HomeMy WebLinkAboutPermit Mechanical 1996-04-01SPrl!NGFIELc,
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
JOB NUMBER
225 Fifth Street
Sprlngf leld, Oregon 97477
b tlzz .ry i*T;LOCATION OF PROPOSED WORK:
ASSESSOBS MAP:
LOT:BLOCK:SUBDIVISION
TAX LOT:
OWNER:
CITY:
ADDRESS:Lyu{tQ ,t^
STATE:OR,ZIP:92v77
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WOFIK:
ELECTRICAL:
ADDRESSCONTRACTOFI'S NAME
MECHANIQAL:
GENERAL:
PLUMBI
CONST.
CONTRACTOR #
RANGE:
Y OF BDRMS:
_ OFFICE USE _
LAND USE:
ZONING CODE:
FLOOD PLAIN:
WATER HEATER:
E OF UNITS:
SECONDARY HEAT:
SOUARE. FOOTAGE:
QUAD AREA:
r OF BLDGS:
OCCY GROUP:
r OF STORIES:
CONSTR, TYPE:
HEAT SOURCE:
To request an lnspection, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When all
plumbing work ls complete.
Slte lnspectlon - To be made
after excavatlon, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prlor to cover.
Electrical Service - Must be
approved to obtaln permanent
electrlcal power.
X
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Final Building - When all
required lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng,Framlng - Prlor to cover.6/6 '-
Foundatlon - After forms are
erected but prlor to concrete
placement.
.$otnu'
Wall/Celling lnsulallon - Prlor to a,4 ,sQC z
cover.
Underground Plumbing - Prior
to filllng trench.
MOBILE HOME INSPECTIONSEUnderlloor Plumbing / Mechanlcal
- Prior to lnsulation or decking.Wood Stovo - After Installatlon
Post and Beam - Prior to floor
lnsulatlon or decking.lnsert - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set-Up - When all
blocklng ls complete.
Floor lnsulatlon - Prior to
decking.Curbcul & AJrproach - After
forms are erected but prior to
placemont of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to f illing
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prior to filling
trench. I
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base materlal ln place.
Water Line - Prlor to filling
trench.
$treet Trees - When all requlred
trees are planted.
Flnal - After all required
lnspectlons are approved and
porches, skirtlng, decks, and
ventlng have been lnstalled.Rough Plumblng - Prior to
cover.
W,+/,Ye F Ffee,o,.<f PHoNE:7tt4-9ao3
EXPIBES : PHONE
X
E
E
E
[--l Drywall - Prlor to taplng.
fl
l-l Fence - When completed.
Flnal Mechanical - When all
mechanical work ls complete.
fl
E
tl
E
E
PL.HSE GAR ACC
N
S
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type--
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
IS iHE
HISTOR
PFIOPOSED WORK IN THE .
tcAL D|STR|CT, OR ON
THE HISTORICAL REGISTER?
-
.ll yes, this applicatlon must be slgned'and approved by the Hlstorlcal
Coordinator prlor to, permit issuance.
APPROVED:
SO. FT. X $/SQ. FT. - VALUE
BUILDING PERMIT
(A)
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT
Thls permit is granted on the express condiilon that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Spri ngfield, includlng theDevelopment Code, regulating the ctnstruction and use ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of said ordinances.
Plans Reviewe<J [3y Date
Fleceipt Numbe
Date Paid:
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City linrits which are belng improved.
ITEM
Fixtures
Residentlal Bath(s)
Sanitary Sgwer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
No
FEE
FT.
FT.
FT.
(c)
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent/1 brPi ii to.q-rffi
State Surcharge ,75'f , /J-
z2:1
Total Permit (D)
>o
L6
Mechanlcal Permit
lssuance
By slgnature, I state and agree, that I have carefully examlnedthe completed application and do hereby certlfy that alllnformatlon hereon is true ancl correct, and I f urther cerilfy
that any and arr work performed shail be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Lawsof the State of Oregon pertainlng to the work described
hereln, and that NO OCCUPANCy will be made of any
structure wlthout perrnission of the Buildlng Safety Divislon.I further certify that only contractors and employees who
are in compliance with ORS 701.055 wlll be used on this
Proiect.
I further agree to ensure that all required lnspections are
requested at the proper time, 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 will remaln
on the site at all times during construcilon.
slg tu re
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge.
Sidewalk -- ft
Curbcut
-
ft
Oemolitlon
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (exctuding etectrican .-2,*?(A, B, C, Q and E Combtned)
20 /75-
l2
DATE PAIO
AMOUNT RECEIVED
FIECEIVED BY
VALIDATION:
RECEIPT NUMBER
Plan Check Fee:
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