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HomeMy WebLinkAboutPermit Mechanical 1993-03-29SPRIhlGFIELO \\ED WORK BLOCK Qfi, LOT: -- JOB NUMBER TAX LOT: LOCATION OF PRO ASSESSORS MAP:, RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 O({ice: 726-3759 225 Fifth Street Springfield, Oregon 97477 ' PHONE: zlPSTATE:CITY: OWNER: ADDRESS ADDITION DEMOLISH OTHEB DESCRIB NEW REMODEL WORK: EXPIRES PHONEADDRESSCONTRACTOR'S NAME ELECTRICAL: MECHAN CONST. CONTRACTOR ' G EN ERAL: PLUMBING g OF UNITS: # OF BDRMS - OFFICE USE _ RANGE,: FLOOD PLAIN WATER HEATER SECONDARY HEAT: SQUARE FOOTAGE: OUAD AREA: # OF BLDGS LAND USE: CONSTR. TYPE HEAT SOURCE: ZONING CODE: OCCY GROUP: * OF STORIES: To request an inspection, you must call 726-3769. This is a24 hour recording. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS [---l Temporary EleclricL l Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Underslab Plumbing / Electrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erected but prior to concrete placement. Underground Plumbing - Prior to filling trench. Underf loor Plumbing/ Mechanical - Prror to insulation or decking. Post and Beam - Prior to floor insulation or decking. Floor lnsulation - Prior to decking. Sanilary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. Water Line - Prior to filiing trench. Rough Electrical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power. Fireplace - Prior to facing materials and framing lnsp. Framing - Prior to cover, Wall/Ceiling lnsulalion - Prior to cover Drywall - Prior to taping Wood Slove - After installation lnserl - After fireplace approval and installation of unit. Curbcut & Approach - After forrris are ei'ected but trior to placement c.rf concrete. Sidewalk & Driveway - After excavation is complete, forms and sub-base material ,n place. I fence - V.Jherr completed. Slreel Trees - i,\hen ali lcquired tiees are Dlanted. Final Electrical - When all electrical work is complete. Final Mechanical - When all mechanical work is complete. Final Building - When all required inspections have been approved and building is completed Other MOBILE HOME INSPECTIONS Blocking and Set.Up - When all blocking is complete. Plumbing Connections - When home has been connected to water and sewer. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Final - After'all required inspections are approved andporches, skirting, decks, and venting have been installed. L] L] Rough Plr.rmbing - Prior to cover.I SUBDIVISION:- tl tl tl Er fl E tl fl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type P - lnterior - Corner - Panhandle - Cul-de-sac Settlacks P.L.HSE GAR ACC THE PROPOSED WORK IN THE HtsToRrcAL DtsTFllcI oR ON THE HISTORICAL REGISTER? lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. /TPPROVED: N J 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 Ordinance adopted by ttre City of Springfield, including the Developnrent 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. DatePlans Reviewed By Plan Check Fee: Date Paid Receipt Number: -.-. Fleceived By VALUE (A) X S/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. 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 N FT. FT. FT. (c) Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent MECHANICAL PERMIT o (D) 5 oo No Mechanical Permit lssuance State Surcharge Total Permit Fu rn ace Exhaust Hood Vent Fan By signalure, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ield, 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 proiect. I f urther agree to ensure that all required inspections are requestecl at the proper time, that each address is readable f rom the street, that the permit card is located at the f ront of the property, and the approved set of plans will remain Signatu Da tionon the site I times during MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -_-- lt Demolition State Surcharge Total Miscellaneous Permits (E)DATE PAID AMOUNT R RECEIVED VALIDATION: RECEIPT NUMBEB TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Oombined)