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Home My WebLink AboutPermit Mechanical 1996-03-06SPRINCiFIELE, RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED ASSESSORS MAP: LOT s uK S{zrtt JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 TAX LOT: SUBDIVISION:-BLOCK; Pnt"cal dkt+v Ne{+1'€ Uh*(.e,v 7vY--0761PHONE: b?L(S flturc S{art ,eJ. ?7 473STATE:ZIP: OWNER ADDFTESS: CITY: NEW - REMODEL ADDITION DEMOLISH OTHER 5U^roDESCRIBE WOBK: EXPIRES PHONEADDRESS -t62tao77 [o-3t-76 7 CONTRACTOR'S NAME MECHANICAL: ELECTRICAL:i€ /d CONST. CONTRACTOR # G EN ERAL: PLUMBING -(co Peice RANGE: * OF BDRMS: - OFFICE USE - LAND USE: ZONING CODE: FLOOD PLAIN WATER HEATER: * OF UNITS: SECONDARY HEAT: SQUARE FOOTAGE: OUAD AREA: # OF BLDGS OCCY GROUP: r OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. This ls a24 hour recording. All lnspections requested before 7:0O a.m. will be made the same working day, lnspectlons reques 7:00 a.m. wlll be made the following work day. R IRED INSPECTIONS Temporary Electric Ro Mechanlcal - Prior to Final Plumbing - When all plumblng work is complete. Site Inspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to nal al - When all cover.el al work is complete. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Eleclrical Service - Must be approved to obtain permanent electrlcal power. Final Mechanlcal - When all mechanical work is complete. Footing - After trenches are excavated.Fireplace - Prlor to faclng materlals and framlng lnsp. Final Building - When all requlred lnspections 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/Celling tnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.Drywall - Prior to taping MOBILE HOME INSPECTIONS Undertloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After lnstallation Post and Beam - Prior to floor insulation or decking.lnsert - After flreplace aPProval and installatlon of unit. Blocking and Set-Up - When all blocking is complete. Floor lnsulalion - 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 servlce panel. Storm Sewer - Prior to filling trench. Sidewalk & DrivewaY - After excavation is complete, forms and sub-base ntaterial in Place. Waler Line - Prior to filling trench.I Fence - When completed. 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 ventlng have been installed. \r-tofrtEFfEH-a E E E tl E tl E r E E E E Lot faces Lot sq. ftg. Lot coverage Topography Total heidht Lot Type - lnterlor - Corner - Panhandle - Cul-de-sac -<j THE PROPOSED WORK lN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this appllcation must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: HSE GAR ACCP.L. N S W E BUILDING VALUE, PLAN CH ECK 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: Received By: Date Paid: Receipt Nu VALUE (A) BUILDING PERMIT Total Value Building Permit Fee state surcharge Total Fee SQ. FT. X $/SO. FT.ITEM Maln Garage Carport Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanltary Sewer Water Storm Sewer Mobile Home FEE (c) No FT. FT. FT. PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge MECHANICAL PERM!T Furnace Exhaust Hood Wood Stove/ lnsert/ Fireplace Unlt \()l (D) N0Vent Fan Mechanical Permlt lssuance State Surcharge Total Permlt By slgnature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all lnformation 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 ln 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 ls located at the front of the property, and the approved set of plans will remain 6 at al mes durin ctionthe Sign Date RECEIPT NUMB DATE PAID AMOUNT RECEIV BECEIVED BY VALIDATION MI$CELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolltlon State Surcharge Total Mlscellaneous Permits (E) TOTAL AMOUNT DUE (excludlng electrical) (A, B, C, 4 and E Combined) STD]IIN(iFI.ELCD zoninfJ, en<J -does not ?25 YTYIE SMSEE SPluilGEIBLD, oREGoN 97477 INSPECTI0N REOUESI: 726-3V69 3-qb 0Wl&: 72il3759 1.OP SCEEDUIA BELOI' A. Nev Residential-Slngle or Hulti-Fauily per dvelling unit. Service Included: Items Cost s 8s.00 $ 1s.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: Aiiitrorizod Slg Sum (\J.p Permits are non-transferable and expirelf vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. COII]3ACf,OR INSTALIATION ONLY Electrical Contractor Address ci Phone Supervisor 'cense Ndmber Expiration Date Constr Contr. Number 3B?C+- Expiration Date t Signature of Supenrising Electrlcian C. Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amp Over 1000 amps./volts Reconnect 0n1y SIIBTOTAL OP ABOVE5I State Surcharge 37" City TOTAL L $ s0.00 $ 60.00 $100.00 $130.00 s300.00 $ 40.00 s ) 200 amps or less $ 40.00 over 401 to 6oo amps - $ go.oo 0ver 600 amps or 1000 vofEs see ilBr a'bove Ovners Address ci Phone The installation is being made onproperty I om vhich is not intendedfor sale, lease or rent. Omers Signature: Branch Circuits New, Alteratlon or Extension per panel one ci.rcuit _L $ gs.oo 359OEach Additional Circuit or vith Serviceor Feeder p".ri,o="} $ z...oo L@ Hiscellaneous (Service/feeder not lncluded)-Each installation' Pump or irrigation Sign/outline Lighting-- Limited Energy/Res Limited Energy/Comn Name ( D. I, 4s $ 40.00 s 40.00 s 20.00 $ 36.00 DAIts: C'TY OF OREGON RECETVED 5 OD EIAGIts,ICAL PBRHIT APPIJCATTON City Job 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf,d Home or Hodular Dve}ling Service or Feeder