HomeMy WebLinkAboutPermit Mechanical 1997-11-20INGFIELDRESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
q1 t23 ?JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
uloy' /dg
ASSESSORS MAP:O?
LOT:
-
BLOCK:
fr TAX LOT:
SUBDIVISION
p6, s76PHONE:/QsJa
dfr-STATE:ZIP:74 +
OWNER:
ADDRESS:
CITY:
DESCR]BE WORK:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
GENEBAL:
ADDRESS
4
EXPIRES ,f PHONE
C,t, 747- ?=s>
CONTRACTOR'S NAME
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
E:
OCCY GROUP:
* OF STORIES:
WATER HEATER:
- OFFICE USE -
FLOOD PLAIN:
TYPE
OUAD AREA:
r OF BLDGS:
SECONDABY HEAT:
SOUARF. FOOTAGE:
'r OF BDRMS:
-
ZONING CODE:
To request an inspection, you must call ng.AI inspectlons requested before 7:00 a.m. wlll be
the following work day.made the same working day, lnspections requesteb made
REOUIR N S
Temporary Electrlc Rough
cover.
or to Flnal Plumbing - When all
plumblng work ls complete.
Slte lnspectlon - To be madc
after excavatlon, but prior to
setting forms.
Rough Electrical - Prior to Final Electrlcal - When allcover.electrical is complete.
Underslab Plumblng/ Electrical/
Mechanlcat - Prlor to cover.Electrical Service - Must be
approved to obtain permanent
electrlcal power.
inal Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
malerlals and framing lnsp.
Flnal Building - When all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Othsr
WalltCblllng lnsulallon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.Drywall - Prior to taping.
MOBILE HOME INSPECTTONS
Underlloor Plumbing/ Mechanlcat
- Prlor to lnsulatlon or decklng.Wood Stovo - After lnstallatlon.
Posl and Beam - Prlor to floor
lnsulatlon or decking.lnserl - After flreplace approval
and installatlon of unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulation - Prior to
decking.Curbcut & AJrproaclr - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home lras been connected to
water and sewer.
Sanltary 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 ls complete, forms
and sub-base material ln place.
Water Llne - Prlor to filling
trench.l-_l Fence - When ccinpleted.
Str€et Trees - When all requlred
trees are planted.
Final - After all required
inspectlons are approved and
porches, sklrting, decks, and
ventlng have been lnstalled.
Rough Plumbing - Prior to
cover.
/1/,
E
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E
E
E
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ti
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle I
-
Cul-de-sac
ks i lS THE PROPOSED WORK tN THE "HtsToRtcAL DtSTRtgr, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
P.L.HSE GAR ACC'
N
S
E
VALUE
(A)
{
Main
Carport
ITEM
Garage
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PER[,ttT
SQ. FT. X $/SQ. FT.AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Orctinanceadopted by the City of Springfield, including the
Development Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any tlmeupon violation of any provisions of said ordinances.
Receipt Number:_
Plans Reviewed By Date
E,LAN CHECK
Date Paid
Received By:
Plan Check Fee:
BU ILDING
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
FT.
N'
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
,d-o+-llt.,o-
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MECHANICAL PERM!T
S-l ri, -l
(D)
No
4r{,-Mechanical Permit
lssuance
State Surcharge
Total Permit
, 7'(+ , LIS
wb..+
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true ancl correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinanccs 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 wlthout perrnission of the Building Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 7O1.O5S wlll be used on thls
proiect.
I further agree to ensure that all requlred inspections are
requested at the proper ilme, that each address is readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
(r
Slgnature
Date
on the site at all times during structlon
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
lt
Curbcut
-
ft
Demolition
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, D, and E Combined)
<r 07
/?? 7?-o N
RECEIVED BY
AMOUNT BECEIVED
DATE PAII)
VALIDATION:
BECEIPT NUMBER
FT.