HomeMy WebLinkAboutPermit Mechanical 1996-06-25I|IhlGFIELl)RESID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
JoB NUMBE R ?ZDE#V
225 Fifth Street
Sprlngfleld, Oregon gT 477q7zlaar
ASSESSORS MAP:
LOT
-
BLOCK:
TAX LOT:21>o
SUBDIVISION:
--
PHONE:
STATE:ztPCITY:
ADDRESS:
OWNER:
DESCRIBE WORK:
ADDITION DEMOLISH OTHERNEW- REMODEL
ADDRESS EXPIRES PHONECONTBACTOR'S NAME CONST.
CONTFIACTOR ,'
MECHANICA]
ELECTRICAL:
GENERAL:
PLUMBING
# OF BDRMS
- OFFICE USE -
WATER HEATER:
FLOOD PLAIN:
FIANGE:
QUAD AREA:
r OF BLDGST
SECONDAFIY HEAT
SOUARF. FOOTAGE:
LAND USE:
OCCY GROUP:
* OF STORTES:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS: _ZONING CODE:
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All inspectlons requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTTONS
w Rough Mechanlcal - Prlor to
TmaaElectrlcat J Prior to
Final Plumbing - When altplumbing worl( is complete.r.
gh Flnal Electrical - When alt
electrical work is complete.cover.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
fp f inat Mechanical - When ail
-
mechanical work ls complete.€/5 ffivrci
Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Buildlng - When all
requlred lnspectlons have been
approved and building is
completed.
Framlng - Prlor to cover.
Other
Wall/Celling lnsulatlon - Prlor to
cover.
Drywall - Prlor to taping
MOBILE HOME INSPE TIONS
[-_l Wood Stove - Afrer lnstailatton.
[-_] lnsert - After ftreptace approvalu and lnstallatlon of unlt.
Blocking and Set.Up - When allblocking ls complete.
Curbcul & AJrproaclr - After
forms are erected but prior toplacemcnt of concrete.
Plumbing Connectlons - Whenhome has been connected lo
water and sewer.
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base materlal in place.
Electrical Connection - When
blocklng, set-up, and plumbing
lnspections have been approved
and the home ls connected to
the service panel.
[-l fence - When compteted.
Street Trees - When all required
trees are planted.
Flnal - After all required
inspections are approved andporches, sklrtlng, decks, andventlng have been lnstalled.
l--l Temporary Etectrlc
I--l Site tnspectlon - To be madcs after excavatlon, but prior to
settlng forms.
n Underslab Plumblng/ Electrical/
-
Mechanlcal - Prlor to cover.
[l Footlng - After trenches are|J excavated.
[--l Masonry - Steel locailon, bond
-
beams, groutlng.
l--l Foundatlon - After forms are
-
erected but prlor to concrete
placement.
f-l Underground Plumblng - priorlJ to fllllng trench.
l--l Underlloor Plumblng/Mechanlcat
Prior to lnsulatlon or decklng.
n Post and Beam - Prlor to floor|J lnsulatlon or decklng.
l-_l Floor tnsulallon - Prlor tolJ decking.
f-l Sanltary Sewer - Prior to fiiling.J trench.
l--l Storm Sewer - Prtor to filling
-
trench.
[--l Water Llne - Prlor to filling
'J trench.
[-l Rough Plumbing - Prior rolJ cover.
tl
fl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type-
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
5- lS THE PROPOSED WORK iN THE
HISTORICAL DISTFIICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be signed
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
PL,HSE GAR ACC
N
S
E
VALUE
(A)
X S/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fcc
BUILDING PERMIT
ITEM SQ. 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 ordinances.
Receipt Number:-
Plans Rcvicwcd l3y Date
Plan Check Fee:
Date Paid
Beceived By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City lintits which are being improved.
ITEM
Fixtures
Flesidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N0
FT.
FT,
PLU MBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
No
6D
,/-n .P
(D)24.2
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICA
Furnace
Exhaust Hood
Vent Fan
L PERMITlQtE
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
lnformatlon hereon is true and correct, and I lurther cerilfy
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 descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Buildlng Safety Divislon.
I further certi{y that only contractors and employees who
are in compliance with ORS 701.O55 will be used on thls
proiect.
I further agree to ensure that all required inspections 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 remaln
Signature
Date
mes duri ng constructlonon the site at
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surchargp
Total Miscellaneous Pennits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
ZZLIb
d
VALIDATION
RECEIPT NUMB
DATE PAID
AMOUNT FIECEIVED
RECEIVED BY
FT,