HomeMy WebLinkAboutPermit Mechanical 1994-09-26SPRINGF!ELE,
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Office: 726-3759
JOB NUMBEFI
225 Fifin Street
Springfield, Oregon 97,
LOCATION OF PROPOSED WORK:7
ASSESSORS MAP o TAX LOt
LOT:
-
BLOCK:SUBDIVISION:
N,q+4
PHONE:
ZIP:
?
7tdSTATE:
o 4l- ?b(o
bvq
pe
CITY:
ADDRESS
OWNER:
lV,
NEW
-
REMODEL ADDITION DEMOLISH OTHER
6LtrODESCRIBE WORK
GENERAL: - - -
ELECTRICAL:
EXPIRESADDRESS
? v6-t6alt-2
PHONE
o o
CONTRACTOB'S NAME
MECHANICAL:
PLUMBING:
CONST.
CONTRACTOR #
- OFF]CE USE -
ZONING CODE:
FLOOD PLAIN
WATER HEATEB:FIANGE:
SECONDARY HEAT
SOUARE FOOTAGE:
# OF BDRMS:---
QUAD AREA:
# OF BLDGS
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS
OCCY GROUP:
* OF STORIES:
To request an inspection, you must call 726-3769. Thls ls a24hour recording. All inspections requested before 7:o0 a.m. will be
made the same working day, lnspections requested after 7:00 a.m, wlll be made the following work day.
REOUIRED INSPECTIONS
Temporary Electric X
tr
Rough Mechanlcal - Prior to
cover.
Final Plumbing - When all
plumblng work is comPlete.
Site lnspection - To be made
after excavation, but Prior to
settlng forms.
Rough Electrical - Prior to f-...-r{enal Electrical - When all
lAletectrical work is complete.cover.
Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain Permanent
electrical power.
E Final Mechanical - When all
mechanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materlals and framlng lnsP.
Fina! Building - When all
requlred lnspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover.
Foundation - After forms are
erected but prior to concrete
placement.
Eott"t
Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.[--l Drywall - Prior to taoing.
MOBILE HOME INSPESTIONS
Underlloor Plumbing/Mechanical
- Prior to insulation or decking.l---l Wood Stove - After installation.
Post and Beam - Prior tg floor
insulation or decking.lnsert - After firePlace aPproval
and lnstallatlon of unlt.
Blocking and Set-Up - When all
blocking is complete.
Ftoor lnsulation - Prior to
decki ng.Curbcul & Approach - After
forms are erected but Prior to
placement of concrete.
Plumbing Conneclions - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & DrivewaY - After
excavation is comPlete, forms
and sub-base material in Place.
Water Line - Prior to filling
trench.
Rough Plumbing - Prior to
cover.
Street Trees - When all required
trees are planted.
Final - After all required
lnspections are approved and
porches, skirting, decks, and
venting have been installed.
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E
E
E
E
E
tl
E
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E
E
E
tf
f] Fence - When comnleted.
E
2.,+<
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type v
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAB ACC
N
S
E
I . -IHE PFIOPOSED WORK lN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permlt 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 Reviewed By Date
Plan Check Fee:
Date Paid
Received By:
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
VALUE
(A)
X $iSQ. FT
Carport
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N0
FT.
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Furnace Cr€m.6Ta(
Exhaust Hood
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
,L4/)
/SM
/D>(
/o,N
4rt<
N0Vent Fan
2LP
Mechanical Permit
lssuance
State Surcharge
Total Permlt
ld) afua<),
(D)
By slgnature, I state and agree, that I have caref ully examined
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Springf ield, and the Laws
of the State of Oregon pertainlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card is located at the front
J
Date ?-a4- 2 r
of the pro rty, and the a set of plans will remaln
all timeson the sl truction
MI$CELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolltion
State Surcharge
Total Mlscellaneous Permlts (E)
TOTAL AMOUNT DUE (excludlng electrical)
(A, B, C, Q and E Combined)
%?o o
VALIDAIION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
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