HomeMy WebLinkAboutPermit Mechanical 2000-01-27RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Offlce: 726.3759
PRI
2$26
LOCATION OF PROPOSED WORK:+
ASSESSORS MAP:5 o TAX LOT:oo
LOX
-
BLOCK:SUBDIVISION: ---
.JOB NUMBER o
225 Firth street fli'1T REID
Sprlngfleld, Oregon 97477 2S0
A t
CITY: STATE
PHONE:
ZIP:
ADDRESS:
OWNER:
DESCRIBE WORK:
NEW- REMODEL ADDI
ADDRESS EXPIRES ,f PHONE
CONTRACTOR'S NAME
ELECTRICAL:
MECHANICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
- OFFICE USE -
* OF BDRMS:
WATER HEATER:
* OF UNITS:
QUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SOUABE FOOTAGE:RANGE:
OCCY GBOUP:
A OF STORIES:
ZONING CODE: _
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:FLOOD I)LAIN:
To req
made
uest an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:oo a.m. wlll bethe same worklng day, lnspections requested after 7:oo a.m. wlll be made the followlng work day.
I REOUIRED INSPECTIONS
n femporary Etectrtc Rough Mechanlcal - prlor to
cover.
Flnal Plumblng - When allplumbing worl< ls complete.
Slte lnspectlon - To be made
after excavatlon, but prior to
settlng forms.
Rough Electrical - Prior to Flnal Electrlcal - When allelectrlcal work ls complete.cover-
Underslab Plumblngl Electrical /
Mechanlcal - Prlor to cover.Eleclrlcal Servlce - Must be
approved to obtain permanent
electrlcal power.
Final Mechanlca! - When all
mechanical work is complete.
E Footlng - After trenches are
excavated.Flnal Buildlng - When alt
required lnspectlons have beenapproved and bulldlng is
completed.
l-l flreptace - Prlor to factngu materlals and framing lrrsp.Masonry - Steel locatlon, bond
beams, groutlng.
[-l Framlng - Prior to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celling lnsulatlon - Prlor to
cover.
tl Underground Plumblng - Prlor
to fllllng trench.|.--l Drywall - Prlor to taplng
E Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPE TIONS
Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approvql
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulallon - Prior to
decklng.Curbcut & AJrprroach - After
forms are erected but prior to
placement of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to fllling
trench.
Storm Sewer - Prior to filling
trench.
Sidewall< & Drlveway - Atter
excavation ls complete, forms
and sub-base material ln place.
Water Llne - Prlor to filling
trench.
Fence - When ccmpieted
Rough Plumbing - Prlor to
cover.
Street Treos - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved and
porches, sklrting, decks, and
ventlng have been lnstallec,.
fl
tl
D
tl
tl
E fl
Electrlcal Connection - When
blocklng, set-up, and plumblng
lnspections have been approved
and the home ls connected to
the servlce panel.
' r":'i'i
ll .
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle !
-
Cul-de-sac
i lS THE PROPOSED WORK tN THE "
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be slgned
arrd approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
HSE GAR ACCPL.
N
S
E
VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
,, (.
x $/so. FT.
BUILDING PERMIT i
ITEM SO. FT.
Maln
Garage
Carport
BUTLDING TINIUC, i5MTt 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 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
Plan Check Fee
Date Paid:
Receipt Num
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
ITEM
Fixtures
Resldentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N0
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
. FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fl replace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby cerilfy that all
lnformatlon hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the City of Springfie ld, and the Laws
of the State of Oregon perlalning to the work descrlbed
hereln, and that NO OCCUPANCY witt be made of any
structure wlthout perrnission of the Building Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
Slgnature
- 2 7-Date
on the site at allfmes duri
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk ----:- ft
Curbcut
-
ft
Ormoililcn
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, Q and E Combtned)
VAI.IDATION:
REcErPr NUMBER 3q I
l-.x]-oo
f,,6 5o
t
UM S
DATE PAI[)
AMOUNT RECEIVED
I
I
RECEIVED BY