HomeMy WebLinkAboutPermit Mechanical 1997-04-29RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
LOCATION OF PROPOSED WOFIK:
I 7033bt 3
P}rII\rGFTELE,
u,
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
TAX LOT:
efr,4
ASSESSORS MAP:
LOT:- BLOCK:SUBOIVISION:
--
PHONE:
hE.STATE:ZIP:1 ) c/ >?.
5a
CITY:
ADDRESS:
OWNER:
ADDITION OEMOLISH OTHER
DESCRIBE WOBK:
NEW
-
FIEMODEL
ADDRESS
^ l^1-,1n,
d s
)I
EXPIHES PHONE
/;
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR ''
- OFFICE USE -
FLOOD I)LAIN:LAND USE:
, OF UNITS
QUAD ABEA:
e OF BLOGST
SECONDARY HEAT:
SOUARE FOOTAGE:
, OF BDBMS: .-CONSTR, TYPE:
HEAT SOURCE:
OCCY GROUP:
I OF STORIES:
ZONING COOE: _
RANGE:
To request an lnspect
made the same workl
lon, you must call 726'3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.mn0 day, lnspections requested after 7:00 a.m. wlll be made the folrowlng work day.
will be
R UIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - prior to
cover.Flnal Plumbing - When altplumblng worl< is complete.
Slte lnspecllon - To be made
after excavatlon, but prlor tosettlng forms.
Rough Eleclrlcal - prlor to Final Eleclrlcal - When allelectrical work is complete.
cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prior to cover.Eleclrlcal Servlce - Must beapproved to obtaln permanent
olectrlcal power.
Flnal Mechanlcal - When allmechanlcal worl( ls complete.
Footlng - After trenches are
excavated.J-l Flreplace - prlor ro factng
-
materlals and framlng lnsp.
n Framlng - prlor to cover.
Flnal Buildlng - When ailrequlred lnspectlons have been
Masonry - Steel locatlon, bonct
beams, groutlnO,
approved and buildin gls
ompleted
Foundatlon - After forms are
erected but prlor to concrete
placement.
Olher lt
Wall/Celllng tnsulatlon - prlor to
cover.
E l'Jffii:;'l[lJ.':"trns - Prior [-l Drywan - prror to taprns.
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPE TIONS
Wood Stovo - After lnslallatlon
Posl and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approval
and lnstallatlon of unlt.
l-l Alocking and Ser.Up - When ail
-
blockln0 ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & AJ:proach - After
forms are erected but prior toplacement of concrete.
Plumbing Conneclions - Whenhome lras been connected towater and sewer.
l-l Sanltary Sewer - Prior ro fiiltng
-
trench.
n Storm Sewer - prlor to flillng
-
trench.
Sidewalk & Drlvewav - After
excavatlon ls completc, forms
and sub-base materlal ln place.
Eleclrical Connectlon - Whenblocking, set.up, and plumblng
lnspections have been approvedand tlre home is connecled tothe servlce panel.
Water Llno - prlor to filling
trench,
Fence - When completed
Rough Plumblng - Prlor to
cover.
Flnal - After all requiredinspectlons are approved andporches, sklrting, clecks, andventlng have been lnstalled.
Streel Troos - When all required
trees are planted.
fl
E
fl
Lot faces
Lot sq. ltg.
Lot coverage
Topography
Total helght
( , rne PBoPoSED woRK tN THE -
HrsroRlcAL DlsrRlcr, oR oN
THE HISTORICAL REGISTER?
-
lf yes, thls application must be slgned
and approved bY the Hlstorlcal
Coordinator prlor to permlt issuancer
APPFIOVED:
GAR ACCP.L.HSE
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 Ordlnance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revokcd at any tlme
upon violation of any provisions of said ordinances.
Date
Plan Check Fee:
Date Paid
Receipt Numbcr
Beceived By:
VALUE
(A)
BUILDING PERMIT
Total Value
Building Permit Fee
State Surcharge
Total Fee
SO. FT. X $/SO. FT.ITEM
Main
Garage
Carport
Systems Development Charge ls due on all undeveloped
properties withln tlre City linrits which are belng improved'
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N0
FT.
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
M ECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have carof ully examlned
the completed applicatlon and do hereby certlfy that all
lnformatlon hereon is true and correct, and I lurther certl(y
that any and all work performed shall be done in accordance
with the Ordinanccs of thc City of Sprlngfield, and the Laws
of the State of Oregon pertaining to thc work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structure wlthout pertnission of the Bulldirrg Safety Dlvislon.
I further certily that only contractors and employees who
are ln compllance with ORS 701.055 wlll be used on thls
prolect.
Vent Fan N0
Wood Stove/ lnsert/ Fl replace Utril
Dryer Vent
Mechanical Permit
lssuance
I lr*tuState surcha rs" 127, A
Total Permit (D)ab&,I further agree to ensure that all required lnspections are
requested at the proper tlme, that aach address ls readable
from thc street, that the permlt card ls located at the front
of the property, and the approved set ol plans will remalnMISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk *- (t
Curbcut
-
ft
Demolitlon
State Surcharge
on tlre si at I times during constructlon.
Slgnature
Date
2RECEIPT N
DATE PAID
UMBELl i
Total Mlscellaneous Perlnits (E)
AMOUNT RECEIVED
TOTAL AMOUNT DUE (excluding clectrical)
(A, B, C, D, and E Combined)RECEIVED BY
f
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
Flans Reri-e*ed
VALIDATION:
TM
M,75,q{-