HomeMy WebLinkAboutPermit Mechanical 1996-04-22RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726.3759
ELc,
qt,
JoB NUMBE^.-%e,&e--
225 Fifth Street
Spri ng fleld, Oregon gr7 477
LOCATION OF PROPOSED WOBK:
ASSESSORS MAP:TAX LOT:O
LOT:
-
BLOCK:SUBDIVISION
7 47 Z>.7o*PHONE:
ZlPi
Eru
?STATE:
OWNER:
ADDRESS:
CITY:
DESCRIBE WORK:
ADDRESS EXPII.IES PHONE
/D+b77 -4t5
CONTRACTOR'S NAME
ELECTRICAL:
MECHANI
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
RANGE:
r OF BDRMS:
- OFFICE USE -
LAND USE:
WATER HEATER:
ZONING CODE:
SECONDARY HEAT:
SOUARE FOOTAGE
'+ OF UNITS:
QUAD AREA:
* OF BLDGS:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All inspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
Temporary Electrlc W Rough Mechanical - Prlor to
cover.
l--l Final Plumbing - When ailtJ plumblng worl< is complete.
Site lnspection - To be made
after excavatlon, but prior to
setting forms.
[-l Rough Electrical - Prior to4 cover-Final Electrical - When all
electrical work is complete.
Underslab Plumblng/ Electrical /
Mechanlcat - Prior to cover,Electrlcal Service - Must be
approved to obtain permanent
electrlcal power.
Final Mechanical - When all
mgghanical ;ryork ls complete.c?.fi ?dSrrae
Flnal Building - When all
required lnspectlons have been
approved and building is
completed.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundallon - After forms are
erected but prior to concrete
placement.
Olher
Underground Plumblng - Prior
to fllllng trench.
MOBILE HOME INSPECTIONS
Underlloor Plumblng / Mechanlcal
- Prior to insulatlon or decklng.Wood Stovo - After lnstallation
Post and Beam - Prlor to floor
insulatlon or decking.lnsert - After flreplace approval
and lnstallatlon of unit.
Blocking and Set.Up - When all
blocklng is complete.
Floor lnsulation - Prlor to
dect<ing.Curbcut & Agrproach - After
forms are erected but prior to
placement of concrete.
Plumbing Connectlons - When
home lras been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Eleclrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prior to fllling
trench.
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base material ln place.
Water Llne - Prior to filling
trench.
Fence - When completed.
(itreet Trees - When all required
trees are planted.
Final - After all required
inspectlons are approved and
porches, sklrting, decks, and
venting have been installed.Rough Plumbing - Prior to
cover.
FLOOD PLAIN:
E
m
tl
tl
l--l Framlng - Prlor to cover.
[--l WatllCelling lnsulallon - Prlor tol-J cover.
l--l Drywall - Prlor to taping.
E
E
fl
n
tl
tf
tl
tl
D
tl
tl
fl E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typ*
-
lnterior
-
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 FIEGISTER?
-
lf yes, this application must be signed
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
VALUE
(A)
BUILDING PERMIT
Total Value
Building Permit Fee
State Surcharge
Total Fec
SO. FT. X $/SO. FT.ITEM
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City o( 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.
Plans Reviewed By Date
Receipt Numbe
Plan Check Fee
Date Paid:
Beceived By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City lirlits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
FT.
FT.
N0
FT.
PLUMBING PERMIT
Plumblng Permit
State Surcharge
total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
Z%-*
(D)
e
_we
N0
./5,o4Mechanical Permit
lssuance
State Surcharge
Total Permit
Fu rnacc
Exhaust Hood
Vent Fan
By slgnature, l.state and agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true ancl 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 pertainlng to the work descrlbed
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 in compliance with ORS 701.055 wiil be used on this
proiect.
I further agree to ensure that all reguired inspections are
requested at the proper time, that each address ls readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
1-z?t6
es duringon the site at all ti
Slgnature
Date
truction.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
--.-
ft
Curbcut
-_
ft
Demolition
State Surcharge
Total Miscellaneous perrnits (E)
TOTAL AMOUNT DUE (excluding electrtcat)
(A, B, C, D, and E Combined)
VALIDATION:
RECETPT NUMBER < ':4
2a(
/-2>.zDATE PAID
AMOUNT RECEIVED
FIECEIVED BY
€;= Trrraz