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Home My WebLink AboutPermit Mechanical 1993-11-09SPNINGFIELE' RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 JOB NUMBER Q3t t q_a 225 Fifth Street Spri ngf ield, Oregon 97 477 2ll l,rr ) ocrJ.(a,..*-LOCATION OF PROPOSED WORK: l-t a)2u 2:)TAX LOT:o39oa ASSESSORS MAP BLOCK:SUBDIVISIONLOT: PHONE OR ztPSTATE: ,1 K 1 CITY: ADDRESS: OWNER iT\)hrR++rl'vUR{TDESCRIBE WORK STALL ADDITION DEMOLISH OTHEBNEW ---- REMODEL ELECTRICAL: PHONEEXPIRESADDRESS sto/0lqDa o55 wr. \sl CONTRACTOR'S NAME CONST. CONTRACTOR / GENERAL: -PLUMBING: - MECHANICAL: RANGE # OF BDRMS _ OFFICE USE _ LAND USE: ZONING CODE: FLOOD PLAIN WATER HEATER * OF UNITS: SECONDARY HEAT: SOUARE FOOTAGE: OUAD AFIEA: , OF BLDGS OCCY GROUP: I OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-376g. This is a24hour recording. AII 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' REOUIRED INSPECTIONS Temporary Electric Sile lnspection - To be made af ter excavation, but Prior to setting forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erected but prior to concrete placement. Underground Plumbing - Prior to filling trench. Post and Beam - Prior to floor insulation or decking. Floor lnsulation - Prior to decki ng. Sanitary Sewer - Prior to f illing trench. Storm Sewer - Prior to filling trench. Waler Line - Prlor to filling trench. ffi RouOh Mechanical - Prior to .J COVef. Rough Electrical - Prior to Final Plumbing - When all plumbing work is comPlete. Final Electrical - When all electrical work is comPlete. Final Building - When all required inspections have been approved and building is completed. Other cover. Electrical Service - Must be approved to obtai n Permanent electrical power. Fireplace - Prior to facing materials and framing lnsP' Framing - Prior to cover. Wall/Ceiling lnsulation - Prior to cover. f-14inal Mechanical - When allE mechanical work is comPlete. [-l Orywall - Prior to taoing. lnsert - After fireplace aPProval and installation of unit. Curbcut & Approach - After forms are erected but prior to placement of concrete. Sidewalk & Driveway - After excavation is complete, {orms and sub-base material in Place. Fence - When conrpleted Slreet Trees - Whcn all required trees a!'e planted. MOBILE HOME INSPE TIONS Blocking and Set.Up - When all blocking is complete. Plumbing Connections - When home has been connected to water and sewer. Electrical Connection - When blocki ng, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Final - After all required inspections are approved and porches, skirting, decl<s, and venting have been installed.Rough Plumbing - Prior to cover. 65Do r [_l UnderlloorPlumbing/Mechanical rL-r - prior to in"rriiio'n ;;;;;ii;;. [l wood stove - Arter installation' E E r tl E r r E E tl E 4t) E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac e bac ks P.L.}.ISE GAR ACC N S I I E BUILDING PERMIT ITEM SQ. FT.X $/SQ. FT.VALUE Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) 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. Plan Check Fee: Date Paid Receipt Number:- Rcceived By: Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Devcloprnent Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE N0 FT. FT. FT, Plumbing Permlt State Surcharge Total Charge (1,) ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rn ace Exhaust Hood Vent Fan N0 Wood Stove/ lnsert/Fireplace Unit Dryer Vent Mechanical Permit lssuance State Surcharge Total Permit ls oc iC oc) .?S (D)as )t 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 Springf ield, 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 OFIS 701.055 will be used on this proiect. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is from the street, that the permit card is located at of the property, and the approved set of plans w adable f ront remai rr on the si at all times duri onst tion Sig natu re Date ,,1 q lr, MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) VALIDATION: RECEIPT NUMBER I o?1q DATE PAID rrlc, laV AMOUNT RECEIVED RECEIVED BY ts-75 TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) -) IS ]FiE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTOBICAL REGISIER? - lf yes, this appllcation must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: tDa OREGO'VC'TY OF SPF.INGFIELO The followlng prolect as submHed hae the lollor{g[g1x1gAL pERt{IT A,,LICATION nol require sPecific land u80 fl225 ?TYTE STRBBf, SPRINGFIEIJ, OREGoN INSPBCf,ION RBQTIEST: 0PPICB: 726-3759 1 OP IJGAL DBSCRIPTION JOB DBSCRI 3. COTIPIJTE)J-A- - "7 3 City Job Nunber FBE SCEEDTILE BELOTI ential-Single or gfQlY':l tt:,d tffi\t'sg does ll Permits are non-transferable and expire if vork is not started vithin 180'days of issuance or lf vork is suspended for 180 days. 2. COT{ITACTOR INSTALI,ATION ONLY B Electrical Contractorl d S F l.*' [r;C. \- Address P ft, -F>o-L I q*r Expiration Date ,0- I -9 s Constr Contr. Number csa 4g Expiration Date q- t-s4 of Supervising Electrlcian Ovners Name Address citv 1fc n\- o lrl Pnone '747'i540 OSNBR INSTALI.ATION The installatlon is belng made on property I ovn which is not intended for sale, lease or rent. Orners Signature: DATE: Hulti-Family per dvelling unit. Service Included:Items Cost L000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular DveIIing Servlce or Feeder $ 8s.00 $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: Sum 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/volts Reconnect 0nly c.Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps - $ 55.00 over 401 to 6oo amps - $ 8o.oo Over 600 amps or 1000 voT[s see rrBrr aEoE Branch Circuits Nev, Alteration or Extension Per Panel 'one circuit i $ 35.00 J, Each Additional Circuit or vith Service or Feeder Permit / $ 2.00 2 B. Miscellaneous (Servlce/feeder not included) $ s0.00 s 60.00 $100.00 $130.00 $300.00 $ 40.00 D -Each installation Pump or irrigation Sign/OutIlne Lighting_ Limited Energy/Res Limited Energy/Comm $ 40.00 s 40.00 $ 20.00 $ 36.00 SIJBTOTAL OP ABOVB 5Z State Sutcharge TOTAL RBCBIVED B 5 /z4eez-r7 a<E?AO crtvW pnoneT4/-Pa30t Superviso. Li""n " Number //cT/, S