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)