The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 1995-08-08SPRINGFIELE) RESIDENTIAL PERMIT APPLICATION lnspections:726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK JOB NUMBER 5^ ASSESSORS MAP;/)-a?-=2-77 225 Fifth Street Springfleld, Oregon 97477 TAX LOI:42Sa'e LOT:BLOCK:SUBDIVISION 4/i4"- -PHONE: o<ZIP:STATE: u?.r -t./bt!--78;"OWNER: ADDRESS: CITY: *L s/u * eP /a*ua-a< OTHEBffi;_DESCRIBE WORK: UADDITION DENEW- REMODEL ADDRESS EXPIRES PHONE /S- 3lY rrFl CONTRACTOR'S NAME GENERAL: PLUMBING: MECHANICAL: ELECTBICAL: coNsT. CONTRACTOB # RANGE: - OFFICE USE - LAND USE: WATER HEATER: ZONING CODE: FLOOD PLAINOUAD AREA: I OF BLDGS: SECONDAFIY HEAT: SOUARE FOOTAGE: OCCY GROUP: I OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a24 hour recordlng. All inspections requested before 7:00 a.m. will be made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS Temporary Electric [71 Rough Mechanlcal - Prlor tol! cover. [-l Rough Electrical - Prior tot-l cover. I-_l Flnal Plumbing - When aillJ plumbing work is complete. tl Slte lnspection - To be made after excavation, but prior to setting forms. Final Electrical - When all electrical work is complete. Underslab Plumbing/ Electrical / Mechanlcal - Prior to cover.Electrical Servlce - Must be approved to obtain permanent olectrlcal power. w Final Mechanical - When all mechanical work ls complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framing lnsp. Final Building - When all requlred lnspections have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prior to cover. Foundatlon - After forms are erected but prlor to concrete placement. B Other Walt/Celling lnsulation - Prlor to cover. Underground Plumblng - Prior to filling trench.Drywall - Prlor to taping. MOBILE HOME INSPECTIONS Undertloor Plumblng/ Mechanlcal - Prior to lnsulation or decking.Wood Stove - After lnstallation. Post and Beam - Prlor to floor lnsulatlon or decking.lnsert - After flreplace approval and lnstallatlon of unit. Blocking and Set.Up - When all blocklng is complete. Floor lnsulalion - Prior to deckl ng.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanltary Sewer - Prior to filling trench.Electrical Connection - 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 and sub-base material in place. Water Llne - Prlor to filling trench. Fence - When completed Rough Plumbing - Prior to c0ver. Street Trees - When all required trees are planted. Flnal - After all required inspectlons are approved and porches, skirting, decks, and ventlng have been lnstalled. a_./:f # OF BDRMS: .--- # OF UNITS: - tl E E E E E E tl E E tl E E E E E Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Tyr - lnterior - Corner - Panhandle - Cul-de-sac tback IS THE PROPOSED WORK IN THE HISTORICAL OISTRICT, OR ON THE HISTORICAL REGISTEFI? - lf yes, this applicatlon must be signedand approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: PL,HSE GAR ACC N S E BUILDING PERMIT ITEM SQ. FT. Main Garage (A) X $/SQ. FT, = VALUE Carport Total Value Building Permit Fee State Surcharge Total Fee BUTLDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls 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 ofbuildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Receipt Number:_ Plans Revlewed By Date Plan Check Fee: Date Paid Beceived By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Flxtures Resldential Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT FEE No FT. FT. FT. (c) Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS MECHANICAL PERMI Furnace Exhaust Hood Vent Fan No Wood Stove/ lnsert/ Flreplace Unit Dryer Vent /f.n /p-*-- -zil - {_< zz3.za ,? 4d:^-:- . (D) '[4rou /aae?-e Mechanical Permit lssuance State Surcharge Total Permit By slgnature, I state and agree, that I have carefully examined the completed appticaUon and do hereby cerilfy that all lnformation hereon is true ancl correct, and I f urther cerilfy that any and all work performed shall be done in accordance wlth the Ordinanccs of the City of Springfield, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCy will be made of any structure without perrnission of the Buildirrg Safety Divislon. I further certify that only contractors and employees who are ln compliance with OFIS 701.O55 will be used on thisproject. I further agree to ensure that all required inspections are requested at the proper time, that each address ls readable from the street, that the permit card ls located at the front of the property, and the approved set of plans will remaln on the site at all times during constru 7s'o lon. G^ 3o- Slgnature Date 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) VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY -2A SPFIII\.(;FIELO Qfr,l', il :llowinq proiect as submltted has the fotl6r,yino ', j i . ,,i,$ alot rcquite Spegiii6 l.lr,.-l ;..se 225 FIFTr STREET SPRINGFIELD 0REGON 97477 "E:-8-,.74'--7 INSPECTION REQUEST:726-3769., tr.r' r-.r,. I).goatuio.OFPICE: 726-3759 1 OF INSTAIT^A ON .JOB Permits are non-transferabLe and exp lre if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTPECTOR INSTALI.ATION ONLY *U."-- citY Job Number 4st tot- ELECTRICAI PERHIT APPLICATION COHPIJTE FEE SCMDUI.E BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service fncluded:Items Cost 1000 sq.ft. or less \Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular Dvelling Sertice or Feeder s 8s.00 s 1s.00 s 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ 0ver 1000 amps/volts Reconnect OnIy 3 A B Sum a6ove Electrical Contractor Address P.O t&6-l w 81-,s s0.00 s 60.00 s100.00 s130.00 s300.00s 40.00 cit enone'l4l -X,0,,3L Supervisor L cense Number r6g6s Expiration Date ta-l -gs Constr Contr. Number O3S,l9 Temporary Services or Feeders Installa.tion, Alteration or Relocation C Expiration Date 9-t-95 .00 .00 .oo fiBfl 200 amps''or less 201 amps to 400 amps _ Over 401 to 600 amps 0ver 600 amps or 1000-7oITs,ure of Supervis ].ng Electrician $ s $ 40 55 BO see Ovners Name Address cir Phone 1+1 1133. OVNER IN ALI.,ATTON The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. Ovners Signature: D- Branch Circuits E Nev, Alteration or Extension Per Panel . one circuit I S 35.00 35.Oo Each Addi tional Circuit or vith Service or Feeder Permit I S 2.00 A_AO Hisceflaneous (Service/feeder not' included.) -Each installation Pump or irrigation S 40.00 Limited Energy/Res - S 20.00 Limited ener[y/Comm S 36.00 . SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL 5 DATE:l,ll T,DAErTITCN 3q,qb jrt. t.