HomeMy WebLinkAboutPermit Mechanical 1998-06-03R-ESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726€769
Offlce:724-9759
LOCATION OF PROPOSED WOFK:
?to or -JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
St1o3Jbi1-TAX LOT 0T?ooASSESSOBS MAP:
LOT
\)
BLOCK:SUBDIVISlON:
OWNER:s\-
ztP;STATE:CITY:
PHONE:
11 -r\ -€c^qoJJ(r A1e-J./ox
NEW
-
REMODEL 4_ ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ADDRESS
c\
EXPIRES ,41 PHONECONTRASTOR'S NAME
GENEBAL:
PLU
CONST.
CONTBACTOB '
, OF BDBMS:
QUAD AREA:
ZONING CODE:
FLOOD PLAIN
- OFFICE USE -
LAND USE:
SECONDARY HEAT:
SOUARE FOOTAGE:wArER HEAtrER: rfil{figfigArpERloD. RANGE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour 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 made the followlng work day.
REOUIRED INSPECTIONS
Temporary Electrlc
\
l-l Rough Mechantcal - Prlor to|J cover.
Flnal Plumblng - When all
plumblng work ls complete.
l-l Stte lnsp€ctlon - To be madoU after excavatlon, but prlor to
settlng forms.
Rough Electrlcal - Prlor to Flnal Electrlcal - When all
electrlcal work ls complete.cover,
E
E
Underslab Plumblngl Electrlcal I
Mechanlcal - Prlor to cover.E Electrlcal Servlce - Must be
approved to obtaln permanent
olectrlcal power.
n Flnal Mechanlcal - When allu mechanlcal work ls complete.
Footlng - After trenches are
excavated.l--l Flreptace - Prlor to faclngu materlals and framlng lnsp.
n Framlng - Prlor to cover.
l-l Wall/Celllng lnsulatlon - Prlor to|J cover.
Flnal Bulldlng - When all
requlred lnspectlons have been
approved and bulldlng ls
completed.Masonry - Steel locatlon, bond
beams, groutlng.
E
n
tl
E
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Underground Plumblng - Prlor Drywall - Prlor to taplng.to fllllng trench
MOBILE HOME INSPECTIONS
Underlloor Plumblngl Mechanlcal
- Prlor to lnsulatlon or clecklng.Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approval
and lnstallatlon oI unlt.
Blocklng and Set.Up - When all
blocklng ls complete.
Floor lnsulallon - Prlor to
decklng.Curbcut & Alrproach - After
forms are erected b(rt prlor to
placement of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prlor to fllllng
trench.Electrlcal Connectlon - When
blocklng, set-up, and plumblng
lnspectlons have been approved
and the home ls connected to
the servlce panel.
E
E
E
Storm Sewer - Prlor to fllllng
trench.
Sldewalk & Drlveway - After
excavation ls complete, forms
and sub-base materlal ln place.
water Llne - Prlor to lllllng
trench.
Fence - When cornpleted,
Rough Plumblng - Prlor to
cover.
Slreet Trees - When all roqulred
trees are planted.
l-l Flnat - After all requlredlJ lnspectlons are approved andporchos, sklrllng, decks, and
ventlng have been lnstalled.
rt^
-R
r OF STOBIES:auuNtElvcEDoH-ts
, OF UNITS:
-
fl
E
E
E
n
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle f:
-
Cul-de-sac
IS THE PROPOSED WORK TN THE.
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgnedand approved by the Hlstorlcal
Coordlnator prlor to permit lssuance.
APPROVED:
RL.HSE GAR ACC'
N
S
E
SO. FT. X S/SQ, FT. = VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
ITEM
Main
Garage
Carport
BUILDING PERffiIT
Thls permit is granted on the express condition that the sald
construction shall, ln all respects, conform to the Ordlnanceadopted by the City of Springfteld, includlng the
Development Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any flme
upon violation of any provisions of said ordinances.
Date
NG Erl
PE
UB L D LA c ECH KN
A N BD U LD GN MR T
Plan Check Fee:
Date Paid:
Receipt Num
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties wlthln the City limlts whlch are being lmproved.
Residentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
FT.
N'
Plumblng Permlt
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Flxtures
. FT.
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/Flreplace Unlt
Dryer VentC"- /, tu l,/rd /f ro
lf'oo
l{. 7f
26.7-r)(D)
/b Qo
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
By slgnature, I state and agree, that I have carefully examlned
the completed appllcation and do hereby certlfy that all
lnformatlon hereon is true ancl correct, and I f urther cerflfy
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCy will be made of any
structure wlthout perrnission of the Bulldlng Safety Dlvislon.
I further certlfy that only contractors and employees who
are In compllance wlth ORS 701.05S wlll be used on thls
proiect.
t card ls
a
on.
Slgnat
red lnspectlons are
s wlll remaln
at the front
ls readable
I further agree to ensure that
requested at the proper tl
from the street, that
of the property,
on the slte at
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
--
ft
Curbcut
-
ft
Demolltlon
State Surcharge
Total Mlscellaneous Permlts (E)
TOTAL AMOUNT DUE (exctudlng electrtcat)
(A, B, C, Q and E Comblned)
I ft6
VALIDATION
UMBER o/31
AMOUNT BECEIVED
RECEIVED BY
BECEIPT N
DATE PAID
76 Lu
.. " .rit
l
Fkn;Revtewed bt..----
FT.