HomeMy WebLinkAboutPermit Mechanical 1992-12-15RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
I,\lGFIELC'
JOB NUMBER
225 Fifth Street
Spri ngf ield, Oregon 97 477
LOCATION OF PROPOSED WORK:/27.l /20Do 4
ASSESSORS MAP:
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STATE:CITY:SPErr>
ADDRESS;
OWNEB:
ZatSrtzl ,.br fu,e?DESCRIBE WORK:
ADDRESS EXPIRES PHONE
/7b,/ *2 5569
CONTBACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
RANGE:
_ OFFICE USE _
LAND USE
WATER HEATER
ZONING CODE:r OF UNITS:
QUAD AREA:
# OF BLDGS
SECONDARY HEAT:
SQUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspectlon, you must call 726-3769. Thls ls a24hour recording. All inspections requested before 7:00 a.m. will be
made the same worklng day, lnspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
Temporary Electrlc fi[ Rougtr Mechanicat - Prior to.-\:Over.Final Plumbing - When allplumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Eleclrical - Prior to Final Eleclrical - When all
electrical work is complete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.Eleclrical Service - Must be
approved to obtain permanent
electrical power.
ffi final Mechanical - When ail
;flmechanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsp.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting Framing - Prior to cover.
Foundation - After forms are
erected but prior to concrete
placement.
Other
Wall/Ceiling lnsulalion - Prior to
cover.
Underground Plumbing - Prior
to-filling trench.I-_] Drywall - Prior to taping
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mecl'ranical
- Prior to insulation or decking.Wood Stove - After installation
Posl and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approvql
and installation of unit.
Blocking and Set-Up - When all
blocking is complete.
Floor lnsulation - Prior to
decki ng.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Water Line - Prior to filling
trench.
Fence - When completed
Slreet Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Rough Plumbing - Prior to
cover.
SUBDIVISION; --..-
# OF BDRMS:_
FLOOD PLAIN:
tf
E
E
E
E
E
tl
E
E
E
E
tf
E
r
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type-
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
E
IS THE PROPOSED WORK IN THE
HISTOFIICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
VALUE
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit 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
buildlngs, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
PIan Ch.eck Fee
Date Paid:
Fleceipt Number
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developnrent Charge is due o.n all undeveloped
properties within the City limits which are being improved.
ITEM
Fixt u res
Besidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
No
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
MECHANTCAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
)59'
/ e.o2
,7r25tr
- I eo-
(D)
Mechanical Permit
lssuance
State Surcharge
Total Permit
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety-Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
that the permit card is located at the front
and the approved set of plans will remain
atu re
Date
from the street
I ti ru
of the pro
on the site
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
zsJ{
3
2.
75-
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDA.TION:
RECEIPT NUMBER