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Home My WebLink AboutPermit Mechanical 1996-01-09RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726.3759 LOCATION OF PROPOSED WO HASSESSORS MAP: PRINGFIELE, LOT - BLOCK: JOB NUMBER 225 Fifth Street Springfleld, Oregon 97427 TAX LOI SUBDIVISION:_ efr, l{..?4) PHONE: ztP: e oD_STATE: Z-14t -442 9r Sr a)( a, ADDRESS: CITY:\f LT N.} ZL OWNER flfl( + NEW -- REMODEL ADDITION DEMOLISH OTHEB C-LJDESCRIBE WORK:l"r ADDRESS 'zCr{ \2, CONTRACTOR'S NAME ELECTRICAL MECHANICAL: PLUMBING: GENERAL: CONST. CONTRACTOR # _ OFFICE USE - ZONING CODE: FLOOD PLAINLAND USE:QUAD AFIEA: r OF BLDGST SECONDABY HEAT: SQUARE FOOTAGE: , OF BDRMS: .- RANGF.: OCCY GROUP: I OF STORIES: CONSTR. TYPE: HEAT SOURCE: / OF UNITS: --- To request an inspection, you must call 7, made the sanre working day, lnspections 26'3769' Thls is a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll berequested af ter 7:0O a.m. wlll be made the followlng work day. REOUIRED INSPECTIONS [--l temporary Etectric Rough Mechantcal - prlor to cover.Final Plumbing - When altplumbing worl< is complete. Site lnspection - To be made af ter excavation, but prior tosetting forrns. Rough ElEctrlcal - prior to Final Electrical - When allelectrical work ls complete. cover. [--l UnOerslab ptumbing/ Electrical/ - Mechanical - prior to cover.Electrical Service - Must beapproved to obtain permanent electrlcal power, fffihd Mechanical - When ail - mechanical work ls complete. E Footlng - After trenches are excavated.Final Buildlng - When allrequlred lnspections have beenapproved and building is completed.J-l Masonry - Steel tocaflon, bondu beams, grouting. Fireplace - Prlor to faclng materlals and framing lnsp. I--l Framlng - prlor to cover.E Foundatlon - After forms are erected but prior to concrete placement. fr,,f'ottror Wall/Ceiling lnsulatlon - prlor to cover. Underground Plumblng - prior to filling trench.l-l Drywail - prtor to taping, MOBILE HOME INSPE TIONSUnderlloor Plumbing/ Mechanical - Prior to insulatlon or decking.Wood Stove - After lnstallation Post and Beam - Prior to floor lnsulation or decking., Floor lnsulation - Prlor tc) decki ng. n lnsert - After flreplace approval - and installatlon of unlt. '[--l Alocking and Ser.Up - When ail - blocking is complete, Curbcut & Ag:proach - After forms are erecled but prior toplacement of concrete. Plumblng Connections - Whenhome has been connected towater and sewer.Sanitary Sewer - Prior to filling trench. l-l Storm Sewer - pilor to fiiling - trench. Sidewalk & Driveway - After excavation ls complete, forms and sub-base material in place. Electrical Connection - Whenblocklng, set.up, and plumblng tnspections have been approvedand the home is connected tothe service panel.ffl Warer Line - prior ro fiiling - trench. Fence - lVhen completed. Final - After all requiredinspections are approved andporches, sklrilng, decks, andventlng have been lnstalled. Rough Plumbing - prior to cover.f-l Street Trees - When all requlred - trees are planted. EXPIBES PHONE WATER HEATER: -- Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks PL.HSE GAR ACC N S E ,S THE PROPOSED WORK iN THE , HISTOFIICAL DISTRICT, OR ON THE HISTORICAL REGISTEFI? =- lf yes, this application must be signed and approved by the Historlcal' Coordinator prior to permit issuance. APPROVED VALUE (A) x $/so. FT. Total Value Building Permit Fee State Surcharge Total Fec BUILDING PERMIT ITEM SO. FT. BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This pernrit is granted on the express condition that the said construction sh;rll, in all respects, conform to the Ordinance adopted by thc City of Springfield, including the Developmcnt Cocle, rcgulating the construction anci use of buildings, anrl may l:e suspended or rcvol(cd at any tlme upon violation oI ar-ry provisions of said ordinanccs. I Recei pt Number:-.. Plans Rcvicwcd [3y Date Plan Check Fee: Date Paid Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tha City linrits which are being irnproved. FEE (c) No FT. FT. PLUMBING PERMIT Plumbing Permlt State Surcharge Total Charge ITEM Fixtures Resldential Bath(s) SAnitary Sewer I Water - FT. Storm Sewer Moblle Home ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit +* (D) N0 D hanical Permit Vent Fan lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By slgnature, I state and agree, that I have carofully examlnsd the completed application and do hereby certify that all lnformation hereon is true and correct, and I f urther certlfy that any and all work performed shall be done in accordance wlth the Ordinances of the City of Springf ield, and the Laws of the Statc of Oregon pertalning to thc worl< descrlbed herein, and that NO OCCUPANCY will [:e made of any structure without permission of the Buildirrg Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on thls prolect. te r9 I 4 ) readable L: tions are the front ll remain MISCELLANEOUS PERMlTS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E).---:--\- \l^L)TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Comblned) VALIDATION RECEIPT NUMB R DATE PAID AMOUNT RECEIVE RECEIVED BY Main Garage Carport C,ITY OF OREGON SPFlI^.GFIELO 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder One Circui t Each Additional Circuit or vith Service or Feeder Permit 200 amps''or fess 201 amps to 400 amps -Over 401 to 600 amPs Over 600 amps or 1000-volTs Sum s 1s.00 40.00 5s.00 80.00 ee ItBtt aSove h,The following proJect as eubmttted has the il'"liid, IirJ?5"e'not require specilic land EI.ECTRICAL PERHIT APPLICATION ob Number 3.COHPIJTE FEE SCEEDTIIJS BELOV A Nev Residential-Single or Multi-FamilY per dvelling unit. Service Included:Items Cost s 8s.00 approval. INSPECTION REQUEST: 726,-37 69, .." o ,.o,,,., ,' OFFICE: 726-3759 225 FIFTE STREET SPRTNGFTELD, oREGON 974 1 Permits are non-transfer if vork is not started vithin LB of issuance or if vork is susPended days INSTALI..ATION ONLY Elec t r I Contractor Address Ci ty Supervisor Licen ber Expiration Date, Constr Cont Expi ra t s Ovners Address Ci ty Phone ALI.,ATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. rs Signa DATE: s 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -40L amps to 600 amPs - 601 amps to 1000 amps Over 1000 amps/voIts Reconnect OniY Temporary Services or Feeders Installaiion, Alteration or Relocation pi re ays for s s0.00 s 60.00 $100.00 s130.00 s300.00 s 40.00 ne .00 .00 .00 .00. d) B C $ s $ S eln D Branch Circuits Nev, Alteration or Extension Per Panel 00 E. MiscelLaneous (Service/feeder not included) -Each ins tal-Iation Pump or irrigation - Sign/Outline Lightitg- Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL $ 3s.00 s 2.00 $40 s40 $20 s36 35 1 tE tEC rSrv].t ngoreuSupe Number Date RECEIVED 5 2.