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Home My WebLink AboutPermit Plumbing 1997-10-30RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726.3759 LOCATION OF PBO ED WORK: ASSESSOFIS MAP: LOT: PrlINGFIELD BLOCK: JOB NUIvIBEB 225 Fifth Street Sprlngfleld, Oregon 97 477 TAX LOI SUBDIVISION: OWNER: CITY: ADD STATE:ZIP:t DEMOLISH OTHERDELITION ESCD R BE EWN R MECHANICAL: - DDRESS EXPIRES 1r PHONECONTRACTOR'S NAME ELECTRICAL: CONST. CONTBACTOR # GENERAL: PLUMBING Nco WATER HEATER: HEAT RANGE: OUAD AREA: r OF BLDGST OCCY GROUP: * OF STORIES: , OF BDRMS: - USE - FLOOO I)LAIN SECONDAFIY HEAT: SOUARF. FOOTAGE: To request an lnspectlon, you must call 726-3769, Thls ls a24hour made the sarne worklng day, lnspections requested after 7:00 a.m REOUIRED tNS ions requested before 7:00 a.m. will be wlll following work day. PECTI NS l---l Temporary Electrictl Rough Mechanlcal - Prlor to cover. Final Plumbing - When all plumbing work is complete. Slte lnspectlon - To be made after excavatlon, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrlcal work is complete.cover. Underslab Plumblngl Electrical / Mechanlcal - Prlor to cover. Electrlcal Service - Must be approved to obtaln permanent electrlcal power, Final Mechanical - When all mechanical work ls complete. E fl E Footlng - After trenches are excavated.l--l Flreplace - Prlor to faclngU materlals and framing lnsp. Flnal Building - When all required lnspections have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.l-_l Framlng - Prlor to cover, OtherFoundatlon - After forms are erected but prlor to concrete placement.Wall/Celling tnsutation - Prlor to cover. Underground Plumbing - Prior to filllng trench.Drywall - Prlor to taping. MOBILE HOME INSPE TIONS Underlloor Plumblng/ Mechanlcal - Prior to lnsulatlon or decking.Wood Stove - After lnstallation. Post and Beam - Prlor to floor lnsulatlon or decklng.lnserl - After flreplace approval and lnstallatlon of unlt. Blocking and Set-Up - When all blocklng ls complete. Floor lnsulation - Prlor to decklng.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanltary Sewer - Prior to fllling trench.Eleclrical Connectlon - When blocking, set-up, and plumbing lnspections have been approved and the home is connected to the servlce panel. Sewer - Prlor to fllling Sidewalk & Driveway - After excavation ls complete, forms and sub-base material in place. Llne - Prlor to filling Fence - When coinpleted. trench,Final - After all required inspectigns are approved and porchcs, sklrting, decks, and ventlng have been lnstalled.Rough Plumbing - Prior to cover. (itreet Trees - When all required trees are planted. ZONING CODE: E E E E E tl E E E tl ll Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type _ - lnterlor - Corner - Panhandle ! - Cul-de-sac (-ts'r'HE PROPOSED WORK tN THE - HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: P.L.HSE GAR ACC N S E VALUE (A) Total Value Building Permit Fee State Surcharge Total Fee I BUTLDING PERMTT ITEM Main Garage Carport SQ. FT. X $/SO. FT. BUILDING VALUC, PTRITI CHECK AND BUILDING PERMIT This permit is granted on the express condition that the sald 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 bulldings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Recei pt Number:- Plans Reviewed By Date Date Paid Received By: Plan Check Fee: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residentlal Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE fls^uo (c) N' FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS tf By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby cerflfy that all lnformatlon hereon is true and correct, and I f urther certlfy that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed herein, and that NO OCCUPANCy will be made of any structure without perrnission of the Buildirrg Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on thls proiect. 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 permlt card ls located at the front of the property, and the approved set of ptans will (sis n Date on the si imes duri struct Wood Stove/lnsert/Flreplace Unit Dryer Vent MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk _ ft Curbcut - ft Demolitlon State Surcharge Total Miscellaneous Permits (E) (D) Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan No TOTAL AMOUNT DUE (excludtng electrtcat) (A, B, C, Q and E Comblned)BY VALIDATION: BECEIPT NUMBER DATE PAID AMOUNT H FIECEIVED '..ii, FT. I CITY OF OREGON SP} iFIELO appi0vel 225 FITTE STREET SPRINGFTELD, OREGON INSPECTION REQTIEST: oFFICE: 726-3759 JOB DESCRI ON Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI.,ATTON ONLY Erec tricar con t rac,". C { S I [u[,\llrrr1,rrL Address Ci ty Phone 't4t -,1."3b Supervisor cense Number lbsbS ELESTRICAL PERHIT APPLICATION ty Job Nu.mbe r 41 65cl 3. COHPI,ETE FEE SCMDI'I,B BELOV A Nev Residential-Sing1e or Multi-Family per dvelling unit. Service Included:Items Cost B c D L000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home- or Modular Dvelling Sertice or Feeder s 8s.00 s 1s.00 s 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 20L amps to 400 amps _401 amps to 600 amps _ 601 arnps to 1000 amps Over 1000 amps/volts Reconnect oniy Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less $ 40.00 over 4b1 to 600 amps - S 80.00 over 600 amps or fbOO voTts see uBu a56G- Nev, Alteration or Extension Per Panel one circuit I S 35.00 35'ooiich Additional-Ciicuit or vith Service or Feeder Permit I $ 2.00 -LOo Miscellaneous (Service/feeder not included) -Each instal-lation Pump or irrigation Sign/Out1ine Lighting- Limited Energy/Res SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL Dats 17,*Z&oo 726-37 LEGALt1 ()3 DESCRIPTION.35 I I Oar'oOtc Sum s s0.00 s 60.00 s100.00 s130.00 $300.00s 40.00 Expiration Date Constr Contr. Number lo-l--18 1e 4q Expiration oate'l -|u - t8 Signature of Supervising Electrician Ovners Name Address l^q?".A no . Jt. c Ci ty Phone OVNER ALLATION The installation is being made on property I ovn vhich is not intended for saIe, Iease or rent. Ovners,: Signature: DATE: E 5 $ s $ $ 00 00 00 00 40 40 20 Jb RECEIVED 3rL o 1. LOCATION OF INSTALT.ATTON l?,'13 ft\oAoc , SL .