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Home My WebLink AboutPermit Mechanical 1993-07-08SPrrTNGFIELC) RESID ENTIAL PERMIT APPLICATION lnspections:726'3769 Of{ice: 726'3759 JOB NUMBER ? 225 Fifth Street Springfield, Oregon 97477 ?* LOCATION OF PROPOSED WORK: ASSESSORS MAP:/7 -"4-V/TAX LOT:oroo LOT:BLOCK:SUBDIVISION To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a.m. will be made the same working day, lnspections requesled after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS Temporary Eleclric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspection - To be made af ter excavation, but prior to setting forms. Foundation - 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 f illing trench. Storm Sewer - Prior to filling trench. Waler Line - Prior to filling trench. Rough Electrical - Prior to cover, Electrical Service - Must be approved to obtain permanent electrical power. Fireplace - Prior to facing materials and f raming lnsp. Framing - Prior to cover, Wall/Ceiling lnsulalion - Prior to cover. Final Electrical - When all electrical work is complete. Final Mechanical - When all mechanical work is complete. Final Building - When all required inspections have been approved and building is completed. Other MOBILE HOME INSPECTIONS Blocking and Set-Up - When all blocking is complete. Plumbing Conneclions - When home has been connected to water and sewer. Electrical Conneclion - When blocking. set-up, and plumbing inspections have been approved and the home is connected to the service panel. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. l-_l Drywall - Prior to taping Wood Stove - After installation lnserl - After fireplace approval and installation of unit. Curbcut & Approach - After forms are erected but prior to placement of concrete. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. l--l Fence - When completed. Streel Trees - When a!l required trees aie planted. cteSTATE: 6 0 tt so h). z,r, ?'/ 47'1CITY: ADDRESS: OWNER bil "S+ NEW -- REMODEL ADDITION DEMOLISH OTHER n)Srfr P*ftlro1)DESCRIBE WORK: ELECTRICAL: PHONEEXPIFIESADDRESS tos+l)94$oe o CONTRACTOR'S NAME MECHANICAL: CONST. CONTBACTOR # G EN ERAL: PLUMBING RANGE: * OF BDRMS: _ OFFICE USE _ LAND USE: ZONING CODE: FLOOD PLAIN WATER HEATER # OF I.JNITS: SECONDARY HEAT: SQUARE FOOTAGE: OUAD AREA: r OF BLDGS: OCCY GROUP: C OF STORIES: CONSTR. TYPE: HEAT SOURCE: Rough Plumbing - Prior to cover. 55oo.P l-_l Underslab Plumbing / Electrical /tJ Mechanical - Prior to cover. [l Footing - After trenches areu excavated. l---l Masonry - Steel location, bondu beams, grouting. E E r tl r E E E tl w E tl pHoNE: '747'?d3? r ) Lot faces Lot sq. ftg. Lot coverage Topography Total height *Lot lype - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR N S E ACC IS HE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTOFIICAL 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. Plan Check Fee: -_-==.- DatePlans Reviewed By Date Paid Receipt Number:-. Received By BUILDING PERMIT VALUE (A) SQ. FT. X $/SQ. FT.ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee Systems Devetopn-rent Charge.is due. on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Besidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE No FT. FT. (c) Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace ,fu l4r= ' Exhaust Hood Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) /V/r/ -F 4;2f, N0 /f,.F /a-4 Vent Fan Mechanical Permit lssuance State Surcharge Total Permit 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 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 that the permit card is located at the f ront Sig natu re Date from the street, of the propertY, an the approved set of Plans ll remait, tructiond u ringon the site at all MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -- ft Demolition State Surcharge Total Miscellaneous Permits (E)DATE PAID AMOUNT RECEIVED. RECEIVED BY VALIDATION: BECEIPT NUMBEB TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) FT- C'TY OF SPRINGFIELD,OREGO'V 225 FIFTE STRBBT :..:. SPRTNGFTELD, oREGON 97477 ; INSPBCTION REOUESTz 726-3769 A l n,axOPPICE: 726-3759 oeta -I'-v-' t/'' 1. LocATroN op rNsrAll.errdNfho*o.. LBGAL DESCRIPTIONo1)t^1Y O). JOB DBSCRIPTION 5P'IT,tGFIELD eukrmitted hae tho 'rrio sPeciiic land usa ELBCTRICAL PERIIIT APPLICATION Ci ty Job Nunber ffi BBLov ?3t3gs A Nev Resldential-Single or HuIti-Family per dvelling unit. Service Included: Items Cost Sum C^.te^^rCt 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or -Modular DveIIing Servlce or Feeder s 8s.00 $ 1s.00 $ 40.00 B 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_ 0ver 1000 amps/volts Reconnect 0nIy SUBTOTAL OP ABOVB5f State Surcharge TOTAL The follcvlin! Proitct ae , ';J: Permits are non-transferable and expire if work is not started vithin 180 days of lssuance or lf vork ls suspended for 180 days. 2. COIITRACTOR INSTALI..ATION ONLY Electrical Contractor Address 0 Ct ty Supervisor L of Ovners Name Address I I 5 0fsdtronf'r,n',emn, 3 $ s0.00 s 60.00 $100.00 sr.30.00 $300.00 s 40.00 Expiration Date Constr Contr. Number O3?, Expiration Date q -t-1+ Phone 1+t - ^A3tncense Number tbsbs 5 Blectrician c D. Branch Circuits Nev, Alteration or Extension Per Panel 'one circui t I $ 35. oo J5. oo Each Addi tional Circuit or with Service or Feeder Permi t | $ 2.00 3.oo E. Miscellaneous (Service/feeder not included) Temporary Services or Feeders Insta1lation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps - $ 55.00 over 401 to 600 amps - $ 80.00 Over 600 amps or 1000 voTts see trgtt "[ffi -Each installation Pump or irrigation $ Sign/OutIine Lighting- $Limited Energy/Res - S Limi ted Energy/Comm $ Cl ty Phone ,1+,1- qMq OgNER The installation is being made on property I own vhich is not intended for sale, lease or rent. ()cners Signature: DATB: c 40.00 40.00 20.00 36.00 5 .BE . BS RBCBIVBD D