HomeMy WebLinkAboutPermit Mechanical 1997-01-27TiP,lINGFIELr)
RESID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759 afr,
JOB NUMBER
225 Fifth Street
Springf leld, Oregon 97477
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:/)-?Z*21- r'Z TAX LOT aa,/4 /
LOT:BLOCK:SUBDIVISION
PHONE:
STATE:ZIP:CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
GENERAL:
ELECTRICAL:
ADDRESS EXPIRES . PHONECONTRACTOR'S NAME
MECHANICA
PLUMBING:
CONST.
CONTRACTOR #
RANGE:
r OF BDBMS:
- OFFICE USE -
WATER HEATER
ZONING CODE:
FLOOD I)LAIN:
* OF UNI:I'S:
OUAD AREA:
r OF BLDGST
SECONDARY HEAT:
SQUARE FOOTAGE:
LAND USE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wlll be
made the same working day, lnspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
Temporary Eleclric g Rough Mechanlcal - Prlor to Final Plumbing - When all
plumbing worl( is complete.r.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Eleclrical - When all
electrical work is complete.cover,
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
w Final Mechanical - When all
mechanical work l5 complete.Prf/" $2
Final Building - When all
required lnspections have been
approved and building ls
completed.
Flreplace - Prlor to faclng
materlals and lraming lnsp.
Framlng - Prlor to cover.
Other
WalltCelling lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.l-_l orywall - Prlor to taping.
MOBILE HOME INSPE TIONSUnderlloor Plumbing/ Mechanlcal
- Prior to lnsulatlon or decklng.Wood Stove - After lnstallation
Post and Beam - Prior to floor
lnsulatlon or decklng.lnsert - After fireplace approvql
and lnstallatlon of unlt.
Blocking and Set.Up - When ail
blocklng is complete.
Floor lnsulation - Prior to
decking.Curbcul & Agrproaclr - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to filling
trench.
Slorm Sewer - Prior to filling
trench.
Sidewalk & Driveway - Atter
excavation is complete, forms
and sub-base material in place.
Water Llne - Prlor to filling
trench.
Fence - When completed
Rough Plumbing - Prlor to
cover.
Streel Trees - When all requlred
trees are planted.
Final - After all required
inspectlons are approved and
porches, skirting, decks, and
ventlng have been lnstalled.
_-,4 4Q-.d
tl
-
Footlng - After trenches are|J excavated.
l-l Masonry - Steel locatlon, bond|J beams, groutlng.
[-l Foundallon - After forms arelJ erected but prlor to concrete
placement.
tl
tl
E
il
tl
Electrical Connection - When
blocking, set.up, and plumbing
inspections have been approved
and the home ls connected to
the service panel.
E
Lot Type
-
Interior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbac ( IS THE PROPOSED WORK TN 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:
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
GAR ACCPL.HSE
N
S
E
VALUE
(A)
X $/SO. FT.
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
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
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:
BUILDING VALUE
AND BUILDING P
, PLAN CHECK
ERMIT
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N0
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fl replace Unit
Dryer Vent
/r-'?
4+- a
No
2/9..d>
r?
(D)_26-Za
MECHANICAL PERMIT
Mechanical Permit
lssuance
State Surcharge
Total Permit
Furnacc
Exhaust Hood
Vent Fan
W*r By slgnature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
lnformation hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on lhls
proiect.
I further agree to ensure that all required inspections are
reguested at the proper time, that each address ls readable
{rom the street, that the permit card ls located at the front
of the property, and the approved set of plans wlll remaln
on the site at all times during const
Date
ctlon.
zt^/ PSlgnatu re
MISCELLANEOUS PERMITS
Mobll€ Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Perrnils (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
.L440b
DATE PAID
AMOUNT RECEIVED
FIECEIVED BY
VALIDATION:
RECEIPT NUMBER
FT.
- FT.
/-Z 7-/7