HomeMy WebLinkAboutPermit Mechanical 1998-07-23SPrrINGFIELDRESIDENTIAL
PERMIT APPLICATION
lnspectlons:726-3769
Office: 726-3759
LOCATION OF PROPOSED WOFIK:
JOB NUMBEB 0
225 Fifth Street
Sprlngfleld, Oregon gl 4?l
3(I N \ ?th
ASSESSORS MAP:l1o 33 r. l.t1
TAX LOI Q{ortrt
LOT
-
BLOCK:
PHONE:
ur Y?OztP;
J STATE:
_w\\to.kc {^Yq. (6 -lJ -o
F.
ft..n \-<4or Sc6t 0r
OWNER:
ADDRESS:
CITY:
erV
(d{
ADDITION
DESCRIBE WORK:
sDEMOLISH OTHER
Go.t
NEW- REMODEL
\6
ADDRESS
S
.I
EXPIBES ,t PHONECONTFIACTOR'S NAME
GENERAL:
PLUMBING;
MECHANICAL:
ELECTRICAL;
CONST.
CONTRACTOR #
_ OFFICE USE -
To requ est an n pec il oo'yo u m US T trl s S 24 h ou record ng.AI n s pec lons req UC s ted before 7:00 a.m. wlll bemadehesanleworkln9day,pect ion req UE ted af te 7 :00 a.m.ilt be mad e the fol lowl n s work d ay.
QUIRED INSPECTIONS
l-l Temporary Electrlc Mechanlcal - Prlor to Flnal Plumblng - When allplumblng worl< ls complete.
Slte lnspectlon - To be made
alter excavatlon, but prlor to
settlng forms.
cover.
lo uGtf Cr+S
Rough'Electrlcal - Prlor to
cover.Flnal Electrlcal - When all
electrlcal work ls complete.
Underelab Plumblngl Electrlcal /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtalrr permanent
electrlcal power.
Mechanlcal - When all
echanlcal work ls complete.
Footlng - After trenches are
excavated.f-l flreplace - Prtor to factng
-
materlals and framlng lnsp.
[-l Framlng - prtor to cover.
Flnal Bulldlng - When altrequlred lnspectlons have been
approved and bulldlng ls
completed.Masonry - Steel locatlon, bond
beams, groutlnO.
Foundatlon - After forms are
erecled but prlor to concrete
placement.
olher r, -, / _: I ,
Wall/Cetllng lnsulallon - Prlor to sft utc e
cover.
Underground Plumblng - Prlor
to fllllng trench.[-l Drywall - prtor to taptng
l Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPECTIONS
Wood Stovo - After lnstallatlon
Post and Beam - Prlor to floor
lnsulatlon or decklng.[-l lnsert - After ftreplace approval'- 6nd lnstallatlon of unlt.
[-l Blocking and Set.Up - When ail.- blbcklng ls.complete.
Floor lnsulallon - Prlor to
decklng,Curbcut & AJrtrrroach - After
forms are erected but prlor toplacement of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prlor to fllllng
trench.
Slorm Sewer - Prlor to fllllng
trench.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base malerlal ln place.
Electrlcal Connectlon - When
blocklng, set.up, and plumblng
lnspectlons have been approved
and tlre home ls connected tothe servlce panel.
Waler Llne - Prlor to filtlng
lrench.l--l Fence - When cornpleted.
Slreet Trees - When all requlred
trees are planted.
Flnal - After all requlred
lnspectlons are approved andporches, sklrllng, decks, andventlng have been lnstalled.
Rough Plumblng - Prlor to
cover.
SUBDIVISION: ---
lns
a
tf
D
fl
E E
l.t
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle :
-
Cul-de-sac
PL.T{SE GAR ACC
N
S
E
Setbacks IS THE PROPOSED WORK TN THE.
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, thls appllcatlon must be slgned
and approved by the Hlstorlcal
Coordlnator prlor to permll lssuance.
APPROVED:
BUILDING PERMIT
VALUE
(A)
SO. FT. X $/SQ. FT.ITEM
Main
Garage
Carport
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
'fBUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express condition that the said
construction shall, ln all respects, conform to the Ordlnance
adopted by the City of Sprlngfleld, includlng the
Development Code, regulatlng the constructlon and use of
bulldings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordlnances.
Plans Fleviewed By Date
Recei pt Numbe
Date Paid:
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties withln the City linrlts which are belng lmproved.
ITEM
Flxtu res
Flesldential Bath(s)
Sanltary Sewer
Water
Slorm Sewer
Moblle Home
FEE
(c)
N.
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
. FT.
ADDITIONAL COMMENTS
Eta.ra.X
b
r
By slgnature, I state and agree, that I have carefully examlned
the completed appllcatlon and do hereby certlfy that all
lnformation hereon ls true anct correct, and I lurther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the Clty of Sprlngfleld, and the Laws
of the State of Oregon perlalnlng to the work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout permission of the Bulldlng Safety Dlvislon.
I lurther certify that only contractors and employees who
are In compliance wlth ORS 701.O55 wlll be qsed on thls
prolect.
I further agree to ensure that all requlred lnspections are
requested at the proper tlme, that each address ls readable
from tho street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
Slgnature
Date
on the slte at al mes durlng constructlon.
. L3-78
Wood Stove/lnsert/Flreplace Unlt
Dryer Vent
IUh AlAo
MISCELLANEOUS PERMITS
Mobile Home
Slate lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surcharge
2-o tt
I a, 0r'
Total Mlscellaneous perrnits (E)
( oo
l{,ou
Vent Fan
(D)
-."/-r77i
--[.*
MECHANICAL PERMIT
Furnace
Exhaust Hood
-TI
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
TOTAL AMOUNT DUE (excludtng etr.(A, B, q D, and E Combtned)
r)
t7f03,
t za
7
RECEIVED BY
VALIDATION:
UMBER
AMOUNT RECI -
BECEIPT N
DATE PAID
Plan Check Fee:
N0