HomeMy WebLinkAboutPermit Mechanical 1999-10-19RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726.3769
Offlce: 726.3759
LOCATION OF PROPOSED WORK:
SPFtINGFIELD
JOB NUMBEB
225 Fifth Street
Sprlngfleld, Oregon 97477
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ASSESSOFS MAP:/7 03zo rr frTAX LOT:o0
LOT: BLOCK:SUBDIVISION:
OWNER:
ADDRESS:
CITY:
PHONE:
STATE:ZIP:
NEW
-
REMODEL AoDlTloN DEMOL|SH OTHER
DESCRIBE WORK:
ADDRESS coco EXPTBES ,l PHONE
ELECTRICAL:
CONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
NST.
NTBACTOR ,
SOUABE F
E;
vfoll
, OF STORIE@THISPEru\AI
ORIS gnWATER HEAT
r OF BDBMS:
FLOOD PLAIN:
o c cy G R o u pTHISpEBMISHAUEXP I R E I Effi El,l{pFlt E.
- OFFICE USE -
LAND USE:OUAD AREA: _
SECONDABY HEAT:_
, oF BLDGS:N0[|CE- r oF UNtrs:ZONING CODE:
To roquest an lnspoction,
made the same worklng ,
' you miJst cail 726'3769. Tnis ts a 24 hour recordlng. All lnspections requested before 7:00 a.m. wllt beday' lnspectrons requested after 7;00 a.m. wlil be made the foilowrng work day.
REQUIRED INSPECTIONS
Rough Mechanlcal - prlor to
cover.Flnal Plumblng - When altplumblng worl( ls complete.
Rough Electrlcal - prlor to Flnal Electrlcal - When ailolectrlcal work ls complete.
cover,
Electrlcal Servlce - Must be
approved to obtaln permanent
olectrlcal powor.
Flnal Mechanlcal - When allmechanlcal work ls complete.
Flnal Bulldlng - When altrequlred lnspectlons have beenapproved and bullding ls
completod.[l Masonry - Steel locatlon, bond
-
beams, groutlng.
l-l Ftreptace - prlor to factng
-
materlals and framlng lnsp.
l--l Framlng - prtor to cover.
[-l Wall/Celllng lnsulatlon - prlor to
-
cover.
Foundatlon - After forms are
orected but prlor to concrete
placement.
ther i
E l'Jfiii:l'i,llJn.,.orns - Prior [_l Drywau - prror to taprns
l--l Undorlloor plumblng/Mechanlcat
Prior to lnsulatlon or clecklng.
MOBILE HOME INSPE TIONS
Wood Stovo - Aftor lnstallatlon
Posl and Beam - Prlor to floorlnsulatlon or decklng.- After flreplace approval
[-l Alocklng and Ser.Up - When ail
-
blocklng ls complete.
lnstallatlon of unlt.
Floor lnsulatlon - prlor to
decklng.Curbcut & Alrproach - After
forms are erected bUt prlor toplacomont of concrete.
Plumblng Connectlons - Whenhome has been connected towater and sewer.Sanltary Sewer - prlor to fllllng
trench.
Storm Sewor - Prlor to fllllng
trench.
Sldewalk & Drlveway - After€xcavatlon ls comploto, formsand sub-base materlal ln place.
Electrlcal Connecllon - Whenblocklng, set.up, and plumbtngrnspecilons have been approvedand the home ls connected tothe servlce panel.Water Llne - Prlor to fllllng
trench.[-l Fence - Whon coi-,rpleted.
Bough Plumblng - prlor to
cover.[-l Street Trees - Whon all roqulred
-
trees ara planted.
l-l flnal - After all requireds lnspectlons are approved andporchos, gklrUng, decks, andventlng have been lnstaileo.
f1
P.-
ot: t0
[_l temporary Etectrlc
[--l Stte lnspectlon - To tre mados after excavatlon, but prlor tosettlng forms,
I-_| Understab plumblng/Electrlcal/
-
Mechanlcal - Prlor to cover,
[l Footlng - After trenches are
-
excavated.
E
E
lr'l ' i '.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle !
-
Cul-de-sac
-THE PROPOSED WORK TN THE .
HtsroBtcAL otsTBtc[, oR oN
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgnedand approved by the Hlstorlcal
Coordlnator prlor to permlt lssuance.
APPROVED:
PL,HSE GAR ACC'
N
S
E
VALUE
(A)
t
Total Value
Building Permit Fee
State Surcharge
Total Fee
X 8/SQ. FT.
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
Thls permlt ls granted on the Gxpress condlilon that the saldconstructlon shall, ln all respects, conform to the Ordlnanceadopted by the City of Sprlngfteld, lnctudlng the
Development Code, regulailng the construcflon and use ofbulldlngs, and may be suspended or revoked at any tlme
upon vlolatlon of any provlslons of sald ordlnances.
Plan Check Fee: _
Plans Flevlewed By Date
Receipt Numbe
BU ILDIN G
AND BUIL DIN
tue, i5tRN cHEcK
G PERMIT
Date Pald;
Becelved By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
propertles wlthln the Clty llmlts whlch are belng lmproved.
FEE
(c)
N'
FT.
Resldential Bath(s)
FT.
Plumblng Permlt
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Flx tu res
. FT.Sanitary Sgwer
Water
Storm Sewer
Moblle Home
ADDITIONAL COMMENTS
MECHANICAL PERMIT
No
place Unlt
U- fz(o)
f,rro
Dryer Vent
t s-b
0. 0,
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
Fu rnace
Exhaust Hood
Vent Fan
Wood Stove/l
By slgnature, I state and agree, that I have carefully examlned
the completed appllcatlon and do hereby cerilfy that alt
lnformatlon hereon is true anc, correct, and r f urther cerilfy
that any and alr work performed shail be done rn accordance
wlth the Ordinanccs of the Clty of Sprlngfield, and the Lawsof the State of Oregon pertalnlng to tho work doscrlbed
heroln, and that NO OCCUPANCy wlll be mado of any
structure without perrnission of the Bulldlng Safety Dlvislon.I further cerufy that only contractors and employees whoare ln compllance wlth ORS 7O1.OS5 wlll be used on thlsprolect.
I further agree to ensure that all regulred lnspections areroquested at the proper tlme, that each address ls
from tho street, that the permlt card ls located atof the property, and the approved set of
lon
readable
the front
plans wlll remalnon the slte at all tl durlng corlstru
Slgnature
Date
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
--
ft
Curbcut
--
ft
Demolitlon
State Surcharge
Total Mlscollanoous pormlts (E)
TOTAL AMOUNT DUE (exctudtng electrlcat)
(A, B, C, Q and E Combtned)
VALIDATION
RECEIPT NUMBER 0tt7
DATE PAID
AMOUNT BECEIVEO
()
BECEIVED BY
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(