HomeMy WebLinkAboutPermit Mechanical 1997-11-21SPFlINGF IELO tGt,
B E H'^?''r-;ltl, . o,' o *
lnsoections: 726'3769
oftice: 726'3759
JOB NUMBER
3sf 4"
225 Fifth Street
Springfield, Oregon 97477
OE ?7#r
LOCATION OF PRO
ASSESSOBS MAP:
POSED WORK:
L o o
LoT:
SUBDIVISION: -
Final Mechanicat - When all
mechanical work is comPlete'
To request an insP ection, You must call 726-376 9. This ls a24 hour recording'All inspections requested before 7:00 a'm' wlll be
made the same wo rking day, insPectlons reques ted after 7:00 a.m. will be m ade the following work daY'
RE QUIRED INSPECTIONS
[--l TemPorarY Electric
ll
Rough Mechanical - Prior to
cover.
I--T Final Plumbing - When all
L-J plumbing work is comPlete.
Rough Electrical - Prior to l---l Finat Electrical - When all
I J etectrical wort< is comPlete'Site lnsPection - To be made
af ter excavation, but Prior to
setting forms.
Underslab Ptumbingl Electrical /
Mechanical - Prior to cover'
Footing - Atter trenches are
excavated.
Masonry - Steel location, bond
beams, grouting'
Foundation - After forms are
erected but Prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.
Pos: and Besn+ - Prior to flccr
insu!ation or decking.
Floor lnsulalion - Prior to
decki ng.
Sanilary Sewer - Prior to filling
trench.
Slorm Sewer - Prior to filling
trench.
Water Line - Prior to filling
trench.
Electrical Service - Must be
approved to obtain Perrlanent
electrical Power.
[--l Fireplace - Prior to facingI ' materials and framing lnsP'
Final Building - When all
required insPections have been
approved and building is
completed.
cover.
Framing - Prior to cover'
Watl/Ceiling lnsulation - Prior to
cover.
Drywall - Prior to taPing.
l--l Wood Stove - After installation
lrrserl - After fireplace approval
and installation of unit.
Curbcut & APProach - After
lorms are erected but Prior to
placement of concrete.
Sidewalk & DrivewaY - After
excavation is comPlete, forms
and sub-base material in Place.
Fence - When completed.
Street Trees - When all required
trees are planted.
Other
MOBILE HOME INSPE TIONS
Blocking and Set.Up - When all
blockirrg is comPlete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set-up, and Plumbing
inspections have been approved
and the home is connected to
the service panel.
Final - After all required
inspections are approved and
porches, skirtrng, decks, and
venting have been installed.
PHONE:
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STATE:'EDEq7/e/s?;Vs /",o,an"/ Zt(
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OWNER
ADDRESS
CITY:
a
<.
l/-DESCRIBE WORK:
ADDITION DEMOLISH OTHER
NEW -- REMODEL
PHONEEXPIRES
ADDRF-SS
It 3
CONTRACTOR'S NAME
MECHANICAL
ELECTRICAL
CONST.
CONTFIACTOR #
GENERAL:
PLUMBING
b FI-OOD Pl"-AlN: -----
#OFUN
LAND
SECONDARY HEAT:
SQUARE FOOTAGE:
# OF BDRMS:
OUAD AREA:
# OF BLDGS
CONSTR. TYPE:
HEAT SOURCE:
BANGE:
OCCY GBOUP:
, OF STORIES
Rough Plumbing - Prior to
cover.
E
Qft,
E
E
E
E
E
E
tl
E
tl
E
E E
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
S
E
IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signedand approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
BUILDING PERMIT
VALUE
(A)
SQ. FT. X $/SQ. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
Pp.[D_tNG VALUE, PLAN CHECKAND BUILDING Pi=NruIif
This permit is granted on the express condition that the saidconstruction shall, in all respects, conform io tnu Ordin"n""adopted by rhe City
. of Springf ietJ,
'incruOing
theDevelopment Code. regulating ine c-onstiuciion ,no use ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of said orJinrn""".
Plan Check Fee; _
Date Paid:
Date
Plans R eviewed By
Receipt Numbe
Received By:
DEVELOPMENT CHARGE (SDC)
(B)
SYSTEMS
rs Development Charge is due on all undevelopedies within the City limits which are being improved.
System
propert
ITEM
Fixr u res
Residentiat Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
N
FT.
FT.
(c)
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/lnsert/Fireplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
t ,/{
/t;,
/o. '-
'1 )dtA,
N0
Mechanical Permit
lssuance
State Surcharge
lbtal Permit
Furnace
Exhaust Hood
Vent Fan
By signature, I state anci agree, that I have carefully examinedthe completed application and do hereby certify that allinformation hereon is true and correct, and I f urther certifythat any and ail work performed shail be done in accordancewith the Ordinances of the City of Springfield, and the Lawsof the state of oregon pertaining to the work describedherein, and that NO OCCUPANCy wiil be made of anystructure without perrnission of the Building Safety Division.I further certify that only contiactors and employees whoare in compliance with ORS 701.055 will be used on thisproject.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card is located at the front
of the property, and the approved set of plans will remain
Date
"").
Krn",
:i-,tes d.:i:ing con4i.^ -. -tt .$rt(i ar qll i
ure
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)
OZ
RECEIVED BY
,U
AMOUNT RECEIVED
DATE PAID
VALIDATION:
RECEIPT NUMBER
FT.