HomeMy WebLinkAboutPermit Mechanical 1992-03-24FIEL()
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TAX LOT:4 32a>,
Jqtl NUMBER
LOT:
LOCATION OF PROPOSED WORK:
ASSESSOBS MAP:
RqSIDENTIAL
PERMIT APPLICATION
lns lrec tions: 7 26-37 69
Olf ice; 126'3759
225 Fifth street
Springfield, Oregon 97 477
NEW --_* REMODEL -==- ADDITION DEMOLISH OTHER
PHONE:
ZIP:STATE:CITY:
qrBADDRESS:
OWNER:
DESCRIBE WORK:
Pt toNl;EXPIRESADDRESS
OW"yeE
CON I'RACTON'S NAME
CONST.
C()NTRACTOR #
MECHANICAL: .-
ELECTRICAL: .-,-
CENERAL:
I'I I.'MBING
RANGE:
# OF BDRMS:
_ OFFICE USE _
LAND USE:
ZONING CODE:
-
FLOOD PLAIN
WATER HEATER
E OF UNITS:
SECONDARY HEAT:
SOUARE FOOTAGE:
OUAD AREA:
r OF BLDGS:
OCCY GFIOUP:
,' OF STORIES
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call126-3169. This is a24hour recording. All inspections requested before 7:00 a.m. will be
made the same working day, inspectlons requested after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing worl( is complete.
Site lnspection - To be made
af ter excavation, but 1;rior to
settin0 {ornts.
Rough Electrical - Prior to Final Electrical - When all
electrical worl( is cotrtplete.cover.
Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain perlnanent
electrical power.
Firral Mechanical - When all
mechanical worl( is cotnplete.
Fooling - After trenches are
excavated.Fireplace - Prior to facingl
materials and framing lnsp.
Final Building - When all
required inspections have becn
approved and builclirrg is
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover.
Other
Foundation - After forms are
erected but prior to concrete
placement.cover.
Underground Plumbing - Prior
to filling trench.Drywall - Prior to taping
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.W*""o stove - After installation
Post and Beam - Prior to floor
insulation or decking.lnsert - After flrePlace aPProval
and installation of unit.
Blocking and Set-Up - When all
blocking is complete.
Floor lnsulation - Prior to
decki ng.Curbcut & Approach - Af ter
forms are erected but Prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set-up, and plumbing
inspections have be.en approved
ancl the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & DrivewaY - Af ter
excavation is complete, fornts
and sub-base material in Place.
Water Line - Prior to filllng
trench.
Fence - When cornPleted
Rough Plumbing - Prior to
cover.
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
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fl
rSanitary Sewer - Prior to filling
lrench.
E
Wall/Ceiling lnsulation - Prior to.
Lot faces
Lot sq. ftg.
Lot coverage
TopograPlrY
Total height
Lot Type
_- lnterior
-
Corner
-
Panhandle
-- Cul-de-sac
etbacks
P.L.HSE GAR ACC
N
S
E
IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER? _.-
lf yes, this application must be signed
ancl :rpprovecJ bY tllc Historical
Coordinator prior to permit issuance.
APPROVED
BUTLDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This perrnit is granted on tl'tc express condition that the said
construction shall, in all respects, conform lo the Ordinance
adopted by the City of Springficld, including the
Development CocJe, Iequlating the construction and trse of
buildings, and may be suspencled or revoked at any tilne
upon violation of any provisions of said orditrances.
Plan Check Fee: ----
DatePlans Reviewed By
Date Paid
Recei pt Number:-- -.-
Received By:
BUILDTNG PERMIT
VALUE
(A)
SQ. FT. X $/SO. FT,ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
_3/
FEE
(c)
FT.
Plumbing Permit
State Surcharge
Total Charge
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
ITEM
Fixtures
Resiclential Bath(s) N"--
EL
d Stove
MECHANICAL PERMIT
N0
nscrt/Fireplace Unit
Dryer Vent
fre76577.
(D)
ao
Fu rn ace
Exhaust Hood
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
By signature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is lrue 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 describecl
herein, arrd tlrat NO OCCUPANCY will be mzrcle of any
structure witlrout perrnission 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 further agree to ensurc 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, and the approved set of plans will remain
Signature
Date
on the site at tirnes during construction.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
----.-
ft
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneous Permils (E)
L/af__
4-a
DATE PAID
AMOUNT RECEIVI D
RECEIVED BY
VALIDATION:
RECEIPT NUMBER -_.
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Combined)
FT.