HomeMy WebLinkAboutPermit Mechanical 1994-06-30RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726.3759
LOCATION OF PRO ED
ASSESSORS MAP:
LOr
s NGFIELE,
Zfr,
JOB NUMBER
225 Fifth Street
ngfleld, Oregon 97477
TAX LOI
BLOCK:SUBDIVISION
OWNER:
ADDR
CITY:STATE:
PHONE:
IP
NEW- REMO
DESCRIBE WORK:
N DEMOLISH OTHER
ADDRESS EXPIRES PHON ECONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONST.
CONTFIACTOR #
GENERAL:
PLUMBING
FIANGE:
r OF BDRMS:
- OFFICE USE -
LAND USE:
WATER HEATER:
FLOOD PLAINOUAD AREA:
* OF BLDGS:
SECONDAFIY HEAT:
SQUABE FOOTAGE:
OCCY GROUP:
C OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS: ----_-
To request an lnspectlon, you must call 726-3769. Thls ls a24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspectlons requested after 7:00 a.m, wlll be made the following work day.
REOUIRED INSPECTIONS
Temporary Electrlc l--l Rough Mechanlcal - Prlor tolJ cover.
Flnal Plumbing - When all
plumblng work ls complete.
Slte lnspectlon - To be made
after excavation, but prior to
setting forms.
Rough Electrlcal - Prior to Flnal Electrlcal - When all
electrical work is complete.cover.
Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Buildlng - When all
regulred lnspectlons have been
approved and building is
completed.E Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover,
E Foundatlon - After forms are
erected but prlor to concrete
placement.Walt/Celllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.[-l Drywall - Prlor to taplng.
MOBILE HOME INSPE TIONS
Underlloor Plumblng / Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stove - After lnstallatlon
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approvsl
and lnstallatlon of unlt.
Blocklng 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.Sanltary Sewer - Prlor to fllling
trench.Eleclrlcal Connection - When
blocking, set-up, and plumbing
inspectlons have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prior to filllng
trench.
Sldewalk & Drlveway - After
excavation ls complete, forms
and sub-base materlal ln Place.
Water Llne - Prlor to filllng
trench.l-l Fence - When Comoleted.
Rough Plumblng - Prior to
cover.
Street Trees - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
I
ZONING CODE:
tl
fl
E
E
tl
tl
E
E
E
E
E
tl
E
T-l Plumbing Connectlons - Whenu home has been connected to
water and sewer.
E
fl
'.t! :.'
Lot {aces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot TypF-
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
IS THE PFIOPOSED WORK fN THE -.
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit lssuance.
APPROVED;
P.L.HSE GAR ACC
N
S
E
VALUE
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
Receipt Number:_
Plans Revlewed By Date
Plan Check Fee:
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties wlthln the City limits which are being improved.
ITEM
Fixtures
Besidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N0
FT.
FT.
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
@
4s
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed applicatlon and do hereby certlfy that all
lnformatlon hereon ls true and correct, and I further certify
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 Buildlng Safety Divislon.
I further certlfy that only contractors and employees who
are in compliance with ORS 7O1.O5S will be used on thisproject.
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
ct
Slgnature
Date
of plans will remalnof the
on the
and
MISCELLANEOUS PERMITS
Mobile Home
State issuance
State Surcharge
Sidewalk _ ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electricat)(A,B,qQandECombined)
R
DATE PAID
RECEIVED
AMOUNT
VALIDATION:
RECEIPT NUM
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMTT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of 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.
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