HomeMy WebLinkAboutPermit Mechanical 1993-01-28SP]TINGFIELE,
IRESIDENTIAL
PERMIT APPLICATION
lnspections:726'3769
Office: 726-3759
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
LOCATION OF PRO
ASSESSORS MAP:
SUBDIVISION:LOT: BLOCK
PHONE:
ZIP:STATE:
OWNER
ADDR
CITY:
ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NEW _-- FIEMODEL
PHONEEXPIRESADDRESSCONTRACTOH'S NAME
ELECTRICAL:
MECHANICA
CONST.
CONTRACTOR '
GENERAL:
PLUMBING
# OF BDBMS
- OFFICE USE -
LAND USE FLOOD PLAIN
WATER HEATER
,t' OF UNITS:
RANGE:
SECONDARY HEAT:
SOUARE FOOTAGE:
QUAD AREA:
# OF BLDGS ZONING CODE:
OCCY GROUP:
, OF STORIES
To request an inspection, you must call 726-3769. This is a24hour recording' All inspections reques
made the same working day, lnspections requested after 7:00 a'm' will be made the tollowing work
REQUIRED INSPECTIONS
ted before 7:00 a.m. will be
day.
[-l TemPorarY Eleclric
ll
Sile lnspection - To be made
after excavation, but Prior to
setting forms.
Underslab Plumbing / Electrical /
Mechanical - Prior to cover'
Footing - After trenches are
excavated.
Masonry - Steel location, bond
beams, grouting.
Foundation - After forms are
erected but Prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.
Posl and Beam - Prior to floor
insulation or decking.
Floor lnsulation - Prior to
decki ng.
SanitarY Sewer - Prior to f illing
trench.
Storm Sewer - Prior to filling
trench.
Water Line - Prior to filling
trench.
Rough Mechanical - Prior to
cover.
Rough Electrical - Prior to
cover,
Final Plumbing - When all
plumbing work is comPlete'
Final Electrical - When all
electrical work is complete'
Final Building - When all
required inspections have been
approved and building is
completed.
ft#inal Mechanical - When all
Wmechanical work is comPlete.Electrical Service - Must be
approved to obtain Permanent
electrical power.
[.l Fireplace - Prior to facingU materials and framing lnsP.
Framing - Prior to cover.
Wall/Ceiling lnsulation - Prior to
cover.
l--l Drywall - Prior to taping
Wood Stove - After installation.
lnserl - After firePlace aPProval
and installation of unit.
Curbcut & APProach - After
forms are erected but Prior to
placement of concrete.
Sidewalk & DrivewaY - Alter
excavation is comPlete, forms
and sub-base material in Place.
Fence - When cornPleted
Strcet Trees - Wherr all required
trees are planterj.
Other
MOBILE HOME INSPECTIONS
Blocking and Set-UP - When all
blocking is comPlete'
Plumbing Connections - When
home has been connected to
water and sewer.
Eleclrical Connection - When
blocking, set-up, and Plumbing
inspections have been aPProved
and the home is connected to
the servlce panel.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
P
Rough Pltrmbing - Prior to
cover.
CONSTR. TYPE:
HEAT SOURCE:
E
tl
tl
tl
r
tlr
rl
rlr
E
r
tl
r r
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Set ks
P.L.I-ISE
N
S
E
GAR ACC
BUILDING PERMIT
ITEM SQ. FT.X S/SO. FT.VALUE
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee (A)
;THE PROPOSED WOFIK IN THE
I-.I ISTORICAL DISTRICI, oFI oN
THE HISTOFIICAL REGISTER? -_=--
lf yes, lhis application must be signed
and approved by the H istorical
Coordinator prior to pelmit issuance.
APPROVED
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit rs granted on the express condition that the saidconstruclion slrall, in all respects, conform to the Ordinanceadopted by the City of Springfield, inctuding the
Development Code, regulating the construction and use ofbuildlngs, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee: __
Date Paid
Receipt Numt:er
Reccived By
Plans Revicwcd By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City Iimits which are being improved.
PLUMBING PERMIT
ITEM
Fixtures
Flesidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
N0
FT.
FT.
FT.
Plumbing Permit
State Surcharge
Total Charge (c)
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Fi replace Unit
Dryervent r - r \ I
O\G_D t_Lfrtc\ NtI\',_r
Mechanical Permit
lssuance
State Surcharge
Total Permit (D)
By signature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springf ietd, and the Laws
of the State of Oregon pertaining to the work clescribed
herein, and ll'rat NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from tl.re street, that the permit card is located at the front
of the property, and the approved set of plans will remain
K
the site at all ti during struction
nature
Date _/-z
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
VALIDATION tiIECEIPT NU MBE
t-DATE PAID
AMOUNT BECEIVED
RECEIVED BY
\ru
TOTAL AMOUNT DUE (excluding electrica,, Cf,55
(A, B, C, D, and E Combined)