The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 1994-08-16SPrrINGFTELI) RESIDENTIAL PERMIT APPLICATION lnspections:726'3769 Of f ice: 726'3759 LOCATION OF PRO ASSESSORS MAP: POS LOT: h, JOB NUMBEFI 225 Fifth Street Springfield. Oregon 97 477 2o5 ?- tt . 917+ST L 1 TAX LOT: BLOCK:SUBDIVISION STATE PHONE %4 -/A 2/ 7tP:q?/rzADDRESS9os)-N CITY:sPBt t'l *tr/ Ft t\ ST, owNER: -EasF?4 HfrTZF NEW -.- REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK R L\n)arnoileL/i/SiV LL tru&lfrte A'^JO fr t EXPIRES PHONEADDRESS TT .r -t-ss-ldrF ELECTRICAL CONTRACTOR'S NAME r\,lECHANI CONST. CONTRACTOR " PLUMBING:,!e_#&- _ OFFICE USE - LAND USE: * OF BDRMS: i OF BLDGS RANGE: -- ZONING CODE: FLOOD PLAIN WATER HEATER: HEAT SOURCE:SECONDARY HEAT SOUARE FOOTAGE: OUAD AREA: OCCY GROUP: g OF STORIF.S: CONSTR. TYPE: -_=- # OF UNITS: ---- To request an inspection, you must call 726-3769. This is a 24 hour recording' All inspections reques made the same working day, inspections requested after 7:00 a'm' will be made the following work ted before 7:00 a.m. will be day. REOUIRED INSPECTIONS TemporarY Electric 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 Final Electrical - When all electrical work is complete.cover. Underslab Plumbing / Electrical/ Mechanical - Prior to cover. Electrical Service - Must be approved to oblain Permanent electrical Power. w Final Mechanical - When all mechanical work is comPlete. Footing - After trenches are excavated.[-l Fireplace - Prior to facingu 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. Other Foundation - After forms are erected but Prior to concrete placement. Walt/Ceiling lnsulation - Prior to ccver. Underground Plumbing - Prior to filling trench.f-l Drywall - Prior to taoing MOBILE HOME INSPE TIONS Underlloor Plumbing / Mechanical - Prior to insulation or decking'[] Wood Slove - After installation Post and Beam - Prior to floor insulation or decking.lnserl - After f ireplace app!'oval 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 Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to f illing trench.Electrical Conneclion - 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. Sidewalk & DrivewaY - A{ter excavalion is corriPlete, forms ancl sub-base ntaterial in Place. Water Line - Prior to filling trench. Fence - When ccnlPieted' Rough Plumbing - Prior to cover. Street Trees - When all required trees are Plantec. Final - After all required inspections are aPProved and porches, skirting, decks, and venting have been installed. il 03 4 €T7/ E L_l r E Er r r E Er tl il Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks p.r_. ; l-tSE GAR N J I I I E ncc IS-T-fiE PROPOSED WORK IN 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: 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 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. Plans Reviewed By Date Receipt Nurnbe Piarr Check Fee Date Paid Fleceived By: VALUE (A) X $/SQ. FT, Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport Systems Developinent Charge is due on ail 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 FEE (c) No FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit (D) I .=aD 1e*=e No D /,*n Vent Fan 7214 r Vent Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace 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 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 ORS 701.055 will be used on this project. I f urther agree ro 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 Sig natu re Date I set of plans will remainof the property, and the on the site g 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) 2 -22-AMOUNT RECEIVED RECEIVED BY VALI DATION: RECEIPT NUMBER DATE PAID CITY OF OREGO'U Permi ts are non-trafisferable and expire if vork is not started vithin 180 days of lssuance or lf vork ls suspended for 180 days. 2. COT{TRA(f,OR INSTALI,ATION ONLY Electrical Contractor Address .o. SP,lINGFIELD as submitted hcs the require epocillc tanffit *'CAL 'ERHIT A*,LICATION HuIti-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dwelling Servlce or Feeder $ 8s.00 Tho following Projocl zoning, and does not225 PTYTE SIBBEE SPRINGFIEI,D, OREGON INSPECTION RBQTIEST: OFFICE: 726-3759 1. I,EGAL DBSCRIPTION .JOB 97477 approval. 726-37 59 zonins L D4 city Job Nunber Dats _?',zt:qq 3. COHPI,BTB FEE SCEBDT'LB BELOII OP INSTALIATINtTo:tzeo A. Nev Resident la1-Single or $ 1s.00 $ 40.00 Sum ci Phone 'l +l -4Au Supervisor cen-se Number I 1"9,,.s Exp iration Date -, *qs Constr Contr. Number Exp iration Date q - t -qs Signature of Supervising Blectrician B. 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 c. State Surcharge TOTAL Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amfs to 400 amps -Over 401 to 600 amps _ Over 600 amps or 1000 volts o $ s0.00 s 60.00 $100.00 $130.00 $300.00 $ 40.00 $40 $ss $80 see 00 00 .00uBu aE66& t Owners Name Address cit 'lAb-A4l OIJNER ALI.ATION The installation is beirig made on property I or.rn vhich is not intended for sale, lease or rent. Onners Signature: DATE: D. Branch Circuits Nev, Alteration or Extension Per Pane} one circuit I $ 35'oo 35'oo Each Additional Circuit or vith Service or Feeder Permit I $ 2.00 A.Oo E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/OutIine Light ing- Limited EnergY/Res STETOTAL OP ABOVE s 40.00 s 40.00 $ 20.00 s 36.00 RBCEIVED 5 s( Sdlo o ./-7arl