HomeMy WebLinkAboutPermit Mechanical 1996-10-18SPFlII\rGFIELORESIDENTIAL
PERMIT APPLICATION
lnspections:726-3769
Olfice: 726.3759
LOCATION OF PBOPOSED WORK
ASSESSORS MAP:
ely,
JOB NUMBER
225 Filth Stroet
Sprlngtlcld, Orcgon 97477
TAX LOT:/)24eD
SUBDIVISION
PHONE:
-
STATE ZlPi
2
CITY:
ADDRESS:
OWNER:
6
tvleDESCRIBE WORK
ADDITION DEMOLISH OTHERNEW- REMODEL
GENERAL:
-
ADDBESS
C ?o 'l 9.
EXPIRES ,1 PHONECONTRACTOR'S NAME
ELECTRICAL:
ECHANICA
PLUMBING:
CONST.
CONTRACTOR ''
_ OFFICE USE -
WATER HEATER:
ZONING CODE:
FLOOD PLAIN
SECONOAFIY HEAT: __
SOUARF. FOOTNGE
N OF UNITS:
LAND USE:QUAD AREA:
r OF BLDGS:
RANGE:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE
HEAT SOURCE:
To request an lnspectlon, you must call 726'3769. Thls ls a 24 hour rccordlng. All lnspections requested beforc 7:00 a.m. wlll bemade.lho sanle worklng day, lnspectlons requested after 7:00 a.m. wlll be macle the followlng work day.
REQUIRED INSPECTTONS
Temporary Electrlc '.Vf Rough Mechanlcat - prlor to
,\cover.
Final Plumbing - When.altplumblng worl< ls complete.
Slte lnspecllon - To lre mado
alter excavatlon, but prlor tos€ttlng forrns.
Rough Electrical - Prlor to Flnal Electrlcal - When alt
eleclrlcal worl< is complete.cover_
Underslab Plumblng / Eloctrical /Mechanlcal - Prlor to cover.Electrical Servlco - Must be
approvecl to obtalrl prirmanent
eleclrlcal power.
&lmj"*L?,;#,1?;t ili
Footlng - After trenches are
oxcavated.Flnal Building - When allrequired lnspectlons have been
approved and buildlng is
completed,Masonry - Steel locatlon, boncj
beams, groutlng.
Foundallon - After forms are
erected but prlor to concrete
placomont.
Xo*'ut 6rte -<Zn" c
Undorground Plumblng - prlor
to fllllng trench.
Underlloor Plumblng/ Mochanlcal
- Prior to lnsulatlon or decklng.
MOBlLE HOME TNSPE TIONS
Post and Beam - Prlor to floorlnsulatlon or decklng,
Blocking and Set.Up - When allblocklng ls complete.
Floor lnsulatlon - prior to
decki ng.Curbcut & Altprroach - After
forms are erected brrt prior toplacemcnt of concrctc.
Plumbing Connections - Whenhome has been connecled towater an<J sewer.
[-_l Sanltary Sewer - prtor to filling
-
trench.
Slorm Sowor - l)rior lo lllllng
trench.
Sidewalk & Drlveway - Af tcr
excavation ls complete, fornts
and sub.base materlal ln place.
Electrical Conneclion - Whenblocklng, sct.up, and plumblng
lnspeclions have becn, approvedand the home ls connected tothe servlce panel.
Water Llno - Prlor ro lilling
lrench.
Fence - Wlren cornpleted.
Slreel Troos - When all requlred
trces are planled.
Final - After all requiredinspectlons are approved andporches, sklrtlng, decks, andventlng have been lnstalled.
Rough Plumbing - Prior to
cover.
LOI;
-
BLOCK:
D.z
, OF BDFIMS:
-
DE
l-l Flreplace - prlor to factng
-
materlals and lramlng lnsp.
[-l Framlng -, prtor to cover.
[--l Wall/Ceiling tnsulatlon - prtor tot----J cover.
l-l Drywall - prtor ro raptng.
[-l Wood Stovo - Aftcr lnstailatlon.
l--l tnsert - Alter flreptace approval
-
and lnslallatlon of unlt.
E
tl
r
Lot faccs
Lot sq. ftg.
Lot coverage
Topography
Total helghI
Lot Typc_-
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Set
P.L.HSE GAR ACC
N
S
E
IS THE PROPOSED WORK IN THE.
HISTORICAL OISTRICT, OR ON
TIIE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must bo slgned
and approved by the Hlstorlcal
Coordlnator prlor to permlt issuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condltion that the sald
construction shall, ln all respecls, conlorm to the Ordlnance
adopted by thc City of Sprlngf leld, inctudtng the
Development Cocle, regulatlng the construcllon and use of
buildings, and may be suspended or revoked at any tlme
upon violation of any provlsions ol sald ordlnances.
Plan Check Fee
Date Pald
Recelpt Numbc
Received By:
Plans Rcviewed By Date
Systems Developmcnt Charge is due on all undeveloped
properties within tlrc City linrits whiclr are being improved.
ADDITIONAL COMMENTS
VALUE
(A)
x $/so. FT.
Tolal Value
Bullding Permit Fee
Stalc Surcharge
Total Fcc
BUILDING PERMIT
ITEM SO. FT.
Main
Garagc
Carporl
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Resldcntlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PERM IT
(c)
FEE
FT.
FT.
Plumblng Permlt
State Surcharge
Total Charge
PLUMBING
ITEM
Flx t u res
Wood Stove/ lnsert/Flrcplace Unlt
;Wn^F'y''
(D)
tVadt,
No
Zxs L.ua I /d*
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have carofully examlned
lhe completed apptlcation and do hereby cerilfy that all
lnformatlon hereor-r is true and correct, and I lurther certlly
that any and all work performed shall be done In accordance
wlth the Ordinanccs ot thc City o( Sprlngfleld, and the Laws
of the State of Oregon pertalnlng to thc work descrlbed
hereln, and that NO OCCUPANCY wlll bo made of any
structure without perrnission of the Bulldlrrg Safety Dlvislon.
I further certlfy that only contractors and employees who
are ln compliance with ORS 701.055 wlll be usod on thls
prolect.
I f urther agree to ensure that all requlred Inspections are
roquested at the proper tlme, that oach address ls roadablo
from tho street, tlrat the permlt card ls located at the lront
of the property, and the approved set of plans wlll remaln
on the slte at all times durlng constructlon.
Date
Slgnatu
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge VALIDATION:
RECEIPT NUMBER.23 5'/b
TOTAL AMOUNT DUE (excluding electrir:al)
(A, B, C, D, and E Combinc'd)
DATE PAID o
AMOUNT RECEIVED->t Zo
--z'<42-T
FiECEIVED BY
2 lo
I
:. :.
FT.
ar-
,e7a()t
(l€,^ct^lo -
Total Mlscellaneous Perrnits (E)