HomeMy WebLinkAboutPermit Mechanical 1995-08-07RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
SPFrI FIELO{v/
JOB NUMBER
225 Fifth Street
Sprlngfletd, Oregon 9Z 4Zl
LOT BLOCK:
TAX LOT:/3 AD
SUBDIVISION:
STATE:ZIP:
OWNER:
ADDRESS:
CITY:
DEMOLISH OTHER
DESCFIIBE WORK:
NEW . REMODEL ADDITION
ADDRESS EXPIRES PHONE
L
CONTBACTOR'S NAME
MECHANICAL:
ELECTRICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
# OF BDFIMS
- OFFICE USE -
WATER HEATER:
FLOOD PLAIN:
BANGE:
QUAD AREA:
, OF BLDGS
SECONDARY HEAT:
SQUABF. FOOTAGE:
LAND USE:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
'{ OF UNITS: ---_ZONING CODE:
--
To request an inspectlon
made the same worklng
, you must call 726'3769. Thls ls a24hout recordlng. All lnspectlons requestecJ before 7:00 a.m. wlll beday, lnspections requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
l--l Temporary Etecrric .K
,K
Rough Mechanical - prlor to
cover.Final Plumbing - When ailplumbing worl( is complete.
Slte Inspectlon - To be made
after excavatlon, but prior tosetting forms.
Rough Electrlcat - prior to f!]f Hnat Etectrtcat - When alAqrlectrical work is complete.
ffi finat Mechanical - When ailr--\mechanical work is complete.
cover.
Underslab Plumblng/ Electrical /Mechanlcal - Prior to cover.Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Foollng - After trenches are
excavated.Flnal Buildlng - When allrequlred lnspectlons have beenapproved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
Flreplace - Prlor to facing
materlals and framlng lnsp.
Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
lEotnu',?t*z*/.t*
Wall/Celllng lnsulallon - prlor to
cover,
Underground Plumblng - Prior
to fllllng trench.J-l Drywall - Prlor to taptng
Underlloor Plumblng / Mechanlcal
- Prior to lnsulatlon or decking.
MOBILE HOME TNSPE TIONS
Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulation or decking.lnsert - After flreplace approvgl
and lnstallatlon of unlt.
[-_l glocking and Set.Up - When ail
-
blocklng ls complete.
Floor lnsulation - Prior to
decklng.Curbcut & Approach - After
forms are erected but prior toplacement of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanilary Sewer - Prior to filling
trench.Eleclrical Connection - When
blocking, set.up, and plumbing
lnspections have been approved
and the home is connected tothe service panel.
Storm Sewer - Prior to filllng
trench.
Water Llne - Prlor to filling
trench.
Street Trees - When all requlred
trees are planted.
Flnal - After all required
inspectlons are approved andporches, skirting, decks, and
ventlng have been lnstalled.
Rough Plumbing - Prlor to
cover.
?S/3at
PHoNE: 7?,^ -7722
(u.
tl
E
E
tl
E
tl
tl
tl
E
n Sidewalk & Drlvewav - After
-
excavatlon ls complete, forms
and sub-base material in place.
l-l Fence - When compteted.
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Typt
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
P.L.HSE GAR ACC
N
S
E
iS THE PROPOSEO WORK lN THE - I
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be signed
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
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 constructlon and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Receipt Number:-
Plans Fleviewed By Date
Plan Check Fee
Date Paid
Received By:
VALUE
(A)
X $/SQ. FT.
Main
Carport
Garage
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties withln the City limits which are being improved.
ITEM
Ftftufes
TAesidential Bath(s)
t/
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
N0
FT.
FT.
(u)
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
(
MECHANICAL PEBMITFurnace {C t ft4,<W
Exhaust Hood
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
2/1) _
),€ro
,7f *t y'f
(D)
No
/O,ao
/202a4
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther certily
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 pertainlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Buildlng Safety Divislon.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
proiect.
I further agree to ensure that all required in"i"tion" "r"requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remain
,,K:"xi'"'
-i';fi
: Jfi{T\
Oate
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
lt
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding clectrical)
(A, B, C, O, and E Comblned)44 2o
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
BECEIVED BY
FT.