The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 1993-06-23u SPrlINGFIELD RESIDENTIAL PERMIT APPLICATION lnspections:726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK ASSESSORS MAP: LOT: h, JOB NUMBER 225 Fifth Street Spri ngfield, Oregon 97 477 TAX LOT:€ao SUBDIVISION: A BLOCK PHONE: ZIP:STATE: ADDRESS: CITY: owNER: /4l. DITION DEMOLISH OTHER DESCRIBE WORK NEW- REMODEL ELECTRICAL: -'------- EXPIRES PHONEADDFIESSCONTRACTOR'S NAME CONST. CONTRACTOR # PLUMBING: - MECHANICAL: RANGE: # OF BDRMS _ OFFICE USE _ ZONING CODE: FLOOD PLAIN WATER HEATER * OF UNITS: QUAD AREA: , OF BLDGS OCCY GFIOUP: I OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-376g. This is a24hour 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 fI Temporary Electric ll .X .x 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 E/Final Electrical - When all 14'erccvical work is complete. *tl,/Final Mechanical - When all Frecnanical work is complete. cover. Underslab Plumbing / Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain Permanent electrical power. Footing - After trenches are excavated.Fireplace - Prior to facing materials and f raming lnsP. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover.Florn", L ,# /rc'f Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to lilling trench.l-_l Drywall - Prior to taPing MOBILE HOME INSPE TIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation Post and Beam - Prior to floor insulation or decking.t_l lnserl - After fireplace aPProval .rnd installation of u;rit. Blocking and Set-Up - When all blocking is complete. r]Curbcut & Approach - After f()rms are erected but prior to pldcement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to f illing 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 & Driveway - After excavation is complete, forms and sub-base material in place. Water Line - Prior to filling trench.[--l 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 venting have been installed. u z3q Vio, t nn, ml- 2_ q GENERAL: SECONDARY HEAT: SQUARE FOOTAGE: LAND USE: E E tl E E E E r r r tl Foundation - After forms are erected but prior to concrete placement. Floor lnsulation - Prior to decki ng.tl tl tl E r Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks ACC IS THE PROPOSED WOBK IN THE HIS]oFIICAL DISTBICT, OR 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 N S E VALUE (A) X $iSQ. 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 perrrlit is gr;-tnteci on the express condition that the said construction shall, in all respects, conform to the Ordinance adopteci by the City of Springfield, including the Developrnent 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. Fleceipt Number:- _ Plans Reviewed By Date Plan Check Fee Date Paid Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developrnenl Chaige is due ori 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 / 5,4-0Loy ,'7)- z{7t-(D) ' at1l,-, N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace 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 clescribed herein, and that NO OCCUPANCY will be made of any structure without permrssion of the Building Safety Division. I Iurther certif y that only contractors and employees who are in compliance with ORS 701.055 will be used on this proiect. 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 f ront of the property, and the approved set of plans will 7-Date \,- during co ruct ion in rithe site at natu re 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,qQandECombined) - <- ?J-?:tlt VALIDATION: RECEIPT NUMBER DATE PAID 9/z o /- -24 -5'3 25,?r RECEIVED BY -___-__ AMOUNT RECEIVED ,OBEGO'U ai,lr i".. 3i -' {r:lowing prorec{ as submltted hao tha -z-,, , end doee not roquire specitic lano abui€ ELECTRICAL PERHIT APPLICATION Neu Residential-Single or HuIti-Family per dvelling unit Service Included: I tems Cos t $ 8s.00 s 1s.00 225 FIFTE STREEf, SPRINGFIEID, OREGON 97 477 iNSPECf,ION REOUEST z 726-3769n,,... 1 - tq ri7 OFFICE: 726-3759 Auirronzeri 1. LOCATION OP INSTALI.ATION2s7 7 tJ te,u)*JL A I-EGAL DESCRIPTION JOB J-c Address A?3 tlla p a? City Job Number ?s - c70s Sisnatwe3p'60Hpr pTE FEB DULE BELOV 1l- Sun Wq Ynone 1/S^a?AZ 1000 sq.ft. or less iach additional 500 sq. ft or portion t hereo f Each Manuf'd Home or Hodular DveIling Service or Feeder s 40.00 Services or Feeders Installation, Alterations or P.elocation: 200 amps or less 201 amps to 4oo amps -401 amps to 600 amps _ 601 amps to 1000 amps_ 0ver 1000 amps/vo1ts Reconnect 0n1y Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less S 40.00 Over 401 to 600 amps _ $ 80.00 Over 600 amps or 1,000 volts see I'B'r above D. Branch Circui ts I'lev, Alteration or Extension Per Panel one circuir J S 35.00 I Each Addi t ional Circuit or r^'ith Service or Feeder Permi t s 40.00 s 40.00 s 20.00 s 36.00 SUBTOTAL OF ABOVE 5Z State Surcharge TOTAL Ci ty $ s0.00 $ 60.00 s100. 00 s130. 00 s300. 00 s 40.00 Supervisor License l.lumber ArTo -s Expiration Date o^/* constr contr. Number O ?2-?L ExP iration Date /L /A - f3 Signature of Supervising Blectrieian U",L €*"fu U0r.rners Name (nt. l1e./qeLSo,,)I Address 2.?9 ? l) ,ArhontY ltilc The installation is being made on property I ovn vhich is not intended for sa1e, Iease or rent. 0vners Signature: C citt f( nt pV {,*lJ Phone 7 Y6 - g LL/ ) OVNER INSTALLATION s 2.oo / E. I'iisceflaneor.rs (Service/feeder not incl,r.rde<i) -Each ins tallat ion Pump or irrigation Sign/outline Lighting- Limi ted Energy/Res Limi ted Energy/Comm DATE: RECEI *: RECEIVED BY: 5 ?ermits are non-transferable and expire i! vork is not started vithin 180 days cf issuance or if vork is suspended for 180 days. 7. CONTRACf,OR INSTALI,ATION ONLY B. Electrical Contrac ro, Burlluzs {rL{ 37/;w- 3 g ,gs