HomeMy WebLinkAboutPermit Mechanical 1995-03-01RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
SPFl!r{GFIELO
LOCATION OF PFIOPOSED WOFK:5Yr'**zsr' 7/Z
JOB NUMBER
a* -G
225 Fifth Street
Sprlngfleld, Oregon 97477
*
ASSESSOBS MAP;
LOI:
-
BLOCK:
TAX LOT 032e
SUBDIVISION:
PHONE:
ZIP:STATE:7>{23CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHEB
DESCRIBE WOFIK:
CONST.
CONTFIACTOR #ADDRESS EXPIRES PHONECONTBACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAI
ELECTBICAL:
- OFFICE USE -
LAND USE:
WATER HEATER:
FLOOD PLAIN
* OF UNITS:
QUAD AREA:
I OF BLDGS:
SECONDABY HEAT:
SQUARE FOOTAGE:
, OF BDRMS:
-RANGE:
OCCY GROUP:
X OF STORIES:
ZONING CODE:
CONSTR, TYPE:
HEAT SOURCE:
To request an lnspectlon,
made the same worklng ,
' you must call 726'3769. Thls ls a24hour recordlng. All lnspectlons requested before 7:00 a.m. wlll beday, lnspections requested after 7;00 a.m. wllr be made the foilowing work day.
REOUIRED TNSPECTIONS
Rough Mechanlcal - prlor to
cover.
l-_l Unaerslab plumbing/Elecrricat/
-
Mechanlcal - prloi to cover.
Temporary Electrlc
Site lnspection - To be madeafter excavatlon, but prior tosetting forms.
Footlng - After trenches areexcavated.
cover,
Final Plumbing - When altplumblng work ls complete.
Flnal Electrical - When allelectrical work is complete.
Rough Electrical - prior to
covor.
Electrlcal Servlce - Must beapproved to obtaln permanent
electrlcal power.
Flreptace - prlor to faclngmaterlals and framlng lnsf
Framlng - prlor to cover.
Wall/Celllng lnsulation - prlor tocover.
Wood Stovo - After lnstallation
fll Finat Mechanicat - When ail
-
mechanical work ls complete.
Flnal Building - When altrequired lnspectlons have beenapproved and bullding iscompleted.
Ffl ott'u'
MOBILE HOME INSPECTIONS
[l elocking and Ser.Up _ When ail
-
blocklng ls compleie.11":tt - After ftreptace approvalano tnstallailon of unlt.
Curbcut & Approach - Afterlorms are erected but prior toplacomont of concrete.
Sidewalk & Driveway _ Afterexc.avatign ls complete, forrnsano sub.base material in place.
Fence - When completed.
Masonry - Steel locaflon, bondbeams, grouilng.
Foundatlon - After forms areerected but prlor to concreteplacement.
l-l UnOerground plumblns - prior.J to fltllng trench [-_l orywall - prior to taptng.
Underlloor plumblng/Mechanlcal
- prlor to lnsulailon or decking.
Post and Beam - prior to floorlnsulatlon or decking.
Floor lnsulation - prlor todecklng.
Sanitary Sewer - prior to flllingtrench.
Storm Sewer - prior to fillingtrench.
[ater Llne - prior to fiilingtrench,
Rough Plumblng - prior to E ;Htl;H;uf^en arr requrred
Plumbing Conneclions _ Whennome has been connected towater and sewer.
Eleclrlcal Connection _ When:::ilig, set.up, and prurnbinsrnspections have been approvedand the .home is connected torne service panel.
Final - After all requiredrnspecilons. are approved and
.p.^ol?,ho": sklrting, decks, anc,venilng have been lnstalled.
E
4r= 7n;;
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Typ.
-
lnterior
-
Corner
-
Panhandle
-
Cul.de.sac
Set IS THE PROPOSED WORK TN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER? _--
lf yes, thls applicailon must be slgnedand approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
PL.HSE GAR ACC
N
S
W
E
BUILDING PERMIT
VALUE
(A)
SQ. FT, X $/SQ. FI.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT
Thls pefmit is granted on the express conditron that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, includlng theDevelopment Code, regulatlng the Jonstruction and use ofbulldlngs, and may be suspended or revoked at any timeupon violation of any provisions of sald ordinances.
Recelpt Number:__
DatePlansReviewed By
Date Paid
Received By:
Plan Check Fee
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undevelopedproperties within Ure City limlts which are being improved,
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
FT.
FT,
FT.
(c)
PlumbinO Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
ERMITlftzoa
2S.za
ru_
(D)
,/2*Mechanlcal Permit
lssuance
State Surcharge
Total Permlt
z4rq.F4G
MECHANICAL P
Fu rnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certlfy that alt
lnformation hereon ls true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure wlthout permission of the Buildlrrg Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 wlll be used on thls
proiect.
I further agree to ensure that all requlred Inspections are
requested at the proper tlme, that each address ls readable
from the atreet, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
on the site at all times during constructlon,
3-/ */s-Slgnature
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Miscellaneous Permits (E)
VALIDATION:
RECEIPT NUMBEH
(ze
7/^",DATE PAID
TOTAL AMOUNT DUE (excluding electrlcal)
(A, B, C, D, and'E Comblned)
AMOUNT RECEIVED
RECEIVED BY
26-7e
l 1: r:;
I
No
N0