HomeMy WebLinkAboutPermit Mechanical 1996-06-19PFr ELO
RESID ENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:7oz
JOB NUMBER OBZ
efr,
225 Fifth Street
Sprlngfleld, Oregon 97477
l1
TAX LOT:DS3Dz
SUBDIVISION:
5r
BLOCK:
PHONE:
ZlPi
fr
STATE:CITY:
ADDRESS:
OWNER:
L ADDITION DEMOLISH OTHER
ADDRESS EXPIRES PHONE
696 5 ?r/7r v
CONTRACTOR'S NAME
GENERAL:
ELECTRICAL:
ECHANICAL:
PLUMBING:
CONST.
CONTRACTOR #
- OFFICE USE -
LAND USE;
ZONING CODE:
FIANGE:
QUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SQUARF" FOOTAGE:WATER HEATEFI:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE;
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:OO a.m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the foltowlng work day.
'REQUIRED INSPECTIONS
Temporary Electrlc ffi nough Mechanlcal - prior rolltover.Flnal Plumblng - When ailplumblng worl< ls complete.
Slte lnspectlon - To lre made
after excavatlon, but prlor to
settlng forms.
Rough Eleclrlcal - Prlor to Flnal Eleclrlcal - When all
electrical work is complete.cover.
Underslab Plumblng/ Electrical/
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
F{r,n"t Mechanlcal - when ail,uiTeclanlcal work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
malerlals and framlng lnsp.
Flnal Buildlng - When all
requlred lnspectlons have been
approved and building is
completed.E Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
,F([otnor / a,* / an< W'atlFoundatlon - After forms are
erected but prlor to concrete
placement.WalllCelllng lnsulallon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.[-l orywall - Prlor to taplng
MOBILE HOME INSPECTIONStlUnderlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng,Wood Stovo - Af ter lnstallatlon
Post and Beam - Prlor to floor
lnsulatlon or decking.lnserl - After flreplace approvql
and lnstallatlon of unlt.
Blocklng and Set.Up - When all
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Alrproach - After
forms are erected but prior to
placemcnt of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prlor to fllllng
trench.Eleclrical Connectlon - When
blocklng, set-up, and plumblng
Inspectlons have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filllng
trench.
Sldewalk & Drlveway - After
excavatlon ls complete, forms
and sub-base materlal ln place.
Water Llne - Prlor to filllng
trench.
Rough Plumblng - Prlor to
cover.
Streel Trees - Whcn all requlred
treeg are planted.
Flnal - After all requlred
lnspections are approved and
porchcs, sklrting, decks, and
ventlng have been lnstalled.
?7-r{
, OF BDRMS:
-
FLOOD PLAIN:
# OF UNITS:
--
tl
tl tl
E
tl
f]
l-l Fence - When completed.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Ty1
-
lnterior
-_ Corner
-
Panhandle
-
Cul.de.sac
Se
P.L,HSE GAR ACC
N
S
E
. IS THE PBOPOSED WOBK iN THE
HISIORICAL DISTRICT, OR ON
THE HISTORICAL FIEGISTER? _-
lf yes, thls applicailon must be slgnedand approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
BUILDING PERMIT
VALUE
(A)
SQ. FT. X $/SQ. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fcc
BUILDING VALU E, PLAN CH ECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, ln all respects, conform to the Ordlnanceadopted by the City of Springfield, including the
Development Code, regulating the construction and use ofbulldings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordlnances.
Plans Rcviewed t3y Date
Receipt Numbe
Plan Check Fee:
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properlies within tlre City limits which are being improved.
Residentlal Bath(s) N"-._--_-
FEE
(c)
FT.
FT.
FT.
Plumbing Permit
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Fixtu res
Sanitary Sewer
Water
Storm Sewer
Moblle Home
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
Mechanlcal Permit
lssuance
State surcharge /7 t- */.y'f
Total Permit (D)
/ -a€(-\-f+< 2* 'fy'
%E
NoVent Fan
/\o
ao
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed appllcatlon and do hereby cerilfy that all
lnformatlon hereon is true anct correct, and I lurther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the City of Sprlngfield, and the Lawsof the State of Oregon pertalnlng to the work descrlbed
herein, and that NO OCCUPANCy wlll be made of any
structure without perrnission of the Bullding Safety Divislon.I further certify that only contractors and employees who
are ln compliance with OFIS 7O1.O5S will be used on thlsprolect.
I further agree to ensuro that all required lnspections are
requested at the proper ilme, that each address is readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
on the site at all times durlng construct
Slgnat
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk -_- ft
Curbcut
---
ft
Demolitlon
State Surchargg
Total Mlscellaneous perrnits (E)
TOTAL AMOUNT DUE (exctuding etecrrical)
(A, B, C, D, and E Comblned)
Zo LA
a
VALIDATION
BECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY