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Home My WebLink AboutPermit Mechanical 1997-06-19RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 SPR!hlGFIELCD JOB NUMBEB 225 Fifth Street Springfleld, Oregon 97477 LOCATION OF PROPOSED WOFIK:72 // J/ st'Ld dr ?7r/77 ASSESSORS MAP:tlD 3 t) cl 2- A2 r/n TAX LOI o LOT BLOCK:SUBDIVISION: 716 6rwPHONE:tf 717 ?zq zZSTATE:ztP J ta 2 /U CITY: ADDRESS: OWNER: DESCRIBE WORK: DEMOLISH OTHERNEW - REMODEL ADDITION ELECTRICAL: ADDRESS 4)07 CONST. /: ACTOB # V5- ?7{42 3/? a EXPIRES PHONECONTRACTOB'S NAME MECHANICAL: PLUMBING: GENERAL: r OF BDRMS: ZONING CODE: FLOOD I)LAINOUAD AREA: , OF BLDGS OCCY GROUP: N OF STORIES: WATER HEATER RANGE: SECONDARY HEAT: SOUARF. FOOTAGE: To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be made the same worklng day, lnspections requested after 7:00 a.m. wlll be macle the following work day. REOUI !NSPECTIONS Temporary Electric Rough ical - Prior to Final Plumbing - When all plumblng worl( is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Flnal Electrical - When allcover,el te. Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover. Electrlcal Service - Must be approved to obtain permanent electrlcal power. Final Mechanical - When all mechanical work ls complete. E Footlng - After trenches are excavated,Flnal Buitding - When all required lnspectlons have been approved and building is completecl. Flreplace - Prlor to faclng materlals and framing lnsp. Masonry - Steel locatlon, bond beams, grouting.Framlng - Prior to cover. Foundatlon - After forms are erected but prior to concrete placement, Other Wall/Celling lnsulation - Prlor to cover. tl Underground Plumblng - Prior to fllllng trench,I-l Drywall - Prlor to taplng. MOBILE HOME INSPE TIONS Underlloor Plumblng/ Mechanlcal - Prior to lnsulatlon or decking.Wood Stovo - After lnstallatlon. Post and Beam - Prlor to floor lnsulatlon or decklng.lnsert - After flreplace approval and lnstallatlon of unlt. Blocking and Set.Up - When all blocklng ls complete. Floor lnsulalion - Prlor to decking.Curbcul & AJrproaclr - After forms are erected but prior to placemcnt of concrete. Plumbing Connectlons - When home lras been connected to water and sewer. Sanitary Sewer - Prior to fllling trench.Electrical Connection - When blocking, set-up, and plumbing lnspections have been approved and the home ls connected to the servlce panel. Storrn Sewer - Prlor to fllling trench. Sidewall< & Driveway - After excavation is complete, (orms and sub-base material in place. Water Llne - Prlor to filling trench. Fence - When cclipleted. Final - After all required inspectlons are approved and porches, sklrting, decks, and ventlng have been lnstalled. Rough Plumbing - Prior to cover. ?80rc f ? - OFFICE USE -NOTICE: LAND USE: E E Str€et Tregs - When all required trees are planted. E fl E E tl E E E tl E tl Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type- - lnterior - Corner -- Phnhandle i - Cul-de-sac Setbacks PL.HSE GAR ACC N S E IS THE PROPOSEO WORK TN THE . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: VALUE (A) ,. ,r BUILDING PERMITT ITEM SO. FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee X $/SQ. FT. , '| BUILDING IALUE, 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, inctuding 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 ordlnances. Plans Reviewed By Date Receipt Numbe Date Paid: Fleceived By: Plan Check Fee SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City linrits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sgwer Water Storm Sewer Moblle Home PLUMBING PERMIT FEE (c) N' FT. Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby cerilfy that all lnformation hereon is true and correct, and I f urther cerilfy that any and all work performed shall be done in accort1ance wlth the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertainlng to the work descrlbed herein, and that NO OCCUPANCy will be made of any structure wlthout perrnission of the Building Safety Divislon. I further certify that only contractors and employees who are In compliance with OFIS 7O1.O5S 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 6 ?a on the site at all tim d c Signatu re Date from the street, that the permlt of the property, and the a on. , located at the front of plans will remaln Wood Stove/ lnsert/Flreplace Unit Dryer Vent MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolitlon State Surcharge Total Mlscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electricat) (A, B, C, D, and E Comblned) 6, ro _J9.rto .?r/.zc z'4 zt(D) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan No Mechanical Permit lssuance State Surcharge Total Permit . L4) VALIDATION RECEIPT NUMBER DATE PAI[) AMOUNT RECEIVED RECEIVED BY ri , FT. +crt !ilolf __ trupl.rv'61 t ferable and expire d vithin 180 days us6 Services or Feeders Installation, Alterations or Relocation: 200 STaINGFIELEt ELECTRTCAL PERUIT A-PPLTCATION ' '' '^r!^winq proiect 9s subrnitted'tres tho - 1 '::' Iiotl"" "aieqr'rlre speclllc lencl 225 FIFTH STREET SPRINGFTELD, oREGoN 974 INSPECTI0N REQITEST:. 72 0FPICE: 726-3759 1 OF IN TI ON I 4801ry-ob Nunber 3. COHPLETE FEE SCEEDTILE BELOI{ 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or -Modular Dvelling Service or Feeder s 8s.00 s 1s.00 s 40.00 of issuance or if vork is suspended for 180 days. 2. COMIRACTOR INSTALLATION ONLY Electrical Contractor Address bb Ci ty Phone Supervisor License Number Sum Permits are non-t if vork is not st e B. Tn6, *i, 00 00 00 00 00 00 S so. $ 60. $100. SSamps or 1e amps to 40 amps to 60 amps to 10 0 amps 0 amps 00 amps_ /vo1 tsL000 amps ect On1y 1 to 600 amps s130. $300. $ 40.(%Expiration Date. Constr Contr. NumbernExpir:atio Da te orary Services or Feeders al"lation, Alteration or Relocation ($ $ $ s ,) ps''or less ps to 400 amps _ 0040 55 BO .00 .00SignatureuvLElectrician 0vners Add res s Ci ehonelZJrUW The installation is being made on property I ovn ruhich is not intended for sale, Iease or rent. 0wners Signature: DATE: amps or fOOO-7ofTs ee rrBrr a6ove rcui ts Ne a ation or Extension Per Panel D t One Circui t Each Addi tional J g 3s.oo Circuit or vith ServiceTl or Feeder Permi t aV €a 4_.)o0 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting- Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL s s 40.00 $ 40.00 $ 20.00 $ 36.00 5 RECEIVED B c{) A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost z K7 2-