HomeMy WebLinkAboutPermit Mechanical 1997-10-13ASSESSoRS M^p: /9-22 -A5 - / 2 rAx Lor e? --
LOT:
-
BLOCK: _
FIELE,
SUBDIVISION:
SP,rI
*fr,
LOCATION OF PROPOSED WORK:
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office:726.3759
JoB NUMBEa-22F?i_
225 Fifth Street
Springfleld, Oregon 97477
OWNER:
ADDRESS;
CITY:{n zte, a2/28
PHONE:
STATE:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ADDFIESS EXPIRES ,f PHONE
CONTRACTOR'S NAME
MECHANICAL:
ELECTBICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
- OFFICE USE -
* OF BDFIMS:
RANGE:
FLOOD PLAINLAND USE:QUAD AREA:
# OF BLDGS
SECONDARY HEAT:
SQUARE FOOTAGE:WATER HEATER:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE;
# OF UNITS: _ZONING CODE:
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. will be made the following work day.
REQUIRED TNSPECTIONS
Temporary Electric VI Grc
Rough Mechanlcal - Prlor to
Slte lnspectlon - To be made
after excavatlon, but prior to
setting forms.
Underslab Plumbing/ Electrical /
Mechanlcal - Prior to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng,
Foundatlon - After forms are
erected but prior to concrete
placement.
Underground Plumblng - Prior
to fllling trench.
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
Post and Beam - Prlor to floor
lnsulatlon or decking.
Floor lnsulation - Prior to
decking.
Sanitary Sewer - Prior to fllling
trench.
Storm Sewer - Prlor to lllllng
trench.
Water Llne - Prlor to lilling
trench.
Rough Electrlcal - Prior to
cover.
Electrical Servlce - Must be
approved to obtain permanent
electrlcal power.
Flreplaco - Prlor to faclng
materlals and framlng lnsp.
Framlng - Prlor to cover.
Wall/Celllng lnsulatlon - Prlor to
cover.
Final Plumbing - When all
plumbing worl< is complete.
Flnal Electrical - When all
electrical work is complete.
l-l Drywall - Prlor to taplng
Wood Stovo - After lnstallatlon.
lnserl - After flrePlace aPProval
and lnstallatlon of unlt.
Curbcut & AlrProaclr - After
forms are erected btlt Prior to
placement of concrete.
Final Mechanical - When all
mechanical work ls complete.
Flnal Buildlng - When all
required lnspectlons have been
approved and building is
completed.
Wouer
MOBILE HOME INSPE TIONS
Blocking and Set.UP - When all
blocklng ls comPlete.
Plumbing Connections - When
home lras been connected to
water an<J sewer.
w
E
Sidewalk & Driveway - Atter
excavation ls complete, forms
anO suU'Uase material in Place'
Fence - When coi-aPleted'
Bough Plumbing - Prior to
cover.
Stre€t Trees - When all requlred
trees are Planteo'
E fl
r
tr
D
f---l Electrical Connection - When
LJ 51qsk16g, set'uP, and Plumbing
insoections have been aPProved
,.rd the home is connected to
the servlce Panel'
t--1 Final - Atter all required
L-l i;;;;"ttoni-are aPProved ^and
;;t:h;;; skl rti ns'ndecks' ranoventlng have b(
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle I
-
Cul-de-sac
PL,HSE GAR ACC'
N
W
E
IS THE PFIOPOSED WORK TN THE "
HISTORICAL DISTRIC"T, OR ON
THE HISTORICAL REGISTER?
-
ll yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
BUILDING PERMIT :
VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
ITEM
Main
Garage
Carport
SO. FT. X $/SQ. FT.
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 revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Recei pt Numbe
BUILDING
AND BUIL DIN
lUe, iSlnN cHEcK
G PERMIT
Plan Check Fee:
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Flxtures
Resldential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
Nl
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
-E:e
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accorrJance
wlth the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure wlthout permission of the Building Safety Division.
I further certify that only contractors and employees who
are ln compliance with ORS 7O1.OS5 wlll be used on thlsproject.
I further agree to ensure that all required inspections are
requested at the proper tlme, that each address ls readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remaln
on the site at times during con
Slgnatu
Date
lon.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk _-_- ft
Curbcut
--
ft
Demolition
State Surcharge
Total Mlscellaneous permits (E)
TOTAL AMOUNT DUE (excluding electrical)(A, B, C, D, and E Combined)
2a
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
BECEIPT NUMBER
s
\