HomeMy WebLinkAboutPermit Mechanical 1996-02-28RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 72A.gtS9
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT;
JOB NUMBER 27S
225 Flfth Street
prl ng f leld, Oregon gZ 417',:
1\
/?2- 3z
BLOCK:
TAX LOT:o C)
SUBDIVtStON:
--
OWNER:
CITY:
ADD
PHONE:
ZIP:STATE:
REMODEL ADDITION DEMOLISH OTHE
K:
NEW
-
DESCRIBE
ADDRESS EXPIRES PHONE
ELECTRICAL:
CONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACTOH ,
- OFFICE USE -
OUAO AREA:
r OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE:
, OF BDBMS:
LAND USE:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
, OF UNITS:
-
ZONING CODE;
To.request an lnspecilon, you must call 726.3769. Thls ls amade the same worklng day, lnspectlons requested after ,
'24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlil be7:00 a.m. wlll be made the followlng work day.
Temporary Eleclrlc
REQUIRED INSPECTIONS
Jl Rough Mechantcat - prtor to
-
cover.Flnal Plumblng - When allumblng work ls complete.
Slte lnspectlon - To be madoafter excavatlon, but prlor tosettlng forms,
Rough Electrlcal - prlor to
cover,Flnal Electrlcal - When altelectrlcal work ls complete.
I-l Understab plumbtngl Etecrrlcali
-
Mechanlcal - prlor to cover,fl Eleclrlcal Servlce - Must beapproved to obtaln permanent
olectrlcal power.
lnal Mechanlcal - When allechanlcal work ls complete.tl Footlng - After trenches are
excavated.Flnal Bulldlng - When ailrequlred lnspecilons have beenapproved and bulldlng iscompleted.l-_l Masonry - Steet tocatlon, bond
-
beams, groutlno.
[l Flreptaco - prtor to factnglJ materlals and framlng lnspl
I-l Framlne - prlor to cover.
n Waltrcblilng tnsulatlon - prtor tou cover.
n Orywafl - prtor to taplng.
Foundallon - After forms are
erected but prlor to concreteplacement.
[-l Unaerground ptumblng - prlor.- to flltlng trench.
l_l Underlloor Plumblng/MechanlcatI I - Prlor to lnsutatt'o'n ;r;;;ki;;, I--l wood Stovo - Arter tnstauarton
MOBILE HOME INSPECTIONS
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unlt.
[-_-l Blocktng and Ser.Up - When ail
-
blockln0 ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcul & Approach - After
forms are erected but prlor toplacomont of concrete.
i
Sldewalk & Drtveway - After
excavatlon lb complete, forms
and sub-bas'e materlal ln place.
:
Fence - When completed.
Plumblngl Connectlons - Whenhome has been connected towater and gewer.
l-l Sanltary Sewer - prtor ro filltng
-
trench.
Slorm Sewer - Prior to fllllng
trench.
Eleclrlcal Connecllon - Whenblocklng, set.up, and plumblng
tnspectlons have been approvedand the home ls connected tothe servlce panel.
Water Llne - Prlor to filllnO
trench.
Rough Plumblng - Prlor to
cover.
Slreel Treee - When all requlred
trees are planted.
Flnal - After all requlred
lnspectlons are approved andporches, sklrtlng, d6cks, and
ventlnO have been lnstalled.
tl
a
[l other
tl
tl
P.L,HSE GAR ACC
N
S
E
rii:.
tll
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
IS THE PBOPOSED WOBK IN THE
HISTOFIICAL DISTRICT, OB ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must bo signed
and approved by the Historlcal
Coordinator prlor to permit issuance, .
APPBOVED:
ADDITIONAL COMMENTS
By slgnature, I stato and agree, that I have carelully examlned
the completed appllcatlon and do hereby oertlfy that all
lnformatlon horeon ls true and correct, and I lurther certlfy
that any and all work performed shall be done ln accordance
wlth the Ordinances of the Clty of Sprlngfield, and the Laws
of tho Stato of Oregon perlalnlng to the work descrlbed
heroln, and that NO OCCUPANCy wlll be made of any
structure wlthout permission of the Bulldlng Safety Divislon.
I further certlfy that only contractors and employees who
are ln compllance with ORS 701.0S5 wlil be used on thls
prolect.
I lurther agree to ensure that all requlred lnspections are
reguested at the proper tlme, that each address ls readable
from tho s
of the pro
on the s es
Slgnature
Date
VALIPATION:
BECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
pormlt oard ls ted
a set
the front
ll remaln
BUILDING PERMIT
ITEM SO. FT.- X $/SO. FT.VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Feo
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permlt ls granted on the express condition that the said
constructlon shall, ln all respects, conform to the Ordlnance
adopted by the City of Sprlngfield, including the
Development Code, regulatlng the construction and use of
bulldlngs, and may be suspended or revoked at any time
upon vlolatlon of any provislons of sald ordlnances.
Becelpt Number:-
Plans Revlowed By Date
Date Pald
Recelved By:
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
propertles wlthln the City llmlts whlch are belng lmproved.
Besidentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
z@hr
FT,
PLUMBING PERMIT
FEE
,/<h
Plumblng Permlt
Stato Surcharge
Total Charge
/.2 0
/z.La
,7f f ,4f
(c)
ITEM
Flxtures
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
(D)
Vent Fan
Mechanlcal Pormlt
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Furnaco
Exhaust Hood
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
Stato Surcharge
Sldewalk
-
ft
i Curpcut
-
ft
i Demolitlon
State SurchCtle
Total Mlscollanoous Permits (E)
TOTAL AMOUNT OUE (excludlrfg electricat)(A,B,qQandECombtned)
/,t zo.{@+-
RECEIVED BY
Z 2
za
N0-_
FT,
FT.
N0