HomeMy WebLinkAboutPermit Mechanical 1995-12-06IA ..P-r^,ca.
SP FTELOESIDENTIAL
ERMIT APPLICATION
R
P
lnspec'
Offlce:
tlons: 726.3769
726.3759
6ss Co
JOB NUMBER
225 Fifth Street
Sprlngf leld, Oregon 97477
TAX LOT:
SUBDIVISION:_
-
LOCATION OF PRO
ASSESSORS MAP:
LOT BLOCK:
bo c baro.PHONE:
9d
ZIP:
5
STATE:
htcCa \r
717tI
OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
f(e Gq.s
I
4DESCRIBE WORK:4..
(b !'(- S
ADDRESS EXPIRES PHONE
11 1 --t VYr'ELECTRICAL:
CONTRACTOR'S NAME
MECHANICAL:
PLUMBINGI
GENERAL:
CONST.
CONTRACTOR #
- OFF]CE USE -
WATER HEATER:
r OF BDFIMS:
RANGE:
QUAD AREA:
I OF BLDGS:
LAND USE:
OCCY GROUP:
* OF STORIES:SECONDARY HEAI
SQUARE FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNtTSi _--
To request an lnspecflon, you must call 726.376g. Thls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll bemade the same worklng day, lnspecilons reques r 7:00 a.m. wlll be made the followln g work day.
UIRED !NSPECTTONS
n femporary Electrlc Rough Mechanlcal - prlor to
cover.Flnal Plumblng - When altplumblng work ls complete.
Slte lnspectlon - To be made
after excavatlon, but prlor tosettlng forms.
Rough Electrlcal - prlor to
cover.FI rl Eleclrlcal - \Mren alltrlcal work ls complete.'
Underslab Plumblng/ Electrlcal /Mechanlcal - Prlor to cover.Electrlcal Servlce - Must beapproved to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When allmechanlcal work ls complete.
ll Footlng - After trenches areH excavated.
n Masonry - Steel locatlon, bond.J beams, groutlng.
ll Flreptace - prlor to faclng
-
materlals and framlng lnsp.
Flnal Bulldlng - When allrequlred lnspectlons have beenapproved and building ls
completed,
Framlng - Prlor to cover.E Foundatlon - After forms are
erected but prlor to concreteplacement.
i
Wall/Cbltlng tnstltatlon - prtor to
cover.
E l'Jfiiffi!"i,lflJn'.'-orns - Prror J-l Drywarr - prror to taprns
Underlloor Plumblng/ Mechanlcat
- Prlor to lnsulatlon or decklng.
MOBILE HOME TNSPE TIONS
Wood Stovo - After lnstallatlon.
tl Post and Beam - Prlor to floor
lnsulatlon or decklng,tnserl - After flreplace approval
and lnstallatlon of unlt.
[-l Blocklng and Ser.Up - Whep ail
-
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approach - After
forms are erected but prlor toplacement of concrete.
Plumblng Connectlons - Whenhome has been connected towater and sewer.ll Sanltary Sewer - prtor ro fliltng
-
trench.
[_l Storm Sewer - Prtor ro fililng
-
trench.
[--l Water Llne - Prtor to fllllngu trench.
Sldewalk & Drlveway - After
excavatlon l9 complete, forms
and sub.base materlal ln place.
Electrical Connection - Whenblocking, set-up, and plurpblng
lnspectlons have been approvedand the home ls connected tothe servlce panel,
[--l rence - When compteted.
Slreet Trees - When all requlred
trees are planted.
Final - After all requiredlnspectlons are approved andporches, skirtlng, decks, andventlng have been lnstalled.
Rough Plumbing - Prlor to
cover.
*va \
FLOOD PLAIN:
ZONING CODE:
-.
l---l OtherII
tltl
'ltl
Lot faces
Lot sg. ftg.
Lot coverage
Topography
Total tlelght
Lot Type
-
-
lnterlor
-
Cgrner
-
Panhandle
-
Cul-de-sac
Setb .- S THE PROPOSED WORK TN THE -.
HISTORICAL DISTRI T, OR ON,.THE HISTORICAL BEGISTER?
lf yes, thls appllcatlon must be slgned
and approved by the Hlstorlcal
Coordinator prlor to permlt lssuance.
APPROVED;
P,L,HSE GAR ACC
N
S
E
VALUE
I
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
lv.4ain
Gaqage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express conditlon that the sald
construction shall, ln all respects, conform to the Ordlnance
adopted by the City of Springfield, includlng the
Development Code, regulating the construction and use of
bulldings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordlnances.
Recelpt Number:-
Plans Beviewed By Date
Plan Check Fee:
Date Pald
Beceived By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties wlthin the City limits which are belng improved.
ITEM
Flxturest
Resldentiai Bath(s)
Sanltary Sewer
Water
Storm Sewer
Mobile Home
FEE
N0
FT.
FT.
(c)
PLUMBING PERMIT
Plumblng Permlt
State. Surcharge
Total Charge
A CO M M ENTS( (zacr
2/,b
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltion
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excludlng etectricat)
(A, B, C, Q and E Comblned)
N0Vent Fan
(D)
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Mechanical Permit
lssuahce
State Surcharge
Total Permit
By slgnature, I state and agree, that I have carefully examlned
the completed appllcatlon and do hereby cerilfy that all
lnformatlon hereon is true and correct, and I lurther cerilfy
that any and all work performed shall be done ln accordance
wlth the Ordinances of the Clty of Sprlngfleld, and the Laws
of the State of Oregon pertalnlng to tho work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout permission of the Bulldlng Safety Divislon.
I further certlfy that only contractors and employees who
are ln compllance with ORS 70l.O5S wlll be used on thls
project.
I further agree to ensure that all requlred lnspectlons are
requested at the proper tlme, that each address ls readable
lrom the street, that the permlt card ls located at the front
perty, and the approved set of plans wlll remaln
re
l>- 1-q J-
at I tlmes durin constn
RECEIVED BY
DATE PAIO
AMOUNT
f the
VALIDATION:
RECEIPT NUMBER
FT.
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