HomeMy WebLinkAboutPermit Mechanical 1995-08-03FIELD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Office: 726-3759
JOB NUMBER
225 Fifth Street
Spri ngf I eld, Oregon 97 477
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LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT
-
BLOCK:SUBDIVISION:
-7eb-@? tLrn € pe eLL PHONE:
d<-? 7 tzPztPSTATE:
/o
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P RilA
s ? .r. tvILOWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
OF t){DESCRIBE WORK:
EXPIRES PHONEADDRESS
-/6e tCs.o-T;?s 7
CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
ScoF/E ld E/4
RANGE:
* OF BDRMS:
- OFFICE USE _
LAND USE:
ZONING CODE:
FLOOD PLAIN
WATER HEATER
* OF UNITS:
SECONDARY HEAT:
SQUARE FOOTAGE:
QUAD AREA:
* OF BLDGST
OCCY GBOUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. Thls 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 Mnougt Mechanical - Prior to
,)a cover.
Final Plumbing
plumbing work - When all
is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrlcal work is complete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrica! Service - Must be
approved to obtain permanent
electrlcal power.
I#Final Mechanical - When all
frnecnanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prlor to faclng
materlals and framlng lnsp.
Final Building - When all
required lnspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover.
Other
Foundation - After forms are
erected but prior to concrete
placement.Wall/Celling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.Drywall - Prior to taping
MOBILE HOME INSPESI'IONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After installatlon
Post and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approval
and lnstallation of unit.
Blocking and Set.Up - When all
blocking is complete.
Floor lnsulation - Prior to
decki ng.Curbcut &Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - 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 - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Fence - When completed.Water Line - Prior to filling
trench.Final - After all required
inspections are approved and
porches, skirting, decks, and
ventlng have been lnstalled,
Rough Plumbing - Prior to
cover.
Street Trges - When all required
trees are planted.
2rtzes
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
W
E
BUILDING PERMIT
ITEM SO. FT.X $iSQ. FT.VALUE
Main
Garage
Carport
Total Value
Buildlng Permit Fee
State Surcharge
Total Fee (A)
Plan Check Fee
Date Paid:
Receipt Numbe
Received By:
Plans Beviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
N0
FT.
FT.
FT.
Plumblng Permlt
State Surcharge
Total Charge (c)
ADDITIONAL COMMENTS
MECHANICAL PERM!T
Furnace
Exhaust Hood
//
Vent Fan N0
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
Mechanical Permlt
lssuance
State Surcharge, ?f * r{5
Total Permlt (D)
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By slgnature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
lnformation hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Springf ield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 will be used on this
prolect.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card is located at the front
of the property,.the approved set of plans will remain
on the site at all during
Slgnature
Date
n.o\-
MI$CELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surcharge
Total Miscellaneous Permlts (E)
VALIDATION:
RECEIPT NUMBER *f6r
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
Zo
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
^4t?
: THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
lf yes, this application must be signed
and app!'oved by t he H istorical
Coordinator prior to permit issuance.
APPROVED:
BUILDING VALU E, PLAN CH ECK
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 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.