HomeMy WebLinkAboutPermit Mechanical 1995-05-23R ESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
FlI,{G ELI)
LOT BLOCK:
JOB NUMBER
225 Fifth Street
Springf leld, Oregon g7417
TAX LOT
SUBDIVISION:
-
CITY:
ADD
STATE:
PHON E:
ZIP:
HERDDITION DEMOLISH
DESCRIBE WOR
NEW- REMODEL
ADDFIESS EXPI RES PHON E
CONTRACTOR'S NAME
GENERAL:
PLUMBING
MECHANICAL:
ELECTBICAL:
CONST.
CONTRACTOR #
_ OFFICE USE -
WATER HEATER
FLOOD PLAIN:
SQUARE FOOTAGE:RANGE:
ZONING CODE:
LAND USE:QUAD AREA:
A OF BLDGS:
OCCY GROUP:
N OF STORIES:
, OF BDRMS:
--SECONDARY HEAT: _
CONSTR. TYPE
HEAT SOURCE:
# OF UNITS: .-
To req
made
uest an inspectlon, you must call 726'3769. Thls ls a24hour recordlng. All lnspections requestecJ before 7:00 a.m. will bethe same worklng day, lnspectlons-requested after 7:oo a.m. wlll be made the following work day.
Temporary Electric d;ulJs":::l:::'Final Plumbing - When ailplumbing worl< ls complete.
Slte lnspectlon - To be made
after excavation, but prior tosettlng forms.
Rough Electrical - Prior to Final Elictrical - When ail
electrical work is complete.cover,
Underslab Plumbing/ Electrical /
Mechanlcal - Prior to cover.Electrical Service - Must be
approved to obtaln permanent
electrlcal power.
Final *g$4",, - when au
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreptace - Prlor to faclng
materlals and lramlng lnsp.
Final Building - When alt
requlred lnspections have beenapproved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Foundallon - After forms are
erected but prlor to concrete
placement.Wall/Celling lnsulallon - Prlor to
cover.
Underground Plumbing - Prior
to fllllng trench.l-l Orywall - Prlor to taping
Underlloor Plumblng/ Mechanical
- Prior to lnsulatlon or decking.
MOBILE HOME INSPE TIONS
Wood Stove - After lnstallatlon
Post and Beam - Prlor to floor
lnsulatlon or decking.l--l lnsert - After flreplace approval
-
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulatlon - 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.
Sanltary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prlor to filling
trench.
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base material in place.
Water Llne - Prlor to filling
trench.[-l Fence - When completed
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved andporches, skirting, decks, and
ventlng have been installed.
Rough Plumbing - Prior to
cover.
OWNER:
5Rt\'u'r
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Ty
v
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
S backs
P.L.HSE GAR ACC
N
S
E
IS THE PROPOSED WORK IN THE
HISTOBICAL DISTRICT, OR ON
THE HISTOFIICAL REGISTER?
-
lf yes, this applicatlon must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
BUILDING PERM!T
ITEM SO. FT.
Main
Garage
VALUE
(A)
X $/SO. FT,
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
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 of Springfield, including the
Development Code, regulating the constructlon and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Receipt N umber:-
Plans Reviewed By Date
Date Paid
Received By
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are belng improved.
Residential Bath(s) No -
FEE
(c)
FT.
FT.
PLUMBING PERMIT
FT.
Plumbing Permit
State Surcharge
Tolal Charge
ITEM
Fix t u res
Sanitary Sewer
Water
Storm Sewer
Mobile Home
ADDITIONAL COMMENTS
Wood Stove/ lnsert / Fireplace Unit
(D)
o
N0Vent Fan
Mec ical Permit
ryer Vent
MECHANICAL PERMIT
Furnace
Exhaust Hood
lssuance
State Surcharge
Total Permit
By slgnature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
lnformation hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertainlng to the work described
herein, and that NO OCCUPANCy will be made of any
structure without perrnission of the Building Safety Divislon.
I further certily that only contractors and employees who
are in compliance with ORS 7Ol.O55 wiil be used on this
prolect.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remain
D te .{ -?3*g{
ction.ng constte at all times duri
MISCELLANEOUS PERMITS
Mobile Home .
State lssuance
State Surcharge
Sidewalk .*-_ ft
Curbcut
---
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT OUE (exctuding etectricat)
(A, B, C, D, and E Combined)
E
VALIDATION:
BECEIPT NUMBER
DATE PAID
AMOUNT R
BECEIVED
EC
BY