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Home My WebLink AboutPermit Mechanical 1993-04-08SPFlINGFIELc) RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 O(fice: 726-3759 LOCATION OF PRO ASSESSORS MAP: POSED WORK JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 TAX LOT: SUBDIVISIONLOT: - BLOCK: PHONE: ZIP:STATE: OWNER ADDRE CITY: DEMOLISH OTHER DESCBIBE WOR NEW - REMODEL ADDITIO PHONEEXPIRESADDRESSCONTRACTOR'S NAME MECHANICAL: CONST. CONTRACTOR '' GENERAL: PLUMBING ELECTRICAL: _ OFFICE USE _ * OF BDFIMS: OUAD AREA: ZONING CODE: FLOOD PLAIN WATER HEATER LAND USE: SECONDABY HEAT: SOUARE FOOTAGE:RANGE: CONSTR. TYPE HEAT SOURCE: a OF BLDGS: - OCCY GROUP: ry OF STORIES: Torequestaninspection,youmustcall 726-376g.Thisis a24hour recording.All inspectionsrequestedbeforeT:o0a.m.will be made the same working day, lnspections requested after 7:00 a.m. will be made the following work day' REOUIRED INSPECTIONS Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is comPlete. Rough Electrical - Prior to f-_l Temporary Electric ll Site lnspection - To be made af ter excavation, but Prior to setting forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erected but prior to concrete placement. Underground Plumbing - Prior to filling trench. Underlloor Plumbing/ Mechanical - Prior to insulation or decking. Posl 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. Water Line - Prior tc filiin0 trench. cover. Etectrical Service - Must be approved to obtain Permanent electrical power. Fireplace - Prior to facing materials and f raming lnsP. Framing - Prior to cover. Wall/Ceiling lnsulation - Prior to cover Final Eleclrical - When all electrical work is complete. I Mechanical - When all chanical 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 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. Final - After all required inspections are apProved and oorches, skirting, decks, and vsn{i11g have been installed. f-l Drywall - Prior to taping. [-l Wooa Stove - After installation lnsert - After f irePrace aPProval and installation of unit. Curbcut & Approach - After fornrs Jre erccted but P,rior to pl acei-nertt of cor tc r.-'te. il Sidewalk & Driveway - After .jxcavattcn is comp!ete, ioi-rns and sub-base material in Place. Fence - '//lten conr;rleterj Strcet Trces - l\lilen all ieq'lired treeg are planted.Rough Plumbing - Prior to cover. i--tIt E r r tf tf E r tl tl tl \ E HSE GAR N S Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Sc t b;rc l<s P.L.ACC E 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. Plans Reviewed By Date Plan Check Fee Date P;rid Fleceipt Number: Fleceived By: BUILDING PERMIT ITEM SQ. FT. Main Garage VALU E (A) X $/SO. FT. Carport Total Value Building Permit Fee State Surcharge Total Fee Systems Developrnent Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) )o NoVent 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 Springf ield, 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 perrnission of the Building Safety Division. I f urther 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 rcquested at the proper time, that each address is readable f rom the street, that the permit card is located at the f ront of the property, and the approved set of plans will remain ture ate Z e site at all times ring construction.o MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) AMOUNT R EIV RECEIPT NUM ER RECEIVED VALIDATION DATE PAID --.. IS-1.HE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: FT. FT. CITY OF OBEGO'U 0;'{13,'93 l7:18 EI;0f 7?6 JOE9 SPFD DE\.. SER @ oor Sum Tr.: {r,lrr iquire sPaci;ic latrd use I. LOEATION OP INSTATI.ATION1tE N. 19 Ttt fl, LSGAI DSSCRITTIONth3%LIILffi JOB DBSCRIPTION Qtl E 1lESttr :G4s-friL Jrt1E -permits are non-transferable and expireif vork is not started vithin 180 daysof lssuance or if vork ls suspended for 180 days. COT{TnACTOR IHSTALT"A,TION ONLY E1 trieal Contractor Add r Ci ty - __. Phone License NumberSupervi so Explration Constr Con Expiration Slgnature of Supervi g Electriclan l^ orn*r" n^ . /EfuzLlc .*@B il'nddr"" u 7// /U /2n- L:aRK- *Z//*Ze/ Phone OVNER INSTAII.ATION l#ue-7>4 .zaty' The lnstallation is being made onproperty I ovn vhich is not intended for sale, Iease or rent. Orners Signature: DATE: Aui;,oii;coSignature ---=;reiin=-TETEE SCffiDUr* BELOU A Nev Resldentia]-Sing1e orHuIti-family per dvel I ing uni t Service fncluded: ftems 225 PITTE STREET SPRTNGFTEIJ), ORBGON IHSPEGTION FEOUESTToFFfCE: 726-3?59 IL ,..t -- -- --L23-97477 r '-,' 7iE-Llg2 _tl:#l J.r^,a EIJCTRICAL PERI{IT APPI,TCATI ON ci ty Job Nnober 73CdA? Cos t 85. 00n B 1000 sq.ft. or ]ess Each additional 500sq. ft or ptrrtirrn thereof Each l{anuf 'd Hone or -Hodular Dvelling Ser,.rice or Feeder Services or Feeders Ins tallatlon, Al tera t i onsor Reloeation: 200 amps or less 201 arnps to 400 anrps 401 amps to 600 amps 601 amps to l00O ,*ps''- 0ver 1000 arnps/volts - Reconnect 0nly s 1s.00 s 10.00 c tr.ber Date L C Temporary Serviees or FeedersInstal}atton, Alteration or Relccar:orr 200 amps or less 201 amps to 400 arnps 0ver 401 to 600 arps .- 0ver 600 amps tir 1000 -6TIs $ s 6r, se 40. 00 5S. 00 80. 00 e 1,8,, a E;; ,llct ty D. Branch Circui ts |lev, Alteration or Extension One Circui t / Eaeh Additlona] Circuit or vith Serviceor Feeder Perr,i t E Per PaneJ s 35.00 .l* ). 2.00 ilot inc)uded)MisceLLaneous (Serviee/feeder - Each installation Punp or lrrigation SSigni0urline Lighttng-^- S Limi ted EnergylRes S Limi t ed Energy/Cornrn S STETOTAL OP ABOVE 5Z State Sureharge TOTAI 0c r0 40 ?0 36 11n 00 00 5 3ss -- f:-tr#G.1,,14 RBCEIVED B 2 sP,lIHCFIELI) s 50,00 s 60. fJU s 100. 0i! $130.00 $300. c0 s 40.00 Permit No: Address: lssued Date: R OFFICE USE ONLY STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4) , requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. This state- ment is required for residential building, electrical, mechanical, and plumbing permits. Licensed Architect and Engineer applicants, exempt from registration underORS 701.010(7), need not su6mit this statement. Thib stateme"nt wiil befiled with the permit. Fill in t applicable blanks, and initial boxes 1 and 2, and either box 3A or OB I own, reside in, or will reside in the completed structure. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. My general contractor is , Contractor registration number-. I will instruct my general contractor that all subcontractors who work on the struc-ture must be registered rvith the construction contractors Board. 3.A 3.8 I will be my own-gqlererl contractor. qib\\cg lf I hire subcontractors, I will hire only subcontractors registered with the Construc-tion Contractors Board. lf I change my mind and do hire-a general contractor, I willcontract with a contractor who is regisiered with the Construition Contractors 6oardand I will immediately notify the office issuing this building permit of the name ofthe contractor. r,/r/= q^ l.hereby certify that the above information is correct and that I have read and understandthe lnformation N.otice to Property Owners about-donstruction nlsponsiUilities on thereverse side of this form. ig ure pp cantt Date I CONSTRUCTION CONTRACTORS BOARD 0244J 8t91 WHITE COPY TO ISSUING AGENCY PERMIT FILEPINK COPY TO APPLICANT 1. 2. OR