HomeMy WebLinkAboutPermit Mechanical 1996-10-23RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:
SPFlIhlGFIELc,
BLOCK:
JOB NUMBER
225 Fif th Street
Springfleld, Oregon 97 477
TAX LOT:
ffi,
PHONE:
STATE:ztP
3
OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
-
DESCRIBE WOFIK:
ADDRESS EXPIRES PHONECONTBACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONSI.
CONTRACTOR #
GENERAL:
PLUMBING
_ OFFICE USE -
LAND USE:
WATER HEATER:
ZONING CODE:
FLOOD PLAINQUAD AREA:
I OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE:
'{ OF BDRMS:
--
RANGE:
OCCY GROUP:
A OF STORIES:
CONSTR. TYPE
HEAT SOURCE:
# OF UNITS:
---
To request an inspecilon
made the same working
, you must call 726'3769' Thls ls a24hour recordlng. All lnspections requested before 7;00 a.m. wilt beday, lnspections requested after 7:00 a.m. wiil be made the foilowing work day.
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanlcal - prior to Final Plumbing - When allplumbing worl< is complete.
Site lnspection - To tre madcafter excavatlon, but prior tosettlng forms.
Rough Electrical - prior to Final Electrical - When allelectrical work is complete.
cover.
Understab Plumbing/ Electrical /Mechanlcal - Prior to cover.Etectrical Service - Must beapproved to obtair.r permanent
electrlcal power.
Final Mechanical - When allechanical work ls com plete.
Footlng - After trenches are
excavated.Final Building - When allrequired lnspections have beenapproved and building iscompleted.l--l Masonry - Steel tocatton, bond
-
beams, grouilng.
Fireplace - prior to faclng
materlals and framing lnsp.
Framing - Prior to cover.
Foundatlon - After forms areerected but prlor to concreteplacement.Wall/Ceiling lnsulation - prior tocover.
[-l UnOerground plumbinq - priorL-r to filling trench l-l Drywall - Prior to raping.
Underlloor Plumbing/ Mechanical
- Prior to lnsulatlon or decking.
Post and Beam - prior to floorinsulation or decking.
MOBILE HOME TNSPECTIONS
Wood Stove - After lnstallation.
[-l tnsert - After flreptace approval
-
and installailon of unlt.
[-_l Blocking and Ser.Up - When ail
-
btocking is complete.
Floor lnsulalion - prior to
decki ng.Curbcut & Alrproach - Afterforms are erL'cted but prior toplacemcnt of concretcl.
Plumbing Connections _ Whenhome lras been connected towater and sewer.Sanitary Sewer - prior to filling
trench.
Storm Sewer - prior to filling
trench.
Waler Line - prlor to fillingtrench.
Rough Plumbing - prior to
cover.
Sidewalk & Driveway - Afterexcavation is complete, formsand sub-base material in place.
Electrical Connection - WhenbJocking, set.up, and plumbingInspcctions have been approvedand the home is connected tothe service panel.
I Fence - When cornpleted
[-_l Sitr€er Treos - When ail requlred
-
trees are planted.
Final - After all requiredtnspections are approved andporc_hes, skirting, decks, andventlng have been installed.
SUBDIVISION: -
Cr
a9 {-z
ft.,n", 4;<r / "
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type -
-
ln terior
-
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 HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
BUILDING PERMIT
ITEM SO. FT.X S/SO. FT.VALUE
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee (A)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the cxpress 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.
Plan Check Fee:
Date Paid
Receipt Number
Received By
Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
No
FT.
FT.
Plumblng Permlt
State Surcharge
Total Charge (c)
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
Btr j7rulza 4b SWE
Mechanical Permit
lssuance
State Surcharge, 7 f f , lf
Total Permit (D)
2/D,
)s,ry
/f) oo
L29
%_ry
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certify that all
lnformation hereon is true and correct, and I f urther certlly
that any and all work performed shall be done in accordance
with the Ordinanccs of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure wlthout perrnission of the Buildirrg Safety Divislon.
I further certify that only contractors and employees who
are In compliance with ORS 70'1.055 will be used on this
proiect.
I (urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from tlre street, that the permit card ls located at the front
of the property, and the approved set of plans will remaln
on the site at all times during c nst tion.
nat u re
Date LL.E3 -Qt
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Perrnits (E)
VALIDATION:
RECEIPT NUMBER
DATE PAID ?
AMOUNT RECEIVED
RECEIVED BY
ZO
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
-),. b_/rc+-
i
FT.