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Home My WebLink AboutPermit Mechanical 1993-06-08SPrlII\|GFIELD RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Olfice: 726-3759 LOCATION OF PROPO SE I st //t C? JOB NUMBER 225 Fifth Street Springf ield, Oregon 97477 TAX LOT: SUBDIVISIONLOT: BLOCK: PHONE: 7z?77olcztPSTATE: /14 1ar/*b - 0z >/ /_s Pk.e (/FS y'r/ ', rr/ CITY: q?aADDRESS: OWNEFI NEW -- REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK ),rlsrtrC 6ls -orlrltl(e * PHONEEXPIHES 738{f,/rtzfi rc/ I a,l6 r// h)G 4iB/7 s,il 7*9f-r l?-2/Q3 3'/?-z Y8///enrz,rtt 1Z o r O./C z ! 6 /_ CONTRACTOR'S NAME MECHANICAL: ELECTRICAL: CONST. CONTRACTOR ' GENERAL: PLUMBING /,o box 76/ tull/fr/fUrtt. # OF BDRMS - OFFICE USE - LAND USE FLOOD PLAIN WATER HEATER CONSTR. TYPE: RANGE: SECONDARY HEAT: SQUARE FOOTAGE: OUAD AREA: # OF BLDGS ZONING CODE: OCCY GROUP: 'e OF STORIEST HEAT SOURCE.. -- To request an inspection, you must call 726'3769' This is a 24 hour recording' All !nspections reques made the same working day, inspections requested after 7:00 a'm will be made the {ollowing work REQUIRED INSPECTIONS Temporary Electric Site lnspection - To be made af ter excavation, but Prior to setting {orms. Underslab Plumbing / Electrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundalion - After forms are erected but Prior to concrete placement. Underground Plumbing - Prior to filling trench. Underlloor Plumbing/ Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking. Floor lnsulation - Prior to decki ng. Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. Water Line - Prior to filling trench. Electrical Service - Must be approved to obtain Permanent electrical Power. [-_-l Fireplace - Prior to facingu materials and (raming lnsP. Framing - Prior to cover' Wall/Ceiling lnsulation - Prior to Rough Mechanical - Prior to cover. Rough Eleclrical - Prior to cover. cover ted before 7:00 a.m. will be day. Final Plumbing - When all plumbing work is cornPlete. Final Electrical - When all electrical work is comPlete. Final Mechanical - When all mechanical work is comPlete. [-_1 Final Building - When allll required insPections have been approved and building is completed. dther MOBILE HOME INSPESTIONS Blocking and Set'UP - When all blocking is comPlete. Plumbing Connections - When home has been connected to water and sewer. Electrical Connection - When blocking, set-uP, and Plumbing inspections have been aPProved and the home is connected to the service Panel. [--l Orywall - Prior to taoinq wood Stove - After installation lnsert - After fireDlace aPProval and installation of unit. fl Curbcul & APProach - After forms are erected but Prior to placement of concrete. Sidewalk & DrivevraY - After excavation is comPiete forms and sub-base materjal in Place' [--l fence - YJhcn comPleted Streel Trces - When all required trees a:'e 1-)ianted. Final - After all required inspections are aPProved and porches, skirting, decks, and venting have been installed.Rough Plumbing - Prior to cover. !----lIt n ASSESSORS MAP: r r E E r fl tl E E tl E ADDRESS # OF UNITS: -- r Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type- - lnterior - Corner - Panhandle - Cul-de-sac Setbacks ACC \S THE PROPOSED WORK IN THE HISTORICAL DISTRICI, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPFIOVED: P.L.HSE GAR N J E VALUE (A) X S/SO. FT. BUILDING PERMIT ITEM SO. FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This pcrrlit is granted on the express condition that the said construction shall, in erll respects, conform to the Ordinance ;rdopteo by the Ciiy of Springfield, inctuding the Developrrrent Code, re.clulating the construction and use of buildirrqr;, and may be suspended or revoked at any tirne upon viol;rtron of any provisions of said ordinances. Plans Rcviewed By Date Plan Clrccl< i:ee Date Paid Receipt Number: Rcceivcd By: SYSTEMS DEVELOPMENT CHA.RGE (SDC; (B) Systems Dev:iopmcrit Charge is due on all undeveloped properties witlrin thc City Iimits 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 ). (D) l ) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood By signature, I state and agree, that I have caref ully 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 OFIS 701.055 will be used on this project. I f urther agree to ensure that all requirecJ inspections are requested at the proper time, that each address is readable from t!-re street, that the permit carcl is locatecj at the front of the property, and the approved set of plans will remain Datc -a_-_ _X -?2 on the site at Signature -- tirnes durin g construction. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding elec (A, B, C, D, and E Combined) ,,,{$-.$I RECEIVED bY VALIDATION RECEIPT NUMBE DATE PAID AMOUNT R EIV SiPRT!{GFTELD 225 FIFTE STRBBT $fuireriBlD, oREGoN 97477 rNsprcrroN nsouriil - 726-3769 .- " t' OFFICE: 726-3759 (- 1. LOCATION OP 5+0-< LEGAL DESCRIPTION 0&rfT.-C-& JOB t | $ervi,*J .+ 6hr F,avwn Ck'*-t' New Res idential-Single or -r amily per dvelling un c luded: I tems ft. or less Each add itional 500 sq. ft or Portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amis to 400 amPs -401 amps to 600 amPs - 601 amps to 1000 amps- Over 1000 amps/volts Reconnect Oniy it. Cos t $ 8s.00 $ ls.oo $ 40.00 Sum 3 2-z lb @ looo sq. permits are non-transferable and expire if vork is not started vithin 180 days ;; i;;;;"" ot if vork is susPended for 180 days. 2. COI{TRACTOR INSTALI,ATION ONLY lAilElectrical Contractor Address t,{t ,Ss1 LG Y Ci ty J Phone q14-O')O ! Supervisor ticense Number 366b*s Expiration 9^1s iOl2-\('P ,, Constr Contr. Number 20--L41{ Exp iration Date s ture of Supervising EIec lan Oyners Name P^r @-Q(vt tt^. Address 12to t* (lt< Ci ty {n-c (J Phone a't b -56 ( ur OTINER INSTALI,ATION The installation is being made onproperty I or.rn rrhich is not intendedfor sale, Iease or rent. Ovners Signature: DATE: Temporary Services or'Feeders Installation, Alteration or Relocation B c $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit t---- $ 35.00 Each AdditionalCircuit or with Serviceor Feeder Permit I $ 2.00 200 amps or less 20L amps to 400 amps -over 40L to 600 amps -Over 600 amps or 1000-6TTs $ $ $ s 40.00 55.00 80.00 ee ItBrr aSoF is6 2*a E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $Sign/0utIine Lighting- $Limited Energy/Res - $Limited Energy/Comm $ 5. STIBTOTAL OP ABOVE 5Z State Surcharge TOTAL 40.00 40.00 20.00 36.00 RBCEIyED ?-fr't 1r52hqr