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Home My WebLink AboutPermit Plumbing 1993-03-02BLOCK: ?fr, 5 SPRINGFIELD - LOT: TAX LOT: SUBDIVISION JOB NUMBER LOCATION OF PROPOSED ASSESSORS MAP: BESIDENTIAL PERMIT APPLICATION lnspections:726'3769 Office: 726'3759 225 Fifth Street Spri ngfield, Oregon 97 477 PHONE: ZIPSTATE OWNER: CITY: ADD NEW _-- REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: MECHANICAL: __=-'-- ELECTRICAL: - EXPIRES PHONEADDRESSCONTRACTOR'S NAME CONST. CONTRACTOR # GENERAL: PLUMBING _ OFFICE USE _ OUAD AREA: , OF BLDGS LAND USE:FLOOD PLAIN ZONING CODE: # OF BDRMS Final Electrical - When all electrical work is complete. Final Mechanical - When all mechanical work is complete. Final Building - When all required inspections have been approved and building is completed. Other MOBILE HOME INSPE TIONS Blocking and Set.Up - When all blocki ng is complete. Plumbing Connections - 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. OCCY GROUP: r OF STORIES: CONSTR. TYPE: HEAT SOURCE: WATER HEATER RANGE: SECONDABY HEAT: SQUARE FOOTAGE: To request an inspection, you must call 726-3769. This is a24hour 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. REOU IRED INSPECTIONS l--l Temporary Electricll Rough Mechanical - Prior to cover. I Plumbing - When all plumbing work is complete. Site lnspection - To be made af ter 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 f illing trench. Underlloor Plumbing/ Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking. Floor lnsulation - Prior to decki n g. Sanitary Sewer - Prior to fllling tren c h. Storm Sewer - Prior to filling trench. Waler Line - Prior to filling trench. Rough Electrical - Prior to cover Electrical Service - Must be approved to obtain permanent electrical power. Fireplace - Prior to facing materials and f raming lnsP. Framing - Prior to cover. Wall/Ceiling lnsulation - Prior to cover Drywall - Prior to taping. Wood Stove - After installation lnsert - After fireplace approval and installation of unit. Curbcut & Approach - After 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 Streel Trees - When all required trees are planted. Rough Plumbing - Prior to cover. I r E tl r E r r r tl ll Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - Interior - Corner - Panhandle - Cul-de-sac Set P.L.HSE GAR ACC N S E k lS THr IIOPOSED WOFK tN 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. Date Plan Check Fee Date Paid Fleceipt Number: Received By Piant RetG\,ved*Bt VALUE (A) X $/SQ. FT. Main Carport Garage Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Systems Development 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 FEE \5 n)5 (t-) FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge No Wood Stove/ lnsert/ Fi replace Unit Dryer Vent (D) NoVent Fan 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 completecl application and do hereby certify that all information hereon is true and correct, and I f urther certif y 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 f urther certify that only contractors and 6mployees who are in compliance with ORS 701.055 will be used on this project. I f urther agree to ensure that all required inspections are Sign Date e requested at the Proper time, that f rom the street, that the Perm of the property, onsmeson the site at address is readable located at the frontMISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) ! EC b0VALIDATION RECEIPT NUMB DATE PAID AMOUNT R RECEIVED TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) of plans will remain (S ,15 l 2.25 I]IITTII STRIiIiT STTuNGFIELI), OI(EGoN 97477 INSPP.GUON REQUIIST z 7?'6- gLBCTRICAL PERHIT APPLICATION Ci ty Job Number Nev Residential-Single or HuIti-FamiIY Per dwelling unit' Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf 'd Ilome or Modular Dwelling Service or Feeder s 8s.00 $ 1s.00 $ 40.00 Services or Feeders Installatlon, Alterations or Relocation: 200 amps or less I 2oL anrps to 4oo amps -40L amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/voIts Reconnect 0n1y Temporary Services or Feeders Installatlon, Alteration or Relocation 200 amps or less 201 amps to 400 amps -Over 40L to 600 amps _0ver 600 amps or 1000 volt D. Branch Clrcuits Nev, Alteratlon or Extenslon Per Panel One Ci.rcuit S 35.00 Each A<lcli t ional Circui t or vi th Service or Feeder Permi t. ?-, $ 2.00 0e -Each installation Pump or irrigation $ Sign/outline Lighting- $ Limi ted Energy/Res - $ Limi ted Energy/Comrn S 5t.! uN(;l: lr:Lu SI'BTOTAL OP ABOVB5f State Surcharge TOTAL elfr 3 t69 LbR oFI'ICE: 77.6-3759 4_ ?-?3 3. COHPLITTE TBB SCNEDULII DELO1J L. LoCA OI1 INSTALIiITION LEGAL DESCTLTPTION JOB.PTION { Pcrnri ts are non-trans ferable and explre 1f vork is not started vlthin 180 days of issuance or if vork ls suspended for 180 days. 2. CO}TIRACTOR INSTALI-ATION ONLY ,*---H:-*-* Cf.,S 80nolul','.Xrrn, A Sum c IiIcc trical Colt t rac tor Adcl r:ess P"0 ftrrl.t+stu B $ s0.00 $ 60.00 $100.00 $130. 00 $300.00 $ 40.00 fo,a6 _{,_t, cir Phone Supcrvisor License Nunrber Constr Contr. Number Expiration Date q-t-3 Si re of Su rvising Blectri cian 14 *AA?L- tbsb s Expiration Date \D t q5 o 38+q C aEive $ 40.00 $ 5s.00 $ Bo.0o s see lrBrl 0wners Name Atld ress Ai,t /x'Yl ll.fr',, (,I'cit Prrone 14b - b 3a b OVNER IN ON The installation is being made on property f ovn vhich is not interrded for sale, Iease or rent. Ovncrs Signattrre: DATE: RECIiT E. l'liscellaneous (Service/feeder not included) 00 00 00 00 40. 40. 20. 36.,l I IIIiCI.IIVI]I) I}Y: 5 5l^.,lO