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Home My WebLink AboutPermit Plumbing 1993-10-1 ._" . ~ RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ,.", ';~,~ -i.!,',.p:t' , ~:: .... .I~"~rl':.'" . ...;....... SPRINGFIELD LOCATION OF PROPOSED WORK: ~ 7...fibt::; ASSESSORS MAP" /~2 t9 S 2... ~ , OWNER: -oo~1 ~rti j(J~.w;V_ , - ADDRESS:"-L-,4'j' 3 7);:.rL~-L~ A/E' -;\;J~ , :-yc., - LOT" CITY: BLOCK: STATF. eX .~ JOB NUMBER q~/CJ5cQ . 225 Filth Street Springfield, Oregon 97477 TAX LOT. 22.8-0 SUBDIVISION' PHONE: 7t??, -41'2.0 ,. ZIP: 77~7;; DESCRIBE WORK: r .a(ln~T mJi.---rn ! /J~_j,/A 7A NEW .............-REMODEL ADDITION DEMOLISH OTHER CONTRACTOR'S NAME GENERA' . PLUMBING" MECHANICAl" ELECTRICAl" QUAD AREA: . OF BLDGS. OCCY GROUP: . OF STORIES: WATER HEATER: ADDRESS CONST CONTRACTOR' EXPIRES PHONE - OFFICE USE - LAND USE: . OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGF. * FLOOD PLAIN' ZONING CODE: . OF BDRMS: SECONDARY HEAT: l: SQUARE FOOTAGE: To request an Inspection, you must call 726-3769. This Is a 24 hour recording. Atllnspectlons requested berore 7:00 a.m. will be made the same working day, Inspections requested after 7:00 a.m. will be made the following work day. o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical I Mechanical - Prior to cover. o Fooling - After trenches are . excavated. o Masonry - Steel location, 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 to Insulation or decking. o Post and Beam - Prior to floor insulation or decking. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trencll. o Storm Sewer - Prior to filling trench. o , Water Line - PrIor to filling Irencll. I - . o Rough Plumbing -;" Prior to cover. I REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. D Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. o Wall/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stove - After installation. o Insert - After fireplace approval and installation of unit. o Curbcut & Approach - After fOlrTlS are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation is complete. forms and sub-base material In place. D Fence - When completed. o Street Trees - Wilen all required trees are planted. o Final Plumbing - When all plumbing work is complete. D Final Electrical - When all electrical work Is complete. o Final Mechanical -, When all mechanical work Is complete. o Final Building - When all required inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up -:- When all blocking is complete. ~Plumbing Connections - When ~ome 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 the service panel. o Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. I ~HE PROPOSED WORK IN'THE -- HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? 11 yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. -:. Lo~ faces Lot Type Setbacks I P.L. [HSE , , I Lot sq. flg. Interior GAR ACC IN Lot coverage Corner Is Topography Panhandle Iw Total height Cui-dc-sac IE BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT. VALUE MaIn Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home ptN~ ~ 15'".60 Plumbing Permit State Surcharge .7r" 1~.1f Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Perm i t (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permi ts (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) 1.e:;.75' APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express 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. Plan Check Fee: Date Paid: Receipt Number: Received By: Plans Reviewed By Date Systems Development Charge is due 'on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with ttle Ordinances of the City of Springfield, and the Laws of the Slale of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safely Division. I furnlCr certify Ihat only contractors and employees who arc in compliance with ORS 701.055 will be used on this project. I furtllcr 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 wlll remain on the site at all times during construction. Signature Date VALIDATION: RECEIPT NUMBER J~d' (;; 0 - - , /~-/-5'3 I C;-, 7.r ~~ DATE PAID AMOUNT RECEIV"n RECEIVED BY .~ '\ , _..~ -. 225 FIFTH STREET . ~'''"In SPRINGFIELD, OREGON 97477 r. . INSPECTION REOUEST: 726-3769 -. OFFICE: 72.6-3759 -K ,AUihorlzed Signature lGn~~~~1tI~uTc{~t<:I:~~bJ , \ l~n~~~7J.. O{)rYO JOB DESCRIPTION ' Sl~d.-;,- I~ l-\.n..-....b~t.. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for l80 days. 2. CONTRACTOR INSTALLATION ONLY (/odr,(-- I {' r.r h. Electrical Contractor ,~ 1_ Address c:n~ t'" ~Pf'~ C. Ci ty ~ n ~ --^ Phone Supervisor License Number :;l. ~ 'XI < Expiration Date \ '"l - \ 1. <i...5... Constr Cont~. Number IX"" ').:t, Expiration Date \ l-(")'l. _ C, '( Signature of Supervising Electrician roO/7^" 5 ~o~ Owners Name f=t.~~( S(t) 1'\ Address )'1 '13 De/yost. Auf.., City C,r;1,,/,J.Jle/d Phone 71.J1o-I.Jqzo OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE~=-----r--7J-R-.q-,~--{---= RECEIPT f:R/. .".. ~ ,'-- RECEIVEDB~. fl) A\ _) ~ . SPRINGFIELD ELECTRICAL PERMIT APPLICA~ /': I City Job Number q3.\U0J /' E SCHEDULE BELOV A. New Residential-Single or Multi-Family per.dwelling unit. Service Included: Items Cost Sum B. lOOO sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ l5.00 Each Manuf'd Home or Modular Dwelling ((')r'\ Service or Feeder ~ $ 40.00 ~ Services or Feeders Installation, Alterations or Relocation: 200 amps or less \ $ 50.00 . ill 201 amps to 400 amps $ 60.00 401 amps to 600 amps. $100.00 601 to 1000 amps $130.00 --.- amps Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 . C. Temporary Services or.Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "all above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ .2.00 . ~ E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included), 5. $ 40.00 $ 40.00 $ 20.00 $ 36.00 t3D 61J T:.dft~% ", SUBTOTAL OF ABOVE 5% State Surcharge TOTAL '\ ';.;.