HomeMy WebLinkAboutPermit Mechanical 1992-09-28NGFTELE,
RESIDENTIAL
PERMIT APPLICATION
lnspections:726'3709
Of{ice: 726-3759
JOB NUMBER
225 Fi{lh Street
Springfield, Oregon 97 477
TAX LOT:atwg-6{hI.OCATION OF PFIO
ASSESSORS MAP:
POSED
I
won
BLOCK SUBDIVISIONr oT:
5*l e"e_I so^OWNEFI: ,-
ADDRESS:
PHONE:
tq_o g_ N,-fll -sPlA'| --STATE:L zlP 11q 1]
()ITY:
- 5^,l'!c]-l--ALt l- -- !-'-1
NEW
---,
REMODEL ADDI]'ION DEMOLISH OTHER
r.J
DESCRIBE WONK le-.oto.\-'-4tr aJ
PI_IONEEXPIRES
't tt <{Lt+;,
ELECTRICAI-
t)LUMBING:, .
() EN ERAL
CONINACT'oR'S NAME ADDTlESS
CONST.
CONTRACTOR #
M Ec HAN r cA., Ih.a-n!."t!r- JJ-gt
OUAD AREA: --
// OF BLDGS:
OCCY GROUP: -
I OF STORIE:S: -
WATER HEATER:
_ OFFICE USE _
LAND USE:
# OF BDRMS
ZONING CODE:
FLOOD PLAIN
lltrAT SOURCE; -SECONDARY I-IEAT
SQUANE FOOTAGE:RANGE:
+ OF UNITS: -
CONSTR. TYPE
-fo request an inspection, you triust Ci,ll 72C-Ii7ti9. Tllis is a 24 hour recordinq. All i!sq-:!tions requested before 7:00 a'm' will be
rnacle the sarle working day, inspccti()ns requested after 7:00 a.m' wlll be macle the follow-ing"work day'
REOUTRED INSPECTIONS
Temporary Electric Rough Mecl.ranical - Prior to
oover.
Final Plumbirrg - When all
plurnbing worl( is conlPlete.
Site lnspection - To be rnadt;
af ter excavation, but PrioI to
setting fornts.
Rough Electrical - Prior to Final Electrical - When all
electrical worl( is conlPlete.oover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain Permanent
electrical power.
Final Mechanical - When all
mechanical work is comPlete.
Footing - After trenches are
excavated.Fireplace - Prior to faclng
rnaterials and framlng lnsP.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, boncl
beams, grouting.Framing - Prior to cover.
Olher
Foundatiorr - AftL'r forms are
erected but Prior to corlcrete
placenrent.
Wall/Ceiling Insulation - Prior to
cover.
Underground Plumbing - Prior
to f illing trench.[--l orVwall - Prior to taoing
MOBILE HOME INSPE TIONS
Underlloor Plumbing/ Mechanical
- Pilor to insulation or (leckinq.Wood Stove - After installation
Post and Beam - Prior to floor
insulation <lr decl<ing.lnserl - After firePlace aPProval
arrrl lnstallatlon of unit.
Blocking and Set'UP - When all
blocking is comPlete.
Flior lnsulation - Prior to
decking.Curbcut & APProach - After
forms are erected but Prior to
Jrlacemerrt of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanilary Sewer - Prior to f illing
trench.Eleclrical Connection - When
blocking, set-uP, ancl Plumbing
inspections lrave been aPProved
and the home is connected to
the servlce panel.
Storm Sewer - Prior to f illlng
trench.
Sidewalk & DrivewaY - A{ter
excavation is comPlete, forms
and sub-base nlaterial in Place.
[-l Fence - When comPleted
Final - After all required
inspections are aPProved and
porches, skirting, decks, and
venting have been installed.Slreel Trees - When all required
trees are planted.Rouglr Plunrbirrg - Prior to
cover.
r
YYJ
tl tl
rtl
l
tl
E
tl
E
[]
Water Line - Prior to filling
trench.
E
tl
tl
E
rl
E
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
I HE PFTOPOSED WORK IN THE
H'i5'TORICAL DISTRICT, OB ON
I'FIE HISTOHICAL REGISTER? --
lf yes, this application must be signed
ancl approved by the Historical
Coordinatr:r prior to permit issuance.
APPROVED
BUILDING VALUE, PLAN CHECK
AND BUTLDING PERMIT
This perrnit is granted orl the express condition that the said
construclion shall, in zrll respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, ancJ may be suspended or revoked .lt any time
upon violation of any provisions of said ordinances.
DatePlans llr':vir:wc<l By
Plan Check Fee: - ---
Date Paid
Receipt Nutnbct:
Rccoiverl EIY:
VALUE
(A)
x $/so. FT.
Total Value
Building Permit Fee
State Surchargc
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
Systerrrs Dcvcloptttt:nt Clt;rr.go is clue on ;rll undevclopcd
propertios witlrin tlrc City lirnits which are bcirlg itrtprovcd.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobiie Home
PLUMBING PERMIT
FEE
No
FT.
FT.
FT.
(c)
Plumbing Permit
State Surchargc
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
MECHANICAL PERMIT
i4.e
tltfr-'t!.fr
,1 4
zbrl1(D)
N0
Mechanical Permit
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
u-, l^,t **,f
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 certify
that any and all work performed shall be done in accordance
with tlre Ordinances of the City of Springf icld. and the [-aws
of the State of Oregon pertaining to the work tlcscribecl
herein, antl tlrat NO OCCUPANCY will 'l:t-' rnade of arry
structure witlrout pernrission of the Building Safety Division.
I further certify th;lt only contractors and employees who
are in compliance with ORS 701.055 will be used on this
proiect.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the slreet, that the permit card is located at the front
of the property, and the approved set of plans will remain
Signature
Date
-----
344L--
on the site at I tirnes cluring construction.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut _-_=- ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
a -7-8'
AMOUNT REC
RECEIVED BY
DATE PAID
VALIDATION:
BECEIPT NUMBER
TOTAL AMOUNT DUE (exclu<ling electrical)
(A, B, C, D, and E Combined)
A=*o