HomeMy WebLinkAboutPermit Mechanical 1995-01-25SPFlINGFIELD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
LOCATION OF PROPOSED WOBK:
ASSESSORS MAP:
LOT:
JOB NUMBEB
efr,
225 Fifth Street
Springf ield, Oregon 97477
TAX LOT:
YN
BLOCK:SUBDIVISION
OWNEB:
CITY:
ADD
STATE:
PHON E:
ZIP:
ADDITION D OLISH OTHER
DESCRIBE WOFIK:
NEW- REMODEL
ADDRESS EXPIRES PHONECONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
OUAD AB
# OF BDRMS
- oFFlcE usE -
WATER HEATER:
I OF BLDGS:
RANGE:
SECONDABY HEAT:
SQUARE FOOTAGE:
LAND USE:
OCCY GROUP:
* OF STOBIES:
CONSTFI. TYPE
HEAT SOURCE:
# OF UNITS: _--
To request an inspectlon, you must call 726-3769. Thls ls a24hour recording. All inspections requested before 7:00 a.m. will bemade the same working dav, rnspections '".;;il;ffiii!#l-il_: the rorrowins work dav.
Temporary Electric Rouglr Mechanical - Prior to
cover.
Final Plumbing - When allplumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Eleclrical - When all
electrical work is complete.cover
T Underslab Plumblng / Electrical /
Mechanlcal - Prlor to cover.Electrical Service - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Final Building - When all
requlred inspections have been
approved and building isMasonry - Steel locatlon, bond
beams, groutlng.completed.
Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
ther
Wall/Celling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to fllling trench.l-_l Drywall - prior to taping.
Underlloor Plumblng/ Mechanicat
- Prior to lnsulatlon or decking.
MOBILE HOME INSPECTIONS
Wood Stovo - After lnstallation
Post and Beam - Prlor to floor
lnsulation or decking.lnsert - After flreplace approval
and installatlon of unlt.
Blocking and Set.Up - When ailblocking is complete.
Floor lnsulatlon - Prior to
decklng.Curbcut & Approaclr - After
forms are erected but prior toplacement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to f llling
trench.
Storm Sewer - Prlor to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Eleclrical Conneclion - Whenblocking, set.up, and plumbing
inspectlons have been approved
and the home is connected tothe service panel.
Water Llne - Prior to filling
trench.l-l Fence - When compteted.
Final - After all requiredinspections are approved andporches, skirting, decks, andventing have been installed.
Rough Plumbing - Prior to
c0ver.[-l Street Trees - When all required.J trees are planted.
FLOOD PLAIN:
ZONING CODE: _.
E
tl
tl
tf
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typ.
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
bac
PL.HSE GAR ACC
N
S
E
i lS THE PFTOPOSED WORK tN THE ,
HISTORICAL OISTRICT, OR ON
THE HISTORICAL REGISTER? .---
lf yes, this application must be signedand approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
VALUE
(A)
BUILDING PERMIT
Total Value
Building Permit Fee
State Surcharge
Total Fee
SO. FT. X $/SQ, FT.ITEM
Main
Garage
Carport
BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT
This permit is granted on the express condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, including theDevelopment Code, regulating the construction and Lse ofbuildings, and may be suspended or revoked at any timeupon violation of ar-ry provisions of said ordinances.
Plans Reviewed By Date
Beceipt Numbe
Plan Check Fee:
Date Paid
Fleceived By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
Residenrial Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N0
FT.
Plumblng Permit
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Fixtures
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
t30/0
(D)
Mechanical Permit
lssuance
State Surcharge
Total Permit
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby cerilfy that all
lnformation hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
with the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure wlthout permission of the Building Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.0S5 will be used on this
project.
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
the approved set of plans will remain
Date
S
on the site g constructlon.all ti esd
of the prope
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electric
(A, B, C, D, and'E Combined)
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT REC F-
RECEIVED BY
FT.
FT.
t