HomeMy WebLinkAboutPermit Mechanical 1997-08-28RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 728-3769
Olfice: 726-3759
IELD
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon g7 477
LOCATION OF PRO K:
ASSESSORS MAP:TAX LOT:
LOT
-
BLOCK:SUBDIVISION:
--
OWNER:
CITY;
A
zlP;STATE:
DDITION DEMOLISH OTHER
DESCRIBE WOR
NEW- REMODEL
ADDRESS EXPIBES PHONECONTRACTOR'S NAME
GENEFAL:
PLUMBING:
MECHANICAL:
ELECTHICAL:
CONST,
CONTRACTOR #
USE -
FLOOD I'LAIN
RANGE:
HEAT
toF
co
OUAD AREA:
r OF BLDGS:
SECONDARY HEAT
SQUARE. FOOTAGE:
, OF BDRMS:
-
OCCY GROUP:
* OF STORIES:
ZONING CODE:
To request an lnspectlon, you must call 726-3769. Thls ls a24hour
made the same worklng day, lnspectlons requested after 7:00 a.m.
spections requested before 7:00 a.m. wlll be
wlll e the followlng work day.
REQUIRED TNSPECTTONS
[_l femporary Electrlc It{Rough|J cover.ffni'- Prlor to Flnal Plumbing - When altplumbing worl< ls complete.
Slte lnspectlon - To be mado
after excavatlon, but prior to
settlng forms.
Rough Electrlcal - Prlor to Flnal Electrlcal - When all
electrical work is complete.cover,
Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
al Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.fl Flreplace - Prlor to laclng
malerlals and lramlng lnsp.
Flnal Building - When alt
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, grouting.tl Framlng - Prlor to cover.tl Foundatlon - After forms are
erected but prlor to concrete
placement.
f?-ottrer
WalllCblllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prlor Drywall - Prlor to taplngto fllllng trench.
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPE TIONS
Wood Slovo - After lnstallatlon.
tl Posl and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcul & AJrproaclr - After
forms are erected but prlor to
placement of concrete.
Plumbing Connectlons - When
home lras been connected to
water and sewer.
Sanltary Sewer - Prior to fllllng
trench,Eleclrical Connection - When
blocking, set.up, and plumbing
inspections have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prior to fllllng
trench.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base materlal in place.
Waler Llne - Prlor to filllng
trench.l--l Fence - Vvhen coi-npleted
Street Treos - When all requlred
trees are planted.
Final - After all required
inspectlons are approved andporchcs, skirting, decks, and
ventlng have been lnstalled.
Rough Plumblng - Prlor to
cover,
PHONE:
WATER HEATER:
E
D
tl
. l'-i;,', l't'.
il ,
Lot faces
Lot sg. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle \
-
Cul-de-sac
i rs rHe PFloPosED woRK tN THE -
HISTORICAL DISTRICI, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the H istorlcal
Coordinator prlor to permit issuance.
APPFIOVED:
GAR ACCPL.HSE
N
S
W
E
VALUE
(A)
't
Total Value
Building Permit Fee
State Surcharge
Total Fee
X $/SQ. FT.
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
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 Springf ield, includlng the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances,
Plans Reviewed By Date
Recei pt Numbe
BUILDI
AND B
EH KGccLAN
MRPULDGN T
Plan Check Fee:
Date Pald
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
Nr
PLUMBING PERMIT
Plumblng Pormlt
State Surcharge
Total Charge
- FT.
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon ls true and correct, and I f urther certlfy
that any and all work performed shall be done in accortjance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon perlainlng to the work descrlbed
herein, and that NO OCCUPANCY wlll be made of any
structure wlthout permission of the Buildlng Safety Divislon.
I further certify that only contractors and employees who
are In compliance with ORS 701.0SS will be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper tlme, that each address ls readable
from the street, that the pormlt card ls located at the lront
of the property, and the approved set of plans will remaln
all tlmes durlngon the
Slgnr
Date
Wood Stove/ lnsert/Flreplace Unit
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Perrnits (E)
,OD
(D)
tpb
MECHANICAL PERMIT
anical Permit
Furnace
Exhaust Hood
Vent Fan
lssuance
State Surcharge
Total Permlt
TOTAL AMOUNT DUE (excludlng electricat)
(A, B, C, Q and E Comblned)
DATE PAID
AMOUNT RECEI
RECEIVED BY
VALIDATION:
RECEIPT NUMB
FT.
FT.
JUdC