HomeMy WebLinkAboutPermit Mechanical 1991-08-26IELE,
ESID ENTIAL
RM IT APPL ICATION
Off ice:Qfi,
225 Fifth Street
Springfield, Oregon 97
JOB NUMBER
R
P 477
LOCATION OF PROPOSED WORK:
ASSESSORS MAP
TAX LOT:ad
SUBDIVISION:
ons: 7
PHON
ztP"STATE:CITY:
ADDFIESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
IDESCRIBE WORK:
CONST.
TRACTOR #EXPIRES PHONECONTRACTO,SN RESS€.rsZ
G EN ERAL:
PLUMBING
MECHANICAL:
-
ELECTRICAL:
-
_ OFFICE USE _
QUAD AREA:
C OF BLDGS:
LAND USE:FLOOD PLAIN
ZONING CODE:
# OF BDRMS
Final Electrical - When all
electrical work is complete.
* OF UNITS:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
WATER HEATER RANGE:
SECONDARY HEAT:
SQUARE FOOTAGE:
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
f_l remporary Electric 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.
Foundalion - After forms are
erected but prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
Underf loor Plumbing/ Mechanical
- Prior to insulation or decking.
PosI and Beam - Prior to floor
insulation or decking.
Floor lnsulation - Prior to
decki ng.
Sanitary Sewer - Prior to filling
trench.
Storm Sewer - Prior to filling
trench.
Water Line - Prior to filling
trench.
Rough Plumbing - Prior to
cover.
Rough Eleclrical - 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 lnsulation - Prior to
cover.
Drywall - Prior to taping
Wood Stove - After installation
lnsert - After fireplace approval
and installation of unit.
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
I--l Fence - When completed
Street Trees - When all required
trees are planted.
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 and
porches, skirting, decks, and
venting have been installed.
B
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E
E
E
E
E
E
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type vV
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Set
PL.HSE GAR ACC
N
S
E
_,- E PFOPOSED WORK tN THE
HIS-FORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signedand approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
VALUE
(A)
X $/SQ. FT.
Main
Carport
Garage
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
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 Ordinanceadopted by the City of Springfield, including the
Development Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Receipt Number:_
Plans Reviewed By Date
PIan Check Fee
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City Iimits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N0
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Su rcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
N0
/V/,7
?G-2'(D)
4.n4rfra=.
MECHANICAL PERMIT
aa
Fu rnace
Ex-baus+-++eed-
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
By signature, 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 f urther 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 f urther certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card is located at the front
of the property, and the approved set of plans will remain
7/
times during
q
on the site at al
Sig natu re
Date
on.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
.Z
DATE PAID .€-?e-3 /
EIVED
VALIDATION:
RECEIPT NUMBER
AMOUNT REC
RECEIVED BY
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