HomeMy WebLinkAboutPermit Mechanical 1996-09-03IES'DENTIAL
PERM'I APPLICAIION
lnspections: 726.3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP;
LOT:
PrlINGFIELD
efr,
JOB NUMBER
225 Fif th Street
Spring(leld, Orcgon 97 477
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TAX LOT:
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BLOCK:SUBDIVISION
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CITY:
ADDRESS:
OWNER;
NEW
-
BEMODEL ADDITION DEMOLISH OTHER
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GENERAL:
PLUMBING:
ADDRESS EXPIITES PHONE
.r ha.Ot -lql-r
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CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL
CONST.
CONTRACTOR ''
RANGE:
r OF BDRMS:
- OFFICE USE -
WATER HEATER
ZONING CODE:
FLOOD PLAIN:
// OF UNITS:
QUAD AREA:
I OF BLDGS:
SECONDARY HEAT:
SOUARF. FOOTAGE:
LAND USE:
OCCY GROUP:
I OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon. you must call 726-3769. Thls ls a 24 h,cur recordlng. All lnspections requestec, before 7:00 a.m. wlll be
made the sante working day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
[-l Temporary Electrlc L_,,f RouglrtJ cover.
| - Prlor to Flnal Plumbing - When all
plumblng worl< ls complete,
Slto lnspectlon - To be mado
af ter excavatlon, but prlor to
settlng forms.
Rough Electrlcal - Prlor to Flnal Eleclrlcol - When all
electrlcal work is complete.cover
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.Electrical Servlce - Must be
approved to obtaln permanent
olectrloal power,
fV€naU mec
I
g$D.",
- When all
hanlcal work ls complete.
Footlng - Af ter trenches are
excavated.Flreplaco - Prlor to faclng
malerlals and f ramlng lnsp.
Flnal Bulldlng - When all
requlred lnspectlons have been
approved and bullding ls
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
thor
Wall/Colling lnsulatlon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.[l Drywall - Prlor to taplng
MOBILE HOME INSPECTIONS
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
Posl and Beam - Prlor to floor
lnsulation or decklng.lnsert - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & A1:proach - After
forms are erected but prior to
placomonl of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to fllllng
trench.Electrlcal Connectlon - When
blocklng, set.up, and plumblng
lnspections have been approved
and tlre home ls connected to
the servlce panel.
Storm Sewer - Prior to fllllng
trench. ,,
Sidewalk & Drlveway - After
excavatlon is Completc, forms
and sub-base materlal ln place.
Water Llne - Prlor to f illlng
trench.
Fence - When completed
Rough Plumbing - Prlor tcr
cover.
Slroet Troos - When all requlred
trees are planted.
Final - After all required
inspectlons are approved andporches, sklrtlng, decks, andventlng have been lnstalled,
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Wood Stovo - Af ter lnstallatlon.
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P.L.HSE GAR ACC
N
S
E
T THE PROPOSED WORK iN THE
HISTOBICAL DISTRICT, OR ON
THE HISTORICAL BEGISTER? '
lf yes, thls appllcatlon must be slgned'
o,iO aPProved bY the Hlstorlcal
Coordinator prlor to pprmit issuance'
APPBOVED:
Lot faces
Lot sq. ,tg'
Lot coverage
TopograPhY
Total helght
Lot Type
-
lnterlor
-
Corner
-- Panhandle
-
Cul-de-sac
VALUE
(A)
BUILDING PERMIT
Total Value
Building Permit Fee
State Surcharge
Total Fee
SO. FT. X $/SQ. FT.ITEM
Maln
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permlt is granted on the express condition that the sald
construction shall, ln all respects, conform to the Ordlnanceadopted by the CIty of Springfleld, includlng the
Development Code, regulating the construcilon and use ofbulldlngs, and may be suspended or revoked at any tlme
upon vlolation of any provisions of sald ordinances,
Plans Rcviewed By Date
Plan Check Fee:
Date Paid
Recelpt Number
Beceivecj By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developmcnt Charge ls due on all undeveloped
properties withln thc City linrlts whlch are belng lmproved.
ITEM
Flxtures
Resldentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
No
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
. FT,
ADDITIONAL COMMENTS
6 c-e
By slgnature, I slatc and agree, that I have caref ully examlned
the completed appllcatlon and do hereby cerilty that all
lnformatlon hereon is true ancl correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Springfletd, and the Lhws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCy will be made of any
structure wlthout perrnission of the Bulldlrrg Safety Dlvislon.
I further certlfy that only contractors and employees who
are ln compllance with OBS 7Ol.O55 wlll be used on thls
pro ject,
I f urther agree to ensure that all requlred inspectlons are
reguested at the proper tlme, that €ach address ls readable
from tlre street, that the permlt card ls located at the front
of the property, and the approved set of
Slg natu re
Date 4/
plans will remaln
q-
on the slte at all ti durlng constructlo
Wood Stove/ lnsert/ Flreplace Unl t
Dryer Vent
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut _- ft
Demolitlon
State Surchargg
Total Mlscellaneous Perrnlts (E)
TOTAL AMOUNT DUE (excludtng ctecrrtcat)
(A, B, C, D, and E Comblned)
OD
N0Vent Fan
(D)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
E
DATE PAID
AMOUNT B
BECEIVED BY
VALIDATION:
HECEIPT NUMBER
FT.