HomeMy WebLinkAboutPermit Mechanical 1993-03-12SPRINGFIELE,
RESIDENTIAL
PERMIT APPLICATION
lnspectiorts: 726-3769
Oflrr;e: /26'3751)
o
D WORK:28 05
qt,
JOB NUMBER
225 Fif th Strcct
Sprirrgficld, Orcgort 97477 ,
-Sprlngf-ield*aR 97477Lr'Jq\TloN OF PRq
o.".\so^, *ot'TAX LOT
BLOCK:SUBDIVISION
LOT:
PHoNE: 747-034L -
2805 Villa Way
97477
K 1e Coats& Judv
Sprln ieId,srATE: Oregon ZIP:
OWNER:
ADDRESS: --=
CITY: --..--.--
NEW --_-- REMODEL ADDITION DEMOLISH OTHER
Install gas water heater
DESCRIBE WORK
PHON EEXPIRESADDRESS
Ald:tJU
ELECTRICAL:
ncq,CIL
PLUMBING q6t 8-r5 t,. tS+,hr4$MECHANICAL
CONTFIACTOR'S NAME
CONST.
CONTRACTOR #
GENERAL: -
?ruv/
SOUARE FOOTAGE
_ OFFICE USE _
LAND USE:
SECONDARY HEAT
# OF BDRMS:
e OF UNITS: - ----
FLOOD PLAIN
OCCY GROUP:
g OF STORIES:
WATER HEATE
OUAD AREA:
r OF BLDGS:
RANGE:
CONSTR. TYPE:
HEAT SOUFICE:
ZONING CODE: -
To request an inspection, you must call 226-3169. This ls a 24 hour recording. All inspections requested before 7:0o a.m. will be
made the same working day, lnspections requested after 7:00 a.m. wlll be made the following work day'
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is comPlete.
Site lnspection - To be made
af ter excavation, but Prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
cover.elect I work is complete.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain Permanent
electrical power.
inal Mechanical - When all
mechanical work is comPlete.
Footing - Afler trenches are
excavated.Fireplace - Prior to facing
materials and framlng lns1.t.
Final Building - When all
required inspections have becn
approved and builcling is
cornpleted.fl Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover.
Foundation - After forms are
erected but Prior to concrete
placement.
Wall/Ceiling lnsulation - Prior to
cover
Underground Plumbing - Prior
to filling trench.[l Drywall - Prior to taPing
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.
Post and Beam - Prior to flo-or
insulation or decking. Y!'rt lnsert - After flrePlace aPProval
and installation of unit.
Blocking and Set.Up - When all
blocking is complete.
Floor lnsulalion - 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 Conneclion - When
blocking, set-up, and plumbing
inspections have been approved
and the home ls connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & DrivewaY - Af ter
excavation is complete, forms
and sub-base material in Place.
Water Line - Prior to filling
trench.
Fence - When comPleted.
Street Trees - Wh6n all required
lrees are planted.
Final - After all required
inspections are approved and
porches, skirting, clecl(s, and
venting have been installed.Rough Plunrbing - Prior to
cover.
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l--l wood Stove - After installation.
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Lot faces
Lot sg. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
THE PROPOSED WOFIK IN THE
HISTOFIICAL DISTRICT, OR ON
THE HISTOFIICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:E
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This perrnit is granterJ on the express condition tlrat the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Developrnent Codc. regtrlating the construction and use o,
buildinqs, and may bc stlspencJed <.rr rcvol<ecl at arly tinle
upon violation of any provisions o( said ordinanccs.
Plans Reviewed By
Plan Check Fee: -
Date Paid
Flcceipt Number:-,-
Received By:
BUILDING PERMIT
ITEM SQ. FT,
Main
Garage
VALUE
(A)
x $/so. FT.
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
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
Fix t u res
Rcsidcrrtial Uath(s)
Sanit;rry Scwcr
Watcr
Stornr Scwer
Mobile llotnc
FEE
N"
(c)
FT.
FT.
Fi.
PLUMBING PERMIT
Plumbing Permit
Statc Surcharge
Total Charge
Wood Stove/ lnsert/Fireplace Unit
Dryer Vent
Mccltanical e"r,ni\1 q,
I ssuance
State Surcharg;e
Total Permit (D)
oo
N0Vent Fan
MECHANICAL PERMIT
Fu rn ace
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 correct, and I f urther certily
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Orcgon pertaining to the worl< describccl
herein, ar.rcl tlrat NO OCCUPANCY will be n-rade of any
struclure witlrcut permission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance wilir ORS 701.055 will be used on this
project.
I f urther agree to cnsurc that all required inspections are
requested at the proper time, that each address is reaclable
from the street, that thc tr)ermit card is located at the front
of the property, atr<l tlrc approvcd sel of prl:rns will rcttt:tirt
on the site at all titnes during construction.
!( signature
(oate
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk ---- ft
Curbcut --- ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)-75
FIECEIVED BY
AMOUNT RECEIVED
VALIDATION
RECEIPT NUMBER
DATE PAID
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
Date
n L1affi