HomeMy WebLinkAboutPermit Mechanical 1991-10-22SPRINGFIELE,\lRESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPO WORK:
ASSESSORS MAP:
LOT
JOB NUMBER
225 Fifth Street
Spri ngfield, Oregon 97 477
TAX LOT:
BLOCK:SUBDIVISION
\
OWNER:
CITY:
ADD
PHONE:
STATE ztP
ADDITION DEMOLISH OTHERNEW- REMODEL
DESCRIBE WORK:
ADDRESS EXPIRES PHONECONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
FIANGE:
# OF BDRMS:
- OFFICE USE -
LAND USE:
WATER HEATER:
ZONING CODE:
FLOOD PLAIN
* OF UNITS:
QUAD AREA:
# OF BLDGS
SECONDARY HEAT
SQUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPEI
HEAT SOURCE:
To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspections requested before 7:00 a.m. will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
olumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cever.
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 facing
materials and framing lnsp.
Final Building - When all
required inspections have been
Masonry - Steel location, bond
beams, grouting.
approved and buildi
completed.\'"
Framing - Prior to cover,
Foundalion - After forms are
erected but prior to concrete
placement.
ther
Wall/Ceiling lnsulation - Prior to
cover,
Underground Plumbing - Prior
to filling trench.f_l Drywall - Prior to taping
MOBILE HOME INSPECTIONS
Underf loor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After installation.
Post and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approval
and installation of unit.
Blocking and Set.Up - When all
blocking is complete.
Floor lnsulation - Prior to
decki ng.Curbcut &Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
tren c h.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Water Line - Prior to filling
trench.
Fence - When completed
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Rough Plumbing - Prior to
cover.
r
tl
r
T
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type \r
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbac THE PROPOSED WORK IN 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
PL.HSE GAR ACC
N
S
E
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 Reviewed By Date
Plan Check Fee
Date Paid
Received By
VALUE
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N0
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
No
Mechanical Permit
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
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 further certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, 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 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
approved set of plans will remain
to-7
c
Signatu
Date
ctionduri
of the property,
on the site at al
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk __- ft
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
A
DATE PAID
VALIDATION:
RECEIPT NUMBER
AMOUNT
RECEIVE
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)