HomeMy WebLinkAboutPermit Mechanical 1993-10-14S,'rlIlvGFTELT)l5,ESID ENTIAL
,EHMIT APPLICATION
lnspections: 726'3769
Office: 726'3759
I.OCATION OF PNO
ASSESSORS MAP:
h,
JOB NUMBER
225 Fitth Street
Springfield, Oregon 97 477
7a
TAX LOT:
SUBDIVISION:
22
Lor: ----- BLocK
PHONE:
4 tr?
ZIP:
L
STATE:
s ,rr7 / rr4Br
7 77,ryg
o,4zr
CITY:
ADDRESS:
OWNER
5 -V//DESCRIBE WORK:
Z
NEW ---_ FIEMODEL ADDITION
L)ON TRACIOT]'S NAME
()ENERAL:.
I'I-UMBINC: ,.
M EC H A N I cA t: /fut&/n-Saa
PHONEEXPIFIESN DDIIESS
#
CONST.
CONTRACTOR /
ELECTRICAL ' _-0I.5--
* OF BDRMS:
WATER HEATER:
_ OFFICE USE _
ZONING CODE:
FLOOD PLAIN
* OF UNITS:
FIANGE:
SECONDARY HEAT:
SQUARE FOOTAGE:
OUAD AFIEA: -..-
# OF BLDGS:
-
OCCY GROUP: -
* OF STORIES: -
LAND USE:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769'
rnacle the same working cjay, inspections reques
, This is a 24 hour recording. All inspections requested before 7:00 a.m. will be
ted after 7:00 a.m. wlll be made the following work day'
UIRED INSPECTIONS
fI TemPorarY ElectricL_t
gh Machanical - Prior to Final Plumbirrg - Wlren all
plumbing worl( is comPlete.oover.
Site lnspection - To be rnade
af tcr cxcavittion, but llrior tcr
settinO lortlts.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover'
Rough Electricerl - Prior to Final Electrical - Wlren all
electrical worl( is conlPlete'()()vcr
Eleclrical Service - Must be
approved to obtain Permanent
electrical Power.
inal Mechanical - When all
mechanical work is comPlete.
Footing - Af ter trenches are
excavated.Fireplace - Prior to {acing
matorials ancl framing lnsP'
Final Building - When all
required insPections have been
approved and building is
completecl.
Masonry - Steel location, llond
bearns, grouting'Framing - Prior to cover
Other
Foundation - After forms are
erected but Prior to concrete
placenlent.
Wall/Ceiling lnsulalion - Prior to
cover
Underground Plumbing - Prior
to filling trench.
Drywall - Prior to taPing
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or clecki nq'Wood Stove - After installation
Post and Beam - Prior to floor
insr,rlation or deckirrg.lrrsort - Aftcr flreplace approval
ancl install;rtlon of unit.
Blocking and Sel'UP - When all
blocklng is comPletc.
Floor lnsulalion - Prior to
deckirlg.Curbcut & APProach - After
forms are erected but Prior to
placernent of concrete.
Plumbing Conneclions - When
horne has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Siclewalk & DrivewaY - Af ter
t:xcavatiotr il; coml:lete, forms
and sub-l:ase n-raterial in place'
Electricat Connection - When
blockinO, set-uP, atrcl Plutrtbing
inspections have been aPProved
and the home is connected to
the service Panel.
Slorm Sewcr - Prior to lillitil.l
trench.
Water Llne - Prlor to fllling
trench.
Fence - When comPleted.
Steel Trees - When all requlred
trees are Planted.
Final - After all required
inspections are aPProved and
porches, sklrting, decks, and
venting have been installed.Rough Plumbing - Prior to
cover.
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Lot faces
Lot sq. ltg.
Lot coverage
TopographY
Total height
Lot TyPe
-- lnterior
__. Corner
-.
Panhandle
-
Cul-de'sac
Set ks
P.L.HSE GAIl ACC
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IS THE I'ROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
I'I.IE FIISTORICAL REGISTEB? - _=-
lf yes, this application must be signed
and aPProved bY tlle [-l istorical
Ooortlit-t:tlor prior to pt: llnit is;suance.
APPFIOVED:
VALUE
(A)
X $/SO. 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 tltat the said
construction shall, in all respects, conform tcl the Ordinance
adopted by the City of Springfield, including the
Developrnent Code, regulatirrg the construction and use of
buildings, and may be suspended or revol<ed at any time
upon violation of any provisions of said ordinances.
Plans Rcvir:werl By Date
Plan Chcck Fee: - .---
Datc Paid
Reccipt Nurnber:-
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Devclopnrcr-rt Ch;rr go is due on ;.rll undcvclopcd
properties within the City limits wlrich are bein1l irnproved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
FT.
N0
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unlt
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By signature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true and correcl, ancl I f urthcr certif y
that any ;rrrd all work performctl shall be dorrc in accordance
with the Ordinances of lhc City of Springficld, and the Laws
of thc State of Orcgon pertaining to the work dcscribcd
hcrein, arrrl tlrat NO OCCL,PANCY will l.rr.' nracle of any
structure witlrout pernrission ot tlre Building Safety Divisiorr.
I f urlher certif y th;rt c)nly centractors and employees who
are in compliarrce witlr ORS 701.055 will be us;ed on this
proiect.
I f urther agree to ensure that all required inspections are
requested at tlre propc,r time, that each address is readable
from the street, th;rt the permit card is located at the front
of the property, and the approved set of plans will remain
,eDate
nres during constructioon the site at all
,to - //
Signature
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Combined)
(E)
('
.)
Total Miscellaneous Permits
'lb_
<--
t)
)0
AMOUNT NfCE
FIECEIVED BY
VALIDATION:
F]ECEIPI'NUM]
DATE PAID
-
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
-_)