HomeMy WebLinkAboutPermit Mechanical 1997-04-04RESIDENTIAL
PERM!T APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WOFIK:
ASSESSOFIS MAP:
LOT:
SPrlII\lGFIELD q1 0 rTq
ltd
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
TAX LOT
SUBDIVISION:
--
BLOCK:
PHONE:
ZIP:
Z
STATE:
OWNER:
ADDRESS:
CITY:
e.-
A<ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NEW- REMODEL
ADDRESS
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EXPIRES ,3 PHONE
ELECTRICAL;
CONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
- OFFICE USE -
LAND USE:
WATER HEATER:
FLOOD PLAIN:
FIANGE:
QUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SOUARF. FOOTAGE:
# OF BDRMS: _OCCY GBOUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
ZONING CODE:
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To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All inspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. will be made the followlng work day.
REQUIRED INSPECTIONS
Temporary Etectrlc
P cover.
Final Plumbing - When all
plumbing worl( ls complete.
Slte lnspectlon - To be made
after excavatlon, but prlor to
settlng forms.
Rough Electrlcal - Prior to Final Electrlcal - When all
electrical work ls complete.cover,
Underslab Plumblngl Electrical /
Mechanlcal - Prlor to cover.
Electrical Service - Must be
approved to obtain permanent
electrlcal power.
I Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
6XCavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Buildlng - When all
required lnspections have been
approved and building ls
Masonry - Steel locatlon, bond
beams, groutlng.
pleted
Framlng - Prlor to cover.ttOther
Foundallon - After forms are
erected but Prlor to concrete
placement.WalllCeltlng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.l--.| orywall - Prior to taning
MOBILE HOME INSPECTIONS
Underlloor Plumblng I Mechanlcal
- Prlor to lnsulatlon or decklng.fl Wood Stove - After lnstallation.
Posl and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flrePlace approval
and lnstallatlon ol unlt.
Floor lnsulation - Prior to
decking.
Sanltary Sewer - Prior to lllllng
trench.
Curbcut & APProach - After
forms are erected btrt Prior to
placement of concrete.
Plumtring Connections - When
home has been connected to
water and sewer.
Storm Sewer - Prior to fllling
trench.
Water Llne - Prlor to filling
trench.
Sidewatk & Driveway - After
excavation ls comPlete, forms
inO suU'nase material in Place'
Fence - When comPleted'
Electrical Connection - When
blocking, se\'uP, and Plumblng .
inspecti-ons have been approved
and the home is connected to
the service Panel.
Rough Plumbing - Prlor to
cover.
f-l Street Trees - When all requlred
I I ir""" are planted.
Final - After all required
insoections are approved and
;;;;;"; sklrtlns' decks' and
IJ"ii"s h"r. been lnstalled'
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n Blocking and Sel-Up - When alltJ btocklnO is comPlete.
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Set THE PROPOSED WORK TN THE.. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, this applicatlon must be slgned
and approved by the H istorical
Coordinator prior to permit issuance'
APPROVED:
ACCP.L.HSE GAR
N
S
E
This permit is granted on the cxpress 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.
Receipt Number:-
Plans Reviewed By Date
E, l
PE
cE KHNcLALUDGNUBL
MR TGNABDULDN
Plan Check Fee
Date Paid
Received By:
VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
X $/SQ. FT.
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
Systems Development Charge ls due on all undeveloped
properties within the City limits which are being improved'
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sgwer
Water
Storm Sewer
Moblle Home
FEE
(c)
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
No
. FT.
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certlfy that all
informatlon hereon is 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 pertainlng 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 enrployees who
are in compliance with ORS 701.O55 wlll be used on this
proiect.
I further agree to ensure that all required inspections are
reguested at the proper time, that each address ls readable
from the street, that the permlt 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.
Slgnatu
Date
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
l/tRt Y.--
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Mlscellaneous pennits (E)
N0Vent Fan
(D)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Mechanical Permit
lssuance
State Surcharge
Total Permit
TOTAL AMOUNT DUE (exctuding electricat)(4, B, C, D, and E Combined)
2 5i7{
DATE PAID
AMOUNT HECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER -q
FT.
15,LY
$m,75---+5-
c