HomeMy WebLinkAboutPermit Mechanical 1999-8-26
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOT'
.
SPRINGFIELD
e.
JOB NUMBE!l
qC) II Cr ~
225 Firth Stlcel
. ~,-~. ~~il{ii:'~141J
SUBDIVISION:
OWNER: (.1 A3f/~' (Yl U 1 )u,
ADDRESS: ~ 2.. t1l.A'4 f'\ T ~) . '.\
CITY: ': '~V' \ V'C\ r't 1,t1 ~TATE: -ue.-'fY'
DESCRIBE WORK: \~a U~ Ale ~ 1UI\1-.J U
NEW
REMODEL
PLUMBING'
MECHANICAl'
ELECTRICAL'
QUAD AREA:
. OF BLDGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER:
ADDITION
DEMOLISH
OTHEJl
PHONE: ::J~I-.S11,.,%
ZIP: qlii-'
CON ST.
CONLfl:~qJL EXPIfAuuJa ~E
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover.
D Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanenl
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - P~lor to cover.
D Wall/C.clllng Insulation - Prior 10
cover.
D Dryw.1I - Prior 10 laplng.
D Wood Slavo - After 1"5tallallo".
D Insert - After fireplace approval
and Insl.llallon 01 unit.
D
Curbcut & App."oach - After
forms are crr:clcd blll prior to
placemont 01 concroto.
laADDRESN (
ltl'ffr6't }1AOljlf
\ -
J
- OFFICE USE -
LAND USE: _
. OF UNITS'
CONSTR. TYPE:
HEAT SOURCE:
RANGE: __
.
r-LOOD I'LAIN: ___
ZONING CODE: ____
/11 OF 8DRMS:
SECONDMIY HEAT: ____
SOUAnL' FOOlACE: _______
To ft)f1ucsl Sf" InsplJ~lIon. you must call 726.3769. ThiS Is a 24 hour rccorcJlng. AlIln~pcctlons rcuueslcd before 7:00 a,rn, will be
made. the same ,:"orklng day. Inspecllons requested after 7:00 B.m. will be made Ihe following worl( day.
D Temporary Eloctrlc
D Site Inspection - To be made
after excavation, but prior to
settlng forms.
o Undersl.b Plumbing/Electrical/
Mechanical - Prior to cover.
D Footing - After trenches are
excavaled.
D Masonry - Sleel location, bond
beams, grouting. ..
,
,
D
,
Foundation - After forms are
erecled but prior to concrete
placement
o Underground Plumbing - Prior
10 filling Irench.
D Underlleor Plumbing/Mechanical
- Prior to Insulallon or decking.
o Posl and Boam - Prior '0 floor
Insulation or decking.
o Floorjlnsulallon - Prior to
decking.
o S.nltary Sewer - Prior 10 filling
Irench.
o Slorm Sew.r - Prior 10 flfIlng
trench.
D Waler Line - Prior 10 filling
trench.
D Rough Plumbing - Prior to
cover.
o Sidewalk & Drlvewill' - Aller
excavation Is complete, fOlllls
and sub.base material In place.
D Fence - Wtlen completed.
D Streot TrOGS - Wh~n all required
trees are planted.
D Final Plumuing - When L111
plumbing w~HI{ Is complete.
--i...--.j Final Eleclrlc<ll _ When all
~ectrlcal wOJI\ is cOlllplClc.
~nal Mcclwnical - Wilen all
~ mcclwnlcal wOII~ 15 complete.
D Final Oulldlng - Wilen all
required Inspections have been
approved and building is
completed.
1ft;
DOlhar
MOBILE HOME INSPECTIONS
.
D Blocking and Set.Up - When all
blocklnu Is camplcle.
D Plumbing Connections - When
home hilS been connected to
water and sewer.
o
Electrical Connection - When
blocklnu. sel-up. and plumbing
Inspections have ucen approved
and the hOlllo Is connected to
the service panel.
D Final - Arter <.III required
Inspections arc applovcd and
porches, sldrling, decks, and
venting have been installed.
~.
.
Lot faces
Lot Type
,.'.'
.
Lot Coverage
Setbacks
. ~ ;:;SE _GA~ ACC I
1':!..____,_
Lol SQ. Itg.
Inlerlor
Corner
Topography
Tolal helghl
Panhandle
IS THE PflOPOSED WORI~ ;r'1 THE
' HISTOfllCAL DISTflICT. Ofl ON
THE HIS10fllCAL RIZGISTEfl?
II yes, Ihls applicallon I11Wi! he signed
and npplovcd by the Ifltilorlcal
Coorulnalor prIor to pmrnlt i~;:tlance.
-L-_ ___
CUI.de.sac
_"Y._ _ _____
_L_____,_
BUILDING PERMIT
ITIZM
SO, FT.
X $/SO, FT.
VALUE
Main
Garage
"
Carpor I
TOlal Value
Building Parmlt Fcc
Slate SurCharge
,
I
Tolnl Fcc
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
FEE
Rcsldcnllal Balh{s)
N'
Sanitary S,owcr
Water
FT.
FT.
Slorm Sewer
FT.
Mobllo Horn~
Plumbing Pormlt
Stato Surchargo
TOlal Charge
(C)
MECHANICAL PERMIT
Furnaco
E)(haust Hood
vf' Venl Fan
I iii~;'nser
N'
--p
/S.UV
/ (J . oD
l O::?L~
14 B-h.,- SO
Mechanical Pcrmll
Issuance
. Slale Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
Slate Issuance
Stale Surcharge
Sidewalk
It
Curbcul
II
Demollllon
Stalc Surchargo
Total MIscellaneous Pcnnlls
(E)
AMOUNT DUIZ (excluding eleclrlcal)
TOTAL
B CO And E Combined)
(A, . '. "
APPROVIZD: _
------
BUILDING VALUE, PLAN CHECI(
AND BUILDING PERMIT
This permit is gran led on the express condil1olllh.lllhc said
construcllon shall, in all respects, conform 10 IIle O/(Jlnance
adopted by Ihe City of Sprinufield, inClUding the
Development COde, rcgul;'l'lIng lhe construction ntHl use of
bulldlnus, and may be SUspended or rcvol~ocJ ;11 any limo
upon violation of any provisions of said ordinances.
Plan Check Fec:
Dille Paid:
.----.
Recelpl Number:
Received Oy:
Plans n~vjCWCd-riy- -..---.--
Dale
Systems Developmenl Charge is due On all uncJm'elopcd
properlles within tho City limits WhiCh are bnln{J IrnlHoved.
ADDITIONAL COMMENTS
"
By algrlaturc, I Dlalc Dnd n')100, that I have carorully OXollllnod
Iho comploted Bppllcatlon and do hereby certify 1l1nt ell
Information hereon Is true and correel, and I further eCrllly
Ihat any and 011 Work pcdormod aholl bo dono In accordance
with tho Ordlnancos of tho City of Sprlngflold, Bnd tho Ln\Ys
of tho' Slalo of Oregon pertaining to Iho worl< UU8crlbod
horl)ln, andlllal NO OCCUPANCY will be "lOdo of ony
8tr~cturo without pormlsslon of the BulldlllU Safely Dlvlslr,".
I furlhor certify 11101 only contractors and employoes who
arc In compliance with ORS 701.055 will be u5cd on lhls
prolect.
I further agreo 10 ensuro thai all required InspOCtlons ore.
requested al tho proper time, Ihal oach addr08s Is roadt/.lJle
from tho strool, thai tho pormlt card Is loealed at lho front
of tho property, nnd tho approved 801 of plans will remain
on Iho ~II05-all~
Signature '.:-_
Dale ~b?,A 'q
VALIDATION: OJ;:; L/L./
RECEIPT NU~k~ / 7 ~ .
DATE PAID i"1 (,,:60 --::_
AMOUNT RIZCEIVED -S::>L 1-cu/- c::-
RECIZIVED BY LJ-,.-mtJf ______