HomeMy WebLinkAboutPermit Mechanical 1996-09-24RESIDENTIAL
PERMIT
I ns pecti on
Of f ice:
LOCATION OF PBO
ASSESSORS MAP:
LOT: .BLOCK:
TemporarY Electric
Site lnsPection - To be made
after excavation, but Prior to
setting lorms.
Underslab Plumblng/ Electrical /
Mechanical - Prior to cover'
Footlng - After trenches are
excavated.
Masonry - Steel location, bond
beams, grouting.
Foundatlon - After forms are
erected but Prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
Underlloor Plumbing/ Mechanical
- Ptiot to insulation or decking'
Posl and Beam - Prior to floor
insulation or decl(ing'
Floor lnsutation - Prior to
decki ng.
SanitarY Sewer - Prior to f illing
trench.
Slorm Sewer - Prior to filling
trench.
Water Line - Prlor to filling
trench,
Rough Plumbing - Prior to
cover.
5PFl FIELE)
Rough Mechanical - Prlor to
cover.
Rough Electrical - Prior to
cover.
JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97477
TAX LOT:o
SUBDIVISION:
Final Plumbing - When all
plumbing worl< is complete'
t----l Final Electrical - When all
U electrical work iS comPlete.
toN
POSED BK:
To req uest an insPectlon, You must call 726-3769. This is a24 hout recording All inspections requested before 7:00 a'm' will be
made the sanle working daY, lnsPection s requested af ter 7:00 a'm' will be mad e the following work daY'
REOUIRED INSPECTIONS
Final Mechanical -mechanical work ls
When all
complete.Electrical Service - Must be
approved to obtain Permanent
electrlcal Power.
Fireotace - Prlor to faclng
materlals and lraming lnsP'
Final Building - When all
reouired lnsPectlons have been
approved and building is
completed
thsr
MOBILE HOME INSPE TIONS
Blocking and Set'UP - When all
blocking is comPlete'
Curbcut & A1:Proach - After
forms are erected brrt Prior to
placemcnt of concrete'
Sidewalk & DrivewaY - After
excavation is comPlete, forms
and sub-base material in Place'
Plumbing Connections - When
home has been connected to
water and sewer.
Framing - Prior to cover'
Fence - When comPleted
Street Trees - When all required
trees are Planted.
Electrical Conneclion - When
blocking, set-uP, and Plumbing
inspections have been approved
and the home is connected to
the service Panel'
Final - After all required
insoections are aPProved and
oorches, skirting, decks, and
ventlng have been installed'
PHONE:
ZIP:STATE:
OWNEB:
CITY:
ADD
ERITION -- DEMOLISH
DESCRIBE WOR
NEW-.-- REMODEL A
ADDRESS
EXPIRES .:, PHONE
CONTRACTOR'S NAME
GENEFAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOB 'f
- OFFICE USE _
FLOOD PLAIN:
SECONDARY HEAT:
SOUARE. FOOTAGE:
# OF BDRMS:
OUAD AREA:
r OF BLDGS:
LAND USE:
ZONING CODE:
WATER HEATEB:
OCCY GROUP:
g OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITSI
E
I---l WatltCelling lnsulation - Prlor to
u .ouer.
l--l DrVwall - Prlor to taoing'
F----l wood Stove - After lnstallation'II
[--l lnsert - Alter flreplace approvalI I and installation of unlt'
E
t]
tl
)
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lol Type
_-- Interior
_- Corner
_- Panhandle
_- Cul-cje-sac
PL.HSE GAR ACC
N
S
E
S
Rrcl
S HT E PR o POS WOED KR TiN H EURISTOLICAISTDoORNIJTHoETORCALEGRSTER?
hi syes CAappl on m U S sbe edgn
r1a d a rop dep b v Hhe S o c alordonaoopritopemUsnce.
APPROVED:
BUILDING PERMIT
VALUE
(A)
so. FT. x $/sQ. FT.
ITEM
Main
Garage
Carport
Total Value
Building permit Fee
State Surcharge
Total Fee
This permit is grantecj on the cxpress condilion that the saidconstruction shall, in all respecis,
"."f"rrn i"",ne Ordinanceadopted bv the
",,, .9{ sprtngrieiJ, inctuoing rheDevetopmenr Code. regulating in".lnl,iu"iion ,no use ofbuildings, and may tte suspended or revoked at any timeupon violation of any provisions of saiO orJin.n""".
Date
Plan s Rcviewect-By
Receipt Numbe
BUILDING
AND BUIL J.4L^UE, PLAN CHECKDING PERMIT
Receivecl By
Plan Check Fee:
Date Paid:
LOPMENT CHARGE (SDC)
(B)
SYSTEMS DEVE
iystems Development Charge is due on all undevelopedroperties within the City linrits which are being improved.
S
p
ITEM
Fixtures
Residentiat Bath(s)
Sanitary Sewer
Water
Slorm Sewer
Moblle Home
PLUMBING PERMIT
N0
(c)
FEE
FT.
FT.
FT.
Plumblng permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have caref ully examlnedthe compreted application and do hereby certify that ailinformation hereon is true ancl correct, and I f urther cerflfythat any and all work performed shall be done in accordancewith the Ordinanccs of the City of SpringfielO, and the Lawsof the State of Oregon pertainlng to the work descrlbedherein, and that NO OCCUPANCy will Uu rnuOu of anystructure without perrnission of the Buildirrg Safety Divislon.I further certify that only contractors anO-emptoyees whoare in compliance with ORS 701.055 will be used on thisproiect.
I further agree to ensure that all required in
Date
$,"
a
lA,r^A
spections arerequested at the proper ti me, that each address is readablefrom the street, that the permlt card is located at the frontof the pro rty, and the approved set of plans will remainhe site I times during const ion
atu
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
anlcal Permit
lssuance
State Surcharge
Total Permit (D)
MISCELLANEOUS PERMITS
Moblte Home
State lssuance
State Surcharge
Sidewalk _ ft
Curbcut _ ft
Demolition
State Surcharge
Total Mlscellaneous perrnits (E)
OO
VALIDATION:
FIECEIPT NUM
DATE PAID
AMOUNT REC
FIECEIVED BY
E DTOTAL AMOUNT DUE (exctuding etectricat)(A, B, C, Q and E Combined)
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