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Home My WebLink AboutPermit Mechanical 1993-05-05.y'ae oo SPrrINGFIELD RESIDENTIAL PERMIT APPLICATION lnspections:726'3769 Of{ice: 726-3759 Qft, ,l Ll PHONE q17 ZIPhrASTATE:c R 4 N-l OA ilY CITY: ADDRESS: OWNER: -f, rus r* LL /R o(DESCRIBE WORK:DtY NEW -- FIEMODEL ADDITION DEMOLISH OTHER EXPIRES PHONEADDRESS tDlF855 tt). /s*qq$oA aotJC0l,il CONTRACTOR'S NAME MECHANICAL: ELECTRICAL PLUMBING CONST. CONTRACTOR # c4 -' GENERAL: RANGE: , OF BDRMS _ OFFICE USE _ LAND USE: ZONING CODE: FLOOD PLAIN WATER HEATER r OF UNITS: HEAT SOURCE SECONDARY HEAT: SQUARE FOOTAGE: OUAD AREA: , OF BLDGS OCCY GROUP: , OF STORIES: CONSTR. TYPE: - LOCATION OF PROPOSED WOFIK ASSESSORS MAP:/9-oa -ofrz/TAX LOT 42>6<+ r.)T' BLOCK SUBDIVISION To request an inspection, you must call 726-3769. This is a24nour 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. REQUIRED INSPECTIONS fl Temporary Electric ll Site lnspection - To be made af ter excavation, but Prior to setting forms. Underslab Plumbing / Eleclrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel tocation, bond beams, grouting. Foundation - After forms are erected but Prior to concrete placement. Underground Plumbing - Prior to filling trench. Underlloor Plumbing/ Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking. Floor lnsulalion - Prior to decki ng. Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. Waler Llne - Prior to filling trench. Rough Mechanical - Prior to cover. Rough Eleclrical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power. Fireplace - Prior to facing materials and framing lnsP. Framing - Prior to cover. Wall/Ceiling lnsulation - Prior to cover Drywall - Prior to taping Wood Stove - After installation Curbcut & Approach - After forms are erected but Prior to placement of concrete. Sidewalk & DrivewaY - After excavation is comPlete, forms and sub-base rnaterial in Place. Street Trees - When all required trees are ola:ttted. Final Plumbing - When all plumbing work is complete. Fina! Electrical - When all electrical work is complete. Final Mechanical - When all mechanical work is complete. K X F E NTfinat Building - When all JA{ required inspections have been )pproved and building is completed. Other MOBILE HOME INSPE TIONS Blocking and Set.Up - When all blocking is complete. Plumbing Conneclions - When home has been connected to water and sewer. Electrical Conneclion - When blocking, 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, decks, and venting have been installed.Rough Plumbing - Prior to cover. JoB NUMBE " 13 OE?< 225 Fifth Street Spri ngf ield, Oregon 97 477 r E E E tl E l-_l lnsert - After f ireplace approvallJ and installation of unit. E l--l Fence - When conrPleted. r n E q/ E tf Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbac ks P.L.HSE GAR N S E ACC IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OFI ON THE HISTOFIICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPFIOVED VALUE (A) X $/SO. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERM!T ITEM SQ. FT. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is grantecl on the express condition'that the said construction shall, in all rL'spects, conlorm 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. Receipt Number:--. Plans Reviewed By Date PIan Check Fee Date Paid Received By; SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developnrent Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ITEM Fixtures Flesidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ??AD.n _4/AL Wood Stove/ lnsert/ Fi replace Unit Dryer Vent No /gF ,/ D4 ,7f^''s,7s (D) MECHANICAL PERMIT Mechanical Permit lssuance State Surcharge Total Permit Furnace 7 Exhaust Hood Vent Fan By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further 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 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 readable he f ront of the property, and the approved set of plans w Iremain durin s Date struct ion.on the site at all t fi,nn^ru,. 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, q D, and E Combined) 2t,zf DATE pAtD .e$.-e= R=>= AMOUNT RECEIVED RECEIVED BY -- VALIDATION: RECEIPT NUMBER from the street, that the permit card is located at 225 FTFTB STRBEf, SPRINGPIBID, OREGON 97477 fNSPECTfON ITBQUEST | 726-3769 OFPICE: 726-3759 1 JOB 2. COT.IISACTOR TNSTALI,ATION ONLY BLECTRICAL PERHTT APPLICATION Jn^City Job Number 3. A I tems Cos t $ 8s.001000 sq.ft. or less Each additional 500sq. ft or portion the reo f Each Manuf ,d llome or - Modular DveIling Service or Feeder $ 1s.00 s 40.00 B Services or Feedersfnstallation, Alterations or Relocation: COHPLETE FEE SCMDULE BELOV Nev Residential-Single orHuIti-FamiIy per dvelling unit.Service fncluded: LOR s lt 11) Sum Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for180 days. c Electrical Contract Addr Ci ty ess 200 amps or less 201 amps to 400 amps 401 amps to 600 amps -601 amps to 1000 amps- over 1000 amps/volts -Reconnect 0nIy Supervisor License Ntimber Expiration Date Constr Contr. Number Expiration Date / Signature of Supervisi Electrician Owners Address Ci ty Phone The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE:. RECEIPT Phone s s0.00 $ 60.00 $100.00 $130. 00 s300.00 $ 40.00 ,1.E C. Temporary Services or FeedersInsta1lation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Extension Per Pane} 200 amps or less S 40.00 201 amps to 400 amps - g 55.00 over 401 to 600 amps - g B0.oo 0ver 600 amps or 1000Ets see rrgn uffi- One Ci rcui t Each Addi t ional s 3s.00 Circuit or vith Service or Feeder Permit S 2.00 Miseellaneous ( Service/feeder -Each installation Pttmp or irrigation $ Sign/Outline Lighting- S Limited Energy/Res _ S Limited Energy/Comm S €s E 5 not included) 40.00 40. oo 20. oo SUBTOTAL OF ABOVE 5Z State Surcharge TOTAL RECEIVED BY: ct) ature. (n