HomeMy WebLinkAboutPermit Mechanical 1991-11-22RESIDENTIAL
PERMIT APPLTCATION
lnspections: 726-3769
Office: 726-3t\g
FIELD
JoB NUMBEs ?tt3 6a "--225 Fifth Street
Springfietd, Oregon gl 471
LOCATION OF PROPOSED WORK:tr?.ro /6/ -ft
ASSESSORS MAP:7o e.3 d(
TAX LOT:Qoo
LOT:BLOCK
PHONE:
STATE:ztP
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OWNER:
CITY:
DEL .- ADDITION DEMOLISH OTHER
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ADDRESS EXPIBES PHONE
CONTBACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONSI
CONTRACTOR #
GENERAL:
PLUMBING
_ OFF]CE USE _
LAND USE;
# OF UNITS
QUAD AREA:
* OF BLDGS:
FLOOD PLAIN:
ZONING CODE
SECONDARY HEAT:
SQUARE FOOTAGE:
# OF BDRMS:_CONSTR. TYPE:
HEAT SOURCE:
OCCY GROUP:
* OF STORIES:
WATER HEATER:-RANGE:
-
To request an inspection, you must car 726-376g. This is a 24 lmade the same working day, inspections requested after 7:00
hour recording. Ail inspections requested before 7:00 a.m. wilr beI a.m. will be made the following work day.
REQUIRED INSPECTIONS
Temporary Eleclric Rough Mechanical - prior to
cover.l--l Final plumbing - When ail
-
plumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - prior to Final Electrical - When allelectrical work is complete.
cover,
[--l Underslab Plumbing/ Electricat/
-
Mechanical - Prior to cover.Electrical Service - Must be
approved to obtain permanent
electrical power.
Mechanical - When allmechanical work is complete.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
beams, grouting.
Fireplace - Prior to facing
materials and framing lnsp.
Framing - Prior to cover.
Foundation - After forms are
erected but prior to concrete
placement.Wall/Ceiling lnsulation - prior to
cover.
Underground Plumbing - Prior
to fllling trench.Drywall - Prior to taping
Underlloor Plumbing / Mechanical
- Prior to insulation or decking.
MOBILE HOME INSPE TIONS
l--l Wood Stove - After instailation
Post and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approval
and installation of unit.
Blocking and Set.Up - When all
blocking is complete.
Floor lnsulalion - Prior to
decki ng.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Water Line - Prior to filling
trench.
[--l Fence - When comoleted
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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ADDRESS:
F
E
E
Final Building - When altrequired inspections have beenapproved and building is
completed.
q6{J G,-r ea t+
E
E
E
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Lot faces
Lot sq' ftg.
Lot coverage
TopograPhY
Total height
Lot Type
--
lnterior
-
Corner
-
Panhandle
-
Cul'de'sac
Set ks
P,L.HSE GAR ACC
N
S
E
I THE PROPOSED WORK IN TH
HISTOFIICAL DISTRICT, OR ON
THE HISTORICAL REGISTER? _-
lf yes, this application must be signed
and aPProved bY the Historical
Coordinator prior to permit issuance'
APPROVED:
E
BUILDING VALUE, PLAN CHECK
Ano BUILDING PERMIT
This permit is granted on the express condition that the said
"ons[."tion
shall, in alt respects' conform to the Ordinance
.O"pi"O by the City oi Springfield' including the
Development Code, regulating ihe construction and use of
["ilai"i", and may be"suspended or revoked at any time
Ipon ,i"r"tion of any provisions of said ordinances'
DatePlans Revi ewed BY
Plan Check Fee: .
Date Paid:
Recei Pt Number:
Received BY:
BUILDING PERMIT
VALUEX $/SO. FT.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 C
(B)
HARGE (SDC)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
SanitarY Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
N0
FT.
FT,
FT.
(c)
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent
MECHANICAL PERMIT
/o'oo
7.f
752,5(D)
/,f -6a
No
Mechanical Permit
lssuance
State Su rcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
By signature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
informationhereonistrueandcorrect,andlfurthercertify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springf ield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division'
I further certify that only contractors and employees who
are in compliance with OFIS 701.055 will be used on this
proiect.
I further agree to ensure 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
Signatu re
qDate
non the site at all on.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk -- ft
Curbcut ---
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
2-z
L?,4031
AMOUNT RECEIVED
RECEIVED BY
DATE PAID
VALIDATIOIJ:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
(A)