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Home My WebLink AboutPermit Mechanical 1997-03-26SPRII{GFIELI) RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726-3759 LOCATION OF PROPOSED WOBK ASSESSORS MAP: -70 q LOI - BLOCK: 4t 0'/33 ffi, JOB NUMBER 225 Fif rh street Springf leld, Oregon 97477 TAX LOT:0 *tr'-- 5 SUBDIVISION /.ezrtZtzt //thzt PHONE //D E 16 aft ?r/1/ STATE: Ttzt UZ z.sOWNER: ADDRESS CITY: NEW -- REMODEL A ADDITION DEMOLISH OTHER ,7n s ren ,frzrnw-DESCRIBE WORK: GENERAL: EXPIRES PHON EADDRESS Zlt zz.?d 7 CONTFIACTOB'S NAME PLUMBING: MECHANICAL: ELECTRICAL:0oS CONST. CONTRACTOR # FIANGF.: r OF BDRMS: _ OFFICE USE _ WATER HEATER: ZONING CODE: FLOOD I)LAINQUAD AREA: # OF BLDGS SECONDARY HEAT: SOUARF. FOOTAGE: CONSTR. TYPE: HEAT SOURCE: LAND USE: o or ururtd OCCY GROUP: C OF STORIES: To request an inspection, you must call 726-3769. Thls ls a 24 hour recordlng. 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. REOUIRED INSPECTIONS l--l Temporary Eleclric ll Rough Mechanical - Prior to cover. Final Plunrbing - When all plumbing worl( is complete. Site lnspection - To be made af ter excavation, but prior to settlng forms. Rough Electrical - Prior to Final Electrical - When all cover,e trical worl( is complete. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Eleclrical Service - Must be approved to obtain perrnanent electrical power. Final Mecharrical - When all mechanical worl< ls cornplete. Footlng - After trenches are excavated.Fireplace - Prlor to facing materlals and framing lnsp. Final Building - Wherr all required lnspections have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng. Other Foundatlon - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prlor to cover. Underground Plumbing - Prior to f llllng trench.l--l Drywall - Prlor to taplng MOBILE I.IOME INSPE TIONS Underlloor Plumbing/ Mechanical - Prior to lnsulatlon or decking.Wood Stovo - After lnstallation Post and Beam - Prlor to floor lnsulation or decking.lnsert - After fireplace approvql and lnstallatlon of unit. Blocking and Set.Up - When all blockinil is complete. Floor lnsulalion - Prior to decki ng.Curbcut & Approaclr - After forms are erected but prior to placemcnt of concretc-.. Plumbing Connections - When home has been connected to water ancJ sewer. Sanitary Sewer - Prior to f illing trench.Electrical Conneclion - When blocking, set-up, and plumblng ir'rspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation ls complete, forms and sub-base material in place. Water Line - Prlor to filling trench. Fence - When completed Rough Plumbing - Prior to cover. Street Trees - When all required trees are planted. Final - After all reQuired inspectlons are approved and porches, skirting, decks, and ventlng have been installed. 5zd*/'r ztP: ?7?7? ,4tr,tct {,.feq q6fu lrb; ff,ctz- at/tc,/aa ?v6 % t_l tf tl E tl [-_l Framlng - Prlor to cover.E E E E fl E E tlr tl E tl P.L.HSE GAR ACC N S E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Typ 'v - lnterior - Corner - Panhandle - Cul-de-sac backs IS THE PROPOSED WORK iN THE. HISTORICAL DISTHICT, OR ON TI]E HISTORICAL REGISTER? - lf yes, this application must be signed arrd approved by the Historical Coordinator prior to permit issuance, APPROVED: VALUE (A) x $/so. r--T. Tolal Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SO. FT. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is grantecl on the express condition that the saidconstruction shall, in all respccts, conform to the Ordinanceadopted by thc 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 arry provisions of said ordinances. Fleceipt Number:_. Plans Rcviewed [3y Date Plan Check Fee Date Paid Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tlrc City linrits which are being improved. FEE (L, FT. FT. FT. Flesidential Bath(s) Plumbing Permit State Surcharge Total Charge PLUMBING PERMIT ITEM Fix t u res NN Sanitary Sewer Water Storm Sewer Mobile Home ADDITIONAL COMMENTS rnace Wood Stove/ lnsert/ Flreplace Unit Dryer Vent lA,ut^'"\-" (D) _m ?,6ht l[l'urn>' /oOO 8r'/r* Mechanical Permit CAL PERMTT st Hood Vent Fan No lssuance State Surclrargef Total Permit By signature, I state and agree, that I have caref ully examlned the completed application and do hereby certify that all lnformation hereon is true ancl correct, and I turther 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 descrlbed herein, and that NO OCCUPANCy will be made of any structure without perrnission of the Building Safety Division. I further certi{y that only contractors and employees who are in cornpliance with ORS 70i.055 will be used on this proiect. I {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 ls located at the front of 'the property, and the approved set of plans will remain Sig natu re Date ?, on the site at al s during con st ru ct I on. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -- ft Demolition State Surcharge Total Miscellaneous perrnits (E) TOTAL AMOUNT DUE (excluding ctectrical) (A, B, C, D, and E Combincd) ?tDT 3 b VALIDATION RECEIPT NUMBER4-JDATE PAID AMOUNT RECEIVE RECEIVED BY 6-1 SPRTl{(;FTELO 225 FIFTE STREET SPRTNGFTELD, OREG0N 97477 INSPECf,ION REQUEST: 726-3769 OFFICE: 726-3759 ELECIRICAI PERHIT APPLICATION --eitf-fob Number 043 3 3. COHPLETE FEE SCffiDTILE BELOV A. Nev Residential-Sing1e or Multi-FamilY Per dvelling unit' Service Included: I tems Cos t ON OF INSTALLATION JOB DESCRTPTI ?- and expire 180 days pended for LDAxn- Nta Sum 1 Address Permits are non-transferable if vork is not started uithin of issuance or if work is sus 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address Q"0 . 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereo f Each Manuf'd Home or Modular Dvelling Sertice or Feeder 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 l-000 amPs/vo1ts - Reconnect OnlY SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAL $ 8s.00 s 1s.00 .$ 40.00 s s0.00 s 60.00 s100.00 s130.00 $300.00s 40.00 [, O5 3r1. 80 B. cit Phone't4l-A3L Supervisor cense Num 86S Expiration Date,to - l-q8 Constr Contr. Number Expiration Date q-l-q'l Signature of Supervising Electrician Ovners Name C. D Branch Circuits Nev, Alteration or Extension Per Panel one circuit t $ 35'oo X5'oog;"h aaai tional ------:- Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each install-ation Pump or irrigation Sign/0ut1ine Lighting-- Limited EnergY/Res - Limited EnergY/Comm TemporarY Services or Feeders inst.tt"iion, Alteration or Relocation 200 amps''or less $ 40'00 over 4b1 to 600 amPs -l $ 80'00 Over 600 amps or 1O0OloTts see I'Brr above ( ber I 0 3s4q 4 c Phone 't4U - Ll b!5Ci ty OVNER ALI-,ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0wners Signature: $ 40.00 s 40.00 s 20.00 s 36.00 DATE: RECETVED ( 5 -