HomeMy WebLinkAboutPermit Mechanical 1991-07-16BLOCK:
.o
,t'
LOT:
TAX LOT:
SUBDIVISION
JOB NUMBER
ASSESSORS MAP:
LOCATION OF
RESID ENTIAL
PERMIT APPLICATION
lnspections:726-3769
Office: 726-3759
225 Fifth Street
Spri ngf ield, Oregon 97 477
OWNER
ADDR
CITY:
PHON E:
ZIP:STATE:
ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NEW- REMODEL
ADDRESS EXPIRES PHONECONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
T=-
FIANGE:
S OF BDRMS:
_ OFFICE
WATER HEATER
ZONING CODE:
FLOOD PLAIN
* OF UNITS:
LAND USE:QUAD AREA:
# OF BLDGS
SECONDARY HEAT:
SQUAFIE FOOTAGE:
CONSTR, TYPE:
HEAT SOURCE:
OCCY GROUP:
* OF STORIES:
To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:Q0 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
Temporary Electric Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Final Electrical - When all
electrical work is complete.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
Footing - After trenches are
excavated.Final Building - When all
Fireplace - Prior to facing
materials and framing lnsp.
required inspecti een
Masonry - Steel location, bond
beams, grouting.
approved and building is
completed.
Framing - Prior to cover.
Foundation - After forms are
erected but prior to concrete
placement.
er
Wall/Ceiling lnsulalion - Prior to
cover.
Underground Plumbing - Prior
to filling trench.
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After installation
Post and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approval
and installation of unit.
Blocking and Set-Up - When all
blocking is complete.
Floor lnsulation - Prior to
decki ng.Curbcut &Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Slorm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Water Line - Prior to filling
trench.
Fence - When completed
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Rough Plumbing - Prior to
cover.
s$J0-
r
r
r
E
tl
tl
E
E
E
E
r
tl
r
r
l-l Rough Mechanical - Prior tolJ cover.
l--l Rough Electrical - Prior toU cover.
E E
E
Er
l--l Drywall - Prior to taping.
E
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
PL.HSE GAR ACC
N
S
E
. - - THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
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 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
Plan Check Fee:
Date Paid
Receipt Number:
Received By
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERM!T
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
FEE
((.)
N0
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
U
(D)
NoVent Fan
ical Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood
lssuance
State Surcharge
Total Permit
By signature, I state and agree, that I have carefully 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 Springfield, 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
project.
I further 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 pl
Signatu
Date
will remain
on the site es during ru cti
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)
AMOUNT
RECEIVE
VALIDATION:
RECEIPT NUMBER
VALUE
Wood Stove/ lnsert/ Fi replace Unit
DATE PAID