HomeMy WebLinkAboutPermit Mechanical 2002-08-28RESID ENTIAL
PERM!T APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WOFIK:b
ASSESSORS MAP:
LOT:
PR IELc,
OA olO3Y
qit,
JOB NUIvIBER
225 Fifth Street
Sprirrgfleld, Oregon g7 4Zl
u c'
TAX LOI
BLOCK:SUBDIVISION
PHOTJE:
ZIP:
J.
STATE:CITY:
ADD
NEW
--
REMODEL ADDITION DEMOLISI-I OTHER
EXPIRES 1 PHONE
CONTRACTOR'S NAME
ELECTRICAL
MECHANICAL:
PLUMEING:
GENERAL:
CONST.
CONTRACTOB #
O-qqY_9li_oUP: --_ coNSTR. TypE
" Ff; $ffi fni-*r*-*r-r*H E wgHRAr SoU RCE:
WATER HEATER: RANGF-
_ OFFICE USE -
* OF UNITS:
LAND USE
ZONING CODE:
SECONDARY HEAT:
SOUAFIE. FOOTAGE:
, OF BDBMS: ---
FLOOD I)LAIN:
Hffi [$ Qiltfffi Lo,D# ; "; "i ;
^
:1;
',1:.t l't::-:.r 1,..ue, ruvuiuiliV.
^it ii,5irceituir),c,qUUSted UetOfeuested after 7:00 a.m. will be made the following work day.
7:00 a.m. wtlt be
REQUIRED INSPECTIONS
[-_l temporary Electric Rough Mechanical - prior to
cover.Flnal Plunrbing - When altplumbing work is complete.
Site lnspectlon - To be made
after excavation, but prior tosetting forms.
Rough Electrical - prior to Final Electrical - When allelectrical work is complete.
cover.
Underslab Plumbing/ Electrical /
Mechanlcal - Prior to cover.Eleclrlcal Servlce - Must be
approvecl to obtaln permanent
olectrlcal power.
Final Mechanlcal - When ailmechanical work is complete.
Footlng - After trenches are
excavated.l-l Flreplace - prior to factng
-
materlals and framlng lnsp.
[-_l Framlng - prior to cover.
l--l WaltICetilng tnsutatlon - prtor tou cover-
l-_l Orywalt - prtor to taptng.
Flnal Building - \Aihen ailrequired lnspecilons have beenapproved and building is
completed.Masonry - Steel locaflcrn, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Underground Plumblng - prior
to fllllng trench.
Underlloor Plumblng / Mechanlcal
- Prior to insulatlon or decking.
MOBILE HOME INSPE TIONS
Wood Stove - After lnstallation
Posl and Beam - Prlor to floor
insulatlon or decking.lnserl - After flrei:lace approval
and lnstallatlon of unit.
[-_l elocking and Set.Up - When ail
-
blocking is complete.
Floor lnsulalion - Prior to
decking.Curbcut & Alrproach - After
forms are erected but prior toplacemcnt of concretcl.
Plumbing Conneclions - Whenhome lras been connected towater and sevJer;
Sanitary Sewer - Prior to f iiling
trench.
l-l Storrn Sewer - Prior to filling
-
trench.
Sidewall< & Driveway - After
excavation ls complete, (orms
and aub.baso materlal ln placo.
Electrical Connection - Whenblocking, set-up, and plumbing
lnspections have been approvedand the home ls connected tothe servlce panel.
[--l Water Line - Prior to fiiling
-
trench.
Fence - !'Jhen cciilpleted.
Slreet Trees - When all required
troes are planted.
Flnal - After all requtred
lnspections are approved andporches, sklrting, decks, andventlng have been lnstalled.
Rough Plumbing - Prlor to
cover.
tl
OWNER:
DESCRIBE,WORK:
ADDRESS
-0010
lrjotification Cente
OUAD AREA:--_
, OF BLDGS: -___
tl
fl
l-_l orher
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
--
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
PL.}JSE GAFI ACC
N
S
E
IS THE PROPOSED WORK TN THE .
HISTOFIICAL DISTRICT, OFI ON
THE HISTORICAL REGISTER?
-
ll yes, this application must be slgned
arrd approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERUIIT
This pernrit is granted on the express condition that the said
constructlon shall, in all respects, conform to the Ordinance
adopted by the City ol Springfleld, including the
Development Code, regulating the construction and use of
bulldings, and may be suspended or revokod at any tlm€
upon violation of any provlslons ol sald ordlnenceE,
Plan Check Fee;
Date Paid
Reoeipt Numbe
Received By:
Plans Rcviewed By Date
Systems Development Charge ls due on all undeveloped
properties within tlre City linrits 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 is true and correct, and I further certlfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springficld, and the Laws
of tire State of Oregon pertainlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Buildirrg Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with OFIS 701.055 will be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
from tl're street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
on the site atpll times du.ring construction.
t'kZq '?-/dd/4'Slgnature
r/>41-f/Date
VAI-IDATION
RECEIPT N
DATE PAID
EU
AMOUNT BECEIVED
BUILDING PERMIT
VALUE
(A)
SO. FT. X $/SO. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fr:c
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Fixtures
Residential Aath(s)
Sanitary Sewer
Water
Storm Sewer
IUobile l{ome
PLUMBING PERMIT
FEE
F'T.
FT.
(c)
N"
Plumbing Permit
State Surcharge
Total Charge
Wood Stovei lnsert/Fireplace Unit
7{6"
3s -a:
fi u_t_t{(D)
Dryer Ve t
o
J
a
No
lo , 6'0
23.
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnacc
Exhaust lloorj
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
---
ft
Demolition
State Surcharge
Total Miscellaneous Perrnits (E)
TOIAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combincd)RECEIVED BY
U
Fl'.
I