HomeMy WebLinkAboutPermit Mechanical 2001-08-17 (2)RESIDENTIAL
.. PERMIT APPLICATION
lnspectlons: 726.3769
Offlce: 726-3759
SPRTN
JOB NUMBER \4U I 7l
q {*
225 Filth Street
Sprlngf leld,
',':]Atp r(-, I
ASSESSOHS MAP:
/)
TAX LOT
LOI BLOCK:SUBDIVISION: -
PHOt,lE:
STATE:ZIP:
N}l*
t 'l
OWNER:
CITY:
ADD
DEMOLISH
DESCRIBE WORK:
NEW
-
REMODEL ADDITION
ADDRESS
5
CONST.
CONTRACTOR ,'EXPIRES ,C PHONE
ELECTRICAL:
CONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
BANGE:
I OF BDRMS:
_ OFFICE USE _
FLOOD I'LAINOUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE:
LAND USE:
WATER HEATER:-
OCCY GROUP:
r OF STORIES:
ZONING CODE: _
CONSTR. TYPE
HEAT SOURCE:
, OF UNITS:
-_--
To request an lnspectlon, you must call 726-3769. Thls ls a24hovr recordlng. All lnspecilons requested before 7:o0 a.m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be macJe the followlng work day.
REOUIRED !NSPECTIONS
l-_l remporary Eloctrlc Rough Mechanlcal - prlor to
cover.
Flnal Plunrblng - When ailplumblng wgrl< ls complete.
Slte lnspectlon - To lre mado
after excavatlon, but prlor to
settlng forms.
Rough Electrical - Prior to Flnal Electrlcal - When allelectrlcal work ls complete.cover.
Understab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.Electdcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When all
mechanlcal work ls complete.
Footlng - After trenches are
excavated.[l Flreptaco - prtor ro factng
-
materlals and framlng lnsp.
Flnal Buildlng - When all
requlred lnspectlons have been
approved and buildlng is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
l-l Framlng - Prior to cover.
Foundatlon - After forms are
erected but prlor to concrete
placernent.Wall/Colling lnsulatlon - Prlor to
cover.
t] l'Jfli,i:fi,::JJ:f"trns - Prror [-l Drywarr - prror to taprns.
tl Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPECTIONS
Wood Stovo - After lnstallatlon.
Post and Boam - Prlor to lloor
lnsulatlon or decklng.lnsert - After flreplace approvsl
ancl lnstallation ol unlt.
Blocking and Set.Up - When altblocklng ls complete.
Floor tnsulatlon - Prlor to
decklng.Curbcut & Alrproach - After
forms are erticted but prior to
placomont ol concrete.
Plumbing Connectlons - When
home lras been connected to
water and sewer.
Sanltary Sewer - Prlor to fllllng
trench.Electrical Connectlon - When
blocklng, set.up, and plumblng
lnspectlons have been approved
and the home ls connected to
the servlce panel.
Storrn Sewer - Prlor to fllllng
trench.
Sidewalk & Driveway - After
excavatlon ls complete, forms
and sub-base materlal ln place.
Waler Llne - Prlor trc filllng
trench.
Fence - When coilpleted.
Rough Plumblng - Prlor to
cover.
Slrest Treos - When all roqulred
trees are planted.
Flnal - After all required
lnspectlons are approved and
porchos, sklrtlng, decks, and
ventlng have been lnstalled.
LOCATION OF PROPOSED WORK:
tl
tl
E
fl
tl
E Other
-
tl
'1
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-- Panhandle !
-
Cul-de-sac
P.L.HSE GAR ACC'
N
S
E
IS THE PROPOBED WORK TN THE ...HISTOdICAL OISTRICtr, OR ON
THE HISTORICAL REGISTER?
l{ yes, thls appllcatlon must be slgned
and approved by the H istorlcal
Coordlnator prlor to permit lssuance'
APPROVED:
BUILDI LAN CHECK
AND BUILDING P
t
E RMIT
Thls pernrlt ls granted on the express conditlon that the sald
constructlon shall, ln all respects, conform to the Ordlnance
adopted by the City of Sprlngfleld, includlng the
Development Code, regulating the constructlon and use of
oulldings, and may be suspended or revoked at any tlme
upon violation of any provlslons of sald ordlnances.
Plan Check Fee
Date Pald:
Recelpt Number:-
Beceived By
Plans Reviewed BY Date
Systems Development Charge ls due on all undeveloped
properties wlthln tlre City llmits which are belng lmproved.
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon hereon ls lrue and correct, and I lurther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the Clty of Sprlngficld, and the Laws
of the State of Oregon perlalnlng to the work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout perrnission of the Bullcllng Safely Dlvislon.
I further certlfy that only contractors and employees who
are In compllance wlth ORS 701.055 wlll be used on thls
prolect.
I further agree to ensurc that all requlred lnspections 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
on the site at all time
Slgnature
VALUE
(A)
'; 'hIt r
ntl rr
Total Value
Building Permit Fee
State Surcharge
Total Fee
FT. X $/SQ. FT.
BUILDING PER
ITEM SA.
Maln
Garage
Carport
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Fixtures
Residentlal Bath(s)
Sanitary Sewer
Water
Slorm Sewer
Moblle Home
FEE
(c)
N'
FT.
FT.
PLUMBING PERMIT
r,r' PtumUtng Permlt
State Surcharge
Total Charge
- FT,
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
(D)
N0Vent Fan
Mechanical Permlt
lssuance
Stale Surcharge
Total Permlt
MECHANICAL PERMIT
Furnace
Exhaust Hood
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surcharge
Total Mlscellaneous Perrnlts (E)
TOTAL AMOUNT DUE (excludlng electrlcal)
(A, B, C, D, and E Comblned)
C)
+\
a-
r.J
AMOUNT HECEIVED
RECEIVED BY
DATE PAID
rf,ff!P
- -.1T5ln
VAt-IDATION:
HECEIPT NUMBER
Date
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