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Home My WebLink AboutPermit Plumbing 1998-04-0764.' SPRRESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 efr, JOB NUMBER 6 225 Fifth Street Springfleld, Oregon 97 477 LOCATION OF PROPOSED WOBK:?ot 3x*t-Shpr ASSESSORS MAP:11 o>-St li TAX LOT: LOT BLOCK:SUBDIVISION: -- PHONE: f) rz-STATE ZIP: bK 1^ blGq q1q o ( t(o no la t{os Dg-vc-L OWNER: ADDRESS: CITY: REMoDEL ADDtloN 4bX DEMOLISH OTHER DESCRIBE WOBK: NEW I EXPIBES ,3 PHONECONTRACTOR'S NAME GENERAL: PLUMBING: MECHANICAL: ELECTBICAL: CONST. CONTRACTOR # RANGE: -o LAND USE:FLOOD PLAIN:OUAD AREA: * OF BLDGS: SECONDARY HEAT: SQUARE- FOOTAGE: / OF BDRMS: _OCCY GROUP: * OF STORIES: ZONING CODE: CONSTR. TYPE: HEAT SOURCE: # OF UNITS: --- To request an inspection, you must call 726'3769. Thls ls a24hour recordlng. All lnspections requested before 7:oo a.m. will bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be macje the followlng work day. REQUIRED INSPECTIONS Temporary Electrlc Rough Mechanical - Prior to cover. Flnal Plumblng - When altplumblng work ls complete. l-l Site lnspection - To be made 'J after excavation, but prior to setting forms. Rough Electrical - Prior to Flnal Electrlcal - When ail electrical work is complete.cover. Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover.Electrical Service - Must be approved to obtain permanent electrlcal power. Final Mechanlca! - When all mechanical work ls complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framlng lnsp. Flnal Buildlng - When allrequired lnspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, grouting.Framlng - Prlor to cover. L]Foundatlon - After forms are erected but prlor to concrete placement. Other WalllCelling tnsutatlon - Prlor to cover. Underground Plumbing - Prior to filling trench.l--l Drywall - prtor to taping. Undertloor Plumblng/ Mechanlcal - Prior to lnsulatlon or decklng. MOBILE HOME INSPECTIONS Wood Stovo - After lnstallation Post and Beam - Prior to floor lnsulatlon or decking.lnserl - After flreplace approvsl and lnstallatlon of unlt. Blocking and Set.Up - When ailblocklng is complete. Floor lnsulation - Prior to decking.Curbcut & AJrproaclr - After forms are erected but prior toplacemenl of concrete. Plumbing Connections - Whenhome lras been connected to water and sewer. Sanitary Sewer - Prior to fllling trench.Eleclrical Connection - Whenblocking, set-up, and plumbing lnspections have been approved and the home is connected tothe service panel. Slorm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation ls complete, lorms and sub-base material ln place. l--l Water Llne - Prior to filling 'J trench. Fence - When ccirtpleted Street Trees - When all required trees are planted. Final - After all required inspectlons are approved andporches, sklrting, decks, andventlng have been lnstalled. Bough Plumbing - Prior to cover. ..1 WATER HEATER: fl E E E E tl tl Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Typ- - lnterior -- Corner -- Panhandle ' - Cul-de-sac IS THE PROPOSED WORK IN THE . HISTORICAL DISTRICT, OR ON THE HISTOFIICAL REGISTER? - lf yes, this application must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: PL.HSE GAR ACC N S E VALUE (A) Total Value Building Permit Fee State Surcharge Total Fee i!4 X $/SQ. FT. .,t .l BUILDING PERIVIIT - ITEM SO. FT. Main Garage Carport 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 Fleviewed By , E Date Receipt Nu Plan Check Fee: Date Paid Received By: 't. PLAN CHECK ,RMIT BUILDING \ALUE AND BUILDING P SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tlre City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sgwer Water Storm Sewer Moblle Home FEE (c) Nt FT. FT. SrS, - ,lf+.4t{rkia PLUMBING PERMIT FT. Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS By slgnature, I state and agree, that I have carefully examlned 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 with the Ordinanccs of the City of Sprlngfield, and the Laws of the State of Oregon pertainlng to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure without perrnission of the Building Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this proiect. I further agree to ensure that all required inspections are requested at the proper time, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remain e $' 5", natu re times during construction. 7 on the site at Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Oemolition State Surcharge Total Miscellaneous Permits (E) N0Vent Fan (D) MECHANICAL PERMIT Furnace Exhaust Hood Mechanical Permit lssuance State Surcharge Total Permit &q3("b +-9.'- ?< }DAMOUNT BECEIVED RECEIVED BY DATE PAI[) VALIDATION: RECEIPT NUMBER .. . ilr TOTAL AMOUNT DUE (excludlng electrical) .__.--- (A, B, C, Q and E Comblned)4n 0 LEGAL DESCRIPTION t-'t o L .3r 13 o blot JOB DE ION Permits are non-transferable and expire if vork is not started vithin 1BO days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor L A)'s ilt Add ress 5PI -, .;FIELO ELSCTRICAL PERHIT APPLICATION City Job Number Qgo rJ I;ETE FEE SCHEDIJLE BELOS dential-Single or mily per dwelling unit Included: Items el Cos t 85.00 ,+, AutnorizeO 225 FIFTB STRXET SPRINGFIELD, OREGON 91 4]1 INSPECTION REQUEST: 126-3769 OFFICE:. 126-3159 1 TION OF INS TION Ci ty pno^" 7 Z-b -?81f Supervisor License Number 2\SX -3 Exp ir--ation Date I O C Constr Contr. Number leuJ e Expiration Date Signature of Supervj.sing Electrician 1000 sq.ft. or less Each addi.tional 500 sq. ft or portion thereo f Each Manuf'd Home. or Modular Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocatiorr: 200 amps or l-ess 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps./vol ts Reconnect Only 200 amps''or f ess 201 amps to 400 amps -Over 401 to 600 amps Over 600 amps or 1000-7ofTs Temporary Services or Feeders Installation, Alteration or Relocation $ $ 15.00 $ 40.00 Sum above DD 50.00 60.00 100. 00 130.00 300.00 40. 00 $ $ $ s $ $ )4 SS $e see s 40.00 $ 40.00 s 20.00 s 36.00 0.00 s. 00 0. 00 il8il 0vners Address 'ame \(s*-a t d D. Branch Circui ts Nev, Al-teration or Extension Per P anel7,to1 Dws-,,,- Ci ty rA Phone l".n - bl C "l OIINER INSTALLATION The ins tal-l-at ion is being made on property I ovn r,,hich is not intendedfor sale, lease or rent. Ovners Signature: DATE: RE One Circuit t $ 35.00 Each Addi tional Circuit or vith Service or Feeder Permi t $ 2.00 E. Miscellaneous (Service/feeder not included) +3s.- -Each installation Pump or irrigation Sign/0u rline Ligh ting- Limi ted Energy/Re Limi ted Energy/Comm q)SUBTOTAL OF ABOVE5Z State Surcharge 37" Adminis t ra t i ve Fee TOTAL RXCETVED B - s -7q 3 D $.ui. -r.7<_,- ,fl=J'#I- S,^n^*R ita-*-*