HomeMy WebLinkAboutPermit Mechanical 1997-09-28SPRIrtGFIELD q7c t12RESIDENTIAL
PERMIT APPLICATION
lnspections:726-3769
Office: 726-3759
LOCATION OF PROPOSED WO
ASSESSORS MAP:
LOT
-
BLOCK:
L{2q 5 ?3 45 +
:hhb rws ba
JOB NUMBER
225 Fifth Street
Springf leld, Oregon 97477
TAX LOT:owl
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SUBDIVISION
4()E:2
STATE:O,<ZIP:77
OWNER:
ADDRESS:
CITY:
OLISH OTHER
DESCRIBE WORK:
NEW
-
REMODEL ADDITION
GENERAL:
PLUMBING:
ELEGTRICAL:
EXPIRES PHONEADDRESS
TbD
CONTRACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR #
RANGF-:
E OF BDRMS:
_ OFFICE USE _
LAND USE:
ZONING CODE:
FLOOD I)LAIN
WATER HEATER:
r OF UNITS:
SECONDARY HEAT:
SQUARF. FOOTAGE:
OUAD AREA:
I OF BLDGS:
OCCY GROUP:
*,OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls is a 24 hour rccording. All inspections requested before 7:00 a.m. will be
made the same working day, lnspections requested after 7:00 a.m. wlll be made lhe following work day.
REQUIRED INSPECTIONS
Temporary Electric Rough Mochanlcal - Prior to
cover.
Final Plunrbing - When all
plumbing worl< is complete.
Site lnspectlon - To be mada
af ter excavation, but Prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical worl< is complete.cover
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrical Servlce - Must be
approvecl to obtain Permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Foollng - Af ter trenches are
excavated.Fireplace - Prlor to faclng
materlals and lraming lnsP.
Final Building - When all
required lnspectlons have been
approved and building ls
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Other
Foundatlon - After forms are
erected but prlor to concrete
placement.
Wall/Celling lnsulation - Prlor to
cover,
Underground Plumblng - Prior
to f illing trench.l-_l Drywall - Prlor to tanlng
MOBILE I.IOME INSPE TIONS
Underlloor Plumbing / Mechanlcal
- Prior to lnsulation or decking.Wood Stove - After lnstallatlon.
Post and Beam - Prior to floor
lnsulation or decking.lnsert - After flrePlace approval
and installatlon of unit.
Blocking and Set.Up - When all
blockln0 is complete.
Floor lnsulation - Prior to
decking.Curbcut & A1>Proach - After
forms are erecled btlt Prior to
placemcnt ol concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blockin0, set-up, and Plumbing
inspections have been apProved
and the home is connected to
the service panel.
Slorm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is comPlete, forms
and sub-base material in Place.
Waler Line - Prlor to filling
trench.
Str€ot Trees - When all requlred
trees are Planted.
Final - After all required
inspections are approved and
porches, skirtlng, decks, and
ventlng have been installed.Rough Plumbing - Prior to
cover.
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l-_l Fence - wnen comPleted.
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typr
-
lnterior
--
Corner
-
Panhandle
-
Cul-de-sac
Setbac
PL.HSE GAR ACC
N
S
E
IS THE PFIOPOSED WORK iN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be slgnedand approved by the Historical
Coordinalor prior to permit issuance.
APPROVED
BUILDING PERMIT
VALUE
(A)
SO. FT. X $/SQ. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fec
BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT
This pernrit is granted on the cxpress condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, including theDevelopment Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of said ordinances.
Plans Reviewed By Date
Receipt Numbe
Date Paid
Received By:
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within ilre City linrits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
N0
FT.
FT.
FT.
(c)
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
By signature, I state and agrqq, that I have carefully examinedthe completed application and do hereby certify that allinformation hereon is true and correct, and I f urther certify
that any and arr work performed shail be done in accordance
with the Ordinances of the City of Springfield, and the Lawsof the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCy will be made of anystructure without perrnission of the Building Safety Divislon.I further certify that only contractors and employees whoare in compliance with OFIS 70.1.055 will be used on thisproiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readabre
from the street, that the permit card ls located at the frontof the property, and the approved set of plans will remain
t-zg-Date
t'-.'
t**-*
consl ructlon\_
U{ $...-
a ng
fn
on the sit I times duri
Signatu
Wood Stove/ lnsert / Fl replace Unit
Dryer Vent
n\i A
stare Surcharse 13q"C;h/ Av1*;n
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk _ {t
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous perrnits (E)
MECHANICAL PERMIT
te.00
/0
Total Permit (D)
N0
Mechanical Permit
lssuance
Furnace
Exhaust Hooci
Vent Fan
TOTAL AMOUNT DUE (exctuding elecrricat)
(A, B, C, D, and E Combined)
RECEIPT N
DATE PAID
RECEIVED BY
7
UMBE
VALIDATION
ZDAMouNr REcETvED &
I