HomeMy WebLinkAboutPermit Mechanical 1997-01-06SPNINGFIELE,
RESIDENTIAL
PERMIT APPLICATION
lnspectlons:726.3769
Oflice: 726-3759 2fr,
JOB NUMBER
225 Filth Street
Sprlnglleld, Oregon 97477
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esz+tLOCATION OF PROPOSED WOFIK:
ASSESSORS MAP:
LOI:
TAX LoI ?EZa
SUBDIVISION:-BLOCK:
1\1-PHONE;?(-
STATE:ZIP:
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OWNEB:
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Crr.?-
It'^ADDRESS:
CITY:
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ADDITIO
C
L D
,.J t rfDESCR'BE WOFIK:
NEW
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FIEM ISH *-. OTHER
AODRESS
EXPIHES PHONE
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CONTBACTOB'S NAME
2SELECTRICAL:
GENERAL:
MECHANICAL:
PLUMBING:
CONST.
CONTRACTOH ,
- OFFICE USE -
r OF BLDGS:
I OF BDRMS:
BANGE:
,
OUAO AREA:
-
LAND USE:
'/ OF UNITS
SECONDAHY HEAI
SOUARE FOCTAGET
CONSTFI. TYPE:
HEAT SOURCE;
OCCY GROUP:
r OF STORIES:
WATER HEATEB:-
To request an lnspecUon, you must calmade the sanre worklng day, lnspecilo
Temporary Electrlc
Sllo lnspocllon - To tre madoailer excavatlon, but prlor loselllng forms.
H:li:,lf,ilgl lp iS, :c,
r,c a, /
fl Foollng - After trenches are.4 excavated.
Masonry - Steel locatlon, boncjbeams, grouiln0.
Fo-undallon - Alter lorms areerecled but prlor to concreteprac6menl.
Underground plumblng _ prlorto fllllng trench.
Underlloor plumblng/ Mcchanlcal
- ynot to lnsulatlon or decklng.
Posl. and Beam _ prlor to floorlnsulatlon or decklng,
Floor lnsulallon - prlor todecklng.
Sanllary Sower - prlor to fllllngtrench.
il.:l Sewer _ prtor to fililngIf encn. ,,
Y:t:r-Ltno _. prtor ro liiltnsIrench.
I 726-3769, Thls ls a 24 hour recordlng. All Irns requested aller 7:00 a.m. wlll be ,rOu
REOUIRED INSPECTIONS
E I;;r, Mechanlcal - Prtor toA€
rlcal - prlor to
requesled before 7;00 a.m. wlll beg work day.
Flnal.plumblng _ When ailptumblng worl< ls complete.
FJnal Elsclrlcol - Whon alletectrlcal work ls complete.
ugh Elect
lnspectlons
lhe foltowln
Othor
When alt
complete.
covor,
W
[--l Wood Srovo - Atrer lnsraltarton.
MOBILE HOME INSPE TIONS
Eleclrlcal Servlce _ Must beappr.oyec, lo obtaln permanentoleclrlcal power.
!19nt.a9o - prtor ro factngmaterlals and framlng lnsf
Framlng - prlor to cover.
W_all/Cblllng lnsulatlon _ prlor tocover.
Drywall - prlor lo taplng,
lns:lt - Alter flreptace approvqland lnstallaUon of unlt.
Curbcul & Alrproach _ Afterrorms are erected bUt prlor lopracemont of concrcte.
Sldewalk & Drlveway _ Afterexcavailon ls complete, formsano sub.base materlal in ptace.
Fonce - Wtren completed.
F^lnal Bulldlng - When a[
lll:tj"d.tnspecUons have been
l??royed and buildtns tscomptetod.
I d_t S erV c-
8ffl,',iS,Tj"i"J;y[.- when a,,
flu_mUfne Connocttons _ When
191o nag been connected towaler and sewer.
Electrlcal Connectlon _ WhenI|:lLs, set-up, ano prumii,isrnspe.cilons have been approvedand il.le.home ls connecled tothe servlce panel.
Rough Plumblng - prlor tocover.fl fl#:'"[";;;oynen arr requrred
Flnal - After all requlred
;rl:;:::t; i r:,1'iJ:;: :;Tventrng have been lnslallcd.
I
(
FLOOD PLAIN;-.-
ZONTNG CODE:___
E flTT
E D
rl tl
T l
tl
Lot faces
Lol sq, ,lg,
Lot covorago
Topography
Total helght
Lot Typo
-
lntcrlor
-
Corner
-
Panhandle
-
Cul'de'sac
i _ , fHe PROPOSED WORK lN THE .
HrsroFilcAL olsTBlcT, oR oN
THE HISTOBICAL REGISTER?
-
ll yes, thls appllcatlon must be slgneO
and apProved bY the Hlstorlcal
Coordlnator prlor to pPrmlt lssuance.
APPROVED:
ACCPL.HSE GAR
N
S
BUILDING VALUE, PINru CHECK
AND BUILDING PERMIT
Thls permlt ls granted on the express condltlon that tho sald
consiructlon shall, ln all respects, conlorm to the Ordlnance
adopted by the City of Sprtng(leld, includlng the
Development Code, regulatlng the constructlon and use ol
bulldlngs, and may be suspended or revoked at any tlme
upon vlolatlon of any provisions ol sald ordlnances'
Recelpt Nutnber:--
DatePlans Bovlewc duy
Plan Check Fee
Date Pald
Received BY
(A)
x $/SO. FT., - VALUE
Maln
Carport
Garago
Total Value
Bulldlng Permit Fee
State Surcharge
Tolal Foo
BUILDING PERMIT
ITEM SO. FT.
Systoms Developmcnt Charge ls duo on all undevelopod
proportlos withln tlro Clty linllts whlclr are-bolng lmproved'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
- V.\.".,6 tr S.lb -_ 4t3 1L6ITEM
Flxtures
Resldentlal Bath(s)
SanltarY Sewer
Water
Storm Sewer
Mobllo Home
PLUMBING PERMIT
FEE
No
FT.
FT.
(c)
Plumblng Permlt
Stato Surcharge
Total Charge
Wood Stove/ lnsert/ Flroplace Unlt
Dryer Vent
MECHANICAL PERMIT
/r.
(D)
&
,/A.&-:3f
2b ,24
No
Mechanlcal Permlt
lssuance
Stale Surcharge
Total Permlt
7hr,V.
*,
Furnaco
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have carelully examlned
tho comploted appllcatlon and do hereby certlfy that all
ln(ormatlon horeon ls true ancl correct, and I lurther certlly
that any and all work performed shall be done ln accordance
wlth tho Ordlnanccs ol the Clty o( Sprlnglleld, and the Laws
ol the Statc ol Oregon pertalnlng to tho work descrlbed
horoln, and that NO OCCUPANCY yvlll be made of any
structurewlthoutperrnisslonoltheBulldlrrgSaletyDlvislon'
I lurther certlly that only conlractors and employees who
aro ln cotnpllanco wlth OFS 701.055 wlll bs used on thls
prolect.
I f urther agree to ensure that all requlred lnspectlons are
requested at the proper tlme, that oach address ls readable
from tlro street, that the pcrmlt card ls located at the front
of the property, and the approved set ol plans wlll remaln
Slg natu re
Date l
on the slte at all t es durlng constructlon.
MISCELLANEOUS PERMITS
Moblle Home
Stato lssuance
Stato Surcharge
Sldewalk
-
ll
Curbcut
--
ft
Oemolltlon
State SurchargP
(E)" Tolal Mlscellaneous Portnlts
TOTAL AMOUNT DUE (excludlng electrlcal)
(A, B, C, D, and E Comblned)
VALIDATION:
BECEIPT NUMBER /-4,-?2DATE PAID
AMOUNT RECEIVED
RECEIVED BY
7?
E
FT.