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Home My WebLink AboutPermit Mechanical 1998-06-12s. IELE,RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 725-3759 JOB NUMBER 225 Fifth Street Springfleld, Oregon 97477 LOCATION OF PROPOSED WORK:Jtt/ { /'#1 ASSESSORS MAP:/7d3z"t "] TAX LOT:0/ fao LOT:BLOCK: -L23PHONE: Z,{ L€ STATE:ZIP:4 --L CITY: ADDRESS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER _- DESCRIBE WORK: ADDRESS trtt3b EXPIRES .- PHONECONTRACTOR'S NAME MECHANICAL: ELECTRICAL: CONST. CONTRACTOB # GENEBAL: PLUMBING .+il8 q0dfif,ftr'ldE5' -oF FICE USE - FOR FLOOD PLAIN: SHALL EXPIRE IFTHE WORliolrrr.rG coDE: THIS PERMIT IS NOll or BDRMS: OR IS ABANDbNED RANGE: r-,str QUAD AREA: r OF BLDGS: SECONDARY HEAT: SQUARE- FOOTAGE:WATER HEATER: OCCY GROUP: * OF STORIES: To request an inspection, you must call 726'3769. Thls is a 24 hour recording. All lnspections requested before Z:00 a.m. wlll bemade the same working day, lnspections requested after 7:00 a.m. wlll be macle the following work day. IRED INSPECTIONS Temporary Eleclric gh Mechanlcal - Prior to l-_l Final Plumbing - When ailu plumbing worl< is complete. Site lnspectlon - To tre made after excavation, but prior tosetting {orms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. I-_l Underslab Ptumbingl Electrical /.J Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be approved to obtairr permanent electrlcal power. Mechanical - When alt work is complete. Footlng - After trenches are excavated.Final Building - When altrequired lnspections have been approved and building is completed.[--l Masonry - Steel locatlon, bond - beams, grouting. Flreplace - Prlor to facing materlals and framing lnsp. Framlng - Prior to cover. Foundatlon - After forms are erected but prior to concrete placement. Other Wall/Ceitlng lnsulatlon - prlor to cover. Underground Plumbin g - Priorto fllllng trench.Drywall - prior to taping. tJr.derlloor Plumbing/ Mechenice! - Prior to lnsulation or clecking. MOBILE HOME INSPECTIONS Wood Stove - After lnstallation l-l Post and Beam - prior to ftoor - lnsulation or decking.[-l lnsert - After ftreplace approvql - anct installation of unit. [-_l Btocking and Ser_Up _ When ail.a blocking is cornpleie. Floor lnsulation - prior todecking.Curbcut & AJrproach - Afterforms are erected but prior toplacement of concrete. Plumbing Connections _ Whenhome lras been connected towater and sewer:f-l Sanitary Sewer - prior to fiilingu trench. l--l Storrn Sewer - prior to fiiling.J trench. Sidewall< & Driveway - Afterexcavation is complete, formsand sub-base material in place. Fence - When ccinpleted. Eleclrical Connection _ When l,::lllg: set_up, ano prumbingrnspections have been approvedand the .home is connected toIne servlce panel.Prlor: to fillino a', Water L trench. lll9r- Rough Pl cover. umbing -.to {itreel Trees - When all requiredtrees are planted. Final - After all requiredrnspecilons are appioved andp._orc,hes, skirting, decks, anc,venung have been lnstalled. 4go)rt- SUBOIVISION: ' t, fl E E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner -- Panhandle \ - Cul-de-sac r lS THE PROPOSED WORK tN THE - HtsToRtcAL DlsTRtCT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be slgned and approved by the Historical Coordinator prior to permit issuance. APPROVED: P.L.HSE GAR ACC N S E VALUE (A) ,{ Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM Main Garage Carport SQ. FT. X $/SQ. FT.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, includlng the Development Code, regulating the construction and use of buildlngs, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plans Fleviewed By Date Plan Check Fee: Received By: BU I LDI NG Date Paid: Receipt Nu ,t, E, PLAN CHECK SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home,l A ,/t FEE l,t - (c) FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby certlfy that all lnformation hereon is true and correct, and I f urther certlfy that any and all work performed shall be done in accordance with the Ordinanccs of the City of Springfield, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCY will be made of any structure without perrnission of the Building Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on thls proiect. I further agree to ensure that all required lnspections are requested at the proper time, that each address is readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Slg natu re Date Wood Stove/ lnsert/Flreplace Unit MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Perrnits (E) lC o't Lo.!! tr /. zr- No 2t"t^ Vent Fan Dryer Ven (D) MECHANICAL PERMIT Furnace Exhaust Hood Mechanical Permit lssuance State Surcharge Total Permit VALIDATION RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BYTOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ' r'i: N. FT. CITY OF oa"l€:-k5 0FPICE: 726-3759 1. LOCATION OP INSTALLATION .\L+trg t< sf LEGAL DESCRIPTIONJ7% JOB PTION Permits are non-transfera if vork is not started vitof issuance or if vork is s 1.80 days. 2. CONTRACTOR INSTALI,ATION ONIY ELectrical Contractor Address &r" Ci ty Pr,one3rlS /6P Supervis License Number (4O.1,-( SPFIIF =LO us{l COHPI,ETE TEE SCEEDTII^E BELOIT I tems New Residential-Single or Multi-Family per dvelling unit. Service' fncluded: ,:"oning, and approual. nol 225 s /> Cost Sum $ 8s.00 $ 1s.00 $ 40.00 CkJ 3 A 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Home- orling' eeder' Expiration Date /O Constr Contr. Number Expiration Date Si re of Supervising Electrician 200 amps or less $ 50.00201 amps to 400 amps - $ 60.0040L amps to. 600 amps - $100.00601 amps to 1000 amps--- iiiO.oOOver 1000 amps/volts - 5300.00 Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps'.or less $ 40.00201 amps to 400 amps - i Ss.OO0ver 40L to 600 amps - S 80.000ver 600 amps or 1OOO-G-IT" ""u ,,6u .g5;6- Branch Circui ts New, Alteration or Extension per panel one circuit I $ 35.00 €S:Each AdditionalCircuit or vith Serviceor Feeder permit I $ 2.00 ,*:::r]:l!?y: (!"rvice/feeder nor included)-Eacn rnstallation /qs L44L44"-/ c D.0vners Name Address- Ci ty a Phone -b8 OVNER TNSTALTATTON The installation is being made onproperty f ovn vhich is not intendedfor sale, lease or rent. 0vners Signature: Pump or irrigation _SjSn/Ou tline Lighting- Limi ted Energy,/[es e- Limited Energy/Comm $ 40.00 $ 40.00 $ 20.00 s 36.00 DA?E: E ', o/ Each Feeders , Alterations ABOVE