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Home My WebLink AboutPermit Plumbing 1998-04-16RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WOFIK: SPRIhrGFIELD JOB NUMBER QKo 4t< 225 Fifth Street Sprlngfleld, Oregon g7 477 TAX LOT:o37ASSESSORS MAP:l-t 7 3u ta LOT BLOCK:SUBDIVISION PHONE: CTSTATE:ZIP: /QS1 q?./CITY: ADDRESS: OWNER: j(-ADDITION DEMOLISH OTHER DESCRIBE WORK: NEW- REMODEL ADDRESS ot -o 3.6- EXPIRES .1 PHONECONTRACTOR'S NAME MECHANICAL: ELECTFIICAL: CONST. CONTRACTOR # GENERAL: PLUMBING LAN WATER HEATER: QUAD AREA: * OF BLDGS: OCCY GROUP: # OF STORIES E: * OF BDRMS: ZONING CODE: FLOOD I)LAIN: SECONDARY HEAT: SQUARE FOOTAGE: To request an inspection, you must call 7 Thls ls a 24 hour recording. All Inspections requested before 7:00 a.m. wlll be made the same working day, lnspections requested after 7:00 a.m. wlll be made the following work day. REOUIRED INSPECTIONS Temporary Electrlc Rough Mechanical - Prlor to cover.- When all p is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to coVer.I ut(Final Electrical - When allr electrical work is complete. E Underslab Plumbing/ Electrical / Mechanlcal - Prlor to cover.Electrical Service - Must be approved to obtaln permanent electrlcal power. Final Mechanlcal - When all mechanical work is complete. Footlng - After trenches are excavated.Flreplace - Prlor to facing materlals and framing lnsp, I pzf Flnal Building - When all'J required lnspections have been approved and building is completed.tl Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prior to cover. E Foundatlon - After forms are erected but prior to concrete placement. Other WalltCelllng lnsulatlon - Prlor to cover. Underground Plumbing - Prior to fllllng trench.l-_l Drywall - Prlor to taping. MOBILE HOME INSPESTIONS Underlloor Plumblng / Mechanlcal - Prior to lnsulatlon or decklng.Wood Stove - After lnstallatlon. Post and Beam - Prlor to floor insulatlon or decking.lnsert - After flreplace approvql and installatlon of unit. Blocking and Set.Up - When all blocklng is complete. Floor lnsulation - Prior to decking.Curbcut & AJrproaclr - After forms are er()cted but prior to placement of concrete. Plumbing Connections - When home lras been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Storrn.Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base materlal in place. Water Line - Prlor to filling trench. Fence - When ccilpleted Bough Plumbing - Prior to cover. (itrest Trees - When all requlred trees are planted. Final - After all required inspectlons are approved and porches, skirting, decks, and ventlng have been lnstalled. 144- E E E E E E E E tl n E E tl E E i,i Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - - lnterior - Corner -- Panhandle r - Cul-de-sac S THE PROPOSED WORK TN THE HtsToFilcAL DTSTRTCL OR ON THE HISTORICAL REGISTER? - lf yes, this application must be slgned and approved by the H istorical Coordinator prior to permit issuance. APPROVED: P.L.HSE GAR ACC N S E VALUE 4*.2-(A) FT. Mrr *ryb,Total Value Building Permit Fee State Surcharge Total Fee ,f - _la, _ _ ,7{, t,r{{ '1. 4 X $/SQ. FT. BUILDING PER ITEM SO. Main Garage Carport AND BUILDING PERMIT This permit is granted on the cxpress condition that the said construction shall, in all respects, conform 1o the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of ouildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plans Reviewed By Date Recei pt Numbe E,LAN CH ECK Plan Check Fee: Date Paid Received By: BUILDING SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tlre City linrits which are being improved. Sanitary Sgwer FT. -- 4lE, FEE ,^ t.+{ #JL}D-(c) N. FT. FT. PLUMBING PERMIT Plumbing Permlt State Surcharge Total Charge ITEM Fixtures Residential Bath(s) Water Storm Sewer Mobile Home ADDITIONAL COMMENTS Wood Stove/ lnsert/Flreplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformation hereon is true ancl correct, and I f urther cerflfy that any and all work performed shall be done in accorrJance with the Ordinanccs 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 wi thout perrnission of the Buildirrg Safety Division. 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 inspections 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 qe4-It - plans will remaln on the site at ti du g constructlon $,nn",r," ) o"t" MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewal'k - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (exctuding electricat) (A, B, C, D, and E Combined) 4-tc-e(DATE PAIi) AMOUNT RECEIVED RECEIVED BY VALIDATION: BECEIPT NUMBER '.'rl roqulrE spscilc land 3 ls$oF'{ SPFIII IELO EI.ECTRICAI, PERHTT APPLICATION afr, 225 FIFTE STR-EET Authortzed SPRINGFIELD, oR-EGON 97477 INSPECTTON REQUEST: 726-3769 OFFICE: 726-3759 r OI{LS ON -a Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI,ATION ONLY Electrical Con t ractorCI,as Ad Fo A.r* * city [i,..,^ ,e - o Phone3\S tbgl---l Supervisor License Number /sqs_t' Expiration Date Constr Contr. Num@;"S?oo t ExpirationDate q -OO Signat e of Supervising Eleetrician Ovners Name Address Sa-^^4-- cir phone)(V- tqS3 OVNER The installation is being made on property f ovn vhich is not intended for sale, lease or rent. Orrners Signature: DATE: BELOV tial-Single or amily per dvelling unit oR ice fncluded: Items Cost Sum 1000 sq.ft. or less S 85.00 Each additional 500 sq. ft or portion thereof S 15.00 Each Manuf'd Home. or -Modular Dvelling Service or Feeder' S 40.00 Services or Feeders Installation, Alterations or Relocation: t OF TNSTALI^Ako -03 0 f\^.*'5JTJOB r$'{ B dress 200 amps or less I201 amps to 400 amps 401 amps to 600 amps -601 amps to 1000 amps- over 1.000 amps/volts -Reconnect 0n1y 200 amps''or less S 201 amps to 400 amps - $ 0ver 401 to 600 amps - S 0ver 600 amps or 1000-GITs s C Temporary Services or Feedersfnstallation, Alteration or Relocation 0040. 55. 80. 00 00 ee trBtr a6ove D. Branch Circui ts Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each Additional Circuit or vith Serviceor Feeder Permit S 2.00 E. Mj.scellaneous (Service/feeder not included) SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL -Each installation Pump or irrigation $ 40.00 Sign/0ut1ine Lighting- $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm S 36.00 oo5 o s'ooaRECT]TVED B \ q S 50.00 -(o'<>s 60.00 s100.00 s130.00 s300.00