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HomeMy WebLinkAboutPermit Mechanical 1993-05-10SPRINGFIELD -<7O L BLOCK: LOCATION OF PROPOSED WORK:67'< e/?&P a Z ASSESSOFIS MAP: LOT: TAX LOT: SU BDIVISION: JOB NUMBER RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 225 Fifth Street Springf ield, Oregon 97 477 PHONE Or-STATE: E CITY:szzrl OWNER ADDRESS: ' 6 zzs o?lrta1pDf. NEW - REMODEL ADDITION DEMOLISH OTHER 2a.111frt I Aze.aqzDESCRIBE WORK: EXPIRES I)HONEADDRESS ( Sam 8' e CONTRACTOR'S NAME J!t_?aL 7lLzazMECHANICAL: ELECTRICAL: CONST. CONTFIACTOR # G EN ERAL: PLUMBING RANGE: FLOOD PLAIN: _ OFFICE USE _ WATER HEATER SQUARE FOOTAGE: -- SECONDARY HEAT: - ZONING CODE: , OF BDRMS: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: LAND USE: 'f OF UNITS OCCY GROUP: r OF STORIES: To request an inspection, you must call 726-3769. This is a24hour recording. AII inspections requested before 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. REOUIRED INSPECTIONS Temporary Electric tr-z{ Rouoh Mechanical - Prior to .)ALqor"i. [7nough Electrical - Prior to ,Aqover. Final Plumbing - When all plurnbing work is comIrlete. Site lnspection - To be made after excavation, but prior to setting forms. ,'L./l Final Electrical - When all lA(qtu"trical work rs complete. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - Wiren all echanical work is cornplete. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsp. Final Building - When all required inspections have been approved and building rs completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover.6ftt /-zzse Foundation - After forms are erected but prior to concrete placement. ffi otn"t Wall/Ceiling lnsulalion - Prior to cover, Underground Plumbing - Prior to f illing trench.Drywall - Prior to taping. MOBILE HOME INSPE TIOI{S Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation Post and Beam - Prior to floor insulation or decking.lnserl - After fireplace approval and instaliation of unit. Blocking and Set.Up - When all blocki ng is complete.' Floor lnsulation - Prior to decki ng.Curbcut & Approach - After forms are erected but prior to placernent of concrete. Plumbing Connections - When home has been connected to water and sevJer. Sanitary Sewer - Prior to filling trench.Electrical Conneclion - 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, iorms and sub-base material in Place. Waler Line - Prior to filling trench. 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 havc been installecl. -?sem Eo'&'-.€.tatUE /__ tl E tl E E r fl tlr E Fence - When completed. E E r [-r)t fa:r'r:; t..ot sq ftg Lot coverale TopograPh 7 Toti:l h,lrglrt t-ot Tyt e --.- lnterior - - - Corner -- Panhandle -- - Cul-de-silc Setbacks PL.HSE N S E GAB ACC I i IS E PROPOSED WORK IN THE III* JRICAL DISTRICT, OR ON THE HISTOFIICAL REGISTER? .=-.- lf yes, this application must be signed and approved bY the Historical Coordinator prior to permit issuance. APPROVED: BUILDING PERMIT ITEM Main Garage Carfiort SO. FT. X $/SQ. FT.VALUE --r--- Total Valuc Buiicling PerrYtit Fee State Strrcharge Total Fee (A) Plan Check Fee: --l--: Date Paid Receipt Number: --.- - Received BY: Plans Reviewed l3Y Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved' PLUMBING PERMIT ITEM Fixt u res Residenti;,1 Aath(s) Santtary Sewer Water Storm Sev/er Mol)ile Hc,me FEE FT, FT. Plumbing Permit state surcharge Total Charge (c) ADDITIONAL COMMENTS MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan -Z/z)- N0 Wood Stove/ lnsert/Fireplace Unit Dryer Venl Mei; ha n t c;'l Pt--rntt t lssrrancr: Stale SLlr( har!Je Tot;rl Pernrit JSto- LA9_-7{ (D)25,7 By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws o{ the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without pernrission of the Building Safety Division. I further certify that ortly contractors and employees who are in compliance with ORS 701.O55 will be used on this proiect. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable f rom the st that the permit card is located at the front and the approved set of plans will remainof the proper cn the site all times duri construction Signatu re Date MISCELLANEOUS PERMITS Molrile Hc,me State lssu ance State Surc harge Stdewalk -- --. f t Curbcut - --.- ft Dernolitlorl State Su rc harge Total Miscellaneous Permits (E) VALIDATION: RECEIPT NUMBER 442o DATE PAID ,f -zu -f 3 AMOUNT RECEIVED RECEIVED B\'-., _ ?r TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, ar.rd E Combined) 25_?t_ BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granteC on the express condition that the said consiructlon 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' Ni--__ ff__ OREGO'UC'TY OF 225 PTYII STREBT SPRTNGPTBID, ORBGoN 9 INSPBCTION REOTIEST: OPPICB: 726-3759 1. LOCATION OP I,EGAL DESCRIPTION JOB Permits are non-trans ferable and expireif work is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. COITIRACTOR INSTALI.ATION OIILY Electrical Contractor C tS fl 0o$r.Un ,,r1n0, Address Phone 1+t-A lL SPRINGFIELE, EIJCIRICAL PERI{IT APPLICATION Ci ty Job Nurnbe, %eaZa: COI{PLETE PBE SCEEDIILB BBLOS New Residential-Single or Hulti-Family per dvelling unit. Service Included: I tems Cos t $ 8s.001000 sq.ft. or }ess Each additional 500 sq. ft or portion thereof Each Manuf'd Home or -Hodular DveIling Service or Feeder $ 1s.00 s 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- over 1000 amps/volts -Reconnect 0nIy Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps - $ 55.00 over 401 to 600 amps - $ 80.00 Over 600 amps or 1000 voTts see ttgtt "ffir[- D. Branch Circuits Nev, Alteration or Extension Per Pane1 B c One Circuit I $ Each Addi tionalCircuit or vith Serviceor Feeder Permi t I $ B. Miscellaneous (Service/feeder -Each installation Pump or irrigation $Sign/0utIine Lighting- S Limi ted Energy/Res Limi ted Energy/Comm STIBTOTAL OP ABOVB 5Z State Surcharge TOTAL 7477 .fpR 726_376s rl>rNT h A $ s0.00 s 60.00 $100.00 $130.00 s300.00 $ 40.00 Sum 3s.00 35. oo 2.oo (,oo not included) 40.00 40.00 ci Supervisor cense Number It 3,h.,S Expiration Date lD -_ I -9 S ,, Constr Contr. Number 038+q Expiration Date q-l-.13 Signa ture of Supervising Blectrician Ovners Name Add cit ress Phone I+b-'l8il OgNBR The installation is being made on property I own vhich is not intended for sa1e, Iease or rent. 0vners Signature: DATE: ON s 20.00 $ 36.00 3'7. oo t. fl538.85 RECBIVED : 5