HomeMy WebLinkAboutPermit Mechanical 1996-10-28RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
SPRTNGFTELc,qblqTo
JOB NUMBER
225 Fifth Street
Springfleld, Oregon 91 4173036+-3?*
ASSESSORS MAP:
LOT:
-
BLOCK:
TAX LOT:
SUBDIVISION: --
t
CITY:ZIP:
ADDRESS:
'3o3 PHONE:9o-1 V"1.o/
STATE:ORI=- C o N
p**r"'
Nl . tssot
,-5/ADDITION DEMOLISH OTHER
IBE WORK:
BEMODE
ADDRESS EXPIRES PHONE
CONTBACTOR'S NAME
GENERAL:
ELECTRICAL:
MECHANICAL:
PLUMBING:
CONST.
CONTRACTOR #
RANGE:
* OF BDRMS:
_ OFFICE USE -
WATER HEATER:
ZONING CODE:
FLOOD PLAIN
g OF UNITS:
OUAD AREA:
I OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE:
OCCY GFIOUP:
r OF STORIEST
CONSTR. TYPE:
HEAT SOUFICE:
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspectlons requested before z:oo a.m. wi1 bemade the same working day, lnspections requested after 7:00 a.m. will be made the following work day.
R UIRED INSPECTIONS
[-l temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When allplumbing worl< is complete.
Site lnspection - To be made
af ter excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When allelectrical work is complete.cover
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.Eleclrical Service - Must be
approved to obtairr permanent
electrical power.
Final Mechanical - When allmechanica, work is complete.
Footlng - After trenches are
excavated.Fireplace - Prlor to faclng
materlals and framing lnsp.
Final Building - When ailrequired lnspections have beenapproved and building is
completed.Masonry - Steel locatlon, boncl
beams, grouting.Framlng - Prior to cover.
Foundatlon - AIter forms are
erected but prior to concrete
placement.K.,her
Wall/Ceiling lnsulation - prior to
cover,
Underground Plumbing - Prior
to fllllng trench.[--l Drywall - Prtor to raping.
Underlloor Plumblng/ Mechanical
- Prior to insulatlon or decking.
MOBILE HOME INSPE TTONS
Wood Stove - After lnstallation
Post and Beam - Prior to floor
insulatlon or decking.lnsert - After f ireplace approval
and installation of unit.
Blocking and Set-Up - When allblocking is complete.
Floor lnsulation - Prior to
decking.Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Electrical Connection - Whenblocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Water Line - Prlor to filling
trench,l-l fence - When completed
Str€€t Trees - When all required
trees are planted.
Final - After all required
inspectlons are approved and
porches, sklrting, decks, and
ventlng have been installed.
Rough Plumbing - Prior to
cover.
LAND USE:
E
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tf
E
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tl
E
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E
Curbcut & AJrprroaclr - After
forrns are erected brrt prior to
placement of concrete.
Etl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
IS THE PROPOSED WORK iN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be signed
arrd approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
VALUE
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the cxpress 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.
Plans Reviewed t3y Date
Receipt Numbe
Plan Check Fee
Date Paid:
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City lirtits which are being improved.
ITEM
Flxtures
Besidentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
((-)
N0
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
. FT.
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have caref ully examlned
the completed apptication and do hereby certify that all
lnformation hereon is true ancl correct, and I f urther certify
that any and all work performed shall be done in accorc1ance
with the Ordinanccs of the City of Springfield, and the Laws
of the State of Oregon pertainlng to the work described
herein, and that NO OCCUPANCy will be made of any
structure wi thout perrnission of the Buildirrg Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
prolect.
I further agree to ensure that all reguired inspections are
requested at the proper time, that each address is readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
Slgnatu
1o iC,Date
on the at all times during construction.
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMTTS
Mobile Home
State lssuance
Stato Surcharge
Sidewalk
-
ft
Curbcut _- ft
Demolition
State Surcharge
Total Miscellaneous Perrnits (E)
N0Vent Fan
(D)
.7{
--Lr(
MECHANICAL PERMIT
Fu rn aco
Exhaust Hood
Mechanical Permit
lssuance
State Surcharge
Total Permlt
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, Q and E Combined)
b
VALIDATION
UMB
AMOUNT RECEIVED
RECEIVED BY
RECEIPT N
DATE PAID
PL.HSE GAR ACC
N
S
E
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