HomeMy WebLinkAboutPermit Mechanical 1994-05-06I
RESIDENTIAL
PERMTT APPLICATION
lnspections: 726.3769
Office: 726.3759
OF PBOPOSED WORK:
ASSESSORS MAP:
LOT
SP]l!I\tGFIELD
? {/S Gs
,h,
JOB NUMBER
225 Fifth Street
Sprlngfleld, Ore
TAX LOT:
SUBDIVISION:
-
?5
BLOCK:
t PHONE:
ZIP:STATE:
1a-7f*t- sOWNER:
ADDRESS:
CITY:
DESCRIBE WORK:
ADDITION DEMOLISH OTHERNEW- REMODEL
ADDRESS EXPIRES PHONECONTRACTOR'S NAME
GENERAL:
ELECTBICAL:
MECHANICAL:
PLUMBING:
CONST.
CONTRACTOR #
FLOOD PLAIN
- OFFICE USE -
WATER HEATER
r OF BDRMS:
RANGE:
QUAD AREA:
* OF BLDGS:
LAND USE:
OCCY GROUP:
* OF STORIES:SECONDABY HEAT:
SQUARE FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
--ZONING CODE:
To request an inspectlon, you must call 726'3769. Thls ls a24hour recordlng. All lnspections requested before 7100 a.m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTTONS
[-l temporary Etectrlc |!J nough Mechanlcat .- prtor to./4pover.
[-_l Rough Electrlcat - prior to
-
cover.
I-_l finat plumbing - When ailtJ plumblng work is complete.
Final Electrlcal - When allelectrical work is complete..
Underground Plumblng - prior
to fllllng trench.l-l Drywatl - prtor to taptng.
[l Wood Stove - After'tnstafiatton.
I-l lnsert - After flreplace approval,- and lnstallatlon of unlt.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approach - After
forms are erected but prlor toplacement of concrete.Sanitary Sewer - Prlor to fllling
trench.
Slorm Sewer - Prior to fllllng
trench.
I--l Water Llne - Prlor to fiiling
-
trench.I--l Fence - When compteted.
tl
Slte lnspectlon - To be made
after excavatlon, but prior to
settlng forms.
Underslab Plumblng/ Electrical /
Mechanlcal - Prior to cover.
Footlng - After trenches are
excavated,
Masonry - Steel locatlon, bond
beams, groutlng.
Foundallon - After forms are
erected but prlor to concrete
placement.
Underlloor Plumblngt Mechanlcal
- Prlor to lnsulatlon or decklng.
Post and Beam - Prlor to floor
lnsulatlon or decklng.
Rough Plumblng - Prlor to
cover.
Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Building - When altrequlred lnspections have beenapproved and building is
completed.
ffiotn"'Ln-te
MOBILE HOME TNSPECTIONS
[-l Blocking and Set.Up - WheS ail
'J blocklng ls compleie.
Plumbing Connections - Whenhome has been connected towater and sewer.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
ffifinal Mechanlcal - When ail.flmechanical work ls complete.
Eleclrical Connection -- Whenblocking, set-up, and plurgbing
lnspectlons have been approved
and the home ls connected tothe service panel.
Final - After all required
inspectlons are approved andporches, skirting, decks, andventlng have been lnstalled,
Framlng - Prlor to cover.
WalllCblllng tnsutatlon - prlor to
cover.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base materlal ln place.
Strest Tr€€s - When all requlred
trees are planted.
tl
fl
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
, THE PROPOSED WORK TN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the Historical
Coordinator prlor 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 condltion that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, lncluding 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 ordlnances.
Plans Reviewed By Date
Plan Check Fee:
Received By:
Date Paid:
Receipt Nu
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
FEE
(c)
N0
FT.
PLUMBING PERMIT
Plumbing Permit
State_ Surcharge
Total Charge
ITEM
Fixlures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
. FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Venti /nse i a, ! tr{iMechanical Permit
%trd.
1f,@
/o:o
7
-r./ 2,Co--/*?-{---:-
N0
3?,
(D)
Exhaust Hood
Vent Fan
lssuahce
State Surcharge
Total Permit
MECHANICAL PERMTT
Furnace
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Sprlngfield, 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 Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 70'1.055 will be used on thls
project.
I further agree to ensure that all required lnspections are
requested at the proper tlme, that each address ls readable
from the street, that the permit card ls located at the front
of the property, and the approved set ol plans wlll remaln
,/Date 6.
I tion the site duri ructlon.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrlcal)
(A, B, C, Q and E Combined)
-a ?o
/Z
)r)
VALIDATION:
RECEIPT NUMBEB
DATE PAID
AMOUNT BECEIVED
BECEIVED BY
FT.