HomeMy WebLinkAboutPermit Mechanical 1999-09-13RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
LOCAT'ON OF PBOPOSED WORK:
Lt)
JOB NUMBER 1€/z'/t
225 Fitth Street
Sprl ng fleld, Oregon 97 477
E 7/s
ASSESSOFS MAP:t (oz o il,TAX LOX O 324/
LOT:BLOCK:SUBDIVISION
OWNER:
ADDR 7/
CITY:
DESCRIBE WORK:
NEW- REMODEL
AME
GENERAL:
PLUMBING:
STATE:
ADDITION DEMOLISH OTHER
PHONE:
7ZIP:
ADDRESS
CONST.
CONTRACTOR #EXPIRES ,f; PHONE
1OOtr&DMECHANICA
ELECTRICAL:
- OFFICE USE -
NOTICE:
ANI-N 80DAYPBHftflf. FOOTAGE:
THISPERMIT $TflLbEXBJS
Jl
6
QUAD AR LAND USE:
low rules,OFBL
OCCY G CONSTR. TYPE:
You maY thF,oF HEAT SOURCE:
WATER HEATEFI::R,ANGE:
ATJTHORZED
EIFTHEWORKffi
ZONING CODE:
FLOOD PLAIN:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be macle the followlng work day.
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.l--l Flnat Plumblng
'J plumblng worl<- When all
ls complete.
Slte lnspectlon - To be mado
after excavatlon, but prlor to
settlng forms.
Rough Electrica! - Prlor to Flnal Eloctrlcal - When all
electrlcal work ls complete,cover.
E Underslab Plumblngl Electrical /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When atl
mechanlcal work ls complete.
Footlng - After trenches are
excavated.[l Flreptace - Prlor to faclngu materlals and framlng lnsp.
Flnal Bulldlng - When all
requlred lnspectlons have been
approved and bulldlng lsMasonry - Steel locatlon, bond
beams, groutlng.
n Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placemont.WalllCeltlng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to Illllng trench.l--l Drywall - Prlor to taplng
tl Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or clecklng.
MOBILE HOME INSPESNONS
Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approvql
and lnstallatlon ol unlt.
[_] Blocking and Set.Up - When ailH blocklng ls complete.
E Floor lnsulallon - Prlor to
decklng.Curbcut & Approach - After
forms are erected b(rt prior toplacoment of concrete.
Plumblng Connectlons - Whenhome has been connected lo
water and sewen
Sanltary Sewer - Prlor to fllllng
trench.
Storm Sewer - Prior to fllllng
trench.
Sidewalk & Drlveway - After
excavation ls complete, lorms
and sub-base materlal ln place.
Eleclrlcal Connectlon - When
blocklng, set-up, and plumblng
lnspectlons have been approved
and the home ls connected tothe servlce panel.
Waler Llne - Prlor to fllllng
trench.l-l Fence - When coiirpteted.
Street Trees - When all requlred
trees are planted.
Flnal - After all requlred
lnspectlons are approved andporchos, sklrtlng, decks, andventlng havo been lnstalled.
tl
Rough Plumblng - Prlor to
cover.
h
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot 1
-
lnterlor
-
Corner
-
Panhandle \'
-
Cul-de-sac
- IS THE PFIOPOSEO WORK tN THE.
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appll6atlon must be slgned
arrd approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
BUILDING INI-UE
AND BUILDTNG P
i5mru cHEcK
,RMIT
t
E
This permit is granted on the express condition that the said
construction shall, ln all respects, conform to the Ordlnance
adopted by the City of Sprlngfleld, includlng the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
Plan Check Fee:
Date Paid
Receipt Nu
Received By:
Plans Reviewed By Date
Systems Development Charge is due on all undeveloped
properties withln tlre City limits which are being improved.
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certlfy that all
lnformation hereon ls true and correct, and I f urther certlfy
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 pertainlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure wlthout perrnission of the Bullcling Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 will be used on this
proiect.
I further agree to ensure that all required lnspections are
requested at the proper tlme, that each address ls readable
from the street, that the perml located at the front
of the property, and the ap pl an n
on the site mes du
Slg natu re
Date
VAI.IDATION:
RECEIPT NUMBER
DATE PAID 1
AMOUNT RECEIVED
09{{7 t
PL.HSE GAR ACC
N
S
E
FT.
(A)
nlirri
Total Value
Building Permit Fee
State Surcharge
Total Fee
';; t
X $/SQ. FT. = VALUE
BUILDING PER
ITEM SO.
Main
Garage
Carport
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Flxtures
Residentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
Ne
FT.
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
Wood Stove/ lnsert/ Flreplace Unlt
/5. ou
/ 0, cte
>4.5o(D)
D r Vent
N0
6. o,
t.(L
Vent Fan
Mechanical Permlt
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolitlon
State Surcharge
Total Mlscellaneous Permils (E)
TOTAL AMOUNT DUE (excludlng electrlcal)
(A, B, C, Q and E Gomblned)RECEIVED BY
(?
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set
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