HomeMy WebLinkAboutPermit Mechanical 1993-06-02SPrrINGFIELD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Office: 726-3759
LOCATION OF PROPOSED
f
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JOB NUMBER
225 Fitrh Street
Springfield, Oregon 97 477
TAX LOT:
SUBDIVISION:
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ASSESSOHS MAP
LOT --- B K:
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- ZIP:STATE
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CI
OWNER
ADDNE
DEMOLISHADDITION ER
R IBE, \VORK:DESC
NEW
-
REMODEL
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ELECTRICAL: -
PHONEEXPI RESADDRESS
MECHANICA
CONTRACToR'S NAME
CONST.
CONTRACTOR /
G EN ERAL:
PLUMAING
RANGE
, OF BDRMS
_ OFFICE USE --
ZONING CODE:
FLOOD PLAIN
r OF STORIES:SECONDARY HEAT
SOUARE FOOTAGE:
OUAD ARE/i:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS
OCCY GROUP:
WATER HEATER:
To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspections f9:ue.ste.d,b.,fo1u 7:00 a'm' will be
made the s:rme working day, inspectlons requested after 7:00 a.m. will be made the follciwing work dAy' '-'"
REQUIRED INSPECTIONS
fI Temporary Eleclric
ll
Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing worl( is comPlete.
Site lnspeclion - To be made
af ter t.'xcavation, but prior to
setting lorms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is comPlete.cover
Under slab 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.Fireplace - Prior to faclng
materlals and framing lnsP.
Final Building - When all
required inspections have been
approved and building is
Masonry - Steel location, bond
beams, grouting.
co eted.
Framing - Prior to covei
o her
Founclation - After forms are
erected but prior to concrete
placement.Watl/Ceiling lnsulation - Prior to
cover.
Unclergrouncl Plumbing - Prior
to filling trench.l-l Drywall - Prior to taoing
IVIE INSPECTIONSMOBILE
Under lloor 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 lnsulalion - Prior to
dec kirtg.Curbcut & Approach - After
forms are erected but prior to
piacement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trencll.Electrical Conneclion - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trencll.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base nraterial in Place.
Water Line - Prior to filling
trench.[-l rence - When completed
Streol Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been lnstalled.Rough Plumbing - Prior to
cover.
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P.L.HSE GAR ACC
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
t bac ks IS THE PROPOSED WORK IN THE
HISTORICAL DISTFTICT, OFI ON
THE HISTORICAL REGISTER?
--lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit rssuance.
APPROVED
BUILDING PERMIT
ITEM SQ. FT.X $/SQ. FT.VALUE
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee (A)
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, inclr.rdrng the
Development Code, regulating thc construction and use of
buildings, and nray be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee:
--Date Paid
Fleceipt Numbet:.
Fleceived By
Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systeins Development Charge is due on all undeveloped
properties within the City lirnits which are bcing improved.
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
No
FT.
FT.
FT.
Plumbing Permit
State Surcharge
Total Charge (c)
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan N0
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit (D)(
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 :rccordance
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 mrrde 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
proiect.
I f urther agree to ensur,
requested at the proPer
from the street, that thc
e that all required inspr:ctiorls are
time, that each address is readable
, p€rmit card is located at the {ront
approved set of plans will remainof the propert
on the site at
d the
me s
Signat
Date b/l(-
duri onst r tio
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
VALIDATION
RECEIPT NU BER
DATE PAID
AMOUNT REC
RECEIVED
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
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