HomeMy WebLinkAboutPermit Mechanical 1995-01-20SPRINGFIELD
RESIDENTIAL
PERMIT APPLICATION
I ns pecti ons: 726'3769
Office: 726-3759
LOCATION OF PROPOS DWO
ASSESSORS MAP:
LOT:
/I D
JOB NUMBER
225 Fitth Street
Spri ngf i eld, Oregon 97 477
TAX LOT:
SUBDIVISION:BLOCK:
ZIP:STATE:Oe
Pt-ve
a
pHoNE: *2?:(o - 5b lO
l)eea DlVs
Cat rue
CITY:
ADDRESS:
OWNER:
NEW
-
FIEMODEL ADDITION DEMOLISH OTHER
tr
^
L)DESCRIBE WORK:
ELECTRICAL:
PHONEEXPIRESADDRESS
Gt+ttft b-6A00077 /u7 t-7r
CONTRACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR ''
GENERAL:
PLUMBING
RANGE:
* OF BDRMS:
- OFFICE USE -
LAND USE:
ZONING CODE:
FLOOD PLAIN:
WATER HEATER:
SECONDARY HEAT:
SQUARE FOOTAGE:
QUAD AREA:
* OF BLDGS:
OCCY GROUP:
* OF STOFIIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. Thls ls a24hour recording. All inspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. will be made the following work day.
Temporary Electric Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prlor to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
inal Mechanical - When all
mechanical work ls complete.
Footing - After trenches are
excavated.Flreplace - Prlor to facing
materlals and framlng lnsp.
Final Building - When all
required lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, grouting.Framlng - Prior to cover.
Other
Foundation - After forms are
erected but prior to concrete
placement.Wall/Ceiling lnsulalion - Prior to
cover.
Underground Plumbing - Prior
to filling trench.f-l Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.wood Stove - After installation
Post and Beam - Prior to floor
insulation or decking.lnsert - After flreplace approval
and lnstallatlon of unit,
Blocking and Set-Up - When all
blocking is complete.
Floor lnsulation - Prior to
decki ng.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation ls complete, forrns
and sub-base material in place.
Water Line - Prior to filling
trench.
Fence - When completed
Slreet Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.l-l Rough Plumbing - Prior toU cover.
? -7 vzt
# OF UNITSi
-
PSOUTRED TNSPECTIONS
lffi'aounn Mechanlcal - Prlor to
fJ cover.
E
E
E
E
E
E
tl Electrical Service - Must be
approved to obtain permanent
electrical power.
E
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
E
rS THE PROPOSED WORK IN THE
ISTORICAL 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 VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls 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 construction and use of
bulldings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
DatePlans Reviewed By
Fleceipt Numbe
Plan Check Fee
Date Paid:
Received By:
VALUE
(A)
X $/SQ. FT.
Total Value
Bullding Permlt Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
No
FT.
FT.
FT.
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Ft replace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
lnformation hereon ls true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springf ield, and the Laws
of the State of Oregon pertalning to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required inspections are
requested at the proper time, 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
Y
,Pmes du tonon the site at al
Signatu
Date
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surcharge
Total Mlscellaneous Permlts (E)
l,
DATE PAID
AMOUNT RECEIVT
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Comblned)
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