HomeMy WebLinkAboutPermit Mechanical 1994-05-09J
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-9169
Office: 726-9759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT TAX LOT
-
SUBDIVISION
JOB NUMBER
225 Flfth Street
Sprlngfleld, eregon gZ 4Zl
?loe ,o
BLOCK:
PHONE;
CITY:
I
\'
STATE:ZIP:
2ADDBESS:()
oWrueR:
DEMOLISH OTHEB
DESCRIBE WORK:
NEW
-
REMODEL ADDITION
ADDRESS
EXPIRES PHONE
CONTRACTOR'S NAME
ELECI'RICAL:
GENEBAL:
PLUMBING:
MECHANICAL:
CONST.
CONTRACTOR #
QUAD AFIEA:
* OF BLDGS:
OCCY GROUP:
* OF STORIES:
WATER HEATER:
To request an lnspectlon
made the same worklng
- oFFtcE usE _
LAND USE:
#OFUNITS:_
CONSTR. TYPE:
HEAT SOURCE;
RANGE:
Rough Mechanlcal - prlor to
cover.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flreplace - Prlor to faclng
materlals and framlng lnsp.
Framlng - Prlor to cover.
WalllCelllng lnsulatlon - Prlor to
cover.
Drywall - Prlor to taplng.
Wood Stove - After lnstallatlon.
lnsert - After flreplace approval
and lnstallatlon of unlt.
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
FLOOD PLAIN:
ZONING CODE:
# OF BDRMS:--
SECONDARY HEAT:
SQUARE FOOTAGE;
Flnal Plumblng - When allplumblng work ls complete.
Flnal Electrlcal - When all
electrlcal work ls complete.
Flnal Mechanlcal - When all
work ls complete.
Flnal Bulldlng - When ail
requlred lnspectlons have been
approved and bulldlng ls
completed.
F7.ortror
Zz<
MOBILE HOME INSPECTIONS
Blocklng and Set.Up - When all
blocklng ls complete.
Plumblng Connections - When
home has been connected to
water and sewer.
Electrlcal Connection - When
blocklng, set-up, and plumblng
lnspectlons have been approved
and the home is connected to
the servlce panel.
Flnal - After all required
lnspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
' you must call 726'3769, Thls ls a24novr recordlng. All lnspectlons requested before 7:oo a.m. will beday, lnspectlons requested after 7:00 a.m. wlll be made the foilowrng work day.
REQUIRED INSPECTTONS
n Underslab Plumbing/Electricat/.J Mechanical - Prlor to cover.
Temporary Electrlq
Slte lnspectlon - To be made
after excavatlon, but prlor to
settlng forms.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Underground Plumblng - Prlor
to fllllng trench.
Undertloor Plumbing/ Mechanlcal
- Prior to lnsulatlon or decking.
Post and Beam - Prlor to floor
lnsulatlon or decklng.
Floor lnsulation - Prior to
decking.
Sanltary Sewer - Prlor to fllling
trench.
Storm Sewer - Prior to fllling
trench.
Water Lino - Prior to filling
trench.
Rough Plumbing - Prlor to
cover.
Str€et Tr€es - When all requlred
trees ar€ planted.E
/1 )
E
l-_l Sidewalk & Drlveway - After|J excavatiorr ls complete, forms
and sub-base materlal ln place.
l-| Fence - When completed,ll
E
tl
tl
E l-l Rough Electrlcat - prlor totJ covsr. I I
E
E
E
E
E
n
tl
E
E
E
E
'1'
i i';
P.L.HSE GAR ACC
N
S
W
E
rHE PROPOSE D WORK TN THE .
HISTORICAL DISTFI loT, oR oN
THE HISTORICAL REG ISTER?Lot laces
Lot sq. ftg.
Lot coverage
TopograPhY
Total helght
Lot TYPe
-
lnterlor
--
Corner
-
Panhandle
-
Cul-de-sac
lf yes, thls applicatlon must be slgned
"nJ
-'"PPtor"O bY the H istorlcal
Coordinator prior to permit issuance'
APPROVED:
Dateewed BYPlans
, PLAN
ERMIT
cE KHcEVALUNGUDLB
PGNLDBDUNA saidthehatncondtiStheonexpresisitgrantedSThipermrdionancethetormconfoalnrespects,allshconstructlon ncudn sndelSofpnsCtythetedbyadop e ofndanUSnstrtiUCoethcoatulngreenmsCode,Devel op metikedatanyrevoedndSUbespeandnmaytdlbulgsces.anordinofdsalsSionanyprov
Fleceipt Number:
Flecelved BY:
upon violation of
Plan Check Fee:
Date Pald:
BUILDING PERMIT
VALUESO. FT.
(A)
x $/so. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
Systems Development Charge is due on all undeveloped
properties withln the City limits which are being lmproved'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
No
FT.
FT,
FT.
(c)
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
rVza /-
t5?'
oo
(D)
No
L??'h
'2-L?-a
Vent Fan
Mechanlcal Permlt
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the completed appllcation and. do hereby cerilfy that all
lnformatlon hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
wlth the Ordinances of the Clty of Springfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout permission of the Bullding Safety Divislon.
I further certify that only contractors and employees who
are ln compllance with ORS 701.O55 wlll be used on thls
project.
I {urther agree to ensure that all requlred lnspections are
reguested at the proper tlme, that each address ls readable
lrom the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remain
gnatu
Date
on the slte at all t esd g construction.
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolltion
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excludlng electricat)
(A, B, C, Q and E Comblned)
U
DATE PAID
AMOUNT RECEIVED
FIECEIVED BY
VALIDATION:
RECEIPT NUMBER
I
the
or
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