HomeMy WebLinkAboutPermit Mechanical 1995-01-26SPFrINGFIELE'
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Oflice: 726-3759
LOCATION OF PROPOSED WOHK:
ASSESSOBS MAP:
LOT;
-
BLOCK:
efr,
JoB NUMBE s ffao?a
225 Fifth Street
Sprlngfleld, Oregon 97477
TAX LOT:22$:<-
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SUBDIVISION
=ZPF-5-STATE ZIP:
7v2**s2>
2>7>>CITY:
1-t <atE -
<a
ADDRESS:
OWNER;
<w)pHoN€'
NEW
-
REMODEL ADDITION DEMOLISH OTHEFI
DESCRIBE WOFIK:
GENERAL:
ELECTBICAL:
ADDRESS EXPI RES PHON ECONTRACTOR'S NAME
MECHANICAL:
PLUMBING;
CONST.
CONTRACTOR #
FIANGE:
r OF BDRMS:
- OFFICE USE -
LAND USE:
WATER HEATER
ZONING CODE:
FLOOD PLAIN
Y OF UNITS:
QUAD ABEA:
r OF BLDGS:
SECONDABY HEAT:
SQUARE FOOTAGE:
OCCY GFIOUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726.3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be
made the same warklng day, lnspections requested after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
Temporary Electrlc ru Rough Mechanical - Prlor to
cover.f-l final PlumbingtJ plumblng work - When all
ls complete.
Site lnspection - To be made
after excavatlon, but prior to
setting forms.
Rough Electrical - Prlor to Final Electrical - When all
electrical work is complete.cover,
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
w Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Final Building - When all
requlred lnspections have been
approved and building is
completed,Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.
E Foundatlon - After forms are
erected but prlor to concrete
placement.
lZ other 4rf ,7-,:i7
Wall/Celllng lnsulatlon - Prlor to
cover.
Underground Plumbing - Prior
to fllllng trench.Drywall - Prlor to taplng.
MOBILE HOME INSPE TIONSUnderlloor Plumblng / Mechanical
- Prlor to lnsulatlon or decklng.Wood Stovo - After lnstallatlon,
Post and Beam - Prlor to floor
lnsulatlon or decking.lnsert - After flreplace approvql
and lnstallatlon of unlt.
Blocking and Set.Up - When alt
blocklng is complete.
Floor lnsulatlon - Prlor to
deckl ng.Curbcut & Approach - After
forms are erected but prior to
placement of concrete,
Plumbing Connections - When
home has been connected to
water and sewer.
.Sanltary Sewer - Prior to f illing
trench.Electrical Connection - When
blocking, set-up, and plumbing
lnspectlons have been approved
and the home is connected to
the servlce panel,
Storm Sewer - Prlor to tilllng
trench.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base material in place.
Water Llne - Prior to filling
trench,
Fence - When completed
Rough Plumblng - Prior to
cover.
Str€ot Trees - When all requlred
trees are planted.
Flnal - After all required
inspectlons are approved and
porches, skirtlng, decks, and
venting have been installed.
/>-o7-7r-,/=
tl
tl
I--l Underslab Plumblng / Electrical /tJ Mechanlcal - Prlor to cover. L-J
E
E
tl
tl
E
E
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typ
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
IS THE PROPOSED WORK TN THE .
HtsroRtcAL DtSTFltcT, oR oN
THE HISTORICAL REGISTER?
-
lf yes, thls applicailon must be slgnedand approved by the Historlcal
Coordinator prlor to permlt lssuance.
APPROVED:
VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT
Thls permit is granted on the express condrtion that the sardconstruction shall, in all respects, conform to the Ordlnanceadopted by the City of Sprlngfield, including theDevelopment Code, regulating the construction and ise ofbuildings, and may be suspended or revoked at any tlmeupon violation of any provisions of sald ordinances.
Plan Check Fee: _---
DatePlans Reviewed By
Receipt Numbe
Date Paid
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undevelopedproperties within ilre City limits which are being improved.
ITEM
Fix t u res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
N0
FT.
FT.
(c)
Plumbing Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Uni t
Dryer Vent
MECHANICAL PERMIT
72r*/ t-- 3+D
*
(D)
r7
26.2a
No
Mechanical Permit
lssuance
State Surcharge
Total Permlt
Furnace
Exhaust Hood
Vent Fan
By slgnature, r state and agree, that l have carefuily examrnedthe completed application and do hereby cerflfy that alllnformatlon hereon is true ancl correct, and I f urther cerilfythat any and all work performed shall be done in accordancewlth the Ordinanccs of the Clty of Sprlngfield, and the Lawsof the state of oregon perrarnrng to the work descrrbedhereln, and that NO OCCUPANCy wlil be made of anystructure without permission of the Bulldirlg Safety Dlvislon.I further certify that only contractors and employees whoare ln compliance wtth ORS 7O1.OSS wlll be used on thlsproject.
I further agree to ensure that all re
2-7- 7 5
n.
qulred lnspections arerequested at the proper ilme, that each address ls readablefrom the street, that the permlt card ls located at the frontof the property, and the ap proved set of plans wlll remalnon the site at all ti uring con
Slgnatu re
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk .- ft
Curbcut .---- ft
Demolitlon
State Surcharge
Total Mlscellaneous permits (E)
P.L.HSE G,A,R ACC
N
S
E
VALIDATION:
RECEIPT NUMBER
DATE PAID )^2
AMOUNT BECEIVEDTOTAL AMOUNT DUE (excluding electricat)(A, B, C, D, and'E'Comblned)BECEIVED BY
,/^ >
P
t. ' .j ,
I
X $/SQ. FT,
FT.