HomeMy WebLinkAboutPermit Mechanical 1997-02-19SPFrINGFIEL()
RESID ENTIAL
PERMIT APPLICATION
I rrs pections: 726-3769
Of f ice: 726'3759
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
LOCATION OF PROP 5
ASSESSORS MAP:TAX LOT:
LOT:BLOCK.SUBDIViSION
To request an inspection. you must call 726-3769. This is a24hout recording. A!l insoections requested before 7:oo a.m. will be
made the 3amc.,,,.cti(:1,g d:jv r^.^-,rticns !'equeste.l after 7:OO a rn- wri! t'e made the following worl< day'
REQUTRED INSPECTIONS
Temporary Electric Rough Mechanical - Pricr to
cover.
Fina! Plumbing - When all
p,umDing work is comPlete.
Rough Electrical - Prior toSite lnspection - To be made
after e,xcavation, but Prior to
setting forms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
beams, grouting.
Foundation - After fcrms are
erccted but Prior to concrete
placemen t.
Underground Plumbing - Prior
to lilling trench.
Underlloor Plumbing / Mechanical
- Prior to insulation or decking
Post and Beam - Prior to floor
insulation or decking.
Floor lnsulation - Prici to
decki ng.
COVCT
Etectrical Service - Must be
approvccl to obtain Permanent
electrical power.
Fireplace - Prior to facing
materials and f raming lnsP.
Framing - Prior to cover.
Wall/Ceiling lnsulation - Prior lo
cover.
Final Electrical - .When a{1-'
electricai work iS'comPlete.
Final Mechanical - When all
mechanical work is comPlete.
Final Building - When all
required inspections have been
approved and building is
completed.
Other
MOBTLE HOME INSPE TIONS
Blocking and Set-t!p - When all
blocking is complete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanilary Sgw.er - Prior to f illi:tg
trench. '' ' ':' '
f_l orywall - Prior to laping
r_l Wood Slove - Af ter installation
Inse:'t - /rfter flreplace approval
and installaticn of unit.
r-l Curbcut & Approach -. After
forms are erected but prior to
placer-,rcnt of concrete.
Sidewalk & Driveway - After
excavaticn is con:plete, forms
anC silb basF., rlr.Ll{lria! ;n place.
[--l Fencc -- \{he:r ccrirl)leiec
Sl.-(.,\l Tr,)6! - VVl.'-.n lli t'.:qr,ilcci
t.t)cS dic pi:r',igi1"
E'lectrical Connection - When
blocking, set-up, ancl plumbing
inspections have been approved
and the home is connected to
the service panel.
Final - After all required
inspections are approved and
Dorches, skirting, cleciis, and
ventine have been installed.
Slorm Sewer - Prioi'to filling
trench.
Water L!ne - Prlor to filling
trench.
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STATE
ON OTHER
-
DESCRIBE WORK
OWiJEi--i:
y)
ADDRF-SS: -
CITY:
NEW _-- REMODEL ADDI
PHONEEXPIRESADDRESS
ec.
,
g2aLU {Iy
o z
PLUMBING
CONTRACTOR'S NAME
a?r-MECHANICAL:
ELECTRICAL:
CONST.
CONTFIACTOR '
GENERAL:
RANGE:
--
I OF EDFIMS:
WATEFi HEAIEB:
_ OFFICE USE _
LAND USE: _
ZONING CODE:
F'.OCD PLAIN
SCUARE FOOTAGE:
# OF UNITS:,--
StrCOTIDARY HEAT
, OF BI.DGS: --
OCCY GROUP:
" OF STORiES.
CONSTR. TYPE: .--
u-nr el1tiQi',\E.
OUAD AREA:
Rough Plumbing - Frior Ie
cover.tl
rl
E
tl
tl
va?qru%<
RK:
tf x
E
ll
r
E
tl
Er E
,/<
N
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type v
-
lnterior
-
Corner
Panhandle
-
Cul-de-sac
Setbacks
PL.HSE GAR ACC
.J.J THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTOBICAL REGISTER? ---
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED
S
VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT-
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
-r.i::'_rr:,r'rril i: ^r.rntod On lho express COnditiOn that the Said
constru()lion shltl, in all respects. contorm to the Ordinance
adopted by thr: City of Springfield, including the
Developrnent Cocle, reEulating the construction and use of
buildirrgs, and nray be suspended or revoked at any time
upon violation of any provisions ot said ordinances.
Plans Revicwed By DatC
Plan Check Fee
Date Paid
Recei pt Nunlber:..-.--
Received Ely:
Systenrs Dcvelopment Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Flesidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N0
FT.
FT.
FT,
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
N0
Mechanical Permit
(D),20
MECHANICAL PERMIT
lssuance
State Surcharge
Total Permit
Furnace (t)
Exhaust Hood
Vent Fan
By signature, I state and agree, that I have caref ully examined
the cornpleted application and do hereby certify that all
information hereon is 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 pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without pernrission of the Building Safety Division.
I further certify tlrat only contractors and employees who
arn in Conrrli:rnr;r; v,:ith -lf9 701 l^t55 rr;ill be r.t!:ed on lhis
proiect.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
f rom the street, that the permit card is located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
?7Date
/')€r Lh",,'fuSignature -
//-
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
2/02;
/)-
/at-
RECEIVED BY
-q
AMOUNT RECEI\/Et?
DATE PAID
-
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
X $/SQ. FT.
0.+
VALIDATION:
RECEIPT NUMBER