HomeMy WebLinkAboutPermit Mechanical 1996-04-01-,
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726.9159
LOCATION OF PROPOSED WOBK:
,t
JoB NUMBE n ?<a/fjz
225 Fifth Streer
Sprlngfield, Oregon 91 4ZZ
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ASSESSORS MAP:7-a = --??./TAX LOI 7?aa
LOT:BLOCK;SUBDIVtStON: ---
PHONE:
ZIP:STATE:€>CITY:
ADDRESS:
OWNER:
ADDITION DEMOLISH OTHER
DESCRIBE WORK
NEW- REMODEL
ADDRESS EXPIRES :, PHONE
ELECTHICAL:
CONTHACTOR'S NAME
GENERAL:
PLUMBING:
MECHANI
CONST.
CONTRACTOR #
r OF BDRMS:
- OFFICE USE -
WATEB HEATER
ZONING CODE:
FLOOD PLAIN:
RANGE:
QUAD AREA:
, OF BLDGS
SECONDARY HEAT:
SQUARF. FOOTAGE:
LAND USE:
OCCY GROUP:
A OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspection, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. will be
made the sante worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
Temporary Electrlc [71 Rough Mechanlcal - Prlor to4 cover. flff
Final Plumbing - When all
plumblng work is complete.
Site lnspection - To be made
after excavation, but prior to
setting lorms.
Rough Electrical - Prlor to
cover.
Final Eleclrical - When all
electrical work is complete.
Underslab Plurnblng I Electrical /
Mechanlcal - Prlor to cover.
Electrical Service - Must be
approved to obtaln permanent
electrical power.
ffi finat Mechanical - When allq mechanical work is complete.445 ffi%zs.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Building - When all
required lnspectlons have been
approved and buildlng is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
OtherFoundatlon - After forms are
erected but prior to concrete
placement.Wall/Celling lnsulation - Prlor to
cover,
Underground Plumblng - Prior
to {llling trench.Drywall - Prior to taplng
MOBILE HOME INSPE TIONS
Underlloor Plumblng/ Mechanical
- Prior to lnsulatlon or decking.Wood Stovo - After lnstallatlon.
Post and Beam - Prior to floor
lnsulatlon or decklng.lnserl - After llreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocking is complete.
Floor lnsulatlon - Prior to
decking.Curbcut & Alrproach - After
forms are erected bttt prior to
placemont 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
ihspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prlor to filling
trench. I
Sidewalk & Drivewav - After
excavation is complete, forms
and sub-base materlal in place.
Water Llne - Prlor to filling
trench.
Fence - lVhen completed.
Rough Plumbing - Prior to
cover.
Str€et Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
ventlng have been installed.E
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Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Total helght
Lot Typ*
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
ISiHE PROPOSED WORK TN THE -
HISTORICAL DISTRICT' OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
'and apProved bY the Historical
Coordinator prlor tot permit issuance'
APPROVED:
ACCGARP.L.HSE
N
S
W
E
BUILDING PERMTT
VALUE
(A)
SO, FT. X S/SO. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
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 tjy Date
Plan Check Fee
Date Paid
Receipt Number
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City linrits which are being improved.
ITEM
Fix t u res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
FT.
N0
PLUMBING PERMIT ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fireplace Unit
,.*&a,'
,/4 "?''-A /qq-
-
-r4
(D)
N0Vent Fan
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood
.---t' 2a
r-ifd-.
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby cerilfy that all
lnformation hereon is true ancl correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Springfield, and the Lawsof the State of Oregon pertaining to the work descrlbed
hereln, and that NO OCCUPANCy will be made of any
structure without permission of the Buildi.g safety Divisron.
I further certify that only contractors and employees who
are ln compliance with ORS 701.0S5 will be used on thlsprolect.
I further agree to ensure that all required inspections are
requesled at the proper tlme, that each address ls readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
on the site at all times during onstructlon.
Signatu re
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State. Surcharge
Sidewalk _ ft
Curbcut .
-
ft
Demolitlon
State Surcharge
Total Miscellaneous permits (E)
TOTAL AMOUNT DUE (excluding etectrica,', %. 2"
(A, B, C, D, and E Comblned)
-2?
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
FIECEIPT NUMBEFI
FT.
Plumblng Permit
State Surcharge
Total Charge
. FT.
./_