The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 1999-08-19INGFIELE,RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 ' LOCATION OF PROPOSED WORK: ffi, JOB NUMBER 225 Fifth Street Spri ng f leld, Oregon 97 477 TAX 2=t"^ .lq ASSESSOFIS MAP: SUBDIVISION PHONE: ZIP:STATE:9r q .]R OWNER: ADDRESS: CITY: _e DEMOLISH OTHER DESCRIBE WORK: NEW - REMODEL ADDITION ADDRESS 3 s- EXPIRES ,3 PHONECONTRACTOR'S NAME GENERAL: ELECTRICAL; MECHANICAL: PLUMBING: CONST. CONTRACTOR # - OFFICE USE - WATEB HEATER: ZONING CODE: RANGE: OUAD AREA: * OF BLDGST SECONDARY HEAT: SOUARE. FOOTAGE: / OF BDRMS: - LAND USE: OCCY GROUP: * OF STORIES: FLOOD })LAIN: CONSTR. TYPE: HEAT SOURCE: # OF UNITS: -___ To request an lnspection, you must call 726'3769. Thls ls a 24 hour recordlng. All inspections requested before 7:oo a.m. will bemade the same worklng day, lnspections requested after 7:00 a.m. will be macle the following work day. REOUIRED INSPECTIONS Temporary Electric V Rough Mechanlcat - Prlor to Final Plumbing - When altplumblng worl< ls complete. [--l Site lnspection - To be madelJ after excavatlon, but prior to setting forms. ffi.ar 6:n'Rough Electrical - Prior to Final Electrlcal - When allelectrical work ls complete.cover. Underslab Plumbing/ Electrical / Mechanlca! - Prlor to cover.Electrical Service - Must be approved to obtain pet'manent electrlcal power. w Final Mechanlcal - When allmechanlcal work ls complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framing lnsp. Framlng - Prior to cover. Flnal Buildlng -.When allrequired lnspections have beenapproved and building is completed.Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are erected but prlor to concrete placemont. F otn"t Wall/Celling lnsulatlon - prlor to cover. t] l'Jflii:!'i,ll"ln'.'-orns - Prior [--l Drywan - prror to rapins Underlloor Plumbing/ Mechanical - Prior to lnsulatlon or decking. MOBILE HOME INSPECTIONS Wood Stovo - After lnstallation. Post and Beam - Prior to floor lnsulatlon or decklng.lnsert - After flreplace approval and installation of unlt. [-l glocking and Ser.Up - When ail - blocklng ls complete. Floor lnsulation - Prior to decking.Curbcut & AJrproach - After forms are erected but prior toplacement of concrete. Plumbing Connections - Whenhome lras been connected to water and sewer. [l Sanitary Sewer - Prior to fiiling - trench. Storm Sewer - Prior to filling trench. Sidewall< & Driveway - After excavation is complete, forms and sub-base material in place. Electrical Connection - Whenblocking, set-up, and plumbing rnspections have been approvedand the home is connected tothe service panel. Water Llne - Prlor to filling trench.n Fence - When coiitpleted $treel Trees - When all required trees are planted. Final - After all requiredinspectlons are approved andporches, sklrilng, decks, andventlng have been lnstalled. Rough Plumbing - Prior to cover. LO'T - BLOCK: - \o8.\" (\ xtI fl ;,-ri. Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Typ - lnterlor - Corner .- Panhandle ! - Cul-de-sac IS THE PROPOSED WORK IN THE ". HISTORICAL DISTBICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applldation must be slgned and approved by the Historlcal Coordinator prior to permit issuance, APPROVED: ACC'P.L.HSE GAR N S E BUILDING PERffiIT i 't f VALUE (A) Total Value Building Permit Fee State Surcharge Total Fee ITEM Main Garage Carport SQ. FT. X $/SQ. FT. BUILDING rIhIUE, iSUU GHECK AND BUILDING PERMIT This permit is granted on the cxpress 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 Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) N' FT. FT. FT. PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent /ao?16?Z,P(D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit ArE' /?v7 MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I $tate and agree, that I have carefully examlned the completed application and do hereby certify that all lnformatlon 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 perrnission of the Builcllng Safety Division. I further certify that only contractors and employees who are ln compliance with OFIS 701.055 will be used on thls proiect. I further agree to ensure that all required inspections are requested at the plcper time, that each address ls readable from the street, that the permit card ls located at the front uring Slgnature Date remalnof the property, and the a on the site at all tim MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Mlscellaneous Permlts (E)DATE PAI[)-<y/2*'aq VAl-IDATION: BECEIPT NUMBER V,??E, faAMOUNT RECEIVED BECEIVED BY TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Gomblned) aCITY OFSPR SPFllrrr-<IELO ge 225 INSPECTTON OFPTCE: 725-3759 ELECTRICAT PEru{TT Ci t1' Job Nunber 3. COI{PLETE FSE SCEEDUIJ BE].OV Ner Fiesi<iertial-Singie c: Huil:-Fam:iy per dveil:ng unit. Serr': ce in:-uded: i iens Cos i 1 LOCATION O AAqA F INSTArt_tTl0t ^3A,.,1/ JOB DESCFJPTTOX Permi:s ar€ non rans ferabi ano e):D]re if voril is not started vitirin 180 oays of issuanc€ or if voril is susoentieo for 180 oays. 2. COIIIRASIOR INSTALi^ATTON ONLI Electrical Contract Address Ci ty E phon€16-/dl_ Supervi License Number /39S. t' ExP iration Date lO- l. D I Const: Contr. Number 3*Oot Expiration Daie Signa ure of Supervising Electrician Ctl'ners iiame Aclciress S6^v,r* rnon.)_d[_6Qo_ OSNEX, INSTALI^AIIO}i 1000 sq.ft. or less Each additional 500 sq.:t or Portion thereof Each Hanuf'ri Eome. or -Hoduiar Dvelling Sertice or Feeder B. Services or Feeders Instarlation, Alteration-s or Relocation: s 85.00 s 15.00 s 40.00 s s0.00 s 60.00 s100.00 s130.00 s300.00 s 40.00 s 3s.0c s 2.00 er not in ar,- 200 amps or less 201 amps to 400 anps -401 amps to 600 aups -601 anps to 1000 amps- over 1000 amps/volts -Reconnect 0n1y C 11U Tenporary Services or Feeders InstalLation. Alteration or Relocation 200 amps"or Less 201 anps to 400 amps -0ver 401 to 600 anps -0ver 60C amp-s sg 1000ETts brancr. L1rcul ts One Ci.::ui t Each AdoitionaL Circu:: or r,ith Service or Feecier Permi t see "Et' a6ove- s 40.00 s 55.00 s 80.00 ( I'ier', A-terat:.on or E>:tension per ?anel I:;,:::i'it;'$rff[re_Hf,l':-:,lxo". E :;:ff,fff:ii,lff;"celfeedfor saie' lease Tadsrenru[SHALLEXpTRE TFTHEW@flf o: irriga rion ners Signa tu r4ffiHOR'ZED :line LighrinE- Energy,/ReCOMMENCED DAIE: s 40.00 _q 40.00 s 20.00 s 36.00 € cludeci) 5 RECETVED Y1 DAY -,fllHt sx,li:I;"rl_aoEtnlstrative Feemut a o{