HomeMy WebLinkAboutPermit Mechanical 1995-05-23RESIDENTIAL
PERM'T APPLICAT'ON
lnspections: 726-3769
Ot(ice:726-3759
LOCATION OF PROPOSED WOBK:t<6
Lbb o q?
JOB NUMBER Q{o-72o
225 Fifth Street
Spring fleld, Oregon 97 477
TAX LO"I:0 71ru
SPR IAIGFIELE)
ASSESSORS MAP:
LOT;BLOCK:SUBDIVISION
PHONE:
STATE
1u U- 2q#
ZIP:1CITY:
ADDBESS
OWNER:
EMOLISH OTHER
DESCRIBE WORK:
NEW
--
REMODEL ADDITION
ADDRESS EXPIRES PHONE
11
CONTRACTOR'S NAME
MECHANICAL;
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
RANGE:
- OFFICE USE -
WATER HEATER
ZONING CODE:* OF UNITS:
QUAD AREA:
E OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE:
OCCY GBOUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. Thls ls a24hour recordlng. 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 followlng work day.
REQUIRED INSPECTIONS
l-l Temporary Electric
ll
Rough Mechanical - Prlor to
cover.
Final Plumbing - When all
plumbing work is complete.
Site 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 Plurnbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Fireplace - Prior to facing
materlals and framing lnsp.
Flnal Building - When all
requlred lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, grouting.Framlng - Prlor to cover.
OtherFoundallon - After forms are
erected but prior to concrete
placement.Wall/Celling lnsulatlon - Prlor to
cover.
Underground Plumbing - Prior
to fllling trench.Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to lnsulation or decking.Wood Stovo - After lnstallatlon.
Post and Beanv - Prior to floor
insulation or decking.lnsert - After fireplace approvql
and installation of unit.
Blocking and Set.Up - When all
blocking ls complete.
Floor lnsulation - Prior to
decki ng.Curbcul & Approaclr - After
forms are erected bttt Prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to f illing
trench.Eleclrical Conneclion - 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 - Atter
excavation ls complete, forms
and sub-base material ln Place.
Water Line - Prior 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
ventlng have been lnstalled.
# OF BDFIMS:
--
LAND USE:FLOOD PLAIN:
E
tl
E
tl
Er
Er
D
E
tl
E
E
D
E
E
E
tl
IS THE PROPOSED WORK TN THE
HISTORICAL DISTFIICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and aPProved bY the Historical
Coordinator prior to permit issuance'
APPROVED:
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
P.L.HSE GAR ACC
N
S
E
BUILDING PERMIT
VALUE
(A)
SO. FT. X $/SO. FT,ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, including the
Development Code, regulating the coqstruction and use ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of said ordinances.
Date
Date Paid
Receipt Number
Received By:
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
FEE
(c)
N0
FT.
FT.
Residential Bath(s)
Plumblng Permit
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Fixtures
Sanitary Sewer
Water
Storm Sewer
Moblle Home
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Fi replace Unlt
Dryer Vent
(D)
-15'-=-
n
Mechanical Permit
lssuance
State Surcharge
Total Permit
By slgnature, I state and agree, that I have caref ully examlnedthe completed apptication and do hereby certify that allinformation hereon is true ancl correct, and I f urther certify
that any and alr work performed shail be done in accordance
wlth the Ordinances of thc City of Springfield, and the Lawsof the State of Oregon pertainlng to the work described
herein. and that NO OCCUPANCy wiil be made of any
structure without perrnission of the Buildirrg Safety Division.I further certify that only contractors and employees who
are in compliance with ORS 701.05S will be used on thisproject.
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 permlt card ls located at the frontof the property, and the approved set of plans will remain
Signatu re
Date
on the site at aJ ton
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk _ ft
Curbcut f t
Demolition
State Surcharge
Total Miscellaneous permits (E)
TOTAL AMOUNT DUE (exctuding electrical)(A, B, C, D, and E Combined)
0rl q
1/0AMOUNT RECEIVED
RECEIVED BY
DATE PAID
VALIDATION:
RECEIPT NUMBEB
Flans ReviewecJ-Bt_--- --
FT.