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Home My WebLink AboutPermit Mechanical 1993-08-23SPRIt\lGFIELO RESIDENTIAL PERMIT APPLICATION lnspections:726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT: zs 2 JOB NUMBEFI 225 Fifth Street Spri ngf ield, Oregon 97 477 TAX LOT 4Soo SUBDIVISION h,Z BLOCK: a/PHONE: 7lq.zzZIP:STATE: ril tf?e /?7 -/o/ OWNER ADDRESS: CITY: NEW - REMODEL ADDITION DEMOLISH OTHER 4-&rDESCRIBE WORK: PHONEEXPIBESADDRESSCONTRACTOR'S NAME MECHANICAL CONST. CONTRACTOR ' G EN ERAL: PLUMBING RANGE * OF BDRMS: _ OFFICE USE _ ZONING CODE: FLOOD PLAIN: WATER HEATER: SECONDARY HEAT: SOUARE FOOTAGE: OUAD AREA: # OF BLDGS CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS OCCY GROUP: * OF STORIES: To request an inspection, you must call 226-376q 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. REOUIRED INSPECTIONS [-_l Temporary Electric ll .ffi3;;lt Mechanicar - Prior to 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 Eleclrical - When all electrical work is comPlete.cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain Permanent electrical power. 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. Foundalion - After forms are erected but prior to concrete placement. F4otnur Wall/Ceiling lnsulation - Prior to cover Underground Plumbing - Prior to filiing trench.[-_-l Drywall - Prior to taPing. MOBILE HOME INSPECTIONS Underltoor Plumbing/ Mechanical - Prior to insutation or decking.Wood Stove - After installation Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace aPProvai and installation of unit. Blocking and Set.Up - When all blocking is complete. Floor lnsulation - Prior to decki ng.Curbcut & Approach - A{ter forms are erected but prior to p!acement of concrete. Plumbing Connections - When home has been connected to v;ater and sewer. Sanitary Sewer - Prior to filling trenc h.Eleclrical 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 materiai in Place. Water Line - Prior to filling trench.f-l Fence - When comoleted Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed.Streel Trees - When ali required trees are Planted. Rough Plumbing - Prior to cover. r tl rr tl tfr E r fl r Vrinrt Mechanical - When all ,E) ff,s-\s'nanical work is complete' 4z+5 .)s ) -- Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Se t b;rc k:; PL.HSE GA,R ACC -.I-5 THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTOHICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED:E N J VALUE (A) X $/SQ. FT, Main Carport Garage Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT, 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 Ordrnance adopted by the City of Springfield, including the Developnrent Code, regulating the construction and use of builclings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plans Reviewcd By Date Plan Check Fee: -_--,- Date Paid Receipt Number:- Received By SYSTEMS DEVELOPMENT CHARGE (SDCi (B) Systems Developrnent Charge is due on all undeveloped properties wilhin the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT, FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fi replace Unit Dryer Vent 2 5.?r T (D) No ZT Vent Fan Mechanical Permit lssuance State Surcharge Total Permit 77t14t. /f.*/2r MECHANICAL PERMIT Furnace 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 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 descri bed 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 pro,ect. I f 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 is located at the f ront of the property, and the approved set of plans will remain L-/ on the site at I times during construction. Date ] ../tsnature MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrica0 a 5?{(A, B, C, D, and E Combined) q BY VED DATE PAID AMOUNT R RECEIVED ,/%lQ r_ z-+ Ltt VALIDATION: FIECEIPT NUMBER CITY OF OREGO'U SPl{INGFIELE, h OPPICE: 726-3759 1 LOCATION OF INSTALI,ATION X L1.\b PEB SCEEDTILE BELOU tial-Sing1e or ti-FamiIy per dvelling un ir. Service Included: 225 ?TfrE STRBBT SPRTNGFIELD, oRBGoN INSPBCTION RBQTIBST: e7477 726-3769 protect 8s sYP:.nttad !.f'i}3 APPLICATION Items Cost Sum $ 8s.00 $ 1s.00 $ 40.00 ee trBu a56F t D' -"'--T'HPLETE I,EGAL DBSCRTPTION JOB DESCRIFTION Permi ts are non-trans ferable and expire if vork is not started vithin 180 days of issuance or lf vork ls suspended for 180 days. 2. COIiIIRACTOR INSTALI.ATION ONLY N 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Servlce or Feeder Services or Feeders Installation, AlterationS or Relocation:Electrical Contractor Address 0{SIUontnrn,,0 B c cit phone 44i - lL3lo Supervisor cense Number Expiration Date q - t-q3 of Supervls trician rs Name Address Phon"L44:)-gjL 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amPs_ Over 1000 amps/volts Reconnect 0nly 200 amps or less 201 amfs to 400 amps -Over 401 to 600 amps Over 600 amps or 1000-?6Tls $ s0.00 $ 60.00 s100.00 $130.00 $300.00 $ 40.00 Expiration Date t0 - r-q5 Constr Contr. Number 03fl4{ Temporary Services or Feeders Installation, Alteratlon or Relocation $ $ $ s 40.00 55.00 80.00 Ci ty OIINER ALI,ATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Omers Signature: DATE: D. Branch Circuits Nev, Alteration or Extension Per Panel 'One Circuit I $ 35.00 -35-qoEach Additional Circuit or vith Service or Feeder Permit - $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utIine Light ing- Limited Energy/Res Limited Energy/Comm 5. STIBTOTAL OT ABOVB 5Z State Surcharge TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 RECEIVBD o ,) ! 35. c,o l .45 ?b, rl5