HomeMy WebLinkAboutPermit Mechanical 1995-10-31SPR!NGFIELE,
JoB NUMBE ^
cs / 727RESIDENTIAL
PERMTT APPLICATION
lnspections: 726'3769
Office: 726-3759
225 Fifth Street
Sprlngfleld, Oregon 97 477
LOCATION OF PROPOSED WORK
ASSESSORS MAP;2- 2-TAX LOT:
LOT:
-
BLOCK:SUBDIVISION:
To request an inspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested belore 7:00 a.m. wlll be
made the sante worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REQUTRED INSPECTIONS
Temporary Electrlc
Site lnspection - To be made
a{ter excavation, but prior to
setting forms.
Underslab Plumbing / Electrical/
Mechanical - Prior to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, grouting.
Foundallon - After forms are
erected but prlor to concrete
placement.
Underground Plumblng - Prror
to filllng trench.
Underlloor Plumblng / Mechanlcal
- Prior to Insulatlon or decking.
Posl and Beam - Prlor to floor
lnsulation or decking.
Floor lnsulation - Prior to
decki ng.
Sanitary Sewer - Prior to f illing
trench.
Storm Sewer - Prlor to filling
trench.
Water Llne - Prlor to f illing
trench.
Rough Plumbing - Prior to
Rough Mechanlcal - Prlor to
cover.
Rough Electrlcal - Prior to
cover,
Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flreplace - Prlor to facing
materlals and lramlng lnsp.
Framlng - Prlor to cover,
Wall/Celling lnsulation - Prlor to
cover.
Drywall - Prlor to taplng
Wood Stovo ; After lnstallation
lnserl - Alter flreplace approval
and lnstallatlon of unlt.
Curbcut & Approach - After
forms are erected but prior toplacemcnl of concrete.
Sidewalk & Driveway - After
excavation is complete, forms
and sub.base material in place.
Fence - When completed.
Street Troes - When all requlred
trees are planted.
..|!f rinut Plumbing - When ail
zflptu.blng worl< ls complete.
ffiftnat Mechanlcal - When att
,, f+mechanical work ls complete.
Final Eleclrlcal - When all
electrical work is complete.
Final Building - When all
requlred lnspectlons have been
approved and bullding is
completed.
.Ko,nu'4+" Lr:e
&S SF(y'reE
MOBILE HOME INSPECTTONS
Blocking and Set.Up - When alt
blocklng ls complete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set-up, and plumbing
lnspectlons have been approved
and the home ls connected to
the servlce panel.
[--l Final - After alt required.J inspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
PHONE:
STATE:ZIP:
O
,ACLCITY:
ADDRESS:
OWNER
DESCBIBE WORK:
CONST.
CONTRACTOR #ADDRESS EXPI RES PHONECONTBACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL
ELECTRICAL:
RANGE:
I OF BDFIMS:
_ OFFICE USE -
LAND USE:
WATER HEATEFI:
ZONING CODE:* OF UNITS:
QUAD AREA:
, OF BLDGS
SECONDABY HEAT:
SOUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOUBCE:
cover.
E
D
tl
E
E
fl
E
tl
fl
FLOOD PLAIN:
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type.-
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de.sac
bac
P,L.HSE GAR ACC
N
S
E
IST HE PROPOSED WORK IN THEHtsroRtcAL DtsTRtcT, oR oN
THE HISTORICAL REGISTER?
-
lf yes, thls appllcailon must be slgnedand approved by the Historlcal
Coordinalor prlor to permit issuance,
APPROVED:
BUILDING PERMIT
VALUE
(A)
SO. FT. X $/SQ. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING VALU E, PLAN CH ECKAND BUILDING PERMIT
Thls permit is granted on the express condition that the sardconstruction shall, in all respects, conform to the Ordlnanceadopted by thc City of Sprlngfield, inctuding theDevelopment code, regurating the c-onstruction and use ofbulldings, and may be suspended or revoked at any timeupon violation of any provisions of said ordlnances.
Plan Check Fee: _
Date Paid:
Date
Receipt Numbe
Plans Rcviewecj By
Receivecl By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
Plumblng Permlt
State Surcharge , ? l- *, /'f
Total Charge (C)
PLUMBING PERMIT
FEE
N0
',/ L?
?
FT.
FT.
FT.
/f*
./ Lo
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
/tr6-Zr ' ,1 t'f r' ,p%
Mechanical Permlt
lssuance
State Surcharge ,71'+ , y'J'
Total Permlt (D)
/,za
/5F
\o
,/o P
By slgnature, I statc and agree, that I have caref ully examlnedthe completed apptication and do hereby certify that all
lnformatron hereorr is true ancr correct, and r f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinanccs of thc City of Sprlngfield, and the Lawsof the State of Orcgon pertainlng to thc work described
herein, and that NO OCCUPANCy wiil be macJe of any
structure without perrnission of the Buirdirrg safety Divisron.
I further certlfy that only contractors and employees who
are ln compllance with ORS 7O1.OS5 will be used on thls
proiect.
I further agree to ensure that all required lnspections are
requested at the proper ilme, that each address ls readable
from the street, that the perrylt card ls located at the front
of the property, and the approved set of plans wiil remaln
lgnat
Date
ring constructionI times
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk ---- ft
Curbcut --- ft
Demolitlon
State Surcharge
Total Mlscellaneous permits (E)
TOTAL A'I4OUNT DUE
(A, B, C, D, and E Com
vhrroarroru:
RECEIPT NUMBER
DATE PAID
AMOUNT R
FIECEIVED I
ECEIVED(excluding cleclrlcal)
blned)
BY
,{a
on the site at