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Home My WebLink AboutPermit Mechanical 1994-08-24/rt SP'TI]r.GFIELD RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office:726-3759 ASSESSORS MAP toT: LocArroN oF PRoPosED woRK: )ALq JOB NUMBER 225 Flfth Street Springfield, Oregon 97 477 TAX LOT: SUBDIVISION 1'l BLOCK: nA-(PHONE: ztPSTATE: (.\ (, OWNEFI: ADDRESS CITY:C l^ NEW -_-- REMODEL ADDI]'ION DEMOLISH CTHER l\l\tt]ESCRIBE WORK: (it.NI,RAI: t,l.t JMlllN(l: MtrCl-lANlOn t- ELECTRICAL: &ar,1--U{,--w -dL[-v- EXPIRES PFION EADDRESS :/o5_!5 I I0r CONI'RACToR'S NAME CONST. CONTRACTOR # RANGE r OF BDRMS: _ OFFICE USE - FLOOD PLAIN SECONDARY HEAT: SQUARE FOOTAGE: OUN D AREA: e OF BLDGS: - - WATER HEATER: OCCY GROUP: * OF STORIF-Sr ZONING CODE:# oF UNITSI ---.-- CONSTR. TYPE: HF.AT SOURCE: To request an inspection, you must call 726-3769. This is a 24 hour recording. All lnspections requested before 7:o0 a.m. wlll be rnadc the same working clay, in..;pections requesled after 7:00 a.m. wlll be made the following work day' REOUIRED INSPECTIONS f- I Temfrorary EleclricIJ Rough Mechanical - Prior to cover. Final Plumbing - When all plurnbing worl( is comPlete. Sile lnspection - To be made af tcr cxcav:ttior-r, but Prior to settin!l lortlts. tJ Rough Eleclrical - Prior to Final Eleclrical - Wlren all electrical worl< is comPlete.(:ovet. Under:;lab Plumbing/ Electrical / Mechatrical - Prior to cover. Electrical Service - Must be approved 1o obtain Permanent electrical power. E Final Mechanical - When all mechanical work is comPlete. Footing - After trenches are excavated.Fireplace - Prlor to facing rnatcrlals arnd framltrg lnsP. Final Building - When all required lnspections havc been approved and builcling is completed.Masonry - Steel location, bonrl bearns, grouting.Framing - Prior to cover,t Foundation - After forms are erected but prior to concrete placement. ffi ottrer Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.[-_l Drywall - Prlor to taping MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Slove - After installation Post and Beam - Prior to floor insulation or decking.lnsert - After flrePlace aPProval and lnstallation of unlt. Blocking and Set.UP - When all blocking is compleie. Floor lnsulation - Prior to decki ng.Curbcut & APProach - After forms are erected but Prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling tronch.Electrical Connection - When blocking, set-uP, arrd Pluntbing inspections have been aPProved and the home is connected to the servlce Panel. Storm Sewer - Prior to lilling trench. Sidewalk & DrlvewaY - Af ter excavation ls comPlete, forms and sub-base material in Place. Water Llne - Prlor to flllin0 trench. Fence - When conrPleted Streel Trees - When all requlred trees are Planted' Final - After all required lnspectlons are aPProved and porches, skirting, decks, and ventlng have been installed. tJ Rough Plunrbing - Prlor to cover. LAND USE: tl tl fl E E E rl il,ril E r E Lot faces Lot sq. ftg. Lgt coverage TopographY Total height Lot Type -- lnterior - Corner - Panhandle - Cul-de-sac P.L,HSE GAFI ACC N S E 16 rHr PRoPoSED woRK lN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? _-- lf yes, this application must be signed ancJ approved bY the Historical Coordinator prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This pernrit is glantccl on the express condition that the said construction shall, in all respects, conform to the Ordinance adoptecl by the City of Springfield, inclucling the Developrnent Code, t'egulating the construction and use of buildings, and may be susperrded or revoked at any time upon violation of any provisions of said ordinanccs. Recei pt Number:-. DatePlans R()viowed By Plan Chcck Fee: -- Datc Paid Rccciverl By: VALUE (A) BUILDING PERMIT Total Value Building Permit Fee State Surcharge Total Fee SQ. FT. X $/SO. FT.ITEM Main Garage Carport Systems Developtrtcnt Clrargc is due on all undevcloped properties within the City lintits which are beinq improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Residontial Bath(s) Sanit.rry Scwer WateI Storm Sewer Mobile Home FEE FT. FT. (c) FT. N0 PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/Fireplace Unit Dryer Vent MTSCELLANEOUS PERMITS Mobile Home State lssuance Slate Surcharge Sidewalk - ft Curbcut --.- ft Demolition State Surcharge Total Miscellaneous Permits (E) No *1Io . c( Vent Fan (D) MECHANICAL PERMIT Fu rnace Exhaust Hood Mechanical Permit lssuance State Surcharge Total Permit By signature, I state and agree, that I have caref ully examined the conlpleted application and do hereby cerli[y that all information hereon is true and correct, and I f urther certi[y that any and all work performed shall be done in accordance witlr the Ordinances of the City of Springf icld, and thc Laws of the State of Oregon pertaining to the work dcscribed hercin, ancl tltat NO OCCUPANCY will l;c nrade o[ any structurc witlrout pcrtrrission of tlre Building Safety Division. I f urther certify that only contractors and ernployees who are in compliance witlr OFIS 701.055 will be used on this projcct. I f urther agree to ensure that all required inspections are requested at the prope r time, that each address is readable frorn the strcet, that tho pernlit card is loc;rted at the front of tlre property, and tltc iipprovecl set of l,rlarrs will rctn;rin li liirrr;s iirriinii construutior). nadnr, ,q* aorilabk_- Signature Date olr lhe $iiu al ir L DATE PAID ER EIVED VALIDATION: RECEIPT NUM AMOUNT REC RECEIVED BY TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 225 PTWE S1REET SPRINGPIBLD, 0nEG0N 97477 INSPECf,TON REOIIEST: 726_37690PPICE: 726-3759 1 cHceds IJGAL DESCRIPTION JOB DESCRIPTION ElecLrlcal Contractor ROSE City FIIGFNF Phone EB6-090S Supervisor Llcense Number 15685 Exp lration Date L0/ 1/ 95 constr contr. Number s4ry,1iit Expi'ration Date 9/30/95 Slgnature ctan Ovners Name Address )27? t) t I 277 s- ci Phone OSNER INSf,ALI,ATION The. installatioir is beirig made on property I ovn vhlch is not intended for sale, lease or rent. Onners Signature: DATE: SPfi,^lGF,ELO 3. 5. STIBTOTAL O8 ABOVE 5Z State Surcharge TOTAL B. Services or FeedersInstallation, Alterationsor 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, Alteratlon or Relocation 200 amps or less S 40.00 201 amps to 400 amps - $ 55.00 over 401 to 600 amps - S B0.oo 0ver 600 amps or 1000 voT[s see uB" a56IE- D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit t/ $ 35.00 tr-'"Each Additional Circuit or vith Service or Feeder Permit $ 2.00 B Hiscellaneous (Servlce/feeder not included) PERHTT APPLTCATTON €F€y Job Nunber PEE SCEEDT'LE BELOV lal-Single orper dvelling unit.Service fncl uded: f tems 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Ianuf,d Home or - Hodular DveIIing Service or Feeder Cos t $ 8s.00 $ 1s.00 s 40.00 s s0.00 s 60.00 s100.00 $130.00 $300.00 $ 40.00 m Sum permits are non-transferable and expireif vork is not started vithln 180 diysof lssuance or lf vork is suspended for 180 days., 2. COIirTRACTOR INSTALI.ATTON ONLY c -Each installation Pump or irrigatlon $ Sign/Outline Lighting- S Limited Energy/Res - S 00 00 00 00 40. 40. 20. 36 2AH -t-,?*/,at G%) eatb RECEIlMD A-Tr Address 89976 DAy tAruf rl