HomeMy WebLinkAboutPermit Mechanical 1992-05-01SPRINGFIELc,
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LOT:BLOCK:
LOCATION OF PROPOSED WORK:
ASSESSORS MAP /7-e2^=/-7./
RESIDENTIAL
PERMIT APPLICATION
lrrspections: 726'3769
Olfice: 720-3159
CITY:-- @
PHONE
STATE: --
%r-o r 'OWNER ,ZZ---ADDRESS:
NEW ___ FIEMODEL ,y ADDITION DEMOLISH OTHER
cDESCNIBE WOTIK
EXPIRES PHONEADDRESS
ELECTRICAL
CONTRACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR #
(',t NF_RAI:
t,t-UMBING:
OUAD AREA: -..
r OF BLDGS: -
OCCY GROUP:
, OF STORIES
WATER HEATER RANGE
FLOOD PLAIN: -
ZONING CODE:
_ OFFICE USE _
LAND USE:
# OF BDRMS:
----
SOUARE FOOTAGE:
-
SECONDARY HEAT:,
Y OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspections requested before 7:OO a.m' will be
ntacte the same working day, inspections requested after 7:00 a.m. will be rnade the following work day.
REOUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
af ter excavation, but Prior to
setting lorms.
Rough Electrical - Prior to Final Electrical - Wlten all
electrical work is cornplete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain Permanent
electrical power.
W Final Mechanical - When all
mechanical work is complete.
Footing - Af ter trenches are
excavated.Fireplace - Prior to facing
materials and framing lns1r.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover
Other
Foundalion - After forms are
erected tlut Prior to concrete
placement.Wall/Ceiling lnsulalion - Prior to
cover.
Underground Plumbing - Prior
to filling trench.
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insul.llion or decking.Wood Stove - After installation
Post ancl Beanl - Prior to floor
insulation or decking.lnsert - After flreplace aPProval
and installation of unit.
Blocking and Set-Up - When all
blocking is complete.
Floor lnsulation - Prior to
decking.Curbcut & Approach - Af ter
forms are erected but Prior to
placement of concrete.
Plumbing Connections - Wlren
home has been connected to
water and sewer.
Sanitary Sewer - Prior to lilling
trench.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 - After
excavation ls comPlete, forms
and sub-base material in Place.
Water Line - Prior to filling
lrench.
Slreet Trees - When all requirecl
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.Rough Plumbing - Prior to
cover.
SUBDIVISION:
loa Nurras ER a2ea>:Z_
225 Fifth Street
Springlield, Oregon 97 477
//f -
E
r
D
E
Err
r
tl
r
l-_l orywall - Prior to taping.
Fence - When comPleted.
tl
E
tl
tl
r
Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Total height
Lot Type
-
lnterior
--
Corner
-
Panhandle
-
Cul-de'sac
Setbacks
P.L.HSE GAR ACC
N
J
E
BU!LDING PERMIT
ITEM
Main
Garage
Carport
SQ. FT. X $/SO. FT.VALUE
Total Value
BuilcJing Permit Fee
Stale 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, 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'
Plan Check Fce
Date Paid
Fteceipt Nutnbcr:
Received BY
Plar-rs Flevicwcd BY D;rlc
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developrnetrt Charge is due on all undeveloped
properties within the City linrits which are berng irnprovcd'
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
N
FT,
FT.
FT.
Plumbing Perlnit
Slate Surcharge
Tot:tl Charge (c)
ADDITIONAL COMMENTS
MECHANICAL PERMIT I de
Furnace
Exhaust Hood
Vent Fan NN
fli4Mechanical Permit
lssuance
State Surcharge
Total Permit (D)
By signature, I state and agree, that I have caref ully examined
the completecl application and do hcreby ccrtify that all
information hereon is true and correct, anrl I f trrthcr certif y
tl-rat any ancJ all work perforrnetl shall br: done in accordance
with the Orclinances of the City of Springficld,:rnd the Laws
of the State of Oregon pertaining to the worl< describcd
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 ln compliance witl't 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
from the street, that the permit card is located at the f ront
of the property, and the approved set of plans will remain
on rhe site ar a[]i ng construct
7-)Siglnatrrre 7
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
Stalo Eurchargrl
Sidowalk.---- ft
Curbcut
--
ft
Demolition
Slatc Surcharge
Total Miscellaneous Permits (E)
VALIDATION:
RECEIPT NUMBER --2
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
-22
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
IS THE PROPOSED WORK IN THE
}lISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
--lf yes, this application must be signed
ancl approved bY the Historical
Coordirrator prior to permit issuance.
APPFIOVED
FEE
Woocj Stove/ lnsert / Fireplace Unit
Dryer Vent4u Zrzre 2.**
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