HomeMy WebLinkAboutPermit Mechanical 1999-12-17O
RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Offlce:726-3759
SPRINGFIELE,
LOCATION OF PBOPOSED WORK:
ASSESSORS MAP:
LOI:
-
BLOCK:
JOB NUMBEB
225 Fifth Street
Sprlngfletd, Oregon 97 477
TAX LOT:O.D-()
SUBDIVISION:
--
OWNER:
ADDRESS:
CITY:DRSTATE:ZIP:
PHONE:3s-_-E/
OTHERDEMOLISH
DESCRIBE WORK:
NEW
-
REMODEL ADDITION
ADDBESS EXPIRES .a PHONE
CONTRACTOR'S NAME
GENEBAL:
ELECTRICAL:
MECHANICAL;
PLUMBING:
CONST.
CONTRA TOR 'r
- oFFtcE usE _
LAND USE:
# OF UNITS: _
FLOOD PLAIN:
ZONING CODE:
, OF BDRMS:
-_
QUAD AREA:
, OF BLDGS
SECONDARY HEAT:
SQUARE. FOOTAGE:
OCCY GBOUP:
r OF STORIES:
CONSTB. TYPE:
HEAT SOUBCE;
WATER HEATER:RANGE:
To request an lnspecilon, you !"nust call 7?5-3iGg. Thl
made the same worklng day, lnspectlons requested
[-l Temporary Etectrlc
Slte lnspectlon - To be madoafter excavatlon, but prlor tosettlng forms.
[-l Understab plumblng/Etectrlcal/u Mechanlcal - prlor to cover.
Footlng - After trenches are
excavated.
l-l Masonry - Steel locatlon, bond
-
beams, groutln0,
Rough Mechanlcal - prlor to
cover.
Rough Electrlcal - prlor tocover.
Electrlcal Servlce - Must beapproved to obtaln permanent
olectrlcal power.
n Framlng - prlor to cover.
[-l Walt/Celllng tnsulatlon - prlor to
-
cover.
Wood Stovo - Aftor lnstallatlon.
Flnal Plumblng - When altplumblng worl( ls complete.
s is a 2.1 hour recordlng. Ali lnspecilons requested belore 7:00 a.m. will beafter 7:00 a.m. wlll bo made the followlng work day.
REOUIRED TNSPECTIONS
[-_] flnat Etectrlcal - When ailu electrlcal work ls complete.
ffirr, Mechantcat - When ail
7- mechanlcal work ls complete.
Flreplace - prlor to faclngmaterlals and framlng lnsfl
Flnal Bulldlng - When ailrequlred lnspecilons have beenapproved
complete
and bulldlng is
d.
f-l Undorground plumblno - prtort-J to fttttig trench [--l Drywall - prtor to taplng,
Underlloor plumblng/ Mochanlcal
- Prlor to lnsulatlon or decklng.
Post and Beam - prlor to floorlnsulatlon or decklng.
Foundatlon - After forms areerectod but prlor to concreteplacemont.
Floor lnsulatlon - prlor todecklng.
[l Sanltary Sewer - prtor to filting.J trench.
f-l Storm Sewer - prior to fliltngu trench.
Water Llne - prlor to flllln strench.
Bough Plumblng - prlor tocover.
Othe
MOBILE HOME INSPE TIONS
#
l-l lnsert - After flreplace approval
-
and lnsta,latlon of unlt.
I Blocklng and Set.Up - When ail
-
btocklnO ls complete.
Curbcut & Alrproach - Afterforms are erected but prlor toplacomgnt of concrete,
Sldewalk & Drlveway - Afterexcavatlon ls comploto, formsanc, sub-base materlal ln place.
Fence - Whon coinpleted.
Electrlcal Connecllon - Whenyg:Illg, set.up, and plumbrnslnspectlons have been approvedand the .home ls connected torne servlce panel.
I_l :,1:", Troes - Whcn ail roqutred
-
rroes are plantod.
Flnal - After all requlredrnspocilons are approved and
.?-of9.hosr aklrilng, decks, anc,venung have been lnstailed.
.It )nel qLlb
il
E
tl
l-l Plumblng Connectlons - When
-.
home has been connected towater and sewer.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle i'
-
Cul-de-sac
PL.HSE GAR ACC
N
S
E
,- ; HE PROPOSED WORK tN THE .
HtsToFllcAL O|STR|CT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcailon must be slgnedand approved by the Historlcal
Coordlnator prlor to permlt lssuance.
APPFIOVED:
BUILDING PERMIT
VALUE
(A)
SO. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
,' .,
X $/SQ. FT.
Thls permit is granted on the cxpress condition that the saldconstruction shall, ln all respects, conform to the Ordinanceadopted by the City of Sprlngfleld, includlng theDevelopment Code, regulating the construcilon and use ofbulldlngs, and may be suspended or revoked at any ilm6upon vlolatlon of any provlsions of sald ordlnances.
Plan Check Fee: _
Recolpt Number:_
DatePIans Revlewed By
BUILDING
AND BUIL
LAN CHECK
MIT
E, l
PE
LU
D NI G R
Date Pald
Recelved By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developmcnt Charge ls due on all undeveloped
properties wlthln the Clty llmlts whlch are belng lmproved.
ITEM
Flxtures
Resldential Bath(s)
Sanitary Sgwer
Water
Storm Sewer
Moblle Home
FEE
(c)
N'
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharoe
Total Charge
. FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unlt
Dryer Vent
/ o.
"701.30
(D)J-6-6D
No
/< d-oI J.
Vent Fan
Mechanical Permlt
lssuance
Stato Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I stato and agree, that I have caref ully examlned
the completed appllcailon and do hereby certl fy that all
lnformatlon hereon ls true ancl correct, and I f urther cerilfy
that any and all work performed shall be done ln accordance
wlth tho Ordinanccs of the Clty of Sprlngfleld, and the Laws
of the State of Oregon pertalnlng to tho work descrlbed
hereln, and that NO OCCUPANCy wlll be made of any
structure wlthout perrnission of the Bulldlng Safety Divislon.
I further certify that only contractors and employees who
are In compllance wilh ORS 701.055 will be used on thts
prolect.
I further agree to ensur€ that all requlred lnspections are
roquested at the proper ilme, that each address ls roadable
from tho street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
lon
Slgnature
Date
on the slte at all cAnstes du
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk _ ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Permlts (E)
TOTAL AMOUNT DUE (exctudlng electrtcal)
(A, B, C, D, and E Comblned)
VALIDATION:
RECEIPT NUMBEB 7C
DATE PAID
AMOUNT RECEIVED s3)
RECEIVED BY r)
OS
a o
FT.