HomeMy WebLinkAboutPermit Mechanical 1995-11-01SPFlIr.rGFIELD bIRESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Office: 726-3759
POSED WOFIK:
2fr,
JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97477
TAX LOT:\8@LOCATION OF PRO
ASSESSORS MAP:\-1D33oZt
LOT:BLOCK:SUBDIVISION:
PHONE:
zlPSTATE:
OWNER:
CITY:
ADD
TION
-_
ISH
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OTHER
DESCRIBE WO
NEW- REMODEL A
178,e,
EXPIRES PHONEADDRESS
P
M
CONTRACTOR'S NAME
ELECTRICAL
GENEBAL:
CONST.
CONTRACTOB '
RANGF-:
* OF BDRMS:
_ OFFICE USE -
ZONING CODE:
FLOOD PLAIN
WATER HEATER:
SECONDARY HEAT:
SOUARE FOOTAGE:
OUAD AREA:
* OF BLDGST
CONSTR. TYPEr
HEAT SOURCE:
LAND USE:
# OF UNITS
OCCY GROUP:
* OF STORIES:
To request an lnspection, you must call 726-3769. Thls ls a 24 hour recording. All inspections requested before 7:00 a.m. wlll be
made the sanre working day, lnspections requested after 7:00 a.m. will be made the following work day.
Temporary Eleclric
REOUIRED INSPECTIONS
ffi;;,,'q'A$R/ - Prior to Final Plumbing - When all
plumblng worl( ls complete.
Slte 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 cover.
Electrical Service - Must be
approved to obtain Permanent
electrlcal power.
qOa
I l,.f Final [rl@.al - When alllJ mechanit6l work is complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Building - When all
required lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, grouting.Framing - Prlor to cover.
Foundatlon - After forms are
erected but prior to concrete
placement.
Z6rner
Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.Drywall - Prlor to taping
MOBILE HOME INSPE TIONS
Underltoor Plumbing/ Mechanical
- Prior to lnsulatlon or decking.Wood Stove - After lnstallation.
Post and Beam - Prior to floor
lnsulation or decking.lnsert - After flreplace aPProvql
and installation of unit.
Blocking and Set-Up - When all
blocklng ls complete.
Floor lnsulatlon - Prior to
decklng.Curbcut & Approach - After
forms are erected b(lt Prior to
placement of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to f illing
trench.Electrical 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.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in Place.
Water Line - Prlor to filling
trench.
Fence - When comPleted.
Street Trees - When all requlred
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
ventlng have been installed.Rough Plumbing - Prior to
cover.
E
tl
tl
Er
E
E
E
E
E
E
r E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Set
PL.HSE GAR ACC
N
S
E
IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER? .--
lf yes, this applicatlon must be slgnedand approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
VALUE
(A)
X $/SQ. FI.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMTT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AN D BUILDING PERMIT
This permit is granted on the express condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, including theDevelopment Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of said ordinances.
Plans Rcviewecl By Date
Date Paid
Flecei pt Number
Received By:
Plan Check Fee
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properlies within tl.re City limits which are being improved.
ITEM
Flxtures
Besidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
N0
FT.
FT.
FT.
(c)
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert / Flreplace Unit
MECHANICAL PERMIT
ls.oooo
(D)
echanical Permit
Dryer
N0
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certify that alllnformatlon hereon is true anct correct, and I f urther cerilfy
that any and a[ work performed shail be done in accordance
wlth the Ordinances of the City of Springfield, and the Lawsof the State of Oregon pertainlng to the work described
herein, and that NO OCCUPANCy will be made of any
structure without perrnission of the Buildirlg Safety Divislon.I further certify that only contractors and employees who
are ln compliance with ORS 701.055 will be used on thlsprolect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readabre
from the street, that the permit card ls located at the frontof the property, and the approved set of ptans will remaln
on the site at
atu re
Date
N"
I times during construcilon.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk _ ft
Curbcut _ ft
Demolition
State Surcharge
Total Miscellaneous permits (E)
TOTAL AMOUNT DUE (exctudtng elec(ricat)
(A, B, C, D, and E Combined)
vhtroRtror.r:
RECEIPT NUMBER
DATE PAID
AMOUNT R
RECEIVED BY