HomeMy WebLinkAboutPermit Mechanical 1999-09-20RESIDENTIAL I '
PERMTT APPLTCATION
SPR TELO .l-j.
lnspec'
Oflice:
tlons: 726-3769
726-3759
JOB NUMBER ?It z 71
225 Fifth Street
Sprlngfleld, Oregon 97477
LOCATION OF PROPOSED
ASSESSORS MAP:1
3s €€
TAX LOT:
LIL
BLOCK:LOT
ZIP:STAIE:T
PHONE:<2,
5a {)-'it-L triC uD
l^, ; tt', A4) rn *r-l^nrT'?zl" - I
CITY:
ADDBESS:
OWNER:
A n<rAIlDESCRIBE WORK:bN e,.^) t.\ *{*(P AL 6-,frs fit tto.
GENERAL:
ADDFIESS
t4-U
EXPIRES ,i, PHONECONTRACTOR'S NAME
ZONING CODE:
PERMITSHAII
AITHORIZED
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
SECONDARY HEAT:
SOUARF. FOOTAGE:
'r OF BDRMS:
-
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recording. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be macJe the following work day.
REQUIRED INSPECTIONS
Temporary Etectric fl Rough Mechanlcat - Prlor tolJ cover.
Flnal Plumbing - When allplumblng worl( is complete.
E
E
E
E
tl
Slte lnspectlon - To lae mado
after excavatlon, but prlor to
settlng forms,
Underslab Plumblng/ Electrica!/
Mechanlcat - Prlor to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundallon - After forms are
erected but prlor to concrete
placemont.
Underground Plumblng - Prlor
to fllllng trench.
Underlloor Plumblngl Mechanlcal
- Prlor to lnsulatlon or decklng.
Post and Boam - Prlor to ,toor
lnculrtlon or Cookln0,
Floor lnsulatlon - Prlor to
d6cklng.
Sanltary Sewer - Prlor to fllllng
trench.
Storm Sewer - Prior to fl'lllng
trench.
Water Llne - Prlgr t') filling
trench.
Rough Plumbing - Prlor to
cover.
Rough Electrical - Prior to
cover,
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flreplaco - Prlor to faclng
materlals and framlng lnsp.
Framlng - Prior to cover.
WalllCelllng lnsulatlon - Prlor
cover.
Drywall - Prlor to taplng.
Wood Stovo - After lnstallatlon.
ln3.rl - After flreplace approvll
and lnstallatlon ol unlt.
Curbcut & Approaclr - After
forms are erected but prlor to
placemont of concrete.
Sidewalk & Drivewav - After
excavatlon ls complete, forms
and sub-base materlal ln place.
Fence - When coinpleted.
Streel Trees - When all requlred
trees are planted.
Flnal Electrlcal - When all
cal work is complete.
F'rt Mechanlcal - When all
hanlcal work ls complete.
Flnal Buildlng - When ail
requlred lnspectlons have been
approved and buildlng is
completed.
tl
MOBILE HOME INSPECTIONS
E Blocklng and Set.Up - When ail
blooklng le complete,
Plumblng Connectlons - When
home has been connected to
water and sewer.
Electrlcal Connection - When
blocklng, set.up, and plumbing
lnspectlons have been approved
and the home ls connected to
the servlce panel.
Final - After all required
inspectlons are approved andporches, sklrting, decks, andventlng have been lnstalled.
071tt n
SUBDIVISION:
")
/)/?,
Genter-
center.
occY
WATER
usE -..IANY180DAYlaw requires
OUAD AREA:
,oF
* OF STORIES:
FLOOD })LAIN:
E
E
E E
E
E
E
E tl
tl
Lot Type
-
lnterlor
-
Corner
"- Panhandle I
-
Cul-de-sac
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
IS THE WORK TN THE "HtsToFtcAL DlSTRtCr, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgnedand approved by the Historlcal
Coordlnator prlbr to permit issuance.
ED:
PL.HSE GAR ACC
N
I
I
S
E
_Iry_-
VALUE
(A)
'ft
BUILDING PERdIT i
"
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
SQ. FT. X $/SO. FT.
BUrLDtNt"b rAl$e, 'FlRr'r ciect<
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 Clty of Sprlngf leld, lncludlnE the
Dovelopment Code, regulatlng the constructlon and use of
oulldings, and may be suspended or revoked at any tlme
upon violatlon of any provlsions of sald ordinances.
Plans Reviewed By Date
Plan Check Fee:
Date Pald:
Recelpt Num
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
propertles withln the City llmits which are being improved.
ITEM
Fixtures
Residentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
Nc
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
. FT.
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have caretully examlned
the completed appllcatlon and do hereby certify that all
lnformatlon hereon ls true ancl correct, and I f urther certlfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structure wlthout permission of the Bulldlng Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
proiect.
I further agree to ensure that all requlred lnspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
the approved set of plans will remaln
all
Slgnatu
Date
of the property,
on the sl s during
Wood Stove/ lnsert/ Flreplace Unit
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Oemolition
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical) _-_(A,B,c'qandEComblned)
5-.d,
/ r. o,r
/0, oo
LI.ja
(oo
1,5o
Vent Fan
Vent
(D)
MECHANICAL PERMIT
Furnace
Exhaust Hood
No
Mechanical Permit
lssuance
State Surcharge
Total Permit
3 b
J-a
BECEIVED BY
VALIDATION:
BECEIPT NUMBER
DATE PAID
AMOUNT FIECEIVED
FT.