HomeMy WebLinkAboutPermit Mechanical 1994-03-07QloJ)P
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LOCATION OF PROPOSED WORK:
SUBDIVISION
TAX LOT
JOB NUMBER
ASSESSORS MAP:
LOT:
RESIDENTIAL
PERMIT APPLICATION
f nspections: 726-3769
Office: 726-3759
225 Fifth Street
Spri ngfield, Oregon 97 477
PHON E:
l lr+v
__cq ZIP:v J STATE:
Oa^'^, Sa,-lr,rnorosw
Aon' ,v-to,N,t ,l c.ICITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHEH
DESCRIBE WORK:
ELECTRICAL:
ADDRESS EXPI RES PHONE
1
CONTRACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOFI #
GENERAL:
PLUMBING
* OF BDRMS:
- OFFICE USE -
LAND USE:
WATER HEATER
ZONING CODE:* OF UNITS:
QUAD AREA:
* OF BLDGST
SECONDARY HEAT:
SQUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOUBCE:
To request an inspection, you must call 726-3769. This ls a24hour recording. All inspections requested before 7:00 a.m. will be
made the same working day, lnspectlons requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
f-l Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrlcal - Prior to Final Electrical - When all
electrlcal work is complete.cover.
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.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Final Building - When all
required inspections have been
approved and building is '
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prlor to cover.Ao^^ 4,.,g-OtherFoundation - After forms are
erected but prior to concrete
placement.Wall/Celling lnsulatlon - Prlor to
cover.
Underground Plumbing - Prior
to filling trench.l--l Drywall - Prlor to taping
MOBILE HOME INSPECTIONS
Underlloor Plumblng/ Mechanical
- Prior to lnsulation or decking.Wood Stove - After lnstallation
Post and Beam - Prior to floor
insulation or decklng.lnsert - After fireplace approval
and lnstallation of unit.
Blocking and Set-Up - When all
blocking is complete.
Floor lnsulalion - Prlor 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
trench.Eleclrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to fllling
trench.
Sldewalk & Driveway - After
excavation ls complete, forms
and sub-base material in place.
Water Line - Prlor to filling
trench.
FencE - When completed.
Rough Plumbing - Prior to
cover.
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
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FLOOD PLAIN:
RANGE:
E
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tf
E
E
E
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tl
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n
tl
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Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
Lot Type v
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Se --d 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:
P.L.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.
Plans Reviewed By Date
Receipt Numbe
Plan Check Fee:
Date Paid:
Received By:
BUILDING PERMIT.'
ITEM SO. FT. X $/SQ. FT.VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
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)
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
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Fireplace Unit
Dryer Vent
l5 oo
IO. OO
"ls
(D)a<'-?S:
NoVent Fan
Mechanlcal Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By signature, I state and agree, that I have carefully 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 the Ordinances of the City of Springf ield, 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 ln compllance with ORS 701.055 will be used on this
project,
I f urther 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
of the property, and the approved set of plans will remain
at ali times duri ng construction.on the
Signatu
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (exctuding etectricat) eS ,? S
(A, B, C, O and E Combined)
3)-r lq.t
na
<""rDATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER