HomeMy WebLinkAboutPermit Mechanical 1994-12-12HESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
I]\lGFIELE)
JOB NUMBER
q4\qe3
225 Fifth Street
Springfleld, Oregon 97477
LOCATION OF PR
ASSESSOBS MAP;TAX LOT
LOT BLoCK: -SUBDIVISION
OWNER:
CITY:
ADD
PHONE:
ZIP:
OTHER
DESCRIB
NEW
RK:
REMODEL ADDITION DEMO
ADDRESS EXPIRES PHONE
CONTRACTOB'S NAME
GENERAL:
PLUMBING
MECHANICAL:
ELECTRICAL;
CONST.
CONTFIACTOR #
- OFFICE USE -
LAND USE:
BANGE:WATER HEATER:
FLOOD PLAIN
SECONDARY HEAT:
SQUARE FOOTAGE:
# OF BDRMS:
OCCY GFIOUP;
* OF STORIES:
ZONING CODE: -_-.
CONSTR. TYPE:
HEAT SOURCEI
, OF UNITS:
-
cover.
h
To request an lnspecilon, you must call 726-3769. Thlmade the same worklng day, lnspections requested
ls ls a 24 hour recordlng. All inspections requesafter 7:00 a.m. wlll be made the followlng work
ted before 7:00 a.m. wlll be
day.
ONS
l--l remporary Electrtc
- Prior to inal Plumbing - When ailumblng work ls complete.
Slte lnspectlon - To be madeafter excavatlon, but prlor tosettlng forms.
Rough Eleclricat - prior to Final Electrlcal - When ailelectrical work is complete.
cover.
[-l Unaerstab ptumbing/Etecrricat/
-
Mechanlcal - prioi to cover.Eleclrlcal Servlce - Must beapproved to obtaln permanent
electrlcal power.
al Mechanlcat - When allchanical work is complete.
Footlng - After trenches areexcavated.I--l Final Buitdtng - When a[
-
requlred lnspectlons have
l--l nlasonry - Steet tocatton, bond
-
Deams, groutlng.
n Foundalton - After forms are
-
erected but prlor to concreteplacement.
Flreplace - prlor to faclngmaterlals and framlng lnsfi
Framlng - prlor to cover.
approved and buildi
been
co ng is
Other
Wall/Celllng tnsutatlon - prlor tocover.
f-l Underground ptuLJ r.'nri;;i#";."-olns - Prlor
J--l Drywart - prror to taprns
Underltoor plumblng/ Mechanlcat
- prtor to lnsulatlon or decklng.
Post. and Beam - prlor to floorlnsulatlon or decking.
Floor lnsulallon - prlor todecklng.
Sanltary Sewer - prior to fiilingtrench.
Slorm Sewer - prlor to filllngtrench.
Water Llne - prlor to filllngtrench.
Rough Plumblng - prlor tocover.
Wood Slove - After lnstallation
MOBILE HOME INSPE TTONS
I--l lnsert - After flreptace apDrovrt.- and lnstailailon oi-r;it: -tsrrvvq'
I Blocking and Set.Up - When ail.J blocklng ls compleie.
Curbcut & Approach - Afterlorms are erected but prior toplacement of concrete.
Plumbing Connectlons _ Whenhome has been connected towater and sewer.
Sidewalk & Drlveway - Afterexcavation ls complete, formsand sub-base materlal in place.
Electrical Connection _ When
P]::fllp, set.up, and prumbinfrnspections have been approvedand the home is connected tothe servlce panel.l--l fence - When compteted
s [-l Street Trees - When ail required
-
trees are planted.
Final - After all requiredrnspecllons are approved andporc.hes, sklrting, decks, andventlng have been installed.
STATE:
QUAD AREA:
* OF BLDGS:
1.,
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type -
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Set i--1S THE PROPOSED WORK TN THE ,
HISTOBICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
P.L.HSE GAR ACC
N
S
E
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 Ordlnance
adopted by the City of Spring(ield, including the
Development Code, regulating the constructlon and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Receipt Numbe
Plan Check Fee:
Date Paid
Received By:
VALUE
(A)
BUILDING PERM!T
Total Value
Building Permit Fee
State Surcharge
Total Fee
SQ. FT. X $/SO. FT.ITEM
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
N0
FT.
FT.
FT.
(n
(c)
Plumblng Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
cx)
No
Mechanical Permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
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 and correct, and I f urther certify
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngf ield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Divislon'
I further certily that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
pro.iect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
that the permlt card ls located at the front
and the approved set of plans will remain
z
on the site all times during construction.
Sig
Date
from the st
of theMISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk .- ft
Curbcul
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
\
AMOUNT R
DATE PAID
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)