HomeMy WebLinkAboutPermit Mechanical 1997-08-27IELO
JOB NUMBER 7
225 Fifth Street
Sprlngfleld, Oregon 97477
LOCAT]ON OF PROPOSED WORK:/7ASSESSORS MAP:-47^2<r/-vr.TAX LOT:
LOI
-
BLOCK:SUBDIVISION:
ce
PHONE:
ZIP:MSTATE:
7
CITY:
ADDRESS:
OWNER:
NEW- REMODEL ADDITION DEMOLISH OTHER-
34*sDESCRIBE WORK:
L7b1/
ADDRESS
EA
EXPIBES 1 PHONECONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
coNsT.
CONTRACTOR #
, OF BDRMS
- OFFICE USE -
WATER HEATER:
FLOOO PLAIN:
RANGE:
OUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE:
LAND USE;
OCCI/ GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
/ OF UNITS:
-
ZONING CODE: _
Temporary Eleclrlc w Rough Mechanlcal - Prior to
ZZo+z 5.r>
Rough Electrlcal - Prlor to
cover.
Final Plumblng - When ailplumbing worl( ls complete.
tl Slte lnspectlon - To be mado
after excavatlon, but prlor to
settlng forms.
Flnal Eleclrlcal - When ail
electrlcal work ls complete.
tl Underslab Plumblngl Electrlcal /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
w,r
Flnal Mechanlcal - When all
me_c hanl cal work_ls com ple te.ile.6*s
Flnal Bulldlng - When all
requlred lnspectlons have been
approved and building ls
completed.
tl Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
E Foundallon - After forms are
erected but prlor to concrete
placement.
Other
tl Wall/Celllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.Drywall - Prlor to taplng.
MOBILE HOME INSPE TIONSUnderlloor Plumblng I Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approvsl
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to fllllng
trench.Electrlcal Connection - When
blocklng, set-up, and plumbing ,
lnspecllons have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prlor to fllllng
trench.
Sldewalk & Drlveway - After
excavatlon ls complete, forms
and sub-base materlal ln place.
Water Llne - Prlor to fllllng
trench.
Fence - When coiirpleted
Rough Plumblng - Prlor to
cover.
Slreet Trses - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved and
porches, sklrting, decks, and
ventlng have been lnstalled.
E
E
RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726.3769
Offlce: 726-3759
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To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll bemade the same worklng day, lnspectlons requested after 7:OO a.m. wtll be made the followlng work day.
REQU!RED INSPECTIONS
tl
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P.L.HSE GAR ACC
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Lot faces
Lot sg. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle l'
-
Cul-de-sac
APPROVED:
BUILDING PERMIT I
ITEM
Main
Garage
Carport
SO. FT. X $/SQ. FT. = VALUE
Total Value
Building Permit Fee
State Surcharge
Total Fee (A)
.ti)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the constructlon and use of
buildings, and may be suspended or revoked at any tlme
upon violation of any provisions ol sald ordinances.
Plan Check Fee:
Date Paid
Beceipt Number:-
Recelved By:
Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties wlthln tlre City limits which are belng lmproved.
PLUMBING PERMIT
ITEM
Flxtures
Besidentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
FEE
Ne
FT.
Mobi Home
Plumblng Permlt
Stato Surcharge
Total Charge (c)
ADDITIONAL COMMENTS
MECHANICAL PERMIT
o4afr-'Furnace
Exhaust Hood
Vent Fan
Wt-ua
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent ^
ir't,%lryza./
Mechanical Permit
lssuance
State Surcharge
l;i?
Total Permlt (D)
./e.e__-24.2a I further agree to ensure that all required lnspections are
requested at the proper tlme, that each address ls readable
lrom the street, that the permlt card ls located at tho front
of the property, and the approved set of plans will remaln
on the slte at all tlmos d ng constructlon.
Slgnature
Date
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
lt
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Permits (E)
VALIDATION:
RECEIPT NUMBER
DATE PAID ?2
AMOUNT RECEIVEO
RECEIVED BY,
.8-2>.
?a
TOTAL AMOUNT DUE (excludlng electrtcat)
(A, B, C, O and E Comblned)
i IS THE PROPOSED WORK IN THE
HISTORICAL DISTRIGT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved by the H istorlcal
Coordlnator prlor to permlt lssuance.
FT.
-
FT.
By slgnature, I state and agree, that I have caref ully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon hereon ls true ancl correct, and I turther cerilfy
that any and all work performed shall be done ln accorrJance
wlth the Ordinances of the Ctty of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCy will be made of any
structure wlthout permission of the Bulldlng Safety Divislon.
I further certify that only contractors and employees who
are ln compllance with ORS 701.05S wlil be used on thls
prolect.
72)