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Home My WebLink AboutPermit Mechanical 1993-04-19SPRINGFIELD RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 h, JOB NUMBER q3 e) 225 Fillh Street Spri ngf ield, Oregon 97 477 3lqs ?x p a<c,-vJ-LOCATION OF PROPOSED WORK: ASSESSORS MAP l-)r)". )f ta TAX LOT:o iloo BLOCK:SUBDIVISIONLOT: PHONE: zlPSTATE: *1aL ' 4 LL.n 1Q 1Lt CITY: ADDRESS: OWNER NEW -_-- REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: PHONEEXPIRESADDRESS fr,{'I u-axt CONTRACTOR'S NAME MECHANICAL: ELECTRICAL CONST. CONTRACTOR # G EN ERAL: PLUMBING 6 €G WATEFI HEATER:RANGE: S OF BDRMS: _ OFFICE USE _ LAND USE: ZONING CODE: FLOOD PLAIN * OF UNITS: CONSTR. TYPE HEAT SOURCE:SECONDARY HEAT SOUARE FOOTAGE: OCCY GROUP: * OF STORIEST OUAD AREA: # OF BLDGS To request an inspection, you must call 126-3769. This is a 24 hour recording. All 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' REQUIRED INSPECTIONS f-l Temporary Electric ll Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is comPlete. Site lnspection - To be made after excavation, but Prior to setting {orms. Rough Electrical - Prior to Final Electrical - When all electrical work is comPlete.cover Underslab Plumbing / Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain Permanent electrical power. M.Final Mechanical - When all mechanical work is comPlete. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsP. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover Foundation - After forms are erected but Prior to concrete placement. [-fother Wall/Ceiling lnsulation - Prior to Llg' cover, Underground Plumbing - Prior to filling trench.[--l Drywall - Prior to taPing. MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.wood Stove - After installation Post and Beam - Prior to Iloor insulation or decki ng.lnsert - After firePlace approval and installation of unit. Blocking and Set-UP - When all blocking is complete. Floor lnsulation - Prior to decki ng.Curbcut & APProach - After forms 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 Connection - 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 & DrivervaY - After excavation is complete, forms and sub-base material in Place' Water Line - Prior to filling trench. Fence - Whcn comPleted Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed.Rough Plumbing - Prior to cover. NQ r r E E E tl fl tl nrr E r P.L,GAR N e E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior -- Corner - Panhandle - Cul-de-sac Setb HSE ACC BUILDING PERMIT ITEM SQ. FT.X $/SQ, FT.VALUE Main Garage Carport 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 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 buildinqs, 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 Flcviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developrnent Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home W FEE N0 FT. FT. F-r. Plumbing Permit State Surcharge Total Charge (c) ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan N0 Wood Stove/ lnsertl Fi replace Unit Dryer Vent [< oo Mechanical Permit lssuance State Surcharge Total Permit l0-oo,S (D)AS ]S 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 certif y 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 State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without perrnission of the Building Safety Division. I further certi{y that only contractors and employees who are in compliance with ORS 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 f rom the street, that the permit card is located at the front of the property, a on the site at all nd approved set of plans will remain es during S Signat Date -73 ction MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) I rqo DATE PAID q I ro,lr,a AMOUNT RECEIVED 4 as.ls RECEIVED BY neTOTAL AMOUNT DUE (exctudins erectricar) +as-:zE (A, B, C, D, and E Combined) IS-IHE PROPOSED WORK IN THE HISTORICAL DISTRICT, OFI ON THE HISTORICAL HEGISTEFI? --lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: VALIDATION: RECEIPT NUMBER D. CITY OF 225 TIFTE SIREEf, SPRINGFIEID, ORBGON 97477 INSPBCf,ION REQUESTT 726-3 OPPICE: 726-3759 1 LOCATION INSTALI^ATION EIJCISICAL PERXTT APPLICATION L\)T,Q3osea BELOg Neu Residential-Single or HuItl-FamiIy per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular DveI).ing Service or Feeder s 8s.00 $ 1s.00 s 40.00 Permits are non-transferable andr expireif vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COllTRACf,OR INSTALI.ATION ONLY Electrical Contrac lotM Address l)bA UlEdT ZN> AUpruUa Ci ty E$bavE-Phon._d-?:J4W Supervisor Llcense Ndmber Zt tA 3 Expi ration Date \a -l 11Z- Constr Contr. Number ")G'2-/-t Expiration Date L+ -r>-.t- lSr'ng tri 0vners Name Address 3l4S Qh-r..s."-*fu Ci ty Phone '1) b-+l"LD OITNER INSTALI,ATION The installation is belng made on property I ovn vhich is not intended for sale, Iease or rent. Ovners Signature: DATE:Hl,a\al RECEIPT *:d :tPg t\ rqlqr 3 A IJGAL DESCRIPTION l-) o"-^, f,] I 2, rt I lor)Sum JOB DESCRIPLION C. Temporary Services or Feeders Installatlon, Alteration or Relocation 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_ 0ver 1000 amps/volts Reconnect 0nly 5. STDTOTAL OP ABOVB 5Z'State Surcharge TOTAL 200 amps or less $ 40.00 201 amps to 400 amps _ $ 55.00 0ver 600 amps or 1000 volts see "8" above $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 3S ceI -ls a(-.7(- s D. Branch Circuits Nev, Alteration or Extension Per Panel one Ci.rcuit I S 35.00 _'4 c C, each idditional Circuit or vith Service or Feeder Permit S 2.00 E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/OutIine Lighting- Limi ted Energy/Res Limi ted Enerty/Comm - 00 00 00 00 $40 s40 $20 s36 RECEIVED BI:',.C?,