HomeMy WebLinkAboutPermit Mechanical 1994-10-30RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726.3769
Offlce: 726.3759
P,lII\lGFIELD\--al ,.'
Zfr,
JOB NUMBER I lze>/
225 Fifth Street
Sprlngfleld, Oregon 9Z 472
LOCATION OF PROPOSED WORK:?
ASSESSORS MAP:?e9-z-?- lr TAX LOT:4r9a-d
LOT
-
BLOCK:SUBDIVISION:
PHONE:
ZIP:STATE:*7>CITY:
ADDRESS:
OWNER;
NEW- BEMODEL ADDITION DEMOLISH OTHER
DESCRlBE WORK:
ADDRESS EXPIRES PHONE
cocoCONTBACTOR'S NAME
GENERAL:
ELECTRICAL:
PLUMBING:
MECHAN
NST,
NTRACTOR #
FLOOD PLAIN
I OF BDBMS:
OUAD AREA:
* OF BLDGS:
BANGE:WATER HEATER:
OCCY GROUP:
* OF STORIES:SECONDARY HEAT
SQUARE FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE:
ZONING CODE:
To request an lnspectlon, you must call 726'3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m, wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the foltowlng work day.
REQUIRED INSPECTIONS
Temporary Eteclrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumblng - When allplumblng work ls complete.
Slte lnspectlon - To be made
after excavatlon, but prlor to
settlng forms.
Rough Electrlcal - prlor to [--l Flnal Electrlcal - Wtren altlJ electrlcal work ls complete.ccover,
Underslab Plumbtngl Electrlcal /
Mechanlcal - Prlor to cover.n Electrlcal Servlce - Must lre
approved to obtaln permanent
electrlcal power.
a Flnal Mechanlcal - When allmechanlcal work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Bulldlng - When alt
requlred lnspectlons have beenapproved and building ls
completed.Masonry - Steel locatlon, bond
beams, groutlng.
[-_l Framlng - prtor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.WalllCelllng lnsullatlon - prlor to
cover.
t] ,'"'ffi,1fl;'i;:JJ.'-trns - Prror l-l Drywarr - prror to taprns
Underlloor Plumblng / Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPE TTONStlWood Stovo - After lnstallatlon
Post and Beam - Prlor to floor
lnsulatlon or decklng.l-l lnsert - After flreplace approval'J and lnstallatlon of unlt.
[-_l elocking and Set.Up - Whep ail.J blocklng ls complete.
Floor lnsulallon - Prlor to
decklng.Curbcut & Approach - After
forms are erected but prlor toplacement of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prlor to fllllng
trench.
n Storm Sewer - Prlor to fllilng.J trench.
Sldewalk & Drlveway - After
excavatlon ls complete, forms
and sub-base materlal ln place.
Electrical Connecllon - When
blocking, set.up, and plurpblng
lnspections have been approved
and the home ls connected tothe servlce panel.
Water Llne - Prlor to filllng
trench.l--l fence - When compteted.
Slreel Trees - When all requlred
trees are planted.
Flnal - After all requlred
lnspectlons are approved andporches, sklrtlng, decks, andventlng have been lnstalled.
Rough Plumblng - Prlor to
cover.
I
- OFFICE USE -
LAND USE:
# OF UNITS:
-
[--l othertt
E
;. !r+
Lot faces
Lot sq. ftg.
Lot covorage
Topography
Total 116lght
Lot Typ,
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
, IS THE PROPOSED WORK TN THE -.
HISTOFICAL DISTRICT. OR ON,,THE HISTOBICAL REGISTER?
lf yes, thls appllcatlon must be slgned
and approved by the Hlstorlcal
Coordinator prlor to permit lssuance.
APPROVED:
P.L.HSE GAR ACC
N
S
E
(A)
X $/SO. FT. = VALUE
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ, FT.
Main
Ga(age
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permlt is granted on the express conditlon that the said
construction shall, in all respects, conform to the Ordlnance
adopted by the City . of Sprlngf leld, includlng the
Development Code, regulating the constructlon and use of
bulldings, and may be suspended or revoked at any tlme
upon violation of any provisions of sald ordlnances.
Plans Reviewed By Date
Plan Check Fee
Date Paid:
Receipt Num
Becelved By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties wlthln the City llmlts which are being improved.
ITEM
Flxtu rest
Residentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
N0
FT,
(c)
PLUMBING PERMIT
Plumblng Permit
State. Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
-2o(D)
4,
N0
M ECH
de?Mechanical Permlt
lssuahce
State Surcharge
Total Permlt
y',4'
ffi 4.-
'-5 i*?
Furnace
Exhaust
Vent Fan
By slgnature, I state and agree, that I have caref ully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon hereon ls true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCy wlll be made of any
structure wlthout permission of the Bulldlng Safety Divislon.
I further certlfy that only contractors and employees who
are ln compllance with ORS 7O1.O5S wlll be used on thls
project.
I further agree to ensure that all requlred lnspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set ol plans wlll remaln
,22 t/-7
stru lon
Slgnature
Date
on the slte al all times durlng
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Domolltlon
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, Q and E Comblned)
2a
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
FT.
FT.
ICAL P