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Home My WebLink AboutPermit Mechanical 1991-05-06SPRIt\lGFIELE' RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 LOCAT ION OF PROPOSED K: JOB NUMBER 225 Fitlh Street Springfield, Oregon 97 477 TAX LOT: LOT: - BLOCK: PHONE: ztPSTATE: TION DEMOLISH OTHEFI OWNER ADDR CITY: DESCRIBE WORK NEW REMODEL AD 'nb olS), EXPIBES PHONEADDRESSCONTRACTOR'S NAME MECHANICAL ELECTRICAL: CONST. CONTRACTOR # GENERAL: PLUMBING RANGE: * OF BDRMS: _ OFFICE USE _ WATER HEATER: FLOOD PLAIN: ZONING CODE SECONDAFIY HEAT SQUARE FOOTAGE: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: LAND USE:. # OF UNITS OCCY GROUP: * OF STORIES: To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS l-l Temporary Electric ll Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power. inal Mechanical - When all mechanical work is complete. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsp. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Other Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulalion - Prior to cover, Underground Plumbing - Prior to filling trench.Drywall - Prior to taping. MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation. Posl and Beam - Prior to floor insulation or decking.lnsert - After fireplace approval and installation of unit. Blocking and Set.Up - When all blocking is complete. Floor lnsulation - Prior to decki ng.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has 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. Slorm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Water Line - Prior to filling trench. Fence - When completed. Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. Rough Plumbing - Prior to cover. 4to+?fr ASSESSORS MAP: SUBDIVISION: Err E E E r r rtl E T EE Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac PL.HSE GAR ACC N S E a rS THE PROPOSED WORK lN THE HISTORICAL DISTRICI OR ON THE HISTORICAL REGISTER? *- lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED VALUE (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport 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 Receipt Numbe Plan Check Fee Date Paid: Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge No ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fi replace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace 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 further certify that any and all work performed shall be done in accordance with the Ordinances 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 without permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front ng co Signatu Date ion -1- ?z lans will remainappof the property, on the site at al 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) VALIDATION RECEIPT NUMB DATE PAID AMOUNT RECEIVE RECEIVED BY 225 PIFTII STREBT SPRINGTIBLD, oRBGON 97477 INSPECTI0N REQUEST. 726-3769 OPPICB: 726-3759 1. LOCATION OT IJGAL DBSCSIPTIOT{ JOB Permits are non-transferable and expirelf vork ls not started vlthln 1B0 daysof lssuance or lf vork ls suspended for 180 days. 2. COTUTACTOR INSTALLATION ONLI S''TIINGFTEL() trLBC:TRICAL PBRI{IT APPLICATION ctry Job xrnbet_.Q1!2'l(Q/j 3. COHPLBTB FBB SCIIBDULE BELOV A. Nev Residentlal-Single or Multi-Famlly per dvelling unlt. Service Included:Items Cost 1500 sq.ft. or }ess Bach addttional 500 sq. ft or portion thereof Each Manuf 'd tlome or -Modular DvelIlng Service or Feeder $ 85.00 $ 1s.00 $ 3s.00 B. Services or Feeders (10 Branch Circuits ineluded). Installation, Alteratlons or Itelocation: Sum Electrical Contractor Address cl Phone ?36 Supervlsor License Number tb86 S Bxplration Date lC - I -9?- Constr Contr. Nufiber 4q Explratlon Date -t-q Slgnature of Supervlslng Blectrlcian Ovners Name Address C. Temporary Services or Feeders Installatlon, Alteratlon or Relocatlon 100 amps or less 101 amps to 400 amps -401 amps to 600 amps -60L amps to 1"000 amps over 1000 amps/volts -Reconnect 0nly 201 amps to 400 amps _0ver 40L to 600 amps _Over 600 amps or 1000 volt One Circuit Two to ten Clrcults Each Addt,I ten orportion thereof SUBTOTAL OP ABOVB 5X State Surcharge TOTAL e f S I 0n 'f,.rr u,, Jrru ')-00 00 00 00 00 00 $ ls. $ 60. $ go. $r:0. $300. $ rs. s see ll 00 0o B" aEG- $ $ $ .003s 40 BO D. Branch Circuits New, Alteration or Extenslon Per Pane1 c $ 3s.00 1tr. cto $ s0.00 $ 1s.00 Cl ty.Phone ,l*U - 45"1q OVNER INSTALLATION The lnstallation ls belng made onproperty I ovn whlch is not lntendedfor sale, lease or rent. 0vners Slgnature: DATE: Miscellaneous (Servlce/feeder not lncluded) -Bach installation Pump or irrigation $ 36.00Slgn/Outline Lighti.,g- g 36.00 Signa1 Circult or Iimited energy panel $ g0.OO fl 5 RECBIVBD BT: _J_ j5. os l "l5,46,,15