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Home My WebLink AboutPermit Mechanical 1994-05-02SPrl!I\.GFIELr, T{ESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSoRS r,aae, /6 -aZ * aG; -/3 JoB NUMBE n ?/a+sz 225 Fifth Street Springfield, Oregon 97477 57 TAX LOT: LOT:BLOCK: ___ OWNER:Doro eL Lr^t d, n F I ec k PHONE ADDRESS:(O7o 5, 3?*h CITY:tel STATE: 1' DESCRIBE WORK:L oF e- NEW -. FIEMODEL - ADDITION DEMOLISH OTHER ZIP:?z{I U s { CONTRACTOR'S NAME PLUMBING ADDRESS CONST. CONTRACTOR #EXPI RES PHON E GENERAL: MEcHANIcA,. /1'4,1)/'EQ.I o o (o-3 .?_/621 ELECTRICAL:5o '*;a7'S=ar)fre FIANGE: _ OFFICE USE _ WATER HEATER FLOOD PLAIN: ZONING CODE SECONDARY HEAT: SOUARE FOOTAGE: OUAD AREA: # OF BLDGS CONSTR. TYPE HEAT SOURCE: LAND USE: # OF UNITS OCCY GROUP: r OF STORIES: To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspections requested before 7:00 a.m. wlll be made the same working day, lnspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS Temporary Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Sile lnspection - To be made af ter excavation, but prior to setting forms. w Rough Electrical - Prior to 8 Final Electrical - When all electrical work is complete.cover Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power. w Final Mechanical - When all mechanical work is complete. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsp. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.J-l Orywall - Prior to taping MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking'Wood Stove - After installation Post and Beam - Prior to floor insulation or decking.lnsert - After f irePlace aPProval and installation of ur:it. 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 tilling trench.Electrical Connection - When blocking, set'uP, and Plumbing inspections have been approved and the home is connected to the service panel. Slorm Sewer - Prior to filling trench. Water Line - Prlor to filling trench. Rough Plumbing - Prior to cover. Street Trees - When all required trees are Planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. /a SUBDIVISION: -- a%7- , OF BDRMS: tl tl tl tl E tl tl tl E [--l other E tl r[_-l Sidewalk & DrivewaY - AfterU excaration is comPlete, forms and sub-base material in Place. l--I Fence - When completed'll E il E Lot faces Lot sq. ftg. Lot coverage TopograPhY Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbac ks P.L.HSE GAB ACC N S rS THE PROPOSED WORK lN 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' APPROVEDE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said consiruction shall, in all respects, conform to the Ordinance uJopt".l by the City of Springfield' including the Development Code, regulating the construction and use of Ouit,ling", and may be suspended or revoked at any time upon vi-otation of any provisions of said ordinances' DatePIonJ ReviewecJ BY Plan Check Fee: Date Paid: BeceiPt Number: Fleceived BY: BUILDING PERMIT VALUE (A) SO. FT. X $/SO. FT. Total Value Building Permit Fee State Surcharge Total Fee Systems Developrnent Charge is due on all undeveloped properties within the City limits which are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) SanitarY Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE N FT. FT. F-r. (c) Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fi replace Unit MECHANICAL PERMIT (D) 2z' NO ,z? Dryer Vent Mechanical Permit lssuance State Surcharge Total Permit Fu rn ace Exhaust Hood Vent Fan /*e -{--1=- 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 perrnission ol the Building Safety Division. I further certify that only contractors and ernployees 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 requestecl at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain Sig nat u re r-)-r rDate limeson the site at construction. 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) /293 7*z^?Y AMOUNT RECEIVED DATE PAID VALIDATION: RECEIPT NUMBER I -- ITEM Main Garage Carport RECEIVED BY - C'TY OF INSPBCTI0N RBQIEST. 726-3769 oFFICE: 726-3759 1. LOCATTON OP hao the . ,: :.,,BXiESIRICAL PERIiIT APPIJCATION LD a City Job Nuuber q 4a* fl..1a 3. coxpt.stg PEE scEEDuLE BELog iJ n/t strr,'\(;FrELo 5. STIBTOTAL OP ABOVB 5Z State Surcharge TOTAL % 225 ErFrE sf,RBEE rhe{ouowins3:??:,?il.YPljt"': SPRINGFIEu)' oRBGON 97477'"i?,L?* Zoning. 3igtraiur* IJGAL DESCRIPTION JOB Permits are non-transferable and expire lf vork is not started vithin 180 days of issuance or if vork is suspended for 180 days 2. COI{rRACTOR INSTALI.ATION ONLY Electrical ContractorScofield Elecrric Address h Box 2765 Ci ty fuge*, Or 97402 Phone686-8612 suP ervisor License Ndmber 508-s Expi ration Date t6/Ol /95 Constr Contr. tilumfs3 38702 ExP iration Date vtvtelt Signa ture of Supervis Ovners Name Address Ci ty Phone OVNER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0mers Signature: DATE: A.Nev Residential-Single or Hulti-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Eaeh additional 500 sq. ft or portion thereo f Each Manuf'd Home or Hodular Dvelling Service or Feeder $ 8s.oo s 1s.00 $ 40.00 B Services or Feeders Insta1lation, Alterations or Relocat ion: 200 amps or less 201 amps to 400 amps - 401 amps to 600 amps - 601 amps to 1000 amPs- 0ver 1000 amps/volts - Reconneet 0nIY c. D. Branch Circuits Nev, Alteration or Extension Per Panel oneci.rcuit 3 935.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amPs - $ 55.00 Over 401 to 600 amps - $ 80.00 0ver 600 amps or 1000 volts see 'tBtr above Sum $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 ELN ---e?>- E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - $ Sign/0utline Lighting- $ Limited Energy/Res - $ 40.00 40.00 20.00 36 .00 RECETVBD BII at{ae+*ffi /3AZ-a1- ) -