HomeMy WebLinkAboutPermit Mechanical 1993-11-22/
SPllINGFIELE,
RESID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
? 31767
h,
JOB NUMBER
3 8s // 2^6 t"
TAX LOTASSESSORS MAP:
LOT:BLOCK;SUBDIVISION
OWNER:
CITY:
r2
ADDRESS .? tr.f tu 2 ./Ata
PHoNE: ^//^d?3n
NEW '--- FTEMoDEL ADDrrroN DEMoLtsH orHER
DESCRIBE WOFIK:
EXPIRES PHONEADDRESSCONTRACTOR'S NAME
ELECTRICAL:
MECHANICAL:Dal ar
CONST.
CONTRACTOR #
G EN ERAL:
PLUMBING
RANGE:
# OF BDRMS
- OFFICE USE -
LAND USE:
ZONING CODE:
FLOOD PLAIN
WATER HEATER:
* OF UNITS;
SECONDARY HEAT:
SQUARE FOOTAGE:
QUAD ABEA:
# OF BLDGS
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOUFICE:
To request an inspection, you must call 726-3769. This ls a24hour recording. All inspections requested before 7:00 a.m. will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
Temporary Electric ,K Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is complete.
Site lnspeclion - 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.
Eleclrical Service - Must be
approved to obtain permanent
electrical power.
l< Final Mechanical - When all
fr)trecnanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prlor to facing
materlals and framlng lnsp.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover.Zr+< baE
Foundation - After forms are
erected but prior to concrete
placement.
fiotn"'
Wall/Ceiling lnsulalion - Prior to
cover,
Underground Plumbing - Prior
to filling trench.Drywall - Prior to taping
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After installation
Post and Beam - Prior to floor
insulation or decking.lnsert - After flreplace approval
and lnstallation of unit.
Blocking and Set-Up - When all
blocking is complete.
Floor lnsulation - Prior to
decking.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Conneclions - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prlor to filling
trench.
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base materlal ln place.
Water Line - Prior to fllling
trench.
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Rough Plumbing - Prior to
cover.
225 Fifth Street
Springf ield, Oregon 97477
2 b/azt
STATE: q ZIP, 7.1??
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[*l Fence - When completed.
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Setbacks
P.L.HSE GAR ACC
N
S
E
i . rS THE PROPOSED WORK lN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER? --
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
Lot laces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type -
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
VALUE
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Spri ngfield, 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.
,v/L
PtaEEe%ileE By Date
Beceipt Numbe
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
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N0
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
lhtt?,
/s.ao
,/O <P
,7r
/',1'!' *- f' / ' #.
(D)258
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By signature, I state and agree, that I have carefully 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 Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that 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 70'1.055 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 the street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
natu refr
Date //- - ,_ -73
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Combined)2.s,ry
Z-,7r
RECEIVED BY
AMOUNT RECEIVED
DATE PAID
VALIDATION:
RECEIPT NUMBER
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