The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 1993-11-02S',rlINGFIELCD RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726'3759 h, JoB NUMaE " 4lrt L,57 225 Fifth Street Springfield, Oregon 97 477 q3 4 33^dL I LOT: -- BLOCK LOCATION OF PROPOSED WORK: ASSESSOBS MAP: OWNER: ADDRESS 110x / a.+TAX LOT:o+s o SUBDIVISION CITY: .---- PHONE E)sf2-OQ zlPSTATE: -t)t s 4<1- DEMOLISH OTHER /rv-, ,n LDESCRIBE WORK: NEW -. REMODEL - ADDITION PHONEEXPIFIESADDRESS c t/1 t tllq-t CONTRACTOR'S NAME MECHANICAL: ELECTRICAL qs+ -Llb CONST. CONTRACTOR ' G EN ERAL: PLUMBING RANGE # OF BDRMS _ OFFICE USE _ ZONING CODE: FLOOD PLAIN WATER HEATER: SECONDARY HEAT: SOUARE FOOTAGE: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS OCCY GROUP: * OF STORIES: To request an inspection, you must call 726-376g. This is a 24 hour recorcling. All inspections requested before 7:00 a.m. will be made the same working day, lnspections 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 work is complete. Site lnspection - To be made alter excavation, but Prior to setting forms. Rough Eleclrical - Prior to Final Electrical - When all electrical work is comPlete.cover Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Eleclrical 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 facing rnaterials 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 Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover, Underground Plumbing - Prior to filling trench. MOBILE HOME INSPE TIONS Underlloor Plumbing / Mechanical - Prior to insulation or decking.Wood Slove - 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 lnsulation - Prior to decki ng.Curbcul & ApProach - Af ter forms are erected but Prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to f illing trencl).Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Slorm Sewer - Prior to filling trench. Sidewalk & Driveway - Af ter excavalion is comPlete, forms and sub-base material in Place. Water Line - Prior to filling trench. Fence - When comflleted. Rough Plumbing - Prior to cover. Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. tl tl E E tl E E @o*er Y d;^,r tl tl tl tl E tI tl T-l Drywall - Prior to taping. fl T f] Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks PL.HSE ACCGAR N J IS THE PROPOSED WOTTI( IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on tl-re express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Developmerrt Cocie. regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances' Recei pt Nunrber:-- DatePlans Reviewcd By Plan.Check Fee: Date Paid Receivcd By: VALU E (A) X $/SO. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SO. FT, Main Garage Carport SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Besidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) No FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ Insert/ Fireplace Unit Dryer Vent YV\*yy,, ,ls (D)- SJS r<oo N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state and agree, that I have caref ully examined the completecl application and do hereby cerlify that all information hereon is true and correct, and I f urther certify that any ancl all work performed shall be done in accordance 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 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 proiect. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable f rom the street, that the permit card is located at the front perty, and the approved set of plans will remain Signat /L z-2rDate of the p ro on the si at all t s dur structi o n. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) to)41)'l>lq ) aa -)S \f,.p, DATE PAID AMOUNT BECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBEFI TOTAL AMOUNT DUE (exclucling electrical) (A, B, C, D, and E CombinecJ) *'eslg- E Systems Developtnent Charge is due'on all undeveloped properties within the City limits which are being improved.