HomeMy WebLinkAboutPermit Mechanical 1995-02-27RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726.3759
s
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
LOCATION OF PBOPOSED WORK:S zs
ASSESSOBS MAP:o
LOT BLOCK:
TAX LOT:0
Tt R.
PHONE:
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obe
STATE:ztP
rn oCITY:
ADDFIESS;
OWNEB:
DESCRIBE WORK:EN\
ADDITION DEMOLISH OTHER
NEW BEMODEL A_-
ADDHESS I
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f 37.2o Itb
E
I R,
CONTRACTOR'S N
GENERAL:
PLUMBING:
EXPTRES2-2r?firu
MECHANICAL:
ELECTBICAL:
CONST.
CONTFIA
FLOOD PLAIN:
ZONING CODE;
, OF BDNMS:
- OFFICE USE -
LAND USE
E OF UNITS:
BANGE
OUAO AREA:
I OF BLDGS:
SECONDARY HEAT:
SQUARE FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE:
WATER HEATER:-
To request an lnspecflon, you must call 726-3769. Thls ts a 24 hourmade the same worklng day, lns pectlons requested after 7;00 a.m
recordlng. All lnspections requested before 7:oo a.m. wlll bewill be made the followtn g work day.
f--l Temporary Etectrtc
REQUIRED INSPECTIONS
Rough Mechanlcal _ prtor to [-_l Flnal plumbingcover. U ptumbtno wort( I
- When ail
Slte lnspecllon - To be made
s complete.
af ter excavat lon, but prior to Rough Electrlcal - prlor tosetting fo rms cover.Flnal Electrical -When altelectrical work is c omplete,
Understab ptumblng/ Electrical /Mechanlcal - prloi to cover.
Footlng - After trenches areexcavated.
Electrlcal Servlce - Must beapproved to obtaln permanent
electrlcal power.
Flreplace - prlor to faclngmaterlals and framlng lnspi
Framlng - prlor to cover.
f-l Finat Mechanicat _ When ail-- mechanical work ls complete.
I-l ttlasonry - Steet locatlon, bonct
-
Deams, grouilng,
Flnal Building - When ailrequlred lnspections have beenapproved and building iscompleted.
Foundallon - After forms areerected but prlor to concreteplacement.
Other
Wall/Celllng lnsulatlon - prlor tocover,
f-l Unaerground plumblnq - priorl-J to fllllig trench, --"'o
l--l Drywalt - Prlor to taptng,
Underf loor Plumblng / Mechanlcat
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPECTIONS
Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to floorlnsulatlon or decklng.[-l lnsert - After flreplace approval
-
and lnstallailon of unlt.
[--l Blocking and Ser.Up - When ail
-
blocklng ls complete.
Floor Insulatlon - Prlor to
decklng.Curbcut & Approach - After
forms are erected but prior toplacement of concrete.
Plumbing Connections - Whenhome has been connected towater and sewer.
Sanltary Sewer - Prior to fllling
trench,Electrlcal Connection - When
blocking, set-up, and plumoing
lnspections have been approvedand the home is connected to
the service panel.
Slorm Sewer - Prlor to lilling
trench.
Sidewalk & Driveway - After
excavatlon ls complete, forms
and sub-base materlal in place.
Water Llne - Prlor to filling
trench.
Fence - When comPleted
Rough Plumblng - Prior to
cover.
Slreet Trees - When all required
trees are Planted.
Final - After all required
inspectlons are aPProved and
porches, sklrtlng, decks, and
ventlng have been installed
(
a
OCCY GFIOUP:
I OF STORIES;
tl
E E fl
E
T
n tl
E
r
j': .,
Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Total height
Lot Typ
-
lnterior
-
Corner
-
Panhandle
-
Gul-de'sac
IS THE PROPOSED WORK IN THE .
HISTORICAL DISTRICT, OR ON
THE H ISTOBICAL FIEGISTER? _-
ll yes, this applicatlon must be slgned
and approved bY the Hlstorlcal
Coordinator prlor to permit issuance.
APPROVED:
ACCPL.HSE GAR
N
S
E
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express condition that the said
consiruction shall, in all respects, conform to the Ordinance
adopted by the City of Sprlngfleld, including the
Development Code, regulating the construction and use of
bulldings, and may be suspended or revoked at any tlme
upon violation of any provisions of sald ordlnances'
Flecelpt Number:-
Plans Beviewed BY Date
Plan Check Fee:
Date Paid
Received BY:
VALUE
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ, FT.
Main
Garage
Carport
Systems Developmcnt Charge is due on all undeveloped
propertles withln the City limlts which are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fix t u res
Besidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N0
FT.
FT.
PLUMBING PERMIT
Plumbing Permlt
Stat€ Surcharge
Total Charge
. FT.
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
14,6D
t0.6D-*w
(D)
N0
Mechanical Permit
lssuance
State Surcharge
Total Permlt
Fu rnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have caref ully examlned
the completed appllcation and do hereby certlfy that all
lnformatlon hereon is true and correct, and I lurther certl(y
that any and all work performed shall be done in accordance
wlth the Ordinances of the Clty of Sprlngf ield, and the Laws
of the State of Oregon pertainlng to tho work descrlbed
herein, and that NO OCCUPANCY wlll be made of any
structure wlthout permission of the Bullditrg Safety Divlslon.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 wlll be used on thls
proiect.
I further agree to ensure that all required lnspectlons are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans wlll remaln
4{
riDO constrpctlon.(//he€\-%
on the site at all times du
Slgnature
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Miscellaneous Permils (E)
TOTAL AMOUNT OUE (excluding electrical)(A,B,qQandECombtned)ZA 7/)
VALIDATION:
BECEIPT NUMBER
DATE PAID 7--L1 ,
AMOUNT BECEIVED
RECE(VEO BY
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