HomeMy WebLinkAboutPermit Mechanical 1992-11-16RES!DENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
JOB NUMBER -^
225 Fifth Street
Springfield, Oregon 97 477
LOCATION OF PROPOSED WOFIK:
e94
/87a2ASSESSORS MAP:TAX LOT:
LOT:BLOCK:SUBDIVISION
J BE ry41- 4880\FNOWNER PHONE:
ADDRESS:4a N -l
cR.I.74rtrlCITY:I-t STATE:ZIP:
DESCRIBE WORK:h.a)
NEW -- FIEMODEL '/ ADDITION DEMOLISH OTHEFI
CONTRACTOR'S NAME ADDFIESS
CONST.
CONTRACTOR #EXPIRES PHONE
GENERAL:
PLUMBING
v '0/5 0MECHANICAL:
ELECTRICAL:
- OFFICE USE -
OUAD AFIEA:
C OF BLDGS:
LAND USE:
# OF UNITS
FLOOD PLAIN:
ZONING CODE:
OCCY GFIOUP:
I OF STOFIIES:
CONSTR. TYPEr
HEAT SOURCE:
* OF BDRMS:
WATER HEATER:RANGE:
SECONDARY HEAT
SOUARE FOOTAGE:
To request an inspection, you must call 726-3769. This ls a 24 hour recording. All lnspections requested before 7:OO a.m. wlll be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing worl( is complete.
Sile lnspection - To be made
after excavation, but Prior to
setting forms.
Rough Eleclrical - Prior to Final Eleclrical - When all
electrical work is complete.cover.
Underslab Plutnbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtaln permanent
electrical power.
Final Mechanical - When all
mechanical work is complote.
Footing - Af ter trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsp.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover.
Olher
Foundation - After forms are
erected but prior to concrete
placemcn t.
Wall/Ceiling lnsulation - Prior to
cover,
Underground Plumbing - Prior
to filling trench.l-l Drywall - Prior to taning
MOBILE HOME INSPE TIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After installation
Post and Beam - Prior to floor
insulation or decking.lnsert - A{ter fireplace aPProval
and installation of unit.
Blocking and Set-Up - When all
blocking is complete.
Floor llrsulation - 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.Eleclrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Stornr Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in Place.
Water Line - Prior to lilling
trench.l-l 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.
5
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ACCHSEGAB
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Lot laces
Lot sq. ftg.
Lot coverage
TopographY
Total height
Lot Type
v
-
lnterior
-
Corner
-
Panhandle
-- Cul'de-sac
Setbacks
P.L.
IS THE PROPOSED WORK IN THE
-HISTORICAL DISTRICT, OR ON
THE HISTOFIICAL REGISTER?
---lf yes, this application must be signed
and approved bY the Historical
Coordinator prior to permit issuance.
APPFIOVEDE
BUTLDING VALUE, PLAN CHECK
AND BUILDTNG PERMIT
This grcrrrril is g;rarrtc<l otr tllo exprcss conditiorl tlrilt thc sai(,
constrLr(;tion shall, in:rll rcspr:cts, conlortn to tlte Orclinance
adoptetl l.ly tlre City of Sprinllfir:ltl, itr<:ltttlinq llttr
Develolrtrtct.tt Cotlr:, rc1;trlatir-rg tltc cotlstrttr:lic.ltr arr<l ttse ol
buildirrgs, zrnd may be suspended or revol<ecl at any lirrle
upon violation of any provisions of said ordinances.
Plan Check Fee: -
DatePlans Beviewed BY
Date Paid
Receipt Number:- -
Fleceived By
BUILDING PERMIT
VALUE
(A)
SO. FT. X $/SO. FT.ITEM
Main
Gara1lc.
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
Systems Developrnent Charge is due on all undeveloped
properties witlrirr the City limits which are bcing itnprovecl.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
f:EE
(c)
NN
.F-T.
r,t!
FT.
PLUMBING PERMIT
ITEM
Fix t u res
Plumbing Permit
State Surcharge
Total Charge
Wooc| Stove/ lnsert / Fireplace Unit
ru
(D)
N0Vent Fan
15"Jq.*
__.72
"fr5
Mechanical Perrnit
lssuance
State Surcharge
Total Permit
"A; k"aa
MECHANICAL PERMIT
Fu rn ace
Exhaust Hood 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 urlher certify
that any and all work performed shall be done in accordance
with the Ordinarrces of the City of Springf ielcl, and the Laws
of the State of Orcgon pertaining to the worl< dcscribe<i
herein, and that NO OCCUPANCY will be made of any
slructure without pcrmission ot the Buil<ling Safety Division.
I further certify lllat only contractors ancl etnployees who
are in compliance witl.r ORS 701.055 will be used on lltis
proiect.
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 f ront
of the property, and the approved set of plans will
Signature
Date
d ing construction.
tn
on the site at all ti
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
---
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
AMOUNT BEC
NECEIVE,D BY
VALIDATION
RECEIPT NUMBER
DATE PAID
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, anrl E Combined)