HomeMy WebLinkAboutPermit Mechanical 1996-11-14ke rof 7ns-zqq5
D ENTIAL
MIT APPLICATION
ctions: 726-3769
e: 726-3759
SPNINGFIELO
JATION OF PROPOSED WOFIK:
)T:BLOCK:
OWNER;
ADDBESS:
CITY:STATE:
DESCBIBE WOFIK:
NEW
-
REMODEL ADDITION DEMOLISH
CONTBACTOR'S NAME ADDRESS
Q,, t55o
efr,
,<b
JOB NUMBER
225 Filth Street
Sprlngtleld, Oregon 97477
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SUBDIVISION
PHONE:
CONST.
CONTRACTOR ''
ZIP:
EXPIRES
HER
-PHON E
G EN ERAL:
PLUMBING:
MECHANICAL:7
ELECTRICAL:
- OFFICE USE -
QUAD AREA:
r OF BLDGS:ZONING CODE: _
OCCY GROUP:
r OF STOBIES:
CONSTR. TYPE:
--HEAT SOURCE:SECONDARY HEAT:
SOUARF. FOOTAGE;WATER HEATER:RANGE
To request an lnspectlon, you rnList caii 726-3769. Thls ls a 24 hour recorcjlng. All tnspectlons requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
LAND USE:
# OF UNITS
Temporary Electrlc
Slto lnspoctlon - To be mado
after excavatlon, but prlor to
settlng forms.
Underslab Plumblng/ Electrical/
Mechanlcal - Prlor to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, boncl
beams, groutlng.
Foundallon - After forms are
erecled but prlor to concrete
placement.
Underground Plumblng - Prior
to fllllng trench.
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
Post and Boam - Prlor to floor
lnsulatlon or decklng.
Floor lnsulatlon - Prlor to
decklng.
Sanltary Sewer - Prior to filling
trench.
Storm Sewer - Prlor lo f llllngtrench. ,,
Water Llne - Prlor to filling
trench.
Rough Mechanlcal - Prlor to
cover.
Electrlcal Servlco - Must be
approved to obtaln permanent
eleclrlcal power.
Flreplaco - Prlor to faclng
materlals and framlng lnsp.
Framlng - Prlor to cover.
Wall/Celling lnsulatlon - Prlor to
cover.
Drywall - Prlor to taplng,
Wood Stovo - After lnstallatlon
lnserl - After flreplace approval
and lnstallatlon of unlt.
Curbcut & Altproaclr - After
forms are erected but prlor toplacomont of concrclc.
Sldewalk & Drlveway - After
excavatlon ls complete, forms
and sub.base materlal ln place.
Fence - When completed,
Streel Troos - When all requlred
trees are planled.
I--l Flnal Plumbtng - When ail
'J plumblng worl( ls complete.x
M
Flnal Mechanlcal - When allmechanlcal work ls complete.
Flnal Bulldlng - When all
requlred lnspectlons have beenapproved and bullding ls
comploted.
MOBILE HOME INSPECTIONS
E
[-l Blocklng and Set.Up - When ail* blocklng ls complete.
Flnal Electrlcol - When all
electrical work ls complete,
Plumblng Connocllons - When
home lras been connected to
water and sewer.
Electrlcal Connectlon - When
blocklng, sel.up, and plumblng
lnspectlons have been approved
and the home ls connected to
the servlce panel,
Final - After all required
lnspeclions are approved andporches, sklrtlng, decks, andventlng have been lnstalled.
Rough Plumbing - Prlor to
cover.
SESSORS MAP: TAX LOT:
AF
[-l Rough Electrlcal - Prlor totJ cover. I I
[---l ottrsr
FLOOD PLAIN:
, OF BDFIMS: --
E
n
E
E
tl
E
E
tl
fl
E
E
r
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de.sac
Setbac
P.L.HSE GAR ACC
N
S
E
BUILDING VALUE
AND BUILDING P
.S THE PROPOSED WORK iN THE.
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcailon must be slgnedarrd approved by the Historlcal
Coordlnator prlor to pPrmit issuance,
APPBOVED:
, PLAN CHECK
ERMIT
Thls permit ls granted on the express condiilon that the sald
construclion shall, ln all respects, conform to the Ordlnanceadopted by the City of Springfletd, inctuding the
Development Code, regulating the constructlon and use ofbuildlngs, and may be suspended or revoked at any tlme
upon violation of any provisions of sald ordlnances,
Plan Check Fee:
Date Paid
Recelpt Number
Received By
Plans Rcviewcd By Date
VALUE
(A)
BUILDING PERMIT
Total Value
Bullding Permit Fee
State Surcharge
Total Fec
SQ. FT. X $/SQ. FT.ITEM
Maln
Garage
Carport
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developmcnt Charge ls due on all uncleveloped
properties withln tlre City linrlts which are belng lmproved.
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
No
PLUMBING PERMIT
FT.
Plumblng Permlt
Stato Surcharoe
Total Charge
. FT.
ADDITIONAL COMMENTS
I
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
(D)
)dn
ae-@
NoVent Fan
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon hereon is true and correct, and I lurther cerilfy
that any and all work performed shall be done in accordance
wlth tho Ordinanccs of the City of Sprlngfleld, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
heroln, and that NO OCCUPANCy wlll be made of any
structure wlthout perrnission of the Bulldlrrg Safety Dlvislon.
I further certlfy that only contractors and employees who
are ln compliance with OFIS 701.055 wlll be used on thls
pro ject.
I f urther agree to ensure that all requlred lnspectlons are
requested at the proper tlme, that oach address ls readable
from the slreet, that the pcrmlt card ls located at the front
of the property, and the approved set of plans will remaln
Slg nat u re
Date
Itimes durln g constructlon.on the slte
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
Stato Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surchargp
Total Mlscellaneous Perrnlts (E)
TOTAL AMOUNT DUE (excluding clectricat)
(A, B, C, O, and E Comblned)ioh d14RECEIVED BY
C
h zL,. >o
A.
DATE PAID
AMOUNT RECEIVED
--/- ?tz
VALIDATION:
RECEIPT NUMBER
lt-
FT.
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
7L
CITY OF SPRINGFIELD RESIDENTIAL PLAN
t
CHECK/CORRECTION LIST
PHONE 7-
PHONE:
OI.INER
CONTRACTOR
'Items checked below indicate cothe reverse side of this form.
rrections or clarifica tions of that item is required. Add.itional i nfo.rmation may be found onAcorresponding n umber will be marked on youp plansYour si gna ture on this form is an a greement that, ail items checked hereon wil.l be corrected, and that ail work on thiswil l comply wi th applicable codes.
I RED
o0r es
proj ect
.- Signed
71
7
,.|
H
s
b
_ PLUMBING &CHANICAL -
tion 704
xture c ea ran ce
vel on
meter - locat on MSC
Dra i ch
ti il
ti
chi termi na n 37-B
0
59"
64
65
a
2l space ve ation
26 Brac i 18 6-s
6
ble 4 6 ona r37
eme
ul tion 5303
B6
87
Hea t oss calcu at ons Req.
L
e
Gla azi n
t Facil i es
Chan in floor leve s 3303
s 7
4l Attic ventilation 3205
c access 3205
47
48
80
84
93
9
mml
0 tlater hEateFt o?a ti on-l
seI .Zon i n Codetine Duct woik-MSCT
Exhaust fans l2(aersze&
re ace
Anc e
I Iood foundation a
f
S s 2517 c
i3l5 X
9 cr lls
Liqhts ESC 2l(
/0
- FIRE PLAC
T es 25-T-n
Tabl eSheax
on _ ENERGY CO
Flo|6 Ex lrJall insulation 53('lr
3B Handrail and Cu-a;aiells-3305
r insulatiter
(
?Atr
Fi re 'ive const
_ MAS(
Reinforcement 2418:
_ GENERF
95
Tree 2-
),^
AnnI tection lr
7
Gi
n
Cros q-cnnnar .ion P(C I r
Qaeon acles
B
at
)uc t-
L
t7
-..'list
CORRECTION/ALTERATIONS REOUIRED -
The corrections/alterations listed by nurnbers below will correspond with the nr:rcbers
ed on the reverse side and the same number will appear in the proper location' marked
ln red, on your P1ans.
Any changes-or anTteretions made after datebelow nust be approveC by the Building 0fficial'
TE
PLANS EXAI,IINER:
a,
COURTESY INSPECTION APPLICATJON
(RENTER REQUEST)
#?t,o&7
.INGFIELD BUILDING DIVISION
, -{o -trb ADDRESS OF INSPECTION
Softr')N $ Cuerts QcgBrrilS PHONE NO.
t3ls /1 ,s3rd
% 1-37a2
PHONE NO.4q0- t{
JRE OF OCCUPANT (RENTER)
JCESS TO PROPERTY - TELEPHONE NUMBER
OF DWELLING: SINGLE FAMILY B DUPLEX n MULTIPLE tl
EF DISCRIPTION OF MAJOR PROBLEMSt. b do.rJ
FOR OFFICE USE ONLY
Date of Inspection ypalsd J.b#
sbQt50Courtesy Letter Sent
Notice and Order Issued To Owner
Date For Comp li.ance
Comp liance Obtained - Date