HomeMy WebLinkAboutPermit Mechanical 1995-12-04RES!D ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
SPflINGFIELE,qr
JOB NUMBER
225 Fif th Street
Springfield, Oregon 97477
TAX LOT:
SUBDIVISION:-
OWNER:
ADDR
CITY:STATE:
PHON E:
ZIP:
OTHEB
DESCRIBE WO
NEW
-
FIEMODEL ADDITION DEMOLI
ADDRESS EXPIRES PHONECONTRACTOR'S NAME
GENERAL:
ELECTRICAL:
PLUMBING:
MECHAN
CONST.
CONTRACTOR #
- OFFICE USE _
WATER HEATER:
FLOOD PLAIN
FIANGE:
QUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SQUARE. FOOTAGE:
# OF BDRMS:
---
LAND USE:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE
HEAT SOURCE:
# OF UNITS:
-
ZONING CODE: --_
To requ
made tl
lest an inspectlon, you must call 726-3769. Thls ls a 24 hour recording. All lnspections requested before 7:00 a.m. wiil behe same working day, lnspections reguested after 7:00 a.m. will be made the following work day.
Temporary Electrlc
REQUIRED INSPECTTONS
l-J-X6ign Mechantcat - prior tol--l cover.Flnal Plumbing - When ailplumbing worl< ls complete.
Site lnspection - To be made
after excavatlon, but prior tosetting forms.
Rough Electrical - Prior to
cover,Final Electrical - When ailelectrical work is complete.
[-_l Understab Plumblng/ Electrical/
-
Mechanlcal - Prior to cover.Eleclrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanical - When allmechanical worl< is complete,
Footlng - After trenches are
excavated.Flreptace - Prlor to facing
materlals and framing lnsp.
Final Building - When allrequired inspections have beenapproved and building is
completed.Masonry - Steel locailon, bond
beams, groutlng.
[-l Pramlng - prior to cover.
Foundatlon - After forms are
erected but prior to concrete
placement.
Other
Wall/Celling lnsulatlon - prlor to
cover.
t] iJflii:'n'i,li"ln'."oins - Prior [l Drywan - prror to tapins.
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decking.
MOBILE HOME INSPE TIONS
Wood Stove - After lnstallation.
4 Post and Beam - prior to floorlnsulation or decking.
Floor lnsulalion - Prior to
decki ng.
lnserl - After flreplace approvaland lnstallation of unlt.
[--l Alocking and Set-Up - When ail
-
blocking ls complete.
Curbcut & Approach - After
forms are erected but prior toplacement of concrete.
Plumbing Connections - When
home lras been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.
[-_l Storm Sewer - prior to fiiling
-
trench.
Sidewalk & Driveway - Afterexcavation is complete, formsand sub.base material in place.
Electrical Conneclion - Whenblocking, set-up, and plumbing
lnSpections have been approvedand the home is connected tothe servlce panel.
l-l Y-rt:l Line - Prior to filins l--l Fence - when completed
-
trench.
Street Trees - When all required
trees are planted.
Final - After all required
inspectlons are approved andporches, skirting, decks, andventlng have been installecl.
Rough Plumbing - Prior to
cover.
-<_-
LOT
-
BLOCK:
E
tl
tl
tl
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
PL.HSE GAR ACC
N
S
E
. THE PROPOSED WORK iN THE
HISTOFIICAL DISTRICT, OR ON
THE HISTOFIICAL REGISTER?
-
lf yes, this application must be slgned
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED
VALUE
(A)
X $/SO. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
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
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 ordlnances.
Plans Reviewed t3y Date
Receipt Numbe
Plan Check Fee
Date Paid:
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which aie being improved.
ITEM
Fix tu res
Besidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
(c)
FEE
N0
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
(D)
t
N0Vent Fan
MECHANICAL PERMIT
Furnace
Exhaust Hood
State Surcharge
Total Permit
Mechanical
lssuance
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
--
ft
Curbcut
-_
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding clectrica
(A, B, C, D, and E Comblned)
,&le--&
ADDITIONAL COMMENTS
E
u
lr
$
ot
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