HomeMy WebLinkAboutPermit Mechanical 1999-12-13RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Offlce: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:
NGFI
JoB NUMBEa 2o Z 7
225 Fifth Street
Sprlngfleld, Oregon 97477
TAX LOT: / ^, '
BLOCK:SUBDIVISION:
OWNER:
ADDRESS:
CITY:
PHONET
STATE:ZlPi
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ADDRESS
CONST.
CONTBACTOB 'EXPIRES .3 PHONECONTBACTOR'S NAME
GENERAL:
ELECTRICAL:
MECHANICAL:
PLUMBING:
- OFFICE USE -
FLOOD PLAIN:
* OF UNITS:
LAND USE:OUAD AREA:
r OF BLDGST
SECONDARY HEAT:
SOUARE FOOTAGE:
, OF BDRMS:
--
OCCY GBOUP:
I OF STORIES:
ZONING CODE:
CONSTR. TYPE:
HEAT SOURCE:
WATEB HEATEB:RANGE:
To request an lnspectlon
made the same worklng ' ycu must cal! 726'3769' Ttlis is a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll beday, lnspectlons requested after 7:00 a.m. wlll be made the foilowrng work day.
REOUIRED TNSPECTTONS
Temporary Etectrlc w Rough Mechanlcal - prlor to Ftnal Plumblng - When allplumblng worl( ls complete.
Slte lnspectlon - To be mado
after excavatlon, but prlor tosettlng forms.
W*24.r=Rough Electrlcal - prlor-to Flnal Electrlcal - When ailelectrlcal work ls complete.
cover.
n Understab plumblng/Electrlcal/
-
Mechanlcal - prlor to cover,Electrlcal Servlce - Must be
approved to obtaln permanent
olectrlcal power.
w Flnal Mechanlcal - When allmechanlcal work ls complete.
Footlng - After trenches are
excavated.Flnal Bultdlng - When ailrequlred lnspecilons have beenapproved and bulldlng iscompleted.[-l Masonry - Steel locatlon, bond
-
beams, groutlng,
Flreplace - prlor to faclng
materlals and framlng lnsp.
tl Foundatlon - After forms areerectod but prlor to concrote
placemont.
n Framlng - prlor to cover.
l--l Wall/Colllng tnsulatlon - prlor tou cover.
l-_l Drywafl - prtor to taplng.
l-l Wood Stovo - Aftor lnstailatton.
@o'n"'
[-l Unaerground ptumblng - prtorg to fllllng trench.
n Und6rttoor plumblng/Mechanlcat
Prlor to lnsulailon or ctecklng.
MOBILE HOME INSPE TIONS
Post and Beam - prlor to floorlnsulatlon or decklng.lnsert - Alter flreplace approvaland lnstallatlon of unlt.
l-l Alocktng and Set.Up - When ail
-
blocklng ls compteie.
Floor lnsulatlon - prlor to
decklng.Curbcut & AJ:proach - Afterforms are erected but prlor toplacomont of concrete,
Plumblng Connectlons - Whenhome has been connected towater and sewer.Sanltary Sewer - prlor to fllllng
trench.
Storm Sower - prlor to fllllng
trench.
Sldewalk & Drlveway - Afterexcavatlon ls comploto, formsand sub.base materlal ln place.
Electrlcal Connectlon - When
,O_t9cXt19, set.up, and ptumblnglnspectlons have been approvedand the home ls connected tothe servlce panel,f y$il:lne - Prlor to rllllns l_l Fence - when cor,.rpteted.
Rough Plumblng - prlor to
cover.Slreet Trees - When all roqulredtrees are planted.
Flnal - After all requiredtnspectlons are approved andporchos, Eklrtlng, decks, andvenung have been lnstailed.
Lot faces
Lot sq. ftg,
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle I
-
Cul-de.sac
( lr tE PROPOSED WORK rN THE .
HISTOBICAL DISTRICf,, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgnedand approved by the Hlstorlcal
Coordlnator prlor to permlt lssuance.
APPFIOVED:
P.L.HSE GAB ACC
N
s
E
W-
VALUE
(A)
Total Value
Buildlng Permit Fee
State Surcharge
Total Fee
':, t
X $/SQ, FT,
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
Thls permlt ls granted on the express condlilon that the saldconstructlon shall, ln all respects, conform to the Ordinanceadopted by the City of Sprl ngfleld, lncludlng the
Development Code, regulailng the construcilon and use ofbulldlngs, and may be suspended or revoked at any tlme
upon vlolatlon of any provlsions of sald ordlnances.
Plan Check Fee: --
Recei pt Number:-
Date
. :'lBUILDING VALUE,
AND BUILDING PE R
LAN CHECK
MIT
Date Pald
Flecelved By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties wlthln the Clty llmlts which are belng lmproved.
ITEM
Fixtures
Resldential Bath(s)
Sanitary Sewer
Water
Slorm Sewer
Moblle Home
FEE
(c)
N'
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
I
By slgnature, I state and agree, that I have carefully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon hereon ls true and correct, and I f urther cerilfy
that any and all work performed shall be done ln accorrJance
wlth the Ordlnanccs of the Clty of Sprlngfleld, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
heroln, and that NO OCCUPANCy wlll be made of any
structure wlthout perrnission of the Bulldlng Safety Divislon.
I further certlfy that only contractors and employees who
are In compllance wlth ORS 7O1.O5S wlll be used on thls
prolect.
I further agree to ensure that all requlred lnspections are
roquosted at the proper ilme, that each address ls readable
from the street, that the permlt card ls locatecl at the front
of the property, and the approved set of plans wlll remaln
Slgnature
Date
on the slte at lmes durl tructlon.
Wood Stove/ lnsert/Flreplace Unlt
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Permlts (E)
(D)
NoVent Fan
Mechanical Permlt
lssuance
State Su rcharge
Total Permlt
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
TOTAL AMOUNT DUE (oxcludlng electrtcat)
(A, B, C, D, and E Comblned)
VALIDATION:
BECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
5e
tir,'
Flans Bevl,rwed
FT.
FT.