HomeMy WebLinkAboutPermit Mechanical 1993-06-045l ''llnatlr lts a-1,
NESIDENTIAL
PERMIT APPLICATION
lnspections: 7?6'3769
O{fice: 726-3759
LOCATION OF PRO D WOFIK:
ASSESSORS; MAP:
LOT:
Qfi,
JOA NUMBER
225 Fifth Street
Spri ngfield, Oregon 97 477
TAX LOT:
BLOCK:SUBDIVISION
PHONE:
ztP'.STATE:
OWNER: _-
ADDRES
CITY:
DESCHIBE WORK
ADDITION DEMOLISH OTHERNEW
-._-
REMODEL
PHONEEXPI RESADDRESSCONTRACTOR'S NAME
PLU M BI NG
f\,4 ECllAl.l I
ELECTRICAL
CONST.
CONTFIACTOR #
RANGE:
# OF BDRMS
,I OF STORIES:
- OFFICE USE _
FLOOD PLAIN
HEAT SOURCE:
OUADO*'N.M
SECONDARY HEAT:
SOUARE FOOTAGE:
OCCY GROt.JP.,
--
WATER HEATER:
LAND USE:
# OF UNITS ZONING CODE:
CONSTR. TYPE: -----
To request an inspection, you must call 726-376g. This is a 24 hOur recording. All inspections requested before 7:00 a'm' wil
made the s.rme working day, inspections requested after 7:00 a.m. will be made the following work day'
lbe
REQUIRED INSPECTIONS
fI Temporary Electric
ll
Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is comPlete.
Site lrrspection - To be made
after r-'xcavation, but Prior to
setting torms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is comPlete.cover,
Under slab Plumbing/ Eleclrical /
Mechanical - Prior to cover'
Electrical Service - Must be
approved to obtain Permanent
electrical power.
Final Mechanical - When all
mechanical work is comPlete.
Fooling - 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, grouting.Framing - Prior to cover 1
her
Founttation - After forms are
erected but prior to concrete
placernent.
Wall/Ceiling lnsulation - Prior to
cover
Undergrouncl Plumbing - Prior
to fillrng trench.[-_l Drywall - Prior to taping
MOBILE HOME INSPECTIONS
Under lloor Plumbing/ Mechanical
- frrior to insulation or decking.[__l Wood Stove - After installation
Post and Beam - Prlor to lloor
insulation or decking'lnsert - After firePlace approval
and installation of unit.
Blocking and Set-UP - When all
blocking is comPlete.
Floor lnsulation - Prior to
deckirrg.Curbcut & APProach - After
fornrs are erected but Prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanit:rry Sewer - Prior to filling
trencll.Electrical Connection - When
biocking, set-uP, and Plumbing
inspections have been aPProved
and the home is connected to
the service panel.
Slorm Sewer - Prior to filling
trench.
Sidewalk & DrivewaY - After
excavation is comPlete, forms
and sub-base rnaterial in Place.
Fence - When completed
Streel Trees - When all required
trees are planted.
Final - After all required
inspections are aPProved and
porches, skirting, decks, and
ventinO have been installed.Rough Plumbing - Prior to
cover.
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Water Line - Prior to filling
trench.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-_
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
E
IS THE PROPOSED WORK IN THE
HISIORICAL DISTRICT, OR ON
THE HISTORICAL HEGISTEII? _
lf yc.s, this application must be signed
and approvcd by the Historical
Coordin;rtor prior to permit rssuance.
APPROVED
BUILDING PERMIT
ITEM SQ. FT.
Main
X $/SQ. FT,VALUE
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee (A)
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
adoptecl by the City of Springfield, inclr-lding the
Development Code, regrrlating tho constructron an(J use of
buildings, and ntay be susl-'ended or revoked irt :l1y ttme
upon violation of any provisions of said ordinances.
Plan Check Fee: _
Date Paid
Receipt Nunrber:-
Received By
Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due bn all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
N0
FT.
FT.
FT.
Plumbing Permit
State Surcharge
Total Charge (c)
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan N0
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit
x)
(D)I f urther agree to ensure that all requirecl inspoctio\s are
requested at the proper time, that each address is readable
from the street, that thc permit card is locatcd at the lront
of the property, and thc approved set of plans.ruitl remain
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Mlscellaneous Permits (E)
/
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
VALIDATION:
RECEIPT NUM
DATE PAID
AMOUNT REC
RECEIVED BY
ER a
By signature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certif y
that any and all work performed shall be cJone in ;rccordance
with the Ordinances of the City of Springf ield, 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 Division.
I f urther certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.