Loading...
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: LOI - BLOCK: TAX LOT affi) 6itla.vsfolaE ltd I /r///PHONE: ,/2?3 d2F 7?r'7 zZlPi .zaoe4 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