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Home My WebLink AboutPermit Mechanical 1996-12-23SPrrI}rGF!ELr, RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 LOCATION OF PROPOSED WO K: ASSESSORS MAP Air, JOB NUMBER 225 Fif th Street Springf leld, Oregon 97477 TAX LOT SUBDIVISION St LOT: - BLOCK: PHONE: ztP:STATE OWNER: CITY: ADD EMOLISH OTHER DESCRIBE WORK: NEW- REMODEL ADDI ELECTRICAL: -- EXPIRES PHONEADDRESSCONTBACTOR'S NAME MECHANICAL: CONST. CONTRACTOR # GENERAL: PLUMBING BANGE r OF BDRMS: _ OFFICE USE _ ZONING CODE: FLOOD I)LAIN WATER HEATER SECONDARY HEAT: SOUARE- FOOTAGE: QUAD AREA: # OF BLDGS CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS OCCY GROUP: r OF STORIES: To request an lnspecilon, 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 aftqr 7:00 a.m. wlll be made the following work day. R IRED INSPECTIONS Temporary Electric Rough Mechanical - Prior to cover. Final Plumblng - When all plumbing worl( is complete. Site lnspection - To be made after excavation, but Prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical worl< is comPlete.cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover' Electrical Servlce - Must be approved to obtain Permanent electrlcal power. Final Mechanical - When all mechanical worl( ls complete. Footlng - After trenches are excavated.Fireplace - Prlor to faclng materlals and framing lnsP. Final Building - When all required lnspections have been approved and building is Masonry - Steel locatlon, bond beams, groutlng. completed Framlng - Prior to cover. Other Foundatlon - After forms are erected but prior to concrete placement. Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to fllllng trench.l--l Drywall - Prlor to taping MOB!LE I.IOME INSPE TIONS Underlloor Plumbing/ Mechanical - Prior to lnsulation or decking.Wood Stove - Afler lnstallation. Post and Beam - Prior to floor lnsulation or decking.lnsert - Af ter f irePlace aPProval and lnstallatlon of unlt' Blocking and Set-Up - When all blocking ls comPlete. Floor lnsulalion - Prior to decki ng.Curbcut & A1:Prroach - After forms are erected b(lt Prior to placement o{ concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to f llling trench.Electrical Conneclion - When blocki ng, set-up, and Plumbing lnspections have been aPProved and the home is connected to the service panel. Storm Sewer - Prior to filling trench. Sidewalk & DrivewaY - After excavation is comPlete, forms and sub-base material in Place. Waler Line - Prior to f illing trench. I-_l Fence - When comPleted Final - After all required inspections are approved and porches, skirting, decks, and ventlng have been installed.:;lreet Trees - When all required trees are planted.Rough Plumbing - Prior to cover. E tl E E tl E tl E E tl Er tl E Er tl E tl tl fl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac c ks P.L.HSE GAR ACC N S E rS THE PFIOPOSED WORK iN THEHrsroBtcAL DtSTRtCti oR oN TIJE HISTORICAL REGISTER? _.- lf yes, this application must be signedand approved by the Historlcal Coordinator prior to permit issuance. APPROVED: BUILDING PERMIT VALUE (A) SO. FT. X $/SQ. FT.ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fec BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT This permit is granted on the cxpress condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, including theDevelopment Code, regulating the construction and Lse ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of said ordinances. Receipt Number:_ DatePIans Reviewed By Plan Check Fee: Date Paid Beceived By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City lintits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE N0 FT. FT. FT. (c) Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS MECHANICAL PERMIT Furnace Exhaust Hoocj Vent Fan No Wood Stove/ lnsert/Fireplace Unit (D) t\Mr- hanical Permit Dryer Vent lssuance State Surcharge Total Permit By slgnature, I state and agree, that I have carefully examinedthe completed apptication and do hereby certify that alllnformation hereon is true ancl correct, and I f urther certify that any and ail work performed shalr be done in accordance with the Ordinances of the City of Springfield, and the Lawsof the State of Oregon pertaining to the work described herein, and that NO OCCUPANCy will be made of anystructure without perrnission of the Building Safety Division.I further certify that only contractors and employees whoare in compliance with ORS 7Ot.OS5 will be used on thisproiect. I f urther agree to ensure that all required inspections arerequested at the proper time, that each address is readabre from the street, that the permit card is rocated at the frontof the property, and the approved set of prans wirr remainon the site at all times during construction. Date ?4,/)-23- Signature MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk _ ft Curbcut --.-_ ft Demolition State Surcharge Total Miscellaneous perrni ts (E) TOTAL AMOUNT DUE (exctuding electrical) (A, B, C, D, and E Combined) RECEIPT N DATE PAID AMOUNT R RECEIVED VALIDATION UMBEFI ECEIVED BY SPEJGFTELT) at)does nc;t roquire.specitic land use l,J. I kc ( 225 FIFTB STREET SPRTNGFTELD, oRXGON 97477 INSPECTION REQLTEST: 726-3769 OFPICE: 726-3759 t.o PTION JOB PT Permits are non-transfer if vork is not started v 1 ETJCTRICAL PERHTT City Job Number 3. COHPLETE FEE SCEEDTILE BELOV A Nev Residential-Single or Multi-Family per dvelling unit. Service fncluded:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular DvelJ.ing SerVice or Feeder s 8s.00 $ 1s.00 s 40.00 B Services or Feeders Installation, ALterations or Relocation: Sum and expire n 180 days of issuance or if vork is suspended for 180 days CONTRACTOR INSTAIT.ATTON ONLY trical Contractor Addres Ci ty Supervisor Li ber iration Dat 200 amps or less 201 amps to 400 amps _ 401- amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/voIts Reconnect Only 200 amps''or l-ess 201 amps to 400 amps -Over 401 to 600 amps Over 600 amps or 1000-7ofTs s s0.00 s 60.00 s100.00 Exp s130.00 s300.00s 40.00 / $ 3s.oo $ 2.00 40.00 55.00 80.00 e rrBrr a6ove C Temporary Services or Feeders Installation, Alteration or RelocationConstr Con Expi ra s 0wners Name $ $ $ se $ s $ $ s ICI-eln D. Branch Circuits Nev, Alteration or Extension Per Panel Add cit s €a Phone The installation is being made on property f ovn vhich is not intended for sale, lease or rent. Ovners S DATE: One Circui t Each AdditionaL Circuit or vith Service or Feeder Permi t E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0u tline Lighting- Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAL 40.00 40.00 20.00 36.00 5 ture of Supervising Date Number RECEIVED ignature: @ I