HomeMy WebLinkAboutPermit Mechanical 1999-09-23a B
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WOBK:o
ASSESSOBS MAP:
LOT:BLOCK:
SPHIl\.GFIELO
JOB NUMBER 9/zaa
225 Fifth Street
Sprlngfleld, Oregon 97 477
TAX LOT:oa
SUBDIVISION:
PHONE:
Q rqzsSTATE:ZIP:DreCITY:
ADDRESS:
OWNER;
REMODEL ADDITION DEMOLISH OTHEB
DESCRIBE WOHK:
NEW (
ELECTRICAL:
-
ADDRESS EXPIBES PHONE
/o o
CONTBACTOR'S NAME
GENEBAL:
PLUMBING:
MECHANICAL:
CONST.
CONTRACTOR #
BANGE:
- OFFICE USE -
LAND USE:
WATER HEATER:
ZONING CODE:r OF UNITS:
QUAD AREA:
, OF BLDGS
SECONDARY HEAT:
SOUARE FOOTAGE:
OCCY GBOUP:
* OF STORIEST
CONSTR. TYPE:
HEAT SOURCE:
To request an Inspectlon, you must cali 726-3769. Thls ls a24nour recordlng. All lnspectlons requested before 7:00 a.m. wlil be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REOU!RED INSPECTIONS
[-_I temporary Electrlc 8 Rough Mechanlcal - Prlor to'Warr Qae
Rough Electrical - Prlor to
Flnal Plumbing - When att
plumblng work ls complete.
Slte lnspectlon - To be made
after excavatlon, but prior to
setting forms.cover E
w
,(tl
Flnal Electrlcal - When atl
electrlcal work is complete.
Underslab Plumbing/ Electrical /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
olectrlcal power.
Final Mechanical - When all
cffi;ry^'Jtr)Flnal Buildlng - Whe
requlred lnspections have been
approved and building is
completed.
Footlng - After trenches are
excavated.Flreplaco - Prlor to faclng
materlals and framlng lnsp.
Masonry - Steel locatlon, bond
beams, groutlng.
I-_l Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement,
Other
Wall/Colllng lnsulallon - Prlor to
cover.
Underground Plumbing - Prior
to fllllng trench,Drywall - Prlor to taplng.
MOBILE HOME INSPE TIONSUnderlloor Plumblng/ Mechanical
- Prior to lnsulatlon or decking.Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decking.lnsert - After flreplace approval
and lnstallatlon of unlt.
Blocklng and Set.Up - When all
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcul & Approach - After
forms are erected but prior to
placement of concrete,
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to fllllng
trench.Electrlcal Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home ls connected to
the service panel.
Storm Sewer - Prior to fllling
trench.
Sidewalk & Drlvewav - After
excavatlon ls complete, forms
and sub-base materlal in place.
Water Llne - Prlor to filling
trench,[-l Fence - When completed,
Rough Plumbing - Prior to
cover.
Streel Treee - When all requlred
trees are planted.
Flnal - After all required
inspectlons are approved andporches, sklrtlng, decks, and
ventlng have been lnstalled.E
,4t-
, OF BDRMS:
-.-_---
FLOOD PLAIN:
E /E
E
tl
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
v
-.
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
Set TS THE PROPOSED WORK TN THE .
HISTORICAL DISTFIICI, OR ON
THE HISTOFIICAL REGISTER?
-
lf yes, thls applicailon must be slgnedand approved by the Historlcal
Coordinator prlor to permit lssuance.
I
P.L.HSE GAR ACC
N
S
E
BUILDING PERMIT
VALUE
(A)
SQ. FT. X $/SQ. FT.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, ln all respects, conform to the Ordinanceadopted by the City of Springfleld, includlng theDevelopment code, regurating the cbnstrucilon and use ofbulldings, and may be suspended or revoked at any tlmeupon violatlon of any provisions of sald ordlnances.
Plan Check Fee: _
DatePlans R evlewed By
Recelpt Numbe
Date Pald:
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undevelopedproperties within the City limits which are being improved.
Besldential Bath(s)
Sanltary Sewer
Waler
Storm Sewer
Moblle Home
FEE
(c)
N0
FT.
Plumblng Permit
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Fix t u res
. FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
aotR
(D)24.8
N0
Mechanlcal Permlt
lssuance
State Surcharge
Total Permlt
Furnace
Exhaust Hood
Vent Fan
By slgnature, r state and agree, that r have carefuily examrnedthe completed apptication and do hereby certify that alllnformatlon hereon is true and correct, and I f urther cerilfythat any and all work performed shall be done in accordancewlth the Ordinances of the Clty of Sprlngfield, and the Lawsof the state of oregon perrarnrng to the work descrrbedhereln, and that NO OCCUPANCy wlll be made of anystructure wlthout permission of the Bullding Safety Dlvislon,I further cerilfy that only contractors and employees whoare ln compllance wlth ORS 7O1.O5S wlll be used on thlsprolect.
I further agree to ensure that all requlred lnspections areested at the proper ilme, that each address ls readable
the street, that the permlt card ls located at the fronte property, and the approved set of plans will
requ
from
.0r-
of th remalnon the slte at all ti st
Slgnature
Date
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk _ ft
Curbcut
--
ft
Demolitlon
State Surcharge
Total Mlscellaneous Permits (E)
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVEDTOTAL AMOUNT DUE (exctuding electricat)
(A, B, C, D, and'E Comblned)RECEIVED BY
APPROVED:
FT.
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