HomeMy WebLinkAboutPermit Mechanical 1996-02-01SPRI1{GF IELI)
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Office: 726-3759 Zfr,
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
TAX LOT:
SUBDIVISION:
LOCATION OF PRO
ASSESSORS MAP:
LOT BLOCK:
PHON E:
ZIP:STATE:
OWNER:
CITY:
AD
ADDITION MOLISH OTHER
DESCRIBE WOFIK:
NEW
-
FIEMOD
ELECTRICAL: -
ADDRESS EXPIRES - PHONECONTBACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
5
WATER HEATEB
r OF BDRMS:OCCY GROUP:
_ OFFICE USE -
ZONING CODE:
FLOOD PLAIN
, OF STORIES:
---BANGE:
SECONDARY HEAT:
SQUARF. FOOTAGE:
QUAD AREA:
'I OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
-
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All inspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
Temporary Electrlc [-E]-RoughU cover.
Ittscff-Shfcat - Prlor toqq5
Etec)*al - Prior to
Final Plumbing - When all
plumblng worl< ls complete.
Slte lnspectlon - To lre made
after excavation, but Prior to
settlng forms.
Rough Final Eleclrical - When all
electrical work is complete.cover,
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain Permanent
electrlcal power.
f-ffinatU mech - When all
ani work ls complete.
Footlng - After trenches are
excavated.Fireplace - Prlor to faclng
materlals and framing lnsP.
Final Building - When all
required lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover,
lP'6therllFoundatlon - After forms are
erected but Prlor to concrete
placement.
Wall/Ceiling lnsulatlon - Prlor to
cover,
Underground Plumbing - Prior
to fllllng trench.J-l orywall - Prior to taPing
MOBILE HOME INSPECTIONS
Underlloor Plumblng/ Mechanical
- Prior to lnsulatlon or decking.
Posl and Beam - Prior to floor
lnsulation or decklng.lnsert - After flreplace approvsl
and lnstallatlon of unit.
Blocking and Set-Up - When all
blocklng ls complete.
Floor lnsulation - Prlor to
decking.Curbcut & Alrproach - After
forms are erected but Prior to
placemcnt of concrete.
Plumbing Connections - When
home lras been connected to
water and sewer.
Sanltary Sewer - Prior to filling
trench.Electrical Connection - When
blocklng, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Slorm Sewer.- Prior to filling
trench. -t
Sidewalk & Driveway - After
excavation ls cornplete, forms
and sub-base material in place.
Water Lin'e - Prlor to {illing
trerich.
Fence - When completed
Slreel Trees - When all requlred
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
ventlng have been lnstalled.E Rough Plumbing - Prior to
cover.
LAND USE:
E
E
E
l--l Wood Stove - After lnstallatlon.
tl
tl
E
E
E
E
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Set IS THE PROPOSED WORK iN THE
HISTORICAL DISTRICT, OR ON
THE H ISTORICAL REGISTER?
-
lf yes, this applicatlon rnuit O" slgned
and approved by the Historlcal
Coordi nator prior tolpermit issuance.
APPROVED;
P.L.HSE GAR ACC
N
S
E
SO. FT. X $/SQ. FT. : VALUE
BUILDING PERMIT
(A)
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
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.
Plans ReviewecJ t3y Date
Recei pt Numbe
Plan Check Fee
Date Paid:
Beceive<J By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City linrits which are being improved.
ITEM
Fixtures
Flesidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
No
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
nt
uttrt+le-
OO
(D)
N0
M
Vent Fan
ical Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
lssuance
State Surcharge
Total Permit
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certlfy that all
information hereon is true 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 Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work described
herein, and that NO OCCUPANCY wlll be made of any
structure without permission of the Building Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
from the street, that the permit card ls located at the front
of the property, and the approved set of
Slgnatu
o^r. 8- /-f 6 ,
ans will remaln
flon the site at mes cons
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
---
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excludlng electrical
(A, B, C, D, and E Combined)
E
DATE PAID
AMOUNT H
RECEIVED BY
VALIDATION:
RECEIPT NUMBE