HomeMy WebLinkAboutPermit Mechanical 1995-09-04SPRII\rGFIELE,
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PBOPOSED WORK:27s{(oU rTilu n t4 u<
ASSESSORS MAP:
LOT:BLOCK:
TAX LOT:
PHONE:
ztP
r(
o
7y7 >7ZE-
4 ,4Rlru GF/Gr-t>
v
STATE:CITY:
ADDRESS:
OWNER:
4fuZtL GrE L/.uE ,v 7/oo4 up
NEW
-
REMODEL ADDITION DEMOLISH OTHER
ruG
/us-tLc Ad -DESCRIBE WORK:
r1/ Et^, 6-*S
MECHANICAL:
ADDRESS EXPIRES PHON E
le As fiP/q,flnc€
ELECTRICAL:
CONTRACTOR'S NAME
PLUMBING:
GENERAL:
CONST.
CONTBACTOR #
BANGE:
r OF BDRMS:
- OFFICE USE -
ZONING CODE:
FLOOD PLAINQUAD AREA:
I OF BLDGST
SECONDARY HEAT:
SOUARE FOOTAGE:
CONSTR. TYPEr
HEAT SOURCE:
LAND USE:
# OF UNITS
OCCY GROUP:
* OF STORIES:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recording. All inspections requested before 7:00 a.m. wiil be
made the same worklng day, lnspections requested after 7:00 a.m. will be made the followlng work day.
Temporary Electric
REQUIRED TNSPECTIONS
[l Rough Mechanlcal - Prior tolJ cover.
Flnal Plumbing - When all
plumbing work is complete.
Sito lnspectlon - To be made
after excavatlon, but prlor to
settlng forms.
Rough Electrlcal - Prior to Flnal Electrical - When all
electrlcal work is complete.cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prior to cover.Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When all
mechanical work is complete.
Footlng - After trenches are
excavated.[--l Flreplace - Prlor to faclng
-
materlals and framing lnsp.
Final Building - When alt
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.n Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Xotno, (*4 Lt,-tz
Wall/Celling lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.l-l Drywall - Prlor to taplng
MOBILE HOME INSPECTIONS
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decking.Wood Stovo - After lnstallation.
Posl and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unit.
Blocking and Set'Up - When att
blocklng is complete.
Floor lnsulallon * Prlor to
decklng.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
waler and sewer.
Sanltary Sewer - Prlor to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have becn approved
and the home is connected to
the service panel.
Storm Sewer - Prlor to fllllng
trench.
Sldewalk & Drlveway - After
excavation ls complete, forms
and sub-base materlal ln place.
Water Llne - Prlor to filllng
trench.
Street Trees - When all requlred
trees are planted.
Final - After all required
lnspections are approved and
porchcs, skirting, decl(s, and
venting have been installecl.
Rough Plumbing - Prior to
cover.
JoB NUMBE ^-2 sofue
225 Fifth Street
Spring f leld, Oregon 97 477
SUBDIVISION:
-
WATER HEATER:
tl
tl
E
tl
E
tl
tl
E
E
E
tl
E
E
tl
tl
fl
tl
tl
fl
[--l Fence - When completed.
tl
, l, , ' l
lI '.Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot T)
_ lnterior
-
Corner
-
Panhandle
-- Cul-de-sac
Set
PL.HSE GAR ACC
N
S
E
t.IS THE PROPOSED WORK TN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPFIOVED:
VALUE
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fec
BUILDING PERMTT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the expre6s condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, includlng theDevelopment Code, regulating the construction and use otbuildings, and may be suspended or revoked at any tlmeupon violation of any provisions of said ordinances.
Plan Check Fee: _
Plans Reviewed By Date
Beceipt Numbe
Date Paid:
Beceived By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
N0
FT.
FT.
FT.
M --+_
(c)
Plumbing Permit
Stato Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Fireplace Unit
Dryer Vent
Mechanical Permit
lssuance
State Surcharge ,7f *,1f
Total Permit (D)
MECHANICAL PERMIT
/o,6c
)
2O
oo
1,2 u
N0
Fu rnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby cerilfy that all
lnformation hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
hereln, and that NO OCCUPANCy wlll be made of any
structure wlthout permission of the Building Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 7O1.O5S will be used on thlsproiect.
Date
f ,a(-z-arezl ZSlgnature
MISCELLANEOUS PERMITS
Mobile.Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (exctuding electricat)
(A, B, C, Q and E Combined)
2?20 \o
VALIDATION
BECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
I further agree to ensure that all requlred lnspections are
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
on the site at times during construction.