HomeMy WebLinkAboutPermit Mechanical 1994-06-08SPrlINGF!ELD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
()ffice: 726-3759
LOCATION OF PFIOPOSED WORK:
Qzl nB/CJOB NUMBER -- TTe-f
225 Flfth Street
Spri ngfleld, Oregon 97 477
TAX LO-I:cn
.v
714
ASSESSORS MAP:/?az o3'2-/
loT:BLOCK:
--
SUBDIVISION
PHONE:
ADDRESS: 95y s yc 7tOWNEFI
CONIRACTOR'S NAME
!___
CITY: -STATE:C)
DESCRIBE WORK *1e_
I{EW -- REMODEL ADDITION _L_DEMOLISH OTHER
ZIP:
ADDNESS
CONST.
CONTRACTOR 'f EXPIRES PHONE
G EN ERAL:
PLUMBING: --- --
MECHANICAL:W!&t&?n-
F:LECTRICAL.#-
_ OFFICE USE -
OUAD AREA:
e OF BLDGS: ---
OCCY GROUP: ,,
Z OF STORIES:
WATER I.{EATER:
[-] femnorary Eleclric
Sile lnspection - To be made
after excavation, but prior to
setting fornrs.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
beams, Orouting.
Foundalion - After forms are
erected but prior to concrete
placenren t.
Underground Plumbing - Prior
to fillirrg trench.
Underlloor Plumbing / Mechtrnical
- Prior to irrsulation or clecking.
Posl and Beam - Prlor to floor
insulation or decking.
Floor lnsulation - Prior to
decking.
Sanitary Sewer - Prtor to f illing
trench.
Slorm Sewer - Prior to lillittg
trench.
Waler Line - Prior to filling
trench.
CONSTR. TYPE: - ---- ..
FLOOD PLAIN
ZONING CODE:
# OF BDRMS
SECONDAFIY HEAT -
LAND USE:
/ OF UNITS: ---
IlEAT SOURCE:
RANGE:SQUAFIE FOOTAGE: -
lb rcquest an inspection, you rnust <;all 726-3769. Tl.ris is a24hour recordlng. All lnspections requested before 7:00 a.m. wlll be
rnacle the sarne working day, inspections requested after 7:0O a.m. wlll be made the following work day.
REOUIRED INSPECTIONS
[ -l Rough Mcchanical - Prior to
---' ()ovef.
Rough Electrical - Prior to
oover
Eleclrical Service - Must be
approved to obtain permanent
electrical power.
Fireplace - Prior to lacinq
rnaterials and f raming lnsp.
Framing - Prior to cover,
Wall/Ceiling lnsulation - Prior to
cover.
Drywall - Prior to taping.
Wood Slove - After installation
lnsert - After flreplace approval
and installation of unit.
Curbcut & Approach - After
forms are erectcd but prior to
placernent of concretc'.
Sidewalk & DrivewaY - After
excavation ls complete, forms
and sub-base material in Place.
I-.-l Fence - When comPleted.
Slreet Trees - When all requlred
trees are planted.
Final Building - When all
required in.spections have been
approved and building is
completed.
Other
MOBILE HOME INSPECTIONS
Blocking and Set.Up - When all
blocking ls complete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set-up, ancl plumbing
inspections have been approved
and the home is connected to
the service panel.
Final - After all required
inspections are approved and
porches, sklrting, decks, and
ventlng h;rve been installed.Rough Plumbing - Prior to
cover.
7{6 aosa
[--l Final Plumbing - When alllJ plumbing worl( is complete.
lVf Pinat Electrical - When all)Aqp"trlcal work is complete.
F/finat Mechanical - When all
,ftu"nunical work ls complete.t_l
r
t_l
r
tf
D
tl E
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-- Cul-de-sac
Se KS IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OFI ON
THE HISTORICAL REGISTER? -.----
lf yes, this application must be signed
and approvcd bY tlrc Historical
Coordin.ltor prior to pcrtl'tit issuance'
E APPttOVED:
ACCHSEGARP.L.
N
J
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pertnit is granted orl the express concJition that the said
consiruction shall, in all respects, conform to the Ordinance
"J"pr".l by the City of Springfiel<J' including the
Developrnent Code, regulatirrg the construction and use ol
buildings, and may be suspended or revoked 'lt any time
upon violation of any provisions of said ordinances'
DalePlans Rcviewed BY
Plan Chcck Fee: .-
Date Pairl
ReceiPt Nutnbcr:
Rcccivetl BY
BUILDING PERMIT
VALUE
(A)
SO. FT. X $/SO. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surchargc
Total Fee
Systems Developnrent Char gc is clue on all urrdeveloped
properties within thc City linrits which are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDTTTONAL COMMENTS
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
No
FT.
FT.
FT.
(c)
Plumbing Permit
State Surcharge
Total Ch;rrge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
A/c *))*u,o
N0
./o.oo
(D)
/5frMECHANTCAL PERMIT
Mechanical Permit
lssuance
State Surcharge
Total Permit
,7r
3% **r/-T-;4f
Fu rnace
Exhaust Hood
Vent Fan
By signature, I state and agrec, that I have careIully cxamined
the cornplotc<J ap1-rlrcation and cJo hereby certily that all
inforrnatiotr hereon is truc and correct, and I furtlret'certify
that any and all work per{ormed shall be done in accordance
with the Ordinances ot the City of Springficld, and the Laws
of tlre Statc of Oregon pertaining to the work described
herein, ancl tlrat NO OCCUPANCY will l>e made of any
structure without perntission of the Building Safety Division'
I further certify that only contractors and enlployees who
are in compliance witlr ORS 701'055 will be used on this
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, tlrat eacl-r address is readable
from the street, that the permit carcl is located at the {ront
nd the approved set of p.rlans will remainperty
ost rutinrcs durieaton th
Signalu ro
of th
oure.- -6--
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk _--- ft
Curbcut _---- ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
VALIDATION:
REcErPl' NUMBER - /-32- 2-Z -
DATE PAID
AMOUNT RECEIVED
RECEIVED BY Ze-LTOTAL AMOUNT DUE (excluding electrical)
(A, A, C, D, and E Combined)
2 20