HomeMy WebLinkAboutPermit Mechanical 1997-01-27RESIDENTIAL
PERMIT APPLICATTON
lnspections: 726.3769
Office: 726-3759
LOCATION OF PRO
SPRINGFIELt)
1
4 /,
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97 477
TAX LOT:
SUBDIVISION:
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ASSESSORS MAP:
POSED WORK:tltJa
LOT:BLOCK:
PHON E:
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STATE:
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CITY:
ADDRESS:
OWNER:
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DEL -- ADDITI
EXPIRES :, PHONECONTRACTOB'S NAME
MECHANICAL:
ELECTRICAL:
DESCRIBE WORK:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
NEW- R
# OF BDRMS
_ OFFICE USE _
WATER HEATER:
ZONING CODE:
FLOOD })LAIN:
BANGE:
OUAD AREA:
* OF BLDGST
SECONDARY HEAT:
SOUARE FOOTAGE:
LAND USE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
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To request an lnspection, you must call 726-3769. Thls ls a24hour recordlng. All inspections requestecJ before 7:00 a.m. will bemade the same worklng day, lnspections requested after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Flnal Plumbing - When allplumblng worl< is complete.
Slte lnspectlon - To be made
after excavation, but prior to
settlng forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumblng / Electrical /
Mechanlcat - Prior to cover.Electrlcal Servlce - Must be
approvecl to obtaln perrnanent
electrlcal power.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Final Building - When all
required lnspections have been
approved and building is
Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
crompleted.
Foundallon - After forms are
erected but prior to concrete
placement.
Other
WalllCelling lnsulallon - Prlor to
cover.
Underground Plumblng - Prior
to filllng trench.[-l Drywall - Prior to taping
MOBILE HOME INSPECTIONS
Underf loor Plumblng / Mechanlcal
- Prior to lnsulatlon or decking.Wood Stove - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decking.lnserl - After fireplace approvql
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocking ls complete.
Floor lnsulalion - Prior to
decklng.Curbcul & Alrprroach - After
forms are erected brrt prior to
placemcnt of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to fllling
trench.Eleclrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to fllling
trench.
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base material ln place.
Water Llne - Prlor to filling
trench.
Fence - When completed.
$treEl Trees.- When all required
trees are planted.
Final - After all required
inspections are approved and
porches, sklrting, decks, and
venting have been installed.
Rough Plumbing - Prior to
cover.
Af7
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ADDRESS
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)\rcchanical work ls complete.
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
P.L.HSE GAR ACC
N
S
E
-TS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, this applicatlon must be signed
and approved by the H istorical
Coordinator prlor 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 sald ordinances.
Receipt Number:-
Plans Reviewed By Date
Plan Check Fee:
Date Paid
Beceived By:
VALUE
(A)
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
:;
X $/SO. FI.
BUILDING PERMIT
ITEM SO. FT.
Main
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are belng improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharoe
Total Charge
N0
. FT.
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther cerilfy
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 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 {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 ls located at the front
of the property, and the approved set of plans will remain
2
Signatu
Date
on the site at times during construction.
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MISCELLAN EOUS PERM ITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Perrnits (E)
+T/, kltnrry
VW
NoVent Fan
(D)
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
TOTAL AMOUNT DUE (excluding etectricat)
(A, B, C, D, and E Comblned)&;c
VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
-AI6r,/'D