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Home My WebLink AboutPermit Mechanical 1991-10-15SP]lINGFIELE, RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 ?fr,3?? il1i: 3:'S 1ln"^,, 0.,9 lllil b M.ttu$ra, LOCATION OF PROPOSED WORK:AGS AGfi ASSESSORS MAP l, o3 3 (,1,-+TAX LOT:t4Goo LOT: - BLOCK:SUBDIVISION OWNER:PHONE:14 1- qG1 3 ADDRESS:ZL=^6+l\d STATE:CR ZIP:CITY: DESCRIBE WORK:Gcs {t .^o..n. NEW- REMODEL #-ADDITION DEMOLISH OTHER CONTRACTOR'S NAME ADDRESS CONST. CONTRACTOR #EXPIRES PHONE GENERAL: PLUMBING: MECHANICAL:(^s-s(b z o( ELECTRICAL: _ OFFICE USE _ QUAD AREA: * OF BLDGS: LAND USE: # OF UNITS FLOOD PLAIN ZONING CODE: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: # OF BDRMS WATEFI HEATER RANGE: SECONDABY HEAT: SOUAFIE FOOTAGE: 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 Temporary Electric 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. dfinal Mechanical - when allE 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 lnsulation - 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 Post 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 decking.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. Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Waler 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. JoB NUMBEn ?]4''l€r q1q11 E E E E E tl E E E E E E E E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac P.L.HSE GAR ACC N S E Setbacks THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTOBICAL REGII}TER? - lf yes, this application nrust be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: BUILDING PERMIT ITEM SQ. FT. X $/SO. FT,VALUE (A) Total Value Building Permit Fee State Surcharge Total Fee 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 ar I 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) N0 FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fi replace Unit Dryer Vent t5 ()0 l5 oo l0 00lrs (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 f urther 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 of the property, and the approved set of plans will remain Sig natu re Date on the site at all ti sd u ring A truction. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E)/D-rs -? | 3A,ts DATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) tas 3,1^ )= a \SnV FB OF OREGOTU 225 TIFTE STRBEf, SPRTNGFIEIJ, OREGON 97477 INSPB(f,ION REQUESTz 726-3769 OFPICE: 726-3759 I LOCATION OP INSTALI,ATION 2hSa.-Abtlv BIJCTRICAL PERI{IT APPLICATION City Job Nu b", 9//2dG 3. COHPI,STE FEE SCEEDUI.iE BELOS A Nev Residential-Single or Hulti-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 8s.00 s 1s.00 $ 40.00 B. Services or Feeders Installation, Alterations or . Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ 0ver 1000 amps/volts Reconnect Only C. Temporary Services or Feeders Installation, Alteration or Relocation .I IJGAL DESCRIPTION JoB" DESCRIPTToN [oUL{ , 0,AU ,J,r-r-n,nno,O 200 amps or less 201 amps to 400 amps -0ver 401 to 600 amps _0ver 600 amps or 1000 volt Sum 40.00 55. OO 80. oo ee ilBil affi )0 r-- Permits are non-transferable and expireif vork is not started within 180 daysof issuance or if vork is suspended for 180 days. 2. COt.lTRACf,OR INSTALI,ATION ONLY Electrical Contractor Ad ci Exp iration Date l0 - I -qL ssred IP 00 00 00 00 00 00 50. 60. 100.Phone ltll-AA3L ,{o86S constr contr. Number I i,94I Expiration Date I - I -1').- of Supervislng Electrician Owners Name Address ci Phone 14'/-4b13 OIINER INSTATI^ATION The installatlon is being made on property I own which is not intendedfor sale, Iease or rent. Owners Signature: DATE: RECEIPT *: RECEIVED BY: D. Branch Circuits New, Alteration or Extension Per Panel one ci rcui t I $ 35. oo {5', e o Each Additional Circuit or vith Service or Feeder Permit S 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/OutIine Lighting- Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OP ABOVE 5Z State Surcharge TOTAL $ $ $ $ $ $ $ s s $ 130 300 40 Supervisor License Ndmber $ $ $ss 00 00 00 00 40. 40. 20. 36 35, oo a