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HomeMy WebLinkAboutPermit Plumbing 1993-02-09SPRINGFIELE) RESIDENTIAL PERMIT APPLICATION lnspection:;: 726-3769 Of tice: 720-3759 LOCATION OF PROPOSED WONK 33r )1o QzotqL.JOB NUMBEB - 225 Fifth Street Spring f ield, Oregon 97 477 U{GP. TAX LOT:O) 9o c, LOT: ----BLOCK: - SUBDIVISION OWNF,R: ADDIIESS: CITY: PHONE: ZIP: (-. OQSTATE:Q-l.t 7?_ OTHERDEMOLISH DESCFIIBE WORK NEW -- - FIEMODEL - ADDI EXPIRES P}iON EADDFIESS L _22L.ei2. ELECTRICAL CONTRACTOIi'S NAME MECHANICAL.: -- CONST. CONTRACTOR # GENERAL: - PLUMBING: - - OFFICE USE _ LAND USE:FLOOD PLAIN RANGE: -. ZONING CODE: I-IEAT SOURCE SOUARE FOOIAGE: E OF UNITS: , OF STONIES: WATER HEATER: OUAD AREA: =# OF BLDCS: .-.--. OCCY GR()Ulr: ." OF BDRMS: SECONDARY [JEAT: - CONSTR. TYPE: To request an inspection, you must call 726-3769. This ls a 24 hour recording. All inspections requested before 7:00 a.m. will be rnade the sanre working day, inspectlons requesled after 7:00 a.m. will be made the following work day. REOUIRED INSPECTIONS Afl Temporary Eleclricll Rough Mechanical - Prior to cover. Final Plumbing - When all plunrbing worl( is cornplete. Site lnspection - To be made af ter ext:avatiorr, but prior to setting forms. Rough Electrical - Prior to Final Electrical - Wlren all electrical work is cornplete.cover. Underslab Plumbing/ Electrical / Mechanical - Prior to,cover. Electrical Service - Must be approved to obtain permanent electrlcal power. Final Mechanical - When all mechanical worl( is complete. Footing - After lrenches are excavat()cl.Fireplace - Prior to facing materlals and framing lnsp. Final Building - When all required inspections have becn approved and building is completed.Masonry - Steel location, bond beanrs, grouting.Framing - Prior to cover OtherFoundation - Afler forms are erected t)ut prior to conclete placem(J nt.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trenclr. MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - Af ter installation. Posl ancl Beam - Prior lo floor insulation or decl(ing.lnsert - After fireplace approval and installation of unit. Blocking and Set-Up - Wherr all blocking is complete. Floor lnsulation - Prior to <1ec king Curbcul & Approach - After lorrns are erected but prior to placement ol concrete. Plumbing Connections - Wlren home has been connected to water and sewer. Sanilary Sewer - Prior to filling trench.Eleclrical Connection - When blocking, set-up, and plumbing inspections have been approvecl and the home is connected to the service panel. Slorm Sewer - Prior to filling trenc h. Sidewalk & Driveway - After excavation is complete, forms and sub-base rnaterial in place. Water Line - Prior to filling trench. Fence - When completed Slreet 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. ,L ASSESSORS MAP: tl []E E E t:] t_l E tl l--l Drywall - Prior to taping. rr fl flr E tf r r E E fl Lot faces Lot sq. ftg. Lot coverage TopograPhY Total height v-Lot Type - lnterior -- Corner -- Panhandle - Cul-de-sac Setbacks P.L.HSE ACC N S E GAR S THE PROPOSED WORK IN THE }-IISTORICAL DISTRICT, OR ON TI-IE HISTORICAL REGISTER? --.-lf yes, this application must [)e signed and approved bY the Historical Coor<jinalor prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This perrnit is granted on the express conditiorr th;rt the said construction shall, in all respects, conform to tlle Oldinance adopterj by the City of Springfield, including the Developrnent Cocle, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordirlances' DatePlans Rcviewed By Plan Check Fee: Date Paid Fleceipt Number:- Receivecl BY: BUILDING PERMIT VALUE (A) ITEM Main Garage Carport Total Value Building Permit Fee State Surclrarge Total Fee Systems Development Charge is due on all uncleveloped properties within the City limits whiclr are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fix t u res Residential Bath(s) Sarritary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE N0 FT. FT. FT. Wtannz (c) 'l< Plumbing Permit Statc Strtcltargc fotal Charge _15 t5 15 Wood Stove/ lnsert/ Fireplace Unit Dryer Vent MECHANICAL PERMIT (D) N0 Mcchanical Permit lssuance State Surcharge Total Permit Furnace Exhaust Hood Vent Fan By signature, I state anc, agree, that I have caref ully examined the completed application and do hereby ccrtify that all information hereon is true and correct, and I f urther certily that any ancl all work performed shall be done in accordance with the OrcJinances of the City of Springf ield, and the Laws of the State of Oregon pertaining to the worl< described herein, and that NO OCCUPANCY will be nrade of any structure without permission of the Building Safely Division' I further certify that orlly contractors and ernployees who are in compliance with ORS 701.055 will be used on this proiect. I f urther agree to errsure that all required inspections are per time, that each address is readable Date a pproved tl ) et of plans will remaindr st ruct i ontimunn Signature requesled mit card is locatcr.i at the frontat tlrf rom the st of the pro on th/si MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk --- ft Curbcut _=-- ft Demolition State Surcharge Total Miscellaneous Permits (E) 4+1q<O sl<-7<, ) AMOUNT RECEIVED RECEIVED BY DATE PAID VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 15f s SO. FT. X $/SQ. FT. OA C'TV OFSPB OREGO'U 225 FIFTE STREEI SPRTNGFTELD, oREGON 97477 INSPECTION REQUESTT 726-3769 OFFTCE: 726-3759 05! EI,BCTRICAL PERHIT APPLICATION LO.L City Job Number q3 )\4t, 2-16" 1 3, CO}{?IJT-E PEE SCEEDULE BBLOV A. Nev Residential-Single or HuIti-Family per dvelling unit. Service Included:Items Cost - Sum Permits are non-transferabLe and expireif vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI.ATION OM,Y Electrical Contrac Address Ci ty Phone 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 s 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 0n1y Temporary Services or Feeders Installation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Extension Per Pane} '.&'*ffi'urrrn: B 13 $ s0.00 $ 60.00 $100.00 s130.00 $300.00 $ 40.00 Supervisor License Ntimber Expiration Date \ D 3+nls L,qS c Constr Contr. Number Exp iration Date Si ture ising Electrician ers Name Address Ci ty one ALI^ATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. Ovners Signature: DATE: RECEIPT *: 200 amps or less $ 40.00 201 amps to 400 amps _ S 55.00 Over 401 to 600 amps _ S 80.00 Over 600 amps or 1000 volts see "8" above oneCircuit \ $35.00 Each Additional t Circuit or vith Service or Feeder Permit I S 2.00 J5 /\d, E Miscellaneous (Service/feeder -Each installation Pump or irrigation $ Sign/Out1ine Lighting_ S Limited Energy/Res _ S Limited Energy/Comm S SUBTOTAL OF ABOVE 5Z State Surcharge TOTAL DDP 32 not included) 40.00 40. oo 20. oo 6) RECEIVED B 5 B 5 tr