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Home My WebLink AboutPermit Mechanical 1993-10-26RES!DENTIAL PERMIT APPLICATION lnspections: 726'3769 Olfice: 726'3759 LOCATION OF PROPOS ASSESSORS MAP: LOT: S]'NINGFIELE, S 4)^4 JOB NUMBER q3 u3o 225 Fifth Street Springfield, Oregon 97 477 TAX LOT: BLOCK: ---.-SUBDIVISION nL l-r, n^r-l PHONE:141-- )() OWNER: --Oa t-: S L+)^c( €arto o,,f ,ADDRESS CITY:STATE:ZIP -&.o f-4' ,' lts f, o, lro,,'.r*- ' 1='DESCRIBE WOFTK: - NEW -- REMODEL - ADDITION DEMOLISH OTHER CONTRACTOR'S NAME ADDRF.SS CONST. CONTRACTOR #EXPIRES PHONE GENERAL: 5QUAD AREA: r OF BDRMS:OCCY GROUP: _ OFFICE USE _ LAND USE HEAT SOURCE RANGE: - ZONING CODE: FLOOD PLAIN 'r OF STORIES: -WATEFI HEATER SECONDARY HEAT: SOUAFIE FOOTAGE: CONSTR. TYPE: -- PLUMBING d (-I '')qu 13'l'+t- ELECTRICAL: -- MECHANICAL: [l femporary Electric Site lnspection - To be made after 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. Underlloor Plumbing/ Mechanical - Prior to insuiation or decking. Post and Beam - Prior to floor insulation or decking. Floor lnsulalion - Prior to decki ng. Sanitary Sewer - Prior to f illing t ren c tl. Storm Sewer - Prior to filling trench. Waler Line - Prior to filling trench. Rough Plumbing - Prior to cover. Rough Electrical - 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 lnsulalion - Prior to cover. Final Electrical - When all electrical work is comPlete. Final Mechanical - When all mechanical work ls comPlete. Final Building - When all required inspections have been approved and building is completed. MOBILE HOME INSPECTIONS Plumbing Conneclions - When home has been connected to water and sewer. Electrical Connection - 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. To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:o0 a.m. will be made the same working day, lnspections requested after 7:00 a.m. will be made the following work day' REOUIRED INSPECTIONS Rough Mechanical - Prior to cover. Final Plumbing : When all plumbing work is complete. l-l Drywall - Prior to taoins [-l Wood Stove - After installation lnsert - After f lrePlace aPProval and installation of unit. Curbcul & APProach - Af tcr forms are erected but Prior to placement of concrete. Sidewalk & DrivewaY - After excavation is comPlete, forms and sub-base material in Place. Fence - When comPleted Street Trees - When all required trees are planted. oa Qorher,(" 6,* E r E tl tl tl tl tl tl tl Er r E [-l Blocking and Set'UP - When allLJ blocking is comPlete. tl tl tl Lot faces Lot sq. ftg. Lot coverage Topography Total height Loi Type - lnterior - Corner - Panhandle - Cul-de'sac Set ks P,L.HSE GAR ACC N J E IS IHE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTOFIICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED:i 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 adopte<.1 by the City of Springfield, including the Development Cocle, regulating the construction and use of buildings, ancl may be suspended or revoked at any time upon violation of any provisions of said ordinances. DatePlans Reviewed By Receipt Numbe Plan Check Fee: Date Paid Reccivr:d By: VALUE (A) X $/SO. FI. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITTONAL COMMENTS ITEM Fixtures Besidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) NU FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ Insert/ Fireplace Unit Dryer Vent 19 (D)?s 1s tq oo No ID.OO Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I statc 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 ancl all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the Statc of Oregon pertaining to the work described herein, and tlrat NO OCCUPANCY will be made of any structure witlrout pertnission of the Building Safety Division. I further certily that only contractors and employees who are in compliance with ORS 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 from the street, that the permit card is located at the f ront Sig nat u Date --\ of the property, and the proved set of plans will remain on the site t all ti u tb)sul ., construction MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -- ft Curbcut -- ft Oemolition State Surcharge Total Miscellaneous Permits (E) 10u8-) tolv-[ qt nb )s? DATE PAID AMOUNT T]ECEIVED RECEIVED BY _ VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ?S--rr CITY OF OREGO'U .*#Frgjr,;s SPFlln(ir "ELO EIJCTRICAL PERHIT APPLICATION225 PTFTE STREET SPRTNGPIEU)oREGoN 97477 INSPECTION RBQI'EST oPFICB: 726-3759 z 726 --3769 q3 \\3 Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if work is suspended for 180 d ays. 2.TNSTALI,ATTON ONLY EIec t r Con t rac tor Address Ci ty Supervisor License Expiration Date Constr Contr.ber Expi ra t i te of Supervising Electrici Ovners Addres Ci ty Phone INSTALI,ATTON The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Orrners DATE: Ci ty Job Nunber 3. COHPLETE FEE SCEEDI.ILE BELOV Nev Residential-Single or HuIti-FamiIy per dvelling unit. Service Included: I tems Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Hodular Dwelling Service or Feeder $ Bs.oo s 1s.00 s 40.00 Services or Feeders Instal-1ation, Alterations or Relocation: OF1 A lJoB.-\ff*'ffiJlT frr; Sum .00trgil "ffifr- 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/volts Reconnect Only s s0.00 s 60.00 $100.00 s130.00 $300.00 s 40.00 C Temporary Services or Feeders InstaIlation, Alteration or Relocation 200 amps or less $ 20L amps to 400 amps - S 0ver 401 to 600 amps - S 0ver 600 amps or 1000 voITs se 00 00 40 55 80 e !o l Branch Cireui ts Nev, Alteration or Extension Per Panel Circui t or wi th ServicA--, or Feeder Permi t '.5 One Circui t Each Addi tional SUBTOTAL OF ABOVE 5Z State Surcharge TOTAL not included) 40.00 40.00 20.00 s 3s.00 $ . 2.00 JJ 6P E Miscellaneous ( Service/feeder -Each installation Pump or irrigation S Sign/OutIine Lighting- S Limited Energy/Res S Limited Energy/Comm $ 5 Phone m RECBIVED ture: & u66 RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726'3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: GF h, JOB NUMBER qv //% 225 Fifth Street Springfleld, Oregon 97477 ?TAX LOT LOT PHONE: ztPSTATE: 2 427 -24>6 OWNER: ADDRESS: CITY: '€ DESCRIBE WORK: NEW /rr REMODEL MECHANICAL: EXPIRESADDRESSt PHTRR#CONTRACTOR'S NAME CONST. GENERAL: PLUMBING: ELECTRICAL: \\\\ - OFFICE USE - * OF BDFIMS: * OF UNITS: LAND USE: ZONING CODE: FLOOD PLAIN SECONDARY HEAT: SQUARE FOOTAGE: OUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: WATER HEATER: OCCY GROUP: ./ OF STORIES: To request an inspection, you must call 726'3769. Thls ls a 24 hour recordlng' All I made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made nspections requested before 7:00 a.m. wlll be the followlng work daY. REQUIRED INSPECTIONS l-l remporary Etectric Rough Mechanicat - Prlor to cover. [--1 Flnal PlumbingU plumblng work - When all ls complete. Sile lnspection - To be made after excavation, but Prior to setting forms. Rough Electrical - Prior to Flnal Electrlcal - When all electrical work is comPlete.cover. Understab Plumblng / Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain Permanent electrical power. Flnal Mechanical - When all mechanical work ls comPlete' Footlng - After trenches are excavated.[-l Fireplace - Prlor to faclngU materlals and framlng lnsP. fit--ing - Prior to cover' Vf Pinat Buildins - When all -F{.f"qulred lnspectlons have been ' approved and building is comPleted.Masonry - Steel locatlon, bond beams, grouting. Other Foundalion - After forms are erected but Prior to concrete placement. WaltlCeiling lnsulation - Prlor to cover. Underground Plumbing - Prior to filllng trench.l-l Drywall - Prior to taping. MOBILE HOME INSPE TIONS Underlloor Plumbing / Mechanical - Prior to insulatlon or decking.Wood Slove - After installation Post and Beam - Prlor to floor lnsulation or decking.lnserl - After flrePlace aPProval and installation of unlt. Blocking and Set.UP - When all blocklng ls comPlete. Ftoor tnsulation - Prior to decking.Curbcut & APProach - After forms are erected but Prior to placement of concrete. Plumblng Connections - When home has been connected to water and sewer, Sanitary Sewer - Prior to filllng trench.Electrical Connection - When blocklng, set-uP, and Plumblng lnspections have been aPProved and the home is connected to the servlce Panel. Storm Sewer - Prlor to fllllng trench. Sidewalk & DrivewaY - After excavation ls complete, forms and sub-base materlal in Place. Water Llne - Prlor to fllling trench, Fence - When cornPleted Rough Plumbing - Prior to cover. Street Trees - When all required trees are Planted. Final - After all requlred inspectlons are aPProved and porches, sklrting, decks, and venting have been installed. -2 4,7 E E E E tl E E E Er E tl E E tl Lgt faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterior - Corner - Panhandle - Cul-de-sac P.L.HSE GAR ACC N S W E IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this appllcatlon must be slgned and approved by the Hlstorlcal Coordinator prior to permlt lssuance. APPROVED: BUILDING PERMIT ITEM SQ. FT.x $/sQ. FT. = VALUE Main Garage Carport 2/bo ,'t?,f 4 Total Value Bulldlng Permlt Fee State Surcharge Total Fee /b 5d-2..r%, 1ZT,r3(A) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said constructlon shall, in all respects, conform to the Ordinance adopted by the City ol Springlield, lncluding the Development Code, regulatlng the construction and use of bulldings, and may be suspended or revoked at any tlm€ upon violation of any provisions of said ordinances. plan check Fee. -ED 4ilf cJ Dale Pald Receipt Numbe Recel s ewed By EHz, SYSTEMS DEVELOPMENT CHARGE (SDC) (B)ti615 Systems Development Charge ls due on all undeveloped properties withln the City limits which are being improved. PLUMBING PERMIT ,K ITEM Flxtures Resldentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home FEE N0 FT. FT. FT. Plumblng Permlt State Surcharge Total Charge (c) ADDITIONAL COMMENTS / 6t C t<r J? p'/P<-' {eW -<- kor xw,.Vrp "<44qnlA/ 'rr* ,- MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N0 Wood Stove/lnsert/Flreplace Unlt Dryer Vent Mechanlcal Permlt lssuance State Surcharge Total Permlt (D) I By slgnature, I state and agree, that I have carefully examlned the completed appllcatlon and do hereby certify that all lnformation hereon is lrue and correct, and I f urther certlty that any and all work performed shall be done ln accordance with the Ordinances of the City of Sprlngfleld, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCY will be made of any structure without permission of the Buildlng Safety Divlslon. I further certlfy that only contractors and employees who are ln compliance with ORS 701.055 wlll be used on thls project. I further agree to ensure that all requlred lnspections are requested at the proper tlme, that each address ls readable lrom the street, that the permlt card ls located at the front of the property, and lhe approved set of plans will remaln on the site ctlon. fr,nn",,,u Date = MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolltlon State Surcharge fr' l: r(i,f ' W g7 43 Total Mlscellaneous Permlts (E) VALIDATION: RECEIPTNUMBER , ?r DATE PAID **2>-= AMOUNT FIECEIVED RECEIVED BY 5 TOTAL AMOUNT DUE (excludlng electrical) (A, B, C, Q and E Comblned) b.ao l. - 71tS S77e(oPre- ls Ta 4<C