HomeMy WebLinkAboutPermit Mechanical 1995-7-13
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Oltlce: 726.3759
ASSESSORS MAP:
LOT:
CITY:
-"
SPRINGFIELD
BLOCI<"
.
C\CO\\\rn
JOB NUMBER
TAX LOT:
()~Rri '\
SUBDIVISION:
PHONE:
1\\0.\\\6=\
STATE:
~-
DESCRIBE WORI(' (\<;)"J::~J \ Q ~.o ~
NEW REMODEL ~~ ADDITIO - DEMOLISH
CONTRACTOR'S NAME
GENERAL'
PLUMBING:
OTHER
ZIP:
4lLt,-/
ADDRESS
CONST.
CONTRACTOR'
PHONE
MECHANICAL:
ELECTRICAl'
~'-~~i\ ~\MN-J\
Q,)2:tL 4;
QUAD AREA:
. OF BLDGS:__
OCCY GROUP:
. OF STORIES: ______
WATER HEATER: ...
- OFFICE USE -
LAND USE:
. OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
EXPI RES
f'"J lQlJJ %..".~
FLOOD PLAIN:
ZONING CODE:_
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an inspectfon, you must call 726.3769, Ttlls Is a 24 hour recording. All Inspections requested before 7:00 a.m. wlll be
made the sanle working day, Inspections requested after 7:00 a.m. will be made the rollowlng work day.
o Temporary Electric
o
Slto Inspection - To be mado
after excavfl.IJon, but prior 10
seltlng (arms.
o
Underslab Plumbing I ElectricalJ
Mechanical - Prior 10 Cover.
o
Footing - After trenches are
excavated.
o
Masonry - Sleel locatlon, bond
beams, grouting.
o
Foundation - After forms are
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to filling trench.
o
Underlloor Plumbing/Mechanical
- Prior 10 Insulallon or deckIng.
o
Post and Be8m- - Prior 10 troor
Insulation or decking.
o Floor Insulation - Prior to
dec.k1ng. '\
o Sanitary Sewer - Prior to fllllng
trench.
o .Storm Sewer - Prior to filling
trench.
O Wator Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
rTIAi"ou9h ~ _ Prior to
~ ~~ve^ ~~
D Rough Eleclr~car - Prior to
Cover. ,
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Fram.lng - Prior to cover.
o Wallle'elllng Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stovo - Atler lnstallallon.
o Insert - After fireplace approvol
and Installation of unit.
o
.Curbcut & Approach - After
(orms are erected but prior 10
placement ot concrete.
o Sidewalk & Driveway - After
excavation Is compietc, forms
and sub-base material In place.
o Fence - When completed.
o Street Trees - When all required
trees are planted.
o Final Plumbing - When all
plumbing w9rl< Is complct.e.
o Final Electrical - When all
electrical work Is complete.
~Inal ~ When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
OOthar
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o
Plumbing Connections _ When
home has been connected to
water and sewer.
o
Electrical Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
Ihe service panel.
o
Final - After all required
Inspections are approved and
porchos, skIrting, decks, and
venting have been Installed.
Lot faces
Lot Type .
Interior
I P.L.
IN
Is
Iw
IE
Lot sq. ftg.
Lot coverage
Corner
Topography
Total height
Panhandle
Cul-de-sac
BUILDING PERMIT
tTEM sa. FT. x $/ sa. FT.
VALUE
Main
Garage
"
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
IA)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
tTEM
FEE
Fixtures
Residential Bath(s)
N'
Sanitary Sewer
FT.
Water
FT.
FT.
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Totat Charge
(C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Perml t
(lQ .00
to.OO
(.20
dlb .{).D
Issuance
State Surcharge --+~O
Total Permit (D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fI
fI
Curbcul
Demolition
Slate Surcharge
Total Miscellaneous Permits IE)
TOTAL AMOUNT DUE (excluding electrICal)r<J (0.&0
(A, B, C, D, and E Combined)
Setbacks
HSE GARIACcl
I I
I I
I
I
'; .HE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPR.oVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition thaI Ihe said
construction shall, In all respects, conform \0 the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the COf)itruction and use of
buildings, and may be suspended or revoked at any lime
upon violation of any provisions of said ordinances.
Plan Check Fee:
Date Paid:
Receipt NumbcJ':___u__.__
Received By:
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properties wlthln thr! City limits which are being Improved.
ADDITIONAL COMMENTS
,By signature, I state and agree, thUl1 have cClrorully examined
the completed application and do hereby cartHy that all
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done in accordance
with the .ordinances of the City of Springfield, and the Laws
of the Stato 0' Oregon pertaIning to the work described
heroin, and that NO OCCUPANCY will be mado of any
structure wIthout permission of the Bulldll1g Safety Division.
I 'urther certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on thIs
project.
I further agreo to ensuro that all required inspections are
requested at the propElr lime, that oach address Is readable
from the street, that the permit card Is locatod at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
'tnatub>'~ ) -----' ~
1<1 '). )
Date -( - '"S ~ <" .
VALIDATION: t'/ 1..f'tt1.
RECEIPT NUMBER \~V \
DATE PAID ~_:.J.0~_
'"'"" "~l) .!+()
" RECEIVED B _