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Home My WebLink AboutPermit Mechanical 1995-10-07SP,lINGFIELE) RESIDENTIAL PERMIT APPLICATION lnspections: 726 3769 Office: 726'3759 LOCATION OF PROPOS ED ASSESSORS MAP:l qr, JOB NUMBER 225 Fifth Street Spri ngfield, Oregon 97477 17 S TAX LOT SUBDIVISION L I PHONE q1 F77ztPSTATE: oFB-e oI av7 _ 6-ga? t, ICITY: --- ADDRESS: OWNER NEW --- REMODEL ADDITION DEMOLISH OTHER v 6*s Forc PACEol-doav9oNof P, DN 7f DESCRIBE WORK PHONEEXPIRESADDRESS -/ 6Llo 0071Qpfcg Cctv rc-1p9 3 7 CONTRACTOR'S NAME PLUMBING MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # /,V-/ I OF BDRMS: OUAD AREA: _ OFFICE USE _ LAND USE: CONSTR. TYPE: __-..-- FLOOD PLAIN RANGEWATER HEATER: # OF UNITS: SECONDARY HEAT: SQUARE FOOTAGE: r OF BLDGS: - OCCY GROUP: r OF STORIES: ZONING CODE: HEAT SOURCE: ._-_ To request an inspectlon, you must call 726'3769' This is a 24 hour made the same working day, lnspections requested after 7:00 a'm' REOUIRED INS recording. All inspections requested before 7:00 a'm' will be will be made the following work day' PECTIONS Final Plumbing - When all plumbing work is comPlete'TemporarY Electric Site lnsPection - To be made after excavation, but Prior to setting forms. Underslab Plumbingt Electrical / Mechanical - Prior to cover' Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erected but Prior to concrete placement. Underground Plumbing - Prior to lilllng trench. Underlloor Plumblng/ Mechanical - Frior to insulation or decking' Post and Beam - Prior to floor insulation or decking' Floor lnsulation - Prior to decki ng. Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. Waler Llne - Prior to filling trench. Rough'Plumbing - Prior to cover. Rough Mechanical - Prior to cover. Rough Electrical - Prior to COVET Electrical Service - Must be approved to obtain Permanent electrical Power. l-l FirePlace - Prior to facing L-.l mat;rials and framing lnsP' Framing - Prior to cover' WalltCeiling lnsulation - Prior to cover Street Trees - Wherr all required trees are Planted. Final Electrical - When all electrical work is comPlete' Final Mechanical - When all mechanical work is comPlete' Other Final Buitding - When all reouired insPections have been approved and building is completed. l--.l orYwall - Prior to taping' MOBILE HOME INSPECTIONS Wood Stove - After installation lnsert - After firePlace aPProval and installation of unit' l--l Blocking and Set-UP - When all I I blocking is complete' Curbcut & APProach - After forms are erected bul Prior to placement of concrete' Sidewatk & DrivewaY - After excavation is comPlete, forms and sub'base materiai in Place' Plumbing Connections - When home has been'connected to water and sewer. l---l Fence - When corn[)leted' Final - After all required insoections are aPProved and oorches. skirting, decks' and venting have been installed' Electrical Connection - When blocXing, set'up, and Plumbing . inup""tion" have been aPProved und the home is connected to the service Panel. E E E tf Dr tl D tl E E tlr E I Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Set ks IYfHE PROPOSED WORK IN THE IJISTORICAL DISTRICT, OFI ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: P.L,HSE GAR ACC N S VALUE (A) X $/SO. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This pernrit is granted on the express condition ttrat 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. Plans Reviewed By Date Plan Check Fee: Date Paid Fleceipt Number Fleceived By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developrnent Charge is due'on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) No FT. FT. FT' PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify lhat all lnformation hereon is true and correct, and I lurther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ield, and the Laws of the Slate of Oregon pertaining to the work cJescribed herein, and that NO OCCUPANCY will be made of any structure without perrnission of the Building Safety Division. I furthcr certify tllat only contractors and ernployees who are in compliance with OFIS 701.055 will be used on this project. I f urther 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 ls located at the f ront of the property, and the approved set of plans will remain Signature to-7-?3Date * c,'Pimes duon the site at al truction. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permit$(E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) DATE PAID RECEIVED AMOUNT VALIDATION: RECEIPT NUMBER E I 2-25 PTFTE SIRBET SPRIIIGFTEID, ONECON INSPBCTION REOIIBST: 0PFICE: th6-375g st't!tN(;FtGLo 97477 ri:.3 as subr..lilt*d has the PERXTT APPLTCATTON ,16-376s:: ;::.,ilL1{ rP(iuire spcrciiio Number q3-/53 / oere- t9ar[aa-l] PEE SCmDUT.E BELOV- a@-q Nev Residential-Si ngle or 1. LoCAUoII 0Pq I.EGAL DESCRIPTION ?D3 0e3lb JOB( 2. CO}IIBACTOR INSTAII.ATION ONLY Electrical Contracto maress PO &b5 Phone b86 -[6/ )-' Supervisor License Ntimber 50{-s Expiration Date /(t '/ -€/ Constr Contr. Number Expiration Date t>-2/-q3 ure of c1:rn Ovners Name Address ci ne OIINER The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Orners Signature: DATE: Service fnclu dvelling uni t. ftems Cost Sum $ 8s.00 $ 1s.00 $ 40.00 $100. $130. $300. $ ao. aEffi per ded: Permits are non-transferable and expireif vork is not started vithin iAO aly.of issuance or if vork is suspended for 180 days. 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Manufrd Home or -Modular Dvelling Service or Feeder Services or FeedersInstallation, 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 -Reconneet Only One Ci.rcui t I Each Additional Circuit or vith Service B 00 00 00 00 00 00 50$ $ci $ 40.00 $ ss.00 $ 80.00 see rtBtr 00 00 00 00 s40 $40 $20 $so 4try.-T-4t 60 c Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps or less 201 amps to 400 amps -Over 401 to 500 amps _0ver 600 amps or 1000 volts D. Branch Circuits Nev, Alteratlon or Extenslon Per Panel $ 3s.oo 55e or Feeder Permit 7 $ 2.-00 E. Miscellaneous (Service/feeder not incLuded) -Each installation Ptrmp or irrigation sign/outline Lighting- Limited Energy/Res Limited Energy/Comm STIBTOTAL OP ABOVB 5Z State Surcharge TOTAL & 5 RECEIVBD rO