HomeMy WebLinkAboutPermit Mechanical 1994-05-25SPRINGFIELD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Oflice: 726-3759 h,
JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97477
D>LOCATION OF PROPOSED WOBK:
ASSESSORS MAP:/7-OJ^Z 7*7 7 TAX LOT:
LOT:BLOCK:SUBDIVISION
STATE:ZIP:2 >/22
PHoNE: ? %}? </
CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHEB
-
GENEBAL:
ADDRESS EXPIBES PHONE
4
CONTRACTOR'S NAME
DESCRIBE WORK:
PLUMBING:
CONST.
CONTRACTOR #
MECHANICA
ELECTRICALI
RANGE:
# OF BDRMS:
- OFFICE USE _
WATER HEATER:
FLOOD PLAIN:QUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SQUARE FOOTAGE:
LAND USE:
OCCY GROUP:
,r OF STORIES:
ZONING CODE: _.
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769, Thls ls a 24 hour recordlng. All lnspections requested before 7;OO a.m. wlll be
made the same working day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
Temporary Electrlc l-l Rough Mechanica! - Prtor to|J cover.
f--l Rough Electrlcal - Prlor toIJ cover.
Flnal Plumbing - When allplumblng work ls complete.
Site lnspection - To be made
after excavation, but prlor to
setting forms.
Final Electrlcal - When all
electrical work is complete.
Underslab Plumblng/ Electrlcal /
Mechanlcat - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
W Flnal Mechanlcal - When all
mechanlcal work ls complete,
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Building - When alt
requlred lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celllng lnsulatlon - Prlor to
cover.
Underground Plumbing - Prior
to filllng trench.l--l Drywatl - Prlor to taplng.
MOBILE HOME INSPECTIONSUnderlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decking.Wood Stove - After lnstallatlon.
Post and Beam - Prior to floor
lnsulation or decklng.lnsert - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When alt
blocklng ls complete.
Floor lnsulation - Prlor to
decking.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer,
Sanitary Sewer - Prior to f illing
trench.Electrlcal Connection - When
blocking, set-up, and plumblng
lnspectlons have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prlor to fllllng
trench.
Sidewalk & Driveway - After
excavatlon ls complete, forms
and sub-base materlal in place.
Water Llne - Prlor to filling
trench.
Fence - When completed
Streel Trees - When all requlred
trees are planted.
Flnal - After all required
inspectlons are approved andporchos, sklrtlng, decks, and
ventlng have been lnstalled.
Rough Plumbing - Prior to
cover.
a /tesz,
OZ
, OF UNITS:
-
E
E
E
E
E
tl
E
,'.. ii ,u "j. ,
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type ._
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
P.L,HSE GAR ACC
N
S
W
E
i i THE PROPOSEO WORK IN THE -
-HlsToRtcAL DlSTRlCf,, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this appllcatlon must be slgned
and approved by the Hlstorlcal
Coordinator prlor to permit issuance.
APPROVED:
VALUE
(A)
x $/so. FT.
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT,
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls 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
buildlngs, and may be suspended or revoked at any time
upon violation of any provisions of said ordlnances.
Plans Reviewed By Date
Receipt Numbe
Plan Check Fee:
Date Pald:
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties withln the City limits which are belng improved.
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
No
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unlt
/tr
No
_#26->(D)
Drye r Vent
,/2lzX
;f?e't2o
MECHANICAL PERMIT
/5*
/2.+
Mechanical Permit
lssuance
State Surcharge
Total Permlt
Furnace
Exhaust Hood
Vent Fan
lftc-uF
By slgnature, I state and agree, that I have caref ully examlned
the completed appllcation and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther certlfy
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 described
hereln, and that NO OCCUPANCY will be made of any
structure wlthout permission of the Building Safety Division.
I further certlfy that only contractors and employees who
are ln compliance with ORS 7O1.055 will be used on this
proJect.
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 wlll remaln
/?gsE
2a
5-2q-7q
on the site
Slgnature
Date
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excludlng electrlcal)
(A, B, C, D, and E Comblned)
. FT.
constructlon.