HomeMy WebLinkAboutPermit Mechanical 1996-11-20SPNINGFIELc,RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
853 S. 43
?at{6 1
Qfi,
JOB NUMBER
225 Fif th Street
Sprlngf leld, Oregon 97477
I
TAX LOT:ASSESSORS MAP:l8 02 052 I
LOTI BLOCK
oWNER: Garv Scheile pHoNE 746-2769
Sprinqfield OR 97478STATE:ZIP:
853 S. 43rd
CITY:
ADDRESS:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
dDESCRIBE WORK:
ADDRESS EXPI R ES PHON E
Spf1d 97477,6omf Flow Heatinq 1951 Don St. Ste D 00460 6/27197 726-0tOO
CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR,
GENEBAL:
PLUMBING
BANGE:
, OF BDRMS:
# OF UNITS
WATER HEATER:
ZONING CODE:
FLOOD PLAIN
SECONDARY HEAT: _
SOUARE FOOTAGE:
_ OFFICE USE -
HEAT SOURCE:
OUAD AREA:
I OF BLDGS:
OCCY GROUP:
N OF STORIES:
LAND USE:
CONSTR. TYPE: __
To request an lnspectlon, you must call 726"3769. Thls ls a24hour rccordlng. All inspectlons requestec1 before 7:OO a.m. wlll bemade the same worklng day, lnspectlons requested after 7:OO a.m. wlll be made the followlng work'day,
\RTOUTRED TNSPECTTONS
[-l femporary Electrlc Rough Mechanlcal - Prlor to Flnal Plumblng - When allplumblng work ls complete.COVET
Slte lnspectlon - To [:e madc
after excavatlon, but prlor to
settlng forms.
Rough Electrlcal - Prior to Flnal Electrlcal - When all
electrlcal work is complete.
Flnal Mechanlcal - When all
mechanlcal worl< ls complete.
cover
Underslab Plumblng / Elec trlcal/
Mechanlcal - Prlor to cover.Eleclrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Footlng - Af ter trenches are
excavated.Flreplace - Prlor to faclng
materlals and (ramlng lnsp.
Flnal Bulldlng - When allrequlred lnspectlons have been
approved and bulldlng lsMasonry - Steel locatlon, bond
beams, groutlng.completod
Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
piacement.
O ther
Wall/Celllng lnsulatlon - Prlor to (cover.
Underground Plumblng - Prlor
to fllllng trench.
MOBILE HOME INSPE TIONSUnderlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stovo - Af ter lnstallatlon
Post and Boam - Prlor to floor
lnsulatlon or decklng.lnsert - Alter flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When alt
blocklng ls complete.
Curbcut & A1:proach - Af ter
forms are erected brrt prlor to
placomcnt of concrcte.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to f lllingtrench. ',r Electrical Connection - When
blocklng, set.up, and plumblng
Inspectlons have becn approved
and the homo Is connected to
the servlce panel.
Storm Sewer - Prlor to f llllng
trench. I
Sldewalk & Drlveway, - After
excavatlon ls completc, (orms
and sub-base materlal ln place.
Water Llne - Prlor to f illlng
trench.|_l Fence - lVhen completed
Street Treos - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved andporches, sklrtlng, decks, and
ventlng have been lnstalled.
Rough Plumbing - Prlor to
cover.
LOCATION OF PROPOSED WOB}(:
SUBDIVISION:
Tncf a I naq fr rnnaco i oas nt n
tlrtl
E
tl
E
tl
tl
[-l Drywall - Prlor to taplng,
E
tl
Floor lnsulatlon - Prlor to
deckl ng,
tlE
tl
E tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
Interior
-_
Corner
-
Panhandle
-
Cul-de-sac
Se t bac ks
P.L.HSE GAR ACC
N
S
E
J THE PROPOSED WOFIK iN THE.
HISTOBICAL DISTBICT, OR ON
THE H ISTORICAL REGISTER?
lf yes, thls applicatlon must be slgned
and approved by the Hlstorlcal
Coordinator prlor to permit issuance.
APPROVED
VALUE
(A)
BUILDING PERMIT
Total Value
Bullding Permit Fee
State Surcharge
Total Fec
SO. FT. X $/SO. FT,ITEM
Maln
Garage
Carport
BUILDING VALUE, PLAN
AND BUILDING PERMIT
Thls permit is granted on the express condltlon that the sald
constructlon shall, ln all respects, conform to the Ordlnance
adopted by the City of Springfleld, lncludlng the
Development Code, regulatlng the constructlon and use of
buildings, and may be suspended or revoked at any tlme
upon violation of any provisions of sald ordinances.
CHECK
Plans Rcviewed By Date
Plan Check Fee
Date Paid
Beceipt Number
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developmcnt Charge ls due on all undeveloped
properties within the City linrlts which are being lmproved.
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
No
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
Stato Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fl replace Unlt
t5-m
State Surcha,o" +7ZA L2L
Total Permlt (D)
No
+y Mil^i"
Vent Fan
Dryer Vent
MECHANICAL PERMIT
Furnace
Exhaust Hood
Mechanical Permlt
issuanue
By slgnature, I state and agree, that I have carelully examlned
the completed applicatlon and do hereby certlfy that all
lnformatlon horeon ls true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth tho Ordinances of thc City of Sprlngfield, and the Laws
of the State of Oregon perlalnlng to thc work descrlbed
hereln, and that NO OCCUPANCy will be made of any
structure wlthout perrnission of the Bulldlng Satety Dlvislon.
I further certify that only contractors and employees who
are In cornpliance with ORS 701.055 wlll bo usect on thls
proiect.
I f urther agree to ensure that all requlred lnspections are
requested at the proper tlme, that oach address ls readable
from tho street, that the permlt card ls located at lhe front
of the property, and the approved set of plans will remaln
on the site at all times durlng construcilon.
Date
Slgnature
MISCELLANEOUS PERMTTS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
--_
ft
Demolltlon
State Surchargp
Iotal Mlscellaneous Perrnits (E)
TOTAL AMOUNT DUE (exctudtng ctectrtcat)
(A, B, C, D, and E Comblned)
l'fiT I
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALI DATION:
RECEIPT NUMBER
FT,
Ah,Prt-