ lnsert/Flreplace Unit
Fu rnacs
Exhaust Hood
Vent Fan
TOTAL AMOUNT
(A, B, C, e and E
OUE (excluding electrical)
Combtned)
DATE PAID
RECEIVED
AMOUNT
VALIDATION:
FECEIPT NUM
FT.
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