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Home My WebLink AboutPermit Mechanical 1992-03-04SPRINGFIELE, RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 JOB NUMBER h,225 Fifth Street Spri ngfield, Oregon 97 477 LOCATION OF PROPOSED WORK:TLLr !| ASSESSORS MAP TAX LOT: LOT BLOCK:SUBDIVISION OWNER Q-f..e." \ Con n\e.{PHON E:- Bv xw3ADDRESS4 CITY:Crt STATE:o&.ZIP:{fv lfl t f .lt lv"t Jlx (DESCRIBE WORK NEW - REMODEL ADDITION DEMOLISH OTHER CONTRACTOR'S NAME ADDRESS CONST. CONTRACTOR #EXPIRES PHONE GENERAL: PLUMBING 1 o 2:.3 L MECHANIC,A,L:CCA l.-3 E sfrcc )-yYs ELECTRICAL C*r(-{g S _ OFFICE USE _ QUAD AREA: # OF BLDGS LAND USE:FLOOD PLAIN * OF UNITS: OCCY GROUP: * OF STORIES: CONSTR. TYPEI HEAT SOURCE: * OF BDRMS: WATER HEATER: 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 Final Plumbing - When all plumbing work is complete. / Final Electricat - When att electrical work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover.Electrical Service - Must be approved to obtain permanent electrical power. p[ Finat Mechanical - When ail -q5:chanical work is complete. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsp. Final Building - When atl required inspections have been approved and building is completed.Masonry - Steel location, bond beams, groutlng.Framing - Prior to cover. Foundation - After forms are erected but prior to concrete placement. Other Wall/Ceiling lnsulation - Prior to cover. l-_l Drywall - Prior to taping Underlloor Plumbing/ Mechanical - Prior to insulation or decking. MOBILE HOME !NSPECTIONS 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 allblocking is complete. Floor lnsulation - Prior to decking.Curbcut & Approach - After forms are erected but prior toplacement of concrete. Plumbing Conneclions - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Electrical Connection - When blocking, set-up, and ptumbing inspections have been approved and the home is connected tothe service panel. Water Line - Prior to filling trench.[l Fence - When compteted Street Trees - When all required trees are planted. Final - After all required inspections are approved andporches, skirting, decks, and venting have been installed. Rough Plumbing - Prior to cover_ /, ? ?O 3 -..*J = ZONING CODE: - RANGE: E fl Underground Plumbing - Prior'J to filling trench. tl tl r tl E E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type . - lnterior - Corner - Panhandle - Cul-de-sac P.L.HSE GAR ACC N S E J THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: 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. DatePlans Reviewed By Receipt Numbe Plan Check Fee Date Paid: Received By: VALUE (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main 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 Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent MECHANICAL PERMIT /;N,O/ / tL) /o''o 217t t-/ '?<-- (D) N0 Mechanical Permit lssuance State Surcharge Total Permit Fu rn ace Exhaust Hood Vent Fan 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 further 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 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 on the site at all times during construction. natu re Date )t -,-l -ct z_ I MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -- ft Curbcut -- ft Demolition State Surcharge Total Miscellaneous Permits (E)7/-DATE PAID AMOUNT RECEIVED RECEIVED BY 2<> €': <) ")--)/ / VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Combined) 2 vf i 2 -z/ -) 2 0h 225 FIFTE STRBEf, SPRINGFIEIJ, oRBGON 97477 INSPBCf,ION RBQIBST:. 726-3769 OFFICE: 726-3759 ae submrttad rxluiro A Nev c PERHIT APPLICATION 1. LocATroN oF rNsrALLATroN Autnodzod 3bA5 itrri.nfunr n ) di . City Job Number FEE SCEEDULE BELOU ngle or 0 JOB DESCRIPTTON Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. Co!{mAcroR INSTALLATIoN oNLY Electrical Contractor Address ? MuIti-Family per dvelling unit. Service Included: I tems .Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder $ 8s.00 s 1s.00 $ 40.00 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_ Over 1000 amps/volts Reconnect 0nly Temporary Services or Feeders Installation, Alteration or Relocation Sum B 6 S so. $ 60. $100. $130. $300 $40 00 00 00 00 00 00 cit Phone 141 - AAn b Supervisor cense Ntimber Ii, g {" S Expiration Date lo - I -qL' Constr Contr. Number 03S+q Expiration Date q-l -qA-- Signature of Supervising Blectrician 0vners Name 200 amps or }ess $ 40.00 Over 401 to 600 amps _ $ 80.00 Over 600 amps or 1000 volts see ilBl above Address Ci ty Phone r+b-v4A3 OIINER ALI"ATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. 0vners Signature: DATE: D. Branch Circuits Nev, Alteration or Extension Per Panel one circui t i S 35. Oo !5'. oo Each Additional Circuit or vith Service or Feeder Permit $ 2,00 E. Miscellaneous (Service/feeder not included) -Each installation Ptrmp or irrigation Sign/outline Lighting- Limited Energy/Res Limited Energy/Comm 5. STETOTAL OP ABOVB 5Z State Surcharge TOTAL o $ 40.00 $ 40.00 s 20.00 s 36.00 35.oo t. "15 3b ''l x RECEIVED BY: sa"rrNGl.rELu Jrn-rnnoo r