HomeMy WebLinkAboutPermit Mechanical 1997-02-28RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726.3759
LOCATION OF PROPOSED I
JOB NUMBER
225 Fifth Street
Spring(lelcJ, Oregon 9T 427
TAX LOT:
l1 WOHK:
032 3t
SP RINGFIELE,
7%t
ASSESSORS MAP;1
LOT; BLOCK;SUBDIVISION:
OWNER:
ADDRESS:
CITY:
DESCRIBE WORt(:
NEW-_ REMODE
CONTRACTOR'S NAME
G EN ERAL:
PLUMBING
MECHANICAL:
ELECTBICAL:
QUAD AREA:
, OF BLDGS
OCCY GROUP:
I OF STORIES:
WATER HEATER
Foollng - Af ter trenches areexcavated.
Masonry - Steel locailon, bonclbeams, grouting,
Foundatlon - After (orms areerected but prior to concreteplacemenl.
Floor lnsulation - prior to
decki ng.
[--l Warer Line - prior ro tiltingtJ trench.
LAND USE:
/ OF UNITS: -.-_-.-
ADDRESS
- OFFICE USE -
CONSTR. TYPE
HEAT SOURCE:
RANG E:
Rough Electrical - prior tocover.
EXPIRES PHONE
FLOOD I)LAIN
ZONING CODE:
ADDITION
CONSI
CONTRACTOR #
, OF BDRMS: -_-
To request an lnspection, you must cail 726-3769. This is a24nourrnade the same working day, lnspections requested af ter 7:00 a.m
recordlng. All inspections requestecj before 7:00 a.m. wlll bewill be made the followlng work day.
REQUIRED INSPECTIONS
f Temporary Eleclric Rough Meclranical - prior tocover.ll Finat ptumbing - When ail
-
plumbing work ls complete.
Site lnspection - To be madcafler excavation, bul prior tosetting forflts.
SECONDARY HEAT:
SQUARF. FOOTAGE:
Final Eleclrical -electrical worl< is ,
When all
complete.
[--| Unaerstab plumbing/ Electrical /
-
Mechanical - prior to cover.Electrical Service - Must beapprovecl to obtair.r perrnanent
electrlcal power.
Fireplace - prlor to faclngmaterlals and framing lnsp.
Framing - prlor to cover.
Final Mecharrical - When allmechanical worl( is cornplete.
Final Buitding - When ailrequired lnspections have
[-l Underground plumbinq - priorL-r to fllllng trench f--l Drywall - Prlor to raping.
Undertloor plumbing / Meclranical
- Prior to lnsulation or decking.
Post and Beam - prior to floorinsulatlon or decl<ing.Tl lnsert - After fireplace approval._.- and instal,ailon of unlt.
[-_l Btocking and Set.Up _ When ail
-
btocking is complete.
Wall/Ceiling lnsulation - prior tocover,
Wood Stove - After Installation.
beenapproved and buil d ing iscomple/L a
Othor
MOBILE HOME INSPE TIONS
Plumbing Connections _ Whenhome lras been connecled towater and sewer.I--| Sanitary Sewer - prior to tiiling.J trench.
Curbcut & Alrprroach - Afterforms are erected bUt prior toplacemcnt of concrete.
Storm Sewer - Pr.ior to f illing
trench.
Sidewalk & Drivewal, - Afterexcavation is complcte, forrlsand sub.base material in place.
Fence - When completed.
Electrical Connection - Whenblocking, set-up, and plumbingInspections have becn approvedand the home is connected tothe service panel.
0l/)
PHONE:
STATE:ZIP:
L/2
P
I
DEMOLISH OTHER
Rough Plunrbing - prior to
cover.[-l {;treot Trecs - When all required* trees are planted.
Final - Af ter all requiredrnspections are approved andporc.hes, sl(lrting, decks, andvenilng have been installed.
Z
tt
tl N
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterlor
-_
Corner
-
Panhandle
-
Cul-de-sac
I5.THE PROPOSED WORK iN THE
HISTORICAL DISTRICT, OR ON
TIIE HISTORICAL REGISTER?
-
lf yes, this application must be slgned
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
P.L.HSE GAR ACC
N
S
E
VALUE
(A)
X $/SO. FT.
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fec
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Tlris pernrit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of arry provisions of said ordinances.
Plans Rcviewed By Date
Receipt Numbc
Plan Check Fee
Datc Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City linrits which are being improved.
FEE
( \.)
FT.
FT.
Residential Bath(s)
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
N0
Sanitary Sewer
Water
Storm Sewer
Moblle Home
. FT.
ITEM
Fix tu res
Wood Stove/ lnsert / Flreplace Unit
Dryer Vent
State Surcha,ge t3?o Aly M4ri\
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
--
ft
Oemolition
State Surcharge
nru-l^-
Total Miscellaneous Pennits (E)
NoVent Fan
Total Permlt (D)
Mechanical Permit
lssuance
MECHANICAL PERMIT
Furnace
Exhaust Hood
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certify that all
lnformation hereon is true ancl correct, and I f urther cerilfy
that any and all work performed shall be done in accorrlance
with the Ordinanccs of the City of Springfield, and the Laws
of the State of Oregon pertaining to thc work described
herein, and that NO OCCUPANCy will be macje of any
slructure wlthout pennission of the Building Safety Division.
I further certify that only contractors and employees who
are in cornpliance with ORS 701.055 will be used on this
pro ject.
I f urther agree to ensure that all requi
?
from the street, that the permlt rd isl
plans will remain
ted at the front
Slg natu re
Dat
requested at the proper time, that
of the property, and the set
on the site at all ti c
lnspections are
ress ls readable
TOTAL AMOUNT DUE (exctuding electricat)
(A, B, C, D, and E Comblned)
ab@
VALIDATION
RECEIPT N
DATE PAID
U
AMOUNT RECEIVED
ER
RECEIVED BY
2
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