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Home My WebLink AboutPermit Mechanical 1991-12-11SPRINGFIELE) RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 JOB NUMBER h,225 Fifth Street Springfield, Oregon 97 477 LOCATION OF PROPOSED WORK: ASSESSORS MAP:/? €7^zz-/ >TAX LOT 4-t LOT:BLOCK:SUBDIVISION PHONE:- -r/ ^-OWNER: ADDRESS CITY:STATE:ZIP:4^,r^, DESCRIBE WORK: NEW - REMODEL ADDITION DEMOLISH OTHER CONTRACTOR'S NAME ADDRESS CONST. CONTRACTOR #EXPI RES PHONE GENERAL: PLUMBING MECHANICAL ELECTRICAL: _ OFF]CE USE _ QUAD AFIEA: # OF BLDGS LAND USE:FLOOD PLAIN * OF UNITS:ZONING CODE: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: * OF BDRMS: WATEFI HEATER:RANGE: SECONDARY HEAT: SQUARE FOOTAGE: To request an inspection, you must call 726-3769. 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 Temporary Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. 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. w 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. Other Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench. MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - 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 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 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, forms and sub-base material in place. Water Line - Prior to filling trench. 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. E tl tl rtl E E E E E l--l Drywall - Prior to taping. f-l Fence - When completed.r r Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type \/ - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E I HE PROPOSED WORK IN THE H)SroRrcal DtsrRtcr, oR oN THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: VALUE (A) X $/SO. FT, BUILDING PERMIT ITEM SQ. FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee 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 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: Receipt Num Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. F-r. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent fitr 10- *45 (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state and agree, that I have carefully 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 made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further 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 is located at the front of the property, and the approved set of plans will remain 7-t(nt on the site at all times duri ng construction. Signature Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) VALIDATION: REcErPr NUMBER VZ qa 7 5- ? AMOUNT RECEIVED RECEIVED BY DATE PAID FT. ..\<-252t 225 FIFTE STRBEf, sPRrNcFrBID, oREGoN 97477 INSPECII0N REOUEST: 726-3769 0PPICE: 726-3759 1 TOCATION OF INSTALI.ATION ELBCTRICAL PBru{IT APPLIGATION City Job Nu^ber__2 / / 1{Z 3. COHPIJTB FEE SCEEDUI,E BBLOS A. Nev Residential-Single or HuIti-Family per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf,d Home or -Modular Dwelling Service or Feeder $ 8s.00 $ 1s.00 s 40.00 B. Services or Feeders'Installation, Alterations or Reloca t ion: Aie 200 amps or less 201 amps to 400 amps over 401 to 600 amps -0ver 600 amps or 10008[ -Each installation Pnmp or irrigation Sign/0utIine Ligh t ing- Limited Energy/Res -Limited Energy/Comm sr'rrrNGFrE,Lo SIIBTOTAL OP ABOVB 5Z State Surcharge TOTAL LLs ,Jt,r,t m / GLr45 IAGAL DESCRIPTION JoB DFSCRTPTTON rrri-t-l "OzO0 ,-L,l-* an-!.) Sum m Perrnits are non-transferable and expirelf vork is not started vithin 180 daysof issuance or if vork ls suspended for 180 days. 2. COI{TRACTOR INSTALI^ATION ONIY Electrical contractor Ot S 80oOtruo idmO . Address 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 $so $oo $100 $130 crty J p;uintfi'o 0n[,phone ,741 AA3 6 Supervisor License Ndmber lbgb 3 Expiration Date Constr Contr. Number O 3g+q Expiration Date 9 -/ - 9l- Signature of Supervising Electrician Ovners Name 0n,r.lrn,t n , Temporary Services or FeedersInstallation, Alteration or Relocation $300 40$ 00 00 00 00 00 00 $ 40.00 $ ss.00 $ 80.00 Address b bA Atrcn rn I 0^{rffi cl ty J I umutrl0fu phone''tAb - 54lk-1-' - 0u OTINER INSTALI,ATION The installation is being made on property I ovn vhich is not intendedfor sa1e, lease or rent. 0sners Signature: D. Branch Clrcults New, Alteration or Extension Per Panel one ci.rcui t I $ 35. OO Js',oO Each Additional Circuit or vith Service or Feeder Permit S 2.00 E. Miscellaneous (Service/feeder not included) n.0 a0{--r c s see uBu aEffi 3 5'. oo l,'75 $ 40.00 s 40.00 $ 20.00 $ 36.00 DATE: RECEI 1- PT OREGO'U RECEIVED BY: 5 2L ry5 /7e3^22^/1 oq7o4 q 1._,