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HomeMy WebLinkAboutPermit Mechanical 2001-08-17RESIDENTIAL PERMIT APPLICATION lnspectlons: 726-3769 Offlce: 726-3759 LOCATION OF ED WORK: ASSESSORS MA LOT SPRIh.GFIEL]) t* JOB NUMBER M{-{l 5u 225 Fifth Street Sprlngfleld, Oregon 97477 TAX LOT O-o SUBOIVISION: - 03 as OWNER:PHONE: CITY:ZIP:AASTATE a-7L{G- 6q -1L11-l \\i DEMOLISH OTHER DESCRIBE WORK: NEW - REMODEL ADDITION ELECTBICAL: ADDRESS l\\5 EXPIRES ,t PHONECONTRACTOR'S NAME GENERAL: MECHANICAL: PLUMBING: CONST. CONTRACTOR # RANGE: - OFFICE USE - LAND USE: WATER HEAIEB: ZONING CODE: FLOOD I:LAIN:OUAD ABEA: * OF BLDGS: SECONDARY HEAT: SOUARE FOOTAGE; , OF BDRMS: - OCCY GROUP: r OF STORIES: CONSTR. TYPE: HEAT SOUFICE: # OF UNITS: -__ To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be ma<le the followlng work day. REOUTRED INSPECTIONS Temporary Eleclrlc f--l Rough Mechanlcal - Prlor tot---J cover. Flnal Plunrblng - When allplumblng worl< ls complete. Slte lnspecllon - To be mado after excavatlon, but prlor to settlng forms. Rough Electrical - Prlor to Flnal Electrlcal - When all electrlcal work ls complete.cover. Underslab Plumblng/ Electrlcal / Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Flnal Mecharrlcal - When all mechanlcal work is complete. E Foollng - After trenches are oxcavalod.Flnal Buildlng - When ail requlred lnspectlons have been approved and bulldlng is completed. Flroplaco - Prlor to faclng materlals and framing lnsp. Masonry - Steel locatlon, bond beams, groutlng. l-_l Framlng - Prlor to cover. E Foundatlon - After forms are erected but prlor to concrete placemont. Othor tl Wall/Celling lnsulatlon - Prlor to cover, f] l'Jflff:'n"LliJn'.'rolns - Prror J-l Drywan - pnor to raprns MOBILE HOME INSPECTIONSUnderlloor Plumblng / Mechanlcal - Prlor to lnsulatlon or decklng.Wood Slovo - After lnstallatlon. E Post and Beam - Prlor to floor lnsulatlon or decklng.lnserl - After flreplace approvql and lnstallatlon oI unlt. Blocking and Set.Up - When alt blocklne ls complete. Floor lnsulallon - Prlor to decklng.Curbcut & AJrproach - After forms are ert:cted but prior lo placoment ol concrete. Plumbing Connectlons - When lrome lras been connected to water and sewer. Sanltary Sewer - Prlor to fllllng trench.Electrical Conneclion - 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 & Drlveway - After excavatlon ls completc, folms ancl sub-base mar.erlal ln place. Water Llne - Prlor to filling trench. Fenco - When coi'lpleted Rough Plumblng - Prlor to cover. Str€st Treos - When all requlred trees are planted. Flnal - After all required lnspectlons are approved andporchos, sklrtlng, decks, and ventlng have been lnstalled. BLOCK: E E tl E E E E E fl Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterlor - Corner .- Panhandle I - Cul-de-sac ,l ,. I ; Set IS THE PROPOSED WORK TN THE.. HISTORICAL D,STRICT, OR ON THE HISTOFIICAL REGISTER? lf yes, thls appllcatlon must be slgned and approved bY the Hlstorlcal Coordlnator prlor to permit issuance' APP ED: BUILDII$,G LAN CHECKE, l PEAND BUILDING RMIT Thls permlt 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, regulatlng the constructlon and use of oulldings, and may be suspended or revoked at any tlme upon violatlon of any provislons of said ordlnances. Plan Check Fee: Date Pald Recelpt Numbe Received By: Plans Reviewed BY Date Systems Development Charge ls due on all undeveloped properties wlthln tlre City limlts which are belng lmproved. ADDITIONAL COMMENTS ACCPL.HSE GAR N S E _try_- VALUE (A) Itntrr Total Value Bullding Permit Fee State Surcharge Total Fee FT. X $/SQ. FT. BUILDING PER ITEM SO. Maln Garage Carport SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ITEM Fixtures Residentlal Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) N' FT FT. FT. PLUMBING PERMIT r',, et,rmbtng Permlt State Surcharge Total Charge Wood Stove/ lnsert/ Flreplace Unlt Dryer Vent (D) NoVent Fan Mechanlcal Permlt lssuance State Surcharge Total Permlt MECHANICAL PERMIT Furnace Exhaust Hood 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 further certlty that any and all work performed shall be done In accordance wlth the Ordinances of the Clty of Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCY wlll be made of any structure wlthout perrnisslon of the Bulldlng Safety Divislon. I further certlfy that only contractors and employees who are ln compllance wlth OFIS 701.O55 wlll be used on thls proiecl. I further agree to ensurc that all requlred lnspections are requested at the proper tlmq 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 Slgnature Date on the slte at all tlmes durl n. MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolltlon State Surcharge Total Mlscellaneous Pertnlts (E) TOTAL AMOUNT DUE (excludlng electrlcal) (A, B, C, O and E Comblned)C) G:I t.J co Cts F-{ --n (} {I}u VAI-IDATION RECEIPT NUMBEFI DATE PAID AMOUNT FIECEIVED RECEIVED BY --{(3 ;df>:E> 7ArN LDrr *+ "i.r.", ,, .,!i,; i