HomeMy WebLinkAboutPermit Mechanical 1997-04-16SPFlIl\rGRESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759 efr,
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
LOCATION OF PROPOSED WORK:,tx /, 37D JT
ASSESSORS MAP:TAX LOI (O 5 <OL
LOT
-
BLOCK:SUBDIVISION: ---
OWNER:
CITY:ZlPiSTATE:
mn Acfteer
SJ
PHONE:87 sa5qt --lzb-
ADDRESS:
o R 9t tl1 tr
FKE C Mfr
A4 N, V
NEW
-
BEMODEL ADDITION DEMOLISH OTHER
STOU 6ALLNf IIN bN otr Q*s coDESCRIBE WORK:
ADDRESS
(J
EXPIBES PHONECONTRACTOR'S NAME
GENERAL:
ELECTRICAL:
MECHANICAL:
PLUMBING:
CONST,
CONTRACTOR ,
- OFFICE USE -
LAND USE:FLOOD }]LAIN
I OF UNITS:
QUAO AREA:
, OF BLDGS
SECONDARY HEAT:
SOUARF. FOOTAGE:
, OF BDRMS: .-OCCY GROUP:
r OF STORIES:
CONSTR. TYPEr
HEAT SOURCE:
WATER HEATER:-RANGE:
To request an lnspectlon,
made the sarne workln$ ,
, you must call 726'3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll beday, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
l-l femporary Electrlc Rough Mechanlcal - prlor to
cover.
Final Plumblng - When allplumblng worl( ls complete.
Slte lnspectlon - To be made
after excavatlon, but prior tosetting forms.
Rough Electrical - prior to Flnal Electrlcal - When allelectrical worl< is complete.cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
olectrlcal power.
Flnal Mechanical - When allmechanical worl< ls complete.
Footlng - After trenches are
excavated,Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Buildlng - When allrequlred lnspectlons have beenapproved and building is
completed.Masonry - Steel locatlon, boncJ
beams, groutlng.Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
flo,no,
Wall/Celting lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.[-l orywall - Prtor to taptng
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.
MOBILE HOME TNSPECTIONS
l--l Wood Stovo - After lnstailation.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approval
and inslallatlon of unlt.
[-_l glocklng and Ser.Up - When ail.J blocklng ls complete.
Floor lnsulalion - Prior to
decklng.Curbcut & A1:proach - After
forms are erected but prior toplacemcnt of concrete.Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocklng, set-dp, and plumblng
lnspections have been approved
and tlre home is connected to
the servlce panel.
Storm Sewer - Prlor to filling
trench.
Sldewalk & Drlveway - After
excavation is completc, forms
and sub-base material ln place.
Water Llne - Prlor to filling
trench.l--l Fence - When completed.
Slreel Tress - Whcn all required
trees are planted.
Final - After all required
lnspectlons are approved and
porchcs, sklrting, decks, and
ventlng have been lnstalled.
Rough Plumblng - Prior to
cover.
7- r /
2- </ /j
ZONING CODE:
E
E
tl
E
E
Er
tlr
E tl
E
frrtr*
Etd*/. 4)ff1
l--l Plumbing Connectlons - WhentJ home has been connected to
water an<l sewer.
i
,TORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be slgned
on'J'rPPtor"O bY the Hlstorlcal
Coordinator prlor to permlt issuancer
APPROVED:
. .THE PROPOSEO WORK TN THE
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total helght
Lot TyPe
-
lnterlor
-
Corner
-
Panhandle
-
Cul'de'sac
P,L.HSE GAR Acc
N
S
E
Plan Check Fee: --
DatePlans Rcview ed BY
ReceiPt Numbe
, PLA
ERMI
cE KHcNEVALUtrDLNUBTP\:NDULNAD aidnhehatotiScondithcxonpreisntedtamThsSpercenanOrdthtormconf oalrests,n pecshal Itionruconstc h eucldnnIdneSoprscvehedbyadopUSEandtiUCnooctrNSheatrengCodgue,enoDevelpm eamdkeatrevonyedndsSUbepemayanddinuigsbnes.ancdordofSSAslonrovofionpoatanyupon
Date Paid:
Received BY
BUTLDING PERMIT VALUESO. FT.
(A)
x $/so. FT.ITEM
Main
Garagc
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fec
Systems Development Charge is due on all undeveloped
properties wlthln tho City linrits which are belng improved'SYSTEMS DEVELOPMENT CHAR
(B)
GE (SDC)
ADDITIONAL COMMENTS
ITEM
Flxtures
Resldentlal Bath(s)
SanltarY Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
N0
FT.
FT.
FT.
(c)
Plumblng Permlt
State Surcharge
Total Charge
By slgnature, I state ancl agree' that I have caref ully examlned
ttre compteted application and do hereby certl[y that all
lnformation hereon is true ancl correct' and I lurther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the City ol Sprlngfield' and the Laws
of the Statc ot Oregon p.ertaining to tho work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structure wlthout pertnission of the Bullding Safety Dlvislon'
I turther certify that only contractors and employees who
are ln compliance with ORS 701'055 wlll be used on thls
proiect.
I further agree to ensure that all required inspectlons are
requested at the proper tlme' that each address ls readable
from tlro street, that the permlt card ls located at the front
of the property, and tho approved set ol plans wlll remaln
on the site at all times during constructlon'
g natu re
Date
r'
MISCELLANEOUS PERMITS
MECHANICAL PERMIT
trzL),
/.zo,?ft''4J-)a
(D)
(E)
No
Total Mlscellaneous Perlnits
Mechanical Permit
lssuance
State Surcharge
Total Permlt
Mobile Home
State lssuance
State Surcharge
Sldewalk -.- ft
Curbcut -- ft
Demolitlon
State Surcharge
Wood Stove/ lnsert/ Flreplace Urril
Dryer Vent
Furnace
Exhaust Hood
Vent Fan
Lo
7VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVT-.D
HECEIVED BYTOTAL AMOUNT
(A, B, c, D, and E
DUE (excluding clectrical)
Comblned)
24-)n-
(