HomeMy WebLinkAboutPermit Mechanical 1999-09-08RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726.3769
Offlce; 726.3759
LOCATION OF PROPOSED WOHK:
ASSESSOHS MAP:
LOT:
SPRTN FTELO
BLOCK:
JOB NUMBER
^\225 Fifth Street
Sprlngfleld, Oregon 97 471
TAX LOT:vz1
SUBDIVISION: -
tuOWNER:
ADDRESS:
CITY:STATE:ZIP:
f PHONE:7 4b-
OTHERON
-
DEMOLISH
DESCRIBE WORK:
NEW- REMODEL ADD
EXPIRES ,] PHONECONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR ,
ouAD AREA: THISPEBMITSHAUaEXFIBE:IFTHtrWOFIK | , u
AUTHORIZED
FOR
UNrtrBr MIT
EdruilP9uF0
roD.
HEAT SOURCE;
- OFFICE USE -NOTICE:
FLOOD PLAIN:
, OF BLDGS
OCCY GROUP;E OF BDBMS:
r OF STORIES:
WATER HEATEB
COMMENCEDOBffipen
ZONING CODE:
nogu. Y
SECONDARY HEAT:
SOUARE. FOOTAGE:FANGE:
T.o request an lnspectlon,
made the same worklng ,
ycu must call 726'3769. Thls ls a 24 hour recording. Atl lnspecilons requested before 7:00 a.m. wlil beday, lnspectlons requested after 7:00 a.m. wlll be made the foilowlng worl( day.
REOUIRED INSPECTIONS
Rough Mechanlcal - prlor to
cover.FI al Plumblng - When alt
mblng worl( ls complete.
Rough Electrlcal - prlor to
cover.Flnal Electrlcal - When ailectrlcal work ls complete,
Electrlcal Servlce - Must be
approved to obtaln permanent
slectrlcal power.
Flnal Mechanlcal - When allmechanlcal work ls complete.
ll Ftreptace - prtor to factng
-
materlals and framlng lnsp.
n Framlng - prtor to cover.
l-l Walt/Cel[ng tnsulatlon - prtor tou cover,
Flnal Bulldlng - When ailrequlred lnspectlons have beenapprovod and bulldlng ls
completed.
[-l other
Drywall - prlor to taplng.
MOBILE HOME INSPECTIONS
Wood Stovo - Aftor lnstallatlon.
lnserl - After flreplace approval
and lnstallatlon oI unlt.
Blocklng and Set.Up - When allblocklng ls comptete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & AJrproach - After
forms are erected but prlor toplacomont of concrete.
Plumblng Connectlons - Whenhome has been connected towater and sewer.[l Sanltary Sewer - prtor to flillng
-
trench.
n Storm Sower - Prlor to fliling
-
trench.
Sldewalk & Drlveway - Afterexcavatlon ls complote, formsand sub-base materlal ln place.
Electrlcal Connectlon - Whenblocklng, set.up, and plumblng
lnspectlons have been approvedand the home ls connected tothe servlce panel.
n Water Llne - prtor to filllng
-
trench.[-l Fence - When cor,]pleted.
Rough Plumblng - Prlor to
cover.n Street Trees - When all roqulred
-
trees 8ro plantod,
Flnal - After all requlredInspectlons are appioved andporchos, sklrtlng, decks, andventlng have been lnstalled.
(
ADDRESS
[-l Temporary Elecrrtc
[--l Stte lnspectlon - To be mado'J after excavatlon, but prlor tosettlng forms.
I--l Underslab plumbtng/Etoctrlcal/
-
Mechanlcat - prlor to cover.
[l Footlng - After trenches arelJ excavated.
ll rvtasonry - Ste6l locatlon, bondlJ beams, groutlng.
I-l Foundatlon - After forms are
-
erected but prlor to concrete
placemont.
[-l Underground plumblng - prlor
-
to fllllng trench,
[--l Underltoor Plumbtng/Mechanlcat
Prlor to lnsulatlon or decklng.
n Post and Beam - prlor to floor.- lnsulatlon or clecklng.
tl
fl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Iotal helght
Lot TyF
-
lnterlor
-
Corner
-
Panhandle !
-
Cul-de-sac
rs_ E PROPOSED WORK tN THE .
HrsToFlcAL olsTBlcr, oR oN
THE HISTOBICAL REGISTER?
-
lf yes, thls appllcatlon must be slgnedand approved by the Hlstorlcal
Coordlnator prlor to permlt lssuance.
APPFIOVED:
P.L.HSE GAR ACC
N
S
E
BUILDING PERMIT
SO. FT,
,
(A)
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
..b
X S/SQ. FT, - VALUE
Thls permlt ls granted on the express condition that the saldconstructlon shall, ln all respocts, conform to the Ordlnanceadopted by the City of Sprlngfleld, includlng theDevelopment Code, regulailng the construction and use ofbulldlngs, and may be suspended or revoked at any tlmeupon vlolatlon of any provislons of sald ordlnances.
Plan Check Fee: _
Recol pt Number;_
Plans Bcvlewed By Date
Date Pald:
Flecelved By:
qqtLDtNG VALUE,
AND BUILDING PE
Puaru cHEcK
,RMIT
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
propertles wlthln the Clty llmlts whlch are belng lmproved.
Resldential Bath(s)
Sanitary Sgwer
Water
Storm Sewer
Moblle Home
FEE
(c)
N'
FT.
FT.
Plumblng Permlt
State Surcharoe
Total Charge
PLUMBING PERMTT
ITEM
Fixtures
ADDITIONAL COMMENTS
(/
By slgnature, I state and agree, that I have carefully examlnedthe complsted appllcatlon and clo hereby cerilfy that alllnformatlon hereon ls true ancl correct, and I f urther cerilfythat any and arr work performed shalr be done rn accorrjance
wlth the Ordlnanccs of the Clty of Sprlngfleld, and the Lawsof the State of Oregon pertalnlng to tho work descrlbed
hereln, and that NO OCCUPANCy wlll be made of any
structure wlthout permission of the Bulldlng Safety Dlvislon.I further cerilfy that only contractors and emptoyees whoare In compllanco wlth ORS ZO1.O5S wlll be used on thtsprolect.
I further agree to ensure that all requlred lnspections areroquested at the pr9p€r trme, that oach address rs readabrefrom the street, that the permrt card rs rocated at the frontof the property, and the approved set of prans wilr remarn
durl c n.on the slte at all U
Slgnature
Date
Wood Stove/ lnsert/Flroplace Unlt
Dryer Vent
MISCELLANEOUS PERMITS
6b
Total Mlscellaneous permlts
l,oG-.qf
(D)
(E)
,s
.{ ro
ftu,
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
Moblle Home
State lssuance
State Surcharge
Sldewalk _ ft
Curbcut _ ft
Demolitlon
State Surcharge
MECHANICAL PERMIT
Fu rnaco
Exhaust Hood
Vent Fan No
TOTAL AMOUNT DUE (excludtng electrlcat)(A, B, C, Q and E Combtned)
VALIDATION:
RECEIPT NUMBER 5
DATE PAID 1
AMOUNT BECEIVED s
BECEIVED BY .+<
-t
ao
FT.
q-