HomeMy WebLinkAboutPermit Mechanical 1999-11-22RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726.3769
Offlce:726.3759
NGFIELEl
JOB NUMBER 71 rr ? t
225 Fifth Street
Sprlng fleld, Oregon 97 471
TOCATION OF PROPOSED WORK:tiASSESSOFS MAP:b31<'Lc TAX LOT;dt ) o 6r
LOT;BLOCK:SUBDIVISION:--
PHONE:
STATE:ZIP:
OWNEB:
ADDRESS:
CITY:
DITION DEMOLISH OTHEBA
DESCRIBE WORK:c{-
NEW- BEMODEL
ADDRESS coco
+,
EXPIRES .) PHONE
PLU ING:
CONTRACTOR'S NAME
GENERAL:
M
E
NST.
NTFIACTOB '
OR,S ABANDONED
COMMENCED
CONSTR. TYPE:
HEAT SOURCE;
,SNOT
SECONDARY HEAT:
SQUARE FOOTAGE:
, OF BORMS: __
, OF BLDGS:
--
ZONING CODE:
--
OCCY GBOUP:
E OF STORIES:
FoR .o,ro
- OFFICE USE =.
USE: _-FLOOD PLAIN:
WATER HEATER:
-
BANGE:
To r6quest an lnspeclcn, ycu rnust call 726"3769. Thi
made the same worklng day, lnspecilons requested
Temporary Electrlc
s ls a 24 hour recordrng. Alr rnspecilons reguested before 7:00 a.m. wilr beafter 7:00 a.m. wlll be made the followlng work day.
REQUIRED TNSPECTTONS
Slto lnspoctlon - To tre madoafter excavatlon, but prlor tosettlng forms.
E Underslab Plumblng/ Electrlcal /Mechanlcal - Prlor to cover.
Footlng - After trenches are
excavated.
Foundatlon - After forms areer€cted but prlor to concreteplacomont.
Floor lnsulatlon - prior to
decki ng,
Rough Mechanlcat - prlor to
cover.
Rough Electrlcal - prlor to
cover.
[--l Ftnat plumbtng - When ails plumblng worl< ls complete.
Flnal Electrlcal - When allolectrlcal work ls complete.
Electrlcal Servlce - Must be
approved to obtaln permanent
olectrlcal power.
Flreplaco - Prlor to faclng
materlals and framlng lnsfl
l-l Framlng - prlor to cover.
Flnal Mechonlcal - When allmechanlcal work ls complete.
h
[-l fUasonry - Steet locailon, bondu beams, groutlng.
Flnal Bulldlng - When ailrequlrod lnspectlons have beenapproved and bulldlng is
completecl.
Other u45
l-l Walt/Celltng lnsutatlon - prtor to
-
cover.
f] l'J'ffiffi;"i;:#.,-trns - Prror f-l Drywau - prror ro taprns.
Undorttoor Plumblng/Mechanlcat
- Prlor to lnsulatlon or decklng. | | Wood Stovo - Aftor lnstallatlon
MOBILE HOME INSPECTIONS
n Post and Beam - prlor to floor
-
lnsulatlon or decklng.l-l tnsert - After flreplace approval
-
and lnstallatlon of unlt.
l-l Blocktng and Set.Up - When alt
-
blocklng ls compteie.
[l Sanltary Sewer - prtor to fllilng'J trench.
Curbcut & Approach - Afterforms are erected but prlor toplacomont of concrete.
Plumblng Connectlons - Whenhome has been connected towater and sewer.
Storm Sswor - prlor to fllllng
trench.
Sldewalk & Drtveway - Afterexcavatlon ls comploto, formsand sub-base materlal ln place.
f] Y;jil:lne - Prlor ro filltns [--l rence - when cori.rptetod,
f] i&'"t: Prumblns - Prror to E ;$,rl;ri[;"[n"" arr roqurrect
Electrlcal Connection - Whenblocklng, set.up, and plumblnglnspectlons have been approvedand the home ls connected tothe servlce panel,
Flnal - After all requiredlnspoctlons are approved andpgrchos, sklrtlng, d€cks, anc,ventlng havo been lnstaileo.
GA\flb+(
numoerf0;,,;
'f OF UNITS: _
t]
E
Lot faces
Lot sq, ftg.
Lot coverage
Topography
Total helght
Lot Tlpe
-
lnterlor
-
Corner
-
Panhandle I
-
Cul-de-sac
l-*'r HE PROPOSED WORK tN THE .
HtsroBtcAL DtsTRtc[, oR oN
THE HISTORICAL REGISTEFI?
-
lf yes, thls appllcatlon must be slgnedand approved by the Hlstorlcal
Coordlnator prior to permlt issuance.
APPROVED:
PL,HSE GAR ACC
N
S
E
BUILDING PERMIT
(A)
SO. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
..^
X $/SQ. FT. = VALUE
Thls permlt ls granted on the cxpress condltlon that the saldconstructlon shall, ln all respects, conform to the Ordinanceadopted by the City of Sprlngfleld, inctudtng the
Development Code, regulaflng the constructlon and use ofbulldlngs, and may be suspended or revoked at any tlme
upon vlolatlon of any provlslons of sald ordlnances.
Plan Check Fee: _
Date
Recolpt Numbe
BUILDING VALUE, ]
AND BUILDING PE
LAN CH ECK
iMITR
Date Pald;
Recelved By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Chargo ls due on all undeveloped
propertles wlthln the Clty llmlts whlch are belng lmproved.
Besldential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N.
Plumblng Permlt
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Fixtu res
. FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flroplace Unlt
Dryer Vent
MECHANICAL PERMIT
(D)
No
Mechanical Permit
lssuance
State Surcharge
Total Permlt
Furnace
Exhaust Hood
Vent Fan
By slgnature, I stato and agree, that I have carefully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon hereon is true ancl correct, and I lurther cerflfy
that any and all work performed shall be done ln accordanco
wlth the Ordlnances of the Clty of Sprlngfleld, and the Laws
of the State of Oregon pertalnlng to tho work descrlbed
heroln, and that NO OCCUPANCy wlll be made of any
structure without perrnission of the Bulldlng Safety Divislon.
I further certlfy that only contractors and employees who
are In compllance with ORS 701,055 wlil be used on thtsprolect.
I further agree to ensure that all requlred lnspections are
requested at the prop€r tlme, that each address ls readable
from tho street, that the permlt card ls located at the frontof the property, and the approved set of plans wlll remaln
on the slte at all t s durln S
Slgnature
Date
on.
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk _ ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Permlts (E)
TOTAL AMOUNT DUE (excludlng electrtcal)
(A, B, C, Q and E Combtned)
VALIDATION:
RECEIPT NUMBEB
a ) (,2 5s-
Aiczeg
DATE PAID
AMOUNT RECEIVED
L 1l
BECEIVED BY
Flans Revlewed
FT.
FT-
/-