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Home My WebLink AboutPermit Mechanical 1993-10-25SPFl!NGFIELE' JOB NUMBER 225 Fifth Street Springf ield, Oregon 97 477 e/7RK: TAX LOT: RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Olf ice: 726-3759 LOCATION OF PRO ASSESSOFIS MAP; LOT:BLOCK:SUBDIVISION 4z?zzZIP:STATE:M PHoNE: a gq'a'' ' CITY: ADDRESS: OWNER DESCRIBE WORK: NEW -.- REMODEL ADDITION DEMOLISH OTHER PHONEEXPIRESADDRESSCONTRACTOR'S NAME ELECTRICAL: MECHANICAL: CONST. CONTRACTOR ' G EN ERAL: PLUMBING OUAD AR RANGE: # OF BDRMS: - OFFICE USE - ZONING CODE: FLOOD PLAIN WATER HEATER * OF BLDGS: SECONDARY HEAT: SQUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS OCCY GROUP: # OF STORIES To request an inspection, you must call 126-376g. 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' REOUIRED INSPECTIONS [--l Temporary Eleclric ll 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 cover. Final Electrical - When all electrical work is comPlete. Underslab Plumbing / Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain Permanent electrical power. al Mechanical - When all echanical work is complete. Footing - After trenches are excavated.Fireplace - Prior to facing materials and f raming lnsP. Final Building - When all required inspections have been approved and building is Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Foundation - After forms are erected but prior to concrete placement. Other Wall/Ceiling lnsulalion - Prior to cover. Underground Plumbing - Prior to filling trench.|-_l Drywall - Prior to taPing MOBILE HOME INSPE TIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation. Posl anci Beam - Prior to fioor insulation or decking.lnsert - After firePlace aPProval and installation of unit. Blocking and Set-UP - When all blocking is complete. Floor lnsulation - Prior to decki ng.Curbcut & Approach - After forms are erected but Prior to placement of concrete. Plumbing Conneclions - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Electrical Conrieclion - 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 ancl sub-base material in Place. Water Line - Prior to filling trench. Fence - When comPleted. Streel 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. tl completed. E tl tl tl E E tl r E r T-l r tl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E l"s rHe PBoPosED woRK rN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: VALUE (A) X $/SO. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express conc,ition 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. Fleceipt Number:- Plans Reviewed By Date 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 Mobile Home FEE (c) N0 FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace 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 contiactors 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 erty, and the approved set of plans will remain sig Date on the si at ail iimes ciuring co truciion. of the MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) DATE PAID AMOUNT REC FIECEIVED VALIDATION: RECEIPT NUM #.75ffi CITY OFSPR ffi 225 FIETE SIN,EEf, SPRTNGFtrEIO, oREGoN TNSPECTION RBQTIBSI: 0FEICE: 726-3759 The.following projea as s ubmitted hao the follequire specific land use PERTTT APPLICATION City Job Nunber COHPi. TE FEE SCEEDUI-E BELOII One Circuit I Each Additional Circuit or vith Service or Feeder Permit Hiscellaneous ( Servi ce/feeder -Each installation Ptrmp or irrigation S Sign/0ut1ine Lighting- S Limited Energy/Res S Limited Enerty/Comm _ S zoniilg, and doognot r '97L17 7?6;Et, outu--!)tdlaa 1 LOCATION OP INET{ILAfiI6N naturo 7>-?o \ JOB DESCRTPTION Perrni ts 'e non-trans bIe an expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALI.A:IION ONLY Electrical contractor 0REg0ttr EIECIIIIC SEI{VICE Address Ci ty Phone Supervisor ense Number /39&f Expiration Date 5 Constr Contr. Nunber_ Jo(b C Expiration Date_Q - ( q . Q C Signatpre of Supervising Electriciant- Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each llanuf 'd llome or Hodular Dr.relling Service or Feeder $ 8s.00 s 1s.00 s 40.00 Services or Feeders Installation, Alterations or Reloeation: 200 amps or less 201 amps to 400 amps -401 amps to 500 anps _ 601 amps to 1000 amps_ 0ver 1000 amps/volts Reconnect 0n1y Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 Over 401 to 600 amps _ S 80.00 Over 600 amps or 1000 volts see "Brr above D. Branch Circui t-s Nev, Alteration or Extension Per Panel A. C s s0.00 $ 60.00 $100.00 s130. 00 s300.00 s 4c.00 ( Or'ners Name Address Ci ty Phone AIISTION The installation is being made on - property I ovn which is not intended for sa1e, Iease or rent. Ovners Signature: DATE: RECEIPT *: ?( $:s.oo 3_s: 00 not included) 40.00 40.00 20. 0o 5 SI.IBTOTAL OP ABO\IE 5f State Surcharge TOTAL,/ t\aRECETVED BY: ti or per Service Included: .t B.