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Home My WebLink AboutPermit Mechanical 1992-07-13slrFl E RESID ENTIAL PERMIT APPLICATION lnspections: 7?6-3769 Offir;e: 726-37!,9 LOCAT tOr.l ot ASSEIJSORS I"4AP: PRoPosED woRK:-J+fO- - h, JOB NUMBER --. 225 Fif th street Springfield, areqon 97 47 7 ?<azeP f rr-\e LOT: ...-- --BLOCK SUBDIVISION T..r.ar,,t q Tkor r,.\.r..PHONE l rlq - z--f-CJ i?_Y_q_Orio(e. OWNER: -- - ADDRESS: -. CITY: - -s+M*cR.aZIP: \1 911STATE DESCRIBE WORK: -- T^.+q l\Jor,,t+a NEW --,- _ REMODEL.-- ADDITION DEMOLISH OTHER P,* ^ CONTRACTON'S NAME ADDRESS CONST. CONTRACTOR #EXPIRES PI'ION E GENERAL:,- PLUMBING: &a I H c".t lr.3 E. street o>slqo pfez 1 1-ltrYr C*S_E /..1-cts- t, t at\MECHANICAL ELECI RICAI,-: RANGE:SOUARE FOOIAGE:WATER HEAI LR: # ot: sToRlEl:t. ___-HEAT SOURCf:. _ OFFICE USE _ FLOOD PLAIN: ---. ZONING CODE: r OF I]DRMS: SECONDABY HEAT; LAND USE: # OF UNITS: -_-- CONSl'R. TYI)E: OUAD AI'IEA: I OF RLDCS OCCY GfIC)UI To request an inspection, you musi call 726-3769. Tlris ls a 24 hour recording. All lnspections requested llefore 7:00 a.m. will be macte the sanre workinO day, lnspections requested after 7:O0 a.m. will be made the following work day. REOUIRED INSPECTIONS Temporary Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complcte. Site lnspection - To be made af ter exc;avation, but Prior to settrng forms. Rough Electrical - Prior to Final Electrical * When all electrical work is cornplete.cover. Underslab Plunrbing/ Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain Permanent electrlcal power. a Final Mechanical - Whcn all meclranical work is corrllllete. Footing - After trenches are excavatcd.Fireplace - Prior to facing materlals and fratning lnsP. Final Building - When all required inspections lrave bec'tr approved and building is completecl.Masonry - Steel location, botrd beants, grouting.Framing - Prior to cover, Other Foundalion - After forms are erecte(l but Prior to concrete placcolent. Wall/Ceiling lnsulation - Prior to cover. Undorground Plumbing - Prior to filling trench.f-l Drywall - Prior to taoing MOBILE HOME INSPECTIONS Underf loor Plumbing/ Mechanical - [)rior to insulation or decking.Wood Slove - After installation 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 lrrsulation - Prior to deckin0.Curbcut & Approach - After forrns 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 Conneclion - When blocking, set-up, and Plumbing inspections lrave been aPProved and the home is connected to the service panel. Storm Sewer - Prior to filling trench. Sidewalk & DrivewaY - A{ter excavation is contPlete, forms and sub-base material in Place. Water Line - Prior to filling trench. l--l Fence - When comPleted Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed.Rough Plumbing - Prior to cover. Street Trees - When all required trees are Planted. TAX LOT: tl tl n fi tl tl r tl r r fl tl E fl E E Lot faces Lot sq. ftg. Lot coverage TopograPhY Total height Lot Type _ - lnterior - Corner - Panhandle -- Cul'de'sac backs P.L,HSE GAR ACC N S E .S THE PROPOSED WORK IN THE --ntstontcAL Dlsrnlcr, oR oN THE HISTOFIICAL REGISTEFI? =- lf yes, this application must be signed ancJ aPProved bY the Historical Coordirrator prior to permit issuance' APPROVED BUILDING PERMIT ITEM Main Garage Carport SO. FT. X $/SQ. FT.VALUE Total Value Building Permit Fee State Surcharge Total Fee (A) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said consiruction shall, in all respects, con{orm to tlle Ordinance adopted by the City of Springfield, including the Developrnent Code, regulatir-rg the construction antl r-rsc of buildings, and may be suspended or revokcd at any titne upon violation of any provisions of said ordinances' Plan Check Fee: --- Date Paid Fleceipt Number:- Received BY: Plans Reviewed BY Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developmerrt Charge is due on all undeveloped properties within the City limits which are being improved' PLUMBING ITEM Fixtures PERMIT FEE Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home N0 FT. FT, FT. Plutnbir.rg Permit State Surcharge Total Chargle (c) ADDITTONAL COMMENTS MECHANTCAL PERMIT Fu rnace Exhaust Hood Vent Fan N0 Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D)-r?r{ By signature, I state ancl 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 of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be rna<le of any structure without permission of the Building Safety Division' I f urther certify that only contractors and employees who are in compliance witl"t ORS 701.055 will be used on this proiect. I f urther agree to ensure that all required inspeclions are requested at the proper time, that each address is read;rble {rom the street, tl-rat the pcrmit card ls locatcrJ at tlle f ront of the property, and the approved set of planr; will retnain on the site Signature Date -13 MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk --.- ft Curbcut -- ft Demolition State Surcharge Total Miscellaneous Permits (E) VALIDATION: FIECEIPT NUMBEB DATE PAID ?-fr^?->- AMOUNT RECEIVED BECEIVED BY z tTOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) Mechanical Permit lssuance State Surcharge Total Permit /4e /2,"-t' all tirnes during construction. OREGO'U 225 FIFTE SIBBEf, SPRTNGFTEU), oRBGON 97477 INSPECTION REQIESTz 726-3769 st'lltNGFtEL(, ^ 1000 so.ft. or less WWn "d'dition"r 5oo sq. ft or portion thereo f Each Manuf'd Home or Modular Dwelling Service or Feeder 1 IJGAL DESCRIPTION JOB Permits are non-trans 'erable and if vork is not started within 180 of issuance or if vork is suspended for 180 days. 2 colrTRAcf,oR ONLYC Electrical Contractor Address Ci ty Phone Superv cense Ntimber Expiration Date constr contr. Number Signature of Supervising Electrician u9s ELEETRICAL PERfiIT APPLICATION City Job Number BELOV New Residential-Single or MuIti-Family per dwelling unit. Service Ineluded: I tems .Cos t s Bs.oo 0t! ubk ryl A Sum B 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 0nly $ 1s.00 $ 40.00 $300.00 $ 40.00 s so.oo $ 60.00 $100.00 $130.00 Ci ty Phone OIINER INSTALI,ATION The installation is being made on property I or.rn vhich is not intended for sale, Iease or rent. 0vners Signature: DATE: RECEIPT RECEIVED Temporary Services or Feeders Installation, Alteration or Relocation D Branch Circuits Nev, Alteration or Extension Per Panel one circuit -_| S 35.00 Each Additional Circuit or with Service or Feeder Permit , S 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utline Lighting- Limited Energy/Res Limited Energy/comm -STJBTOTAL OP ABOVB 5Z State Surcharge TOTAL c Expiration Date q.\w 200 amps or less $ 40.00 201 amps to 400 amps $ 55.00 Over 600 amps or 1000 volts see t'Brr above Ovners Address _5s L 00 00 00 00 $40 $40 s20 s36 5 oo e3