HomeMy WebLinkAboutPermit Mechanical 1995-12-04SPrlIhlGFTELD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726.3759
LOCATION OF PBOPOSED WORK
ASSESSORS MAP:
LOT
-
BLOCK:
I 5JOB NUMBER
225 Fi{th Street
Springfleld, Oregon 97 477
TAX LOI:
7'
PHONE:
C)P.STATE:?rutrZIP:
OWNEB;
ADDRESS;
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
+DESCRIBE WORK:
ADDRESS EXPIRES PHONECONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
RANGE:
E OF BDRMS:
- OFFICE USE -
LAND USE:
WATER HEATEFI:
FLOOD PLAIN
g OF UNITS:
QUAD ABEA:
, OF BLDGS
SECONDABY HEAT:
SOUARE FOOTAGE:
OCCY GBOUP:
Y OF STORIES:
ZONING CODE:--
CONSTFI. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726'3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day,
Temporary Electrlc
RFOUTRED TNSPECTTONS
M ir"?,"gW' - Pr,or to Flnal Plumbing - When allplumblng work ls complete.
Site lnspectlon - To be made
after excavation, but prior to
settlng forms.
Rough Electrical - Prlor to Flnal Electrical - When all
electrlcal work is complete.cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
ffinnatr$M - when antJ mechanic-al work ls complete.
Footlng - After trenches are
excavated,Flreplace - Prlor to faclng
materlals and framlng lnsp.
Final Building - When all
requlred lnspectlons have been
approved and bullding isMasonry - Steel locatlon, bond
beams, groutlng,completed.
Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement,
l-7[ottrer
Wall/Celllng lnsulatlon - Prlor lo
cover.
Underground Plumbing - Prior
to fllllng trench.Drywall - Prlor to taplng.
Undertloor Plumblng / Mechanlcal
- Prior to lnsulatlon or decklng,
MOBILE HOME INSPE TIONS
Wood Stovo - After lnstallatlon.
Post and Beam - Prior to lloor
lnsulation or decking.lnsert - After fireplace approval
and lnstallatlon oI unit.
Blocking and Set.Up - When ail
blocking ls complete.
Floor lnsulation - Prlor to
decklng.Curbcut & Approach - After
forms are erected but prior toplacement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to filling
trench,Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home ls connected to
the service panel.
Storm Sewer - Prlor to fllling
trench.
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base material in place.
Water Llne - Prlor to filling
trench.[-_l Fence - When completed,
Rough Plumblng - Prior to
cover.
Stroot Trees - When all requlred
tre6s are planted.
[--l Final - After ail required.J inspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
SUBDIVISION:-
7</d-2
E n
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type -
-_
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
IS THE PROPOSED WORK IN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
--lf yes, this applicailon must be slgnedand approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
PL.HSE GAR ACC
N
S
W
E
VALUE
(A)
X $/SO. FT-
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECKAND BUILDTNG PERMIT
Thls permit is granted on the express condition that the saidconstruction shall, in all respects, conform to the Ordlnanceadopted by the City of Sprlngfield, including theDevelopment Code, regulating the ctnstrucilon and use ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of sald ordlnances.
Plan Check Fee: ---
Date Paid:
DatePlans Fleviewed By
Receipt Numbe
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undevelopedproperties wlthln the City limits which are being lmproved.
Besidentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
No
FT.
Plumblng Permlt
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Fixtures
. FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MECHANICAL PERMTT
(D)
N0
Mechanical Permit
lssuance
State Surcharge
Total Permlt
Furnace
Exhaust Hood
Vent Fan
By slgnature, r state and agree, that r have caref uily examinedthe completed application and do hereby certify that alllnformation hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordancewlth the Ordinances of the Clty of Sprlngfield, and the Lawsof the State of Oregon pertalnlng to the work describedhereln, and that NO OCCUPANCy wlil be made of anystructure wlthout permission of the Buildlng Safety Divislon.I further cerilfy that only contractors and employees whoare ln compliance with ORS 7O1.O5S wlll be used on thlsproiect,
I further agree to ensure that all required lnspections arerequested at the proper ilme, that each address ls readabrefrom the street, that the permrt card rs rocated at the frontof the property, and the approved set of prans wirr remarnon the slte at all times during construcilon.
Signature
Date
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
---
ft
Curbcut .-- ft
Demolitlon
State Surcharge
Total Mlscellaneous permits (E)
VALIDATION:
RECEIPT NUM
DATE PAID
AMOUNT RECETOTAL AMOUNT DUE (exctuding electricat)(A, B, C, Q and'E'Comblned)FECEIVED BY
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