HomeMy WebLinkAboutPermit Mechanical 1994-08-11SPrtIN(;I':IELD 44tu?RESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Office: 726'3759
I-OCATION OF PROPOSED WORK: --t--
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97 477
d)ASSESSORS MAP:TAX LOT
r-oT:BLOCK:
To rcquest an inspection, you musl call 726-3769. This is a 24 hour recording. All lnspections requested before 7:00 a.m. will be
ma(ie the s;rrne workirlg (l.ry, inl;pections requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
[" I lemporary Electric Rough Mechanical * Pricr to
cover.
Final Plunrbing - \l,lhen al!
plumbing worl< is complete.
Site lnspection - To be made
af ter excavation, br-rt prior to
setting forrrrs.
Underslab Plumbing / Electrical /
Mechanical - Prior to cover.
Footing - Af ter trenches are
excavated.
Masonry - Stecl location, boncl
bearns, grouting.
Foundation - Aftcr forms areerected but prior to concrete
placernen t.
Y::li.r,"" _ Prior to fiuins
X;r";, ptumbins _ prior ro
Rough Electrical - Prior to
cover.
Eleclrical Service - Must be
approved to obtain permanent
c.lectrical power.
Fireplace - Prior to facing
materials and framlrrg lnsp.
Framing - Prior to cover.
Wall/Ceiling lnsulation - prior tocover.
Final Electrical - When all
electrical work is contplete.
K Final Mechanical - When all
mechanical work ls complete.
Final Building - When ail
required inspections have beenapproved and building iscompleted.
MOBILE HOME INSPE TIONS
ffio,nu,-@-
Unclerglround Plumbing - []rirtrto filling trench.[--.l orVwail - prior ro taping
Underlloor plumbing/ Mechanical
- Pricrr to insulation or decking.
Post and Bearn - prior to ffoorinsulation or decl<irrg.
Floor tnsulation _ prior todecking.
Sanilary Sewer _ prior to fillingtrench_
9lorT Sewer - prior ro fininstrench.
l--l Wooa Stove - After installation
!.:^::lt : After f treplace approvatart(, tnstallation of unit.
Curbcut & Approach _ Afterrorms are erected but prior tol)tacetnent of concrete.
:.i!ew1tk & Driveway _ Aftert.lxc-avatror) is complete, formsand sub-base material i, pfr"'u.
Fence - When cornpleted.
!j^oc,t<,inS.and Ser-Up _ When a1urocKtng is contpletc.
Plumbing Connections _ When
.l.9lu h"g been connecred towater and sewer.
Eleclrical Connection _ When
,o^,^"-"f
j 19, set-up, anO ptumOinl,
,*i,j;{,HTiH.'J,"ffffi'#'
PHONE:
ZIP:STATE:
bo
25v.uc,- 4,r *
+rcl,lLCITY: -----
OWNER: ...
ADD[IESS:
MOLISH OTHER
DESCRIBE WOFII<
ADDITION
t'o
nrr\A/ nfllODEL
GENERAL: 5:Ig=.--
ELECTRICAL: ----*-
EXPIBES PHONE
7 0515t-w l)2t4tt sV42r'l8t
PI UMBING: . .__
MECHANICAL: -
CONTRACTOR'S NAME ADDFTESS
CONST.
CONTRACTOFI #
Y OF UNITS:
I OF BDFIMS:
# OF BLDGS
_ OFFICE USE _
t-AND USE: -
CONSTR. TYPE
HF.nT SOURCE: --
RANCF-:
FLOOD PLAIN:
ZONING CODE
SECONDARY HEAT
SOUARE FOOTAGE:
OUAD AREA: - -
OCOY GROIJP:
/ Ol= STORIE-S: ,
WATER FIEATER:
\-(J f ,::'i"":,T"r?;#, en a, requireo f
SUBDIVISION:
tl
LJ
fl
tl
tl
r)r -
x
**i*iic'ju{#f,ffi
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
--
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
ac hs IS'fHE PROPOSED WORK IN THE
IIISTORICAL DISTRICT, OFI ON
THE }.IISTORICAL REGISTER? --_-lf yes, this application must be signed
and approvecl by the Historical
Coordrrrertor prior to pcttnit issuancc.
ACC
APPROVED:
P.L.HSE GAR
N
J
E
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Tlris permit is grantcd on the express condition that the said
construction shall, in all respects, conform to tl.re Ordinance
adopted by tlre City of Springfield, including the
Developnrent Code, regulating the conslruction and use of
builcJings, ;rnd rnay be suspended or revoked at any tirne
upon violation of any provisions o( said ordinances.
Plan Check Fce: -
Receipt Number:--.
DatePlans Hoviewed [3Y
Date P;rid
Rcceived By:
VALUE
(A)
BUILDING PERMIT
Total Value
Building Permit Fee
State Surcharge
Total Fee
SO. FT. X $/SO. FT.ITEM
Main
Garage
Carport
Systems Developrrtent Cirargc is due on all undeveloped
properties witlrin tltc City lirnits which are being inrprovcd'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
Fixtures
Flesidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
N0
FT.
FT,
FT
(c)
PLUMBING PERMIT
ITEM
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lrrsert/ Fireplace Unit
Dryer Vcnt
MECHANICAL PERMIT
7L.U
(D)
t0.dD.46
.1G
6.D
N0
Mechanical Permit
lssuance A
4 d,r^;\n' fee
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By signature, I state ani.l ergree, that I have caref ully examined
the conrpleted application ancj <'lo hcreby certily that all
inforrnation hereon is true alld correcl' and I f urttrcr ccrtify
that any arr<J all worl< perfclrtrleci shall bc dotrc irr ;rccordance
withtlrcordinirtlcc:;oftlreCityofSpring(it.:ld,andthcLaws
of llro St;rte of Ot'r-'11<-rtr 1:crtaining to tlrc wotl< tlc";cril;ccl
hcrcit't, :rtlcl tlrat NO OCCUPANCY will bc t.tlade of ;:tty
St[UctUrewitlror.rtpernlissionoftheBuildingsatetyDivision.
lfUrthercertifythatonlycontractorSandemployeeswho
are in compliance with ORS 701'055 will be used on this
proiect.
ree to ensure that all required inspections are
r time, that each adclress is readable
Date B cl
I f urther ag
requested at the prope
rmit card is located at the f ront
{rom the street, that the Pe
roved set of Plans will rernainof tlre ProPertY, and thc aPP
ruc t io n,cluringl
Signat
MISCELLANEOUS PERMITS
Mobiie Home
State lssuance
State Surcharge
Sidewalk
-
ll
Curbcut lt
Demolition
State Surcharge
(E)
Total Miscell aneou s Perlnits
bctcal)eeldungexclEUDTNUoAMLTOTAednbComEandD,c,B,(A,
VAI.IDATION
RECE II'I- NUMt}ETI r{ ?-
---t-:l\-
DATE PAID
AMOU NT RECEIVET)7 )o'
RECEIVED RY -W,
8L
allon the sitc at