HomeMy WebLinkAboutPermit Mechanical 1994-01-24SPRINGFIELD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
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JOB NUMBER
225 Fifth Street
Springfield, Oregon 97 477
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LOCATION OF PROPOSED WORK:
ASSESSORS MAP:TAX LOT:Q%ae>
LOT
-
BLOCK:SUBDIVISION
To request an inspection, you must call 726-3769. This ls a 24 hour recording. All inspections requested before 7:00 a.m. will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED !NSPECTIONS
l--l Temporary Electric
L___l
Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is complete.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Footing - After 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.
Post and Beam - Prior to floor
insulation or decking.
Floor lnsulation - Prior to
decki ng.
Sanitary Sewer - Prior to filling
trench.
Storm Sewer - Prior to filling
trench.
water Line - Prior to filling
trench.
Rough Plumbing - Prior to
c0ver.
Electrical Service - Must be
approved to obtain permanent
electrical power.
Fireplace - Prior to facing
materlals and framlng lnsp.
Framing - Prior to cover,
Wall/Ceiling lnsulatlon - Prior to
cover.
lnsert - After flreplace approval
and installation of unit.
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
[-_l rence - When compteted
Street Trees - When all required
trees are planted.
Final Electrical - When all
electrical work is complete.
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Final Building - When all
required inspections have been
approved and building is
completed.
Other
MOBILE HOME INSPECTIONS
Blocking and Set-Up - When ail
blocking 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, skirting, decks, and
venting have been installed.
2y>*22?>PHONE:
ztPSTATE:
OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
irr^u A xllnA I .
ELECTRICAL:
EXPIRES PHONEADDRESSCONTRACTOR'S NAME
-
1
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
RANGE:
# OF BDRMS
- OFFICE USE -
LAND USE:
ZONING CODE:
FLOOD PLAIN:
WATER HEATER:
* OF UNITS:
SECONDARY HEAT:
SOUARE FOOTAGE:
QUAD AREA:
# OF BLDGS
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
t)_OZ.-B Z*.2 \
r Site lnspection - To be made
after excavation, but prior to
setting forms.
l--l Rough Electrical - Prior toU cover.E
Final Mechanical - When all
mechanical work ls complete,
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tl
fl
tl
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[l Drywall - Prior to taping.
[-l Wood Stove - After lnstallation.
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 HISTOBICAL REGISTER? --lf yes, this application must be signed
and approved by the H istorical
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 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.
Receipt Number:-
Plans Reviewed By Date
PIan Check Fee:
Date Paid
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N0
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fi replace Unlt
Dryer Vent
/'/t//-
(D)
N0
n7
Vent Fan
@
d47
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I further certify
that any and 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
project.
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 app roved set of plans will remain
Signature
Date
structionon the site at all times
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 Combined)
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY