HomeMy WebLinkAboutPermit Mechanical 1993-08-05SPRI]{GFIELE)
BLOCK:
c
r\LOT:
TAX LOT:
SUBDIVISION
JOB NUMBER
LOCATION OF PROPOSE
ASSESSORS MAP:
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
WrrnQ&O'+((Lt PHONE:
ZIP:STATE:
OWNER:
ADDR
CITY:
ADDITION DEMOLISH OTHER
DESCRIBE WORK
NEW=-- REM
PHONEEXPIRESADDRESSCONTRACTOR'S NAME
ELECTRICAL:
GEN ERAL:
MECHAN
PLUMBI
CONST.
CONTFIACTOR #
FIANG E:
* OF BDRMS:
_ OFFICE USE _
LAND USE:
ZONING CODE:
FLOOD PLAIN:
WATER HEATER
E OF UNITS:
SECONDARY HEAT:
SQUAFIE FOOTAGE:
QUAD AREA: '
r OF BLDGS:
OCCY GROUP:
# OF STORIES
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:o0 a.m' will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
[l Temporary Electric Rough Mechanical - Prior to
cover.
Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
after excavation, but Prior to
setting {orms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumbing / Electrical /
Mechanical - Prior to cover.
Eleclrical Service - Must be
approved to obtain Permanent
electrical power.
Final Mechanical - When all
echanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsP.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grou.ting.Framing - Prior to cover.
-OtherFoundation - After forms are
erected but Prior to concrete
plac'ement.
Wall/Ceiling lnsulation - Prior to
cover,
Underground Plumbing - Prior
to {illing trench.
MOBTLE HOME INSPE TIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Slove - After installation.
Post and Beam - Prior to floor
insulation or decking.lnserl - After firePlace aPProval
and installation of unit.
Blocking and Set-Up - When all
blocking is complete.
Floor lnsulation - Prior 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.Electrical Conneclion - When
blocking, set-up, and Plumbing
inspections have been aPProved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & DrivewaY - After
excavation is comPlete, forms
and sub-base material in Place.
Waler Line - Prior to filling
trench.
Fence - When comPleted
Streel Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.lough Plumbing - Prior to
over.
F
225 Fifth Street
Springf ield, Oregon 97 477
r E
E
tl
T
E
E
E
E
E
E
[--l orywall - Prior to taoing.
r
E
T
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot TYPe-
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
P.L.HSE GAB ACC
N
S
E
-
IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved bY the Historlcal
Coordinator prior to permit issuance.
APPBOVED:
BUTLDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shalt, in all respects, conform to the Ordinance
adopted by the City of Springfield, lncludlng the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any tlme
upon violation of any provisions of sald ordinances.
Plans Reviewed By Date
Fleceipt Nu
Plan Check Fee:
Date Pald
Recelved By:
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
VALUE
(A)
X $/SO. FT,
Carport
Total Value
Bulldlng Permlt Fee
State Surcharge
Total Fee
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanllary Sewer
Water
Storm Sewer
Moblle Home
FEE
FT.
FT.
FT.
(c)
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
C
(D)
N0Vent Fan
Mechanical Permit
lssuance
Stale Surcharge
Total Permit
MECHANICAL PERM!T
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed appllcation and do hereby certlfy that all
lnformation 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 pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Dlvlslon.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 will be used on thls
project.
I further agree to ensure that all required lnspections are
requested at the proper time, 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 remain
Date
I
S
I
at all ti s durion the ructlon.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
lt
Demolltion
State Surcharge
Total Mlscellaneous Permlts '-\(E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)
)
RECEIVED BY
AMOUNT R
DATE PAID
VALIDATION:
RECEIPT NUMBER
No