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HomeMy WebLinkAboutPermit Mechanical 1998-08-05RESIDENTIAL PERMIT APPLICATION lnspections: 726.3169 Oftice:726.3759 LOCATION OF PROPOS SP,lIN GFIELI) ED WOll7oFIK:aYb a-3-oflt JOB NUMBER ?fo7 v7 225 Fifth Street Springfleld, Oregon g7477 TAX LOTASSESSORS MAP:7L L{o LOT - BLOCK:SUBDIVISION: ----- NJoN '7 V6-tbelPHONE:*Ybx ? 7V77o4.ZlPiSTATE: ,trrl-b6< N. Vo th /d VD ,"r+N € JoOWNER; ADDRESS: CITY: o FhDESCRIBE WORK: ELEgTRICAL: ADDBESS w ()a(o.v EXPTRES ,3 PHONE Lo-?t-Zt 7 v6-/6)( CONTRACTOR'S NAME GENERAL: PLUMBING: MECHANICAL: CONST. CONTRACTOR # To request an lnspectlon, you must call 726-3769. Thls ls a24 hour recordlng. All inspections requested be fore 7:00 a.m. wlll be made the same working day, lnspections requested after 7:00 a.m. wlll be made the following work day. l--_l Temporary Electricll RED INSPECTIONS Mechanlcal - Prlor to Final Plumblng - When all plumbing wgrl( is complete. h r. Slte lnspection - To be made after excavatlon, but Prior to setting forms. Underslab Plumbingl Electrical / Mechanlcal - Prior to cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are erected but Prior to concrete placement. Underltoor Plumblng I Mechanlcal - Prior to lnsulatlon or decklng' Post and Beam - Prior to floor lnsulation or decklng. Floor lnsulation - Prior to decki ng. Sanitary Sewer - Prior to fllling trench. Stonn Sewer - Prior to l'illlng trench. Water Llne - Prlor to {itling trench. cover Rough Electrical - Prior to cover, Electrical Service - Must be approved to obtain Permanent electrlcal power. Fireplace - Prior to faclng materlals and framing lnsP. Framlng - Prior to cover. Wall/Celling lnsulation - Prlor to cover. Drywall - Prior to taping Wood Stove - After lnstallation lnsert - After firePlace approval and installatlon of unlt. Curbcut & ApProach - After forms are erected btlt Prior to placement of concrete' Final Electrlcal - When all electrical work ls complete. echanical - When all work ls complete. MOBILE HOME INSPE TIONS Blocking and Set'UP - When all blocklng is comPlete. Sidewall< & Driveway - Atter exlavation is comPlete' (orms anO suU'Uase material in Place' Fence - lVhen colnPleted' Plumbing Connections - When home has been connected to water and sewer. Electrical Connection - When blocking, set'uP' and Plumbing inipections have been aPProved ..,d th. home is connected to the service Panel. Final - After all required i.,=iu"tiot. are approved and til".H""'"="u'[.?.o,""T="i'ilo Bough Plumbing - Prior to ?,,J::, J'"Ti"ilu}.nu' ar I requi red Final NEW - REMODEL ADDITION DEMOLISH OTHER -- E E E E E E E E tr [--1 Underground Plumbing - Prior| ' to filllng trench. [--l Final Building - When alllJ required lnspections have been approved and building is completed. [--l other E E E E n n Lot faces Lot sq. ftg. Lot coverage TopographY Total height Lot Typt - lnterior - Corner "- Panhandle ! - Cul-de-sac P.L.HSE GAR ACC N S E IS THE PROPOSED WORK TN THE . HISTORICAL DISTRICT' OR ON THE HISTORICAL REGISTER? -.- lf yes, this application must be signed and aPProved bY the Historlcal Coordinator prlor to permit issuance' APPBOVED: kr3 This pernrit 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 ouildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plans Reviewed By Date Receipt Numbe BUI LDI NG AND BUIL LAN CHECK iMIT LU E RGNPD Plan Check Fee: Date Paid Fleceived By: VALUE (A) Mrr Total Value Building Permit Fee State Surcharge Total Fee -'7 X $/SQ. FT. BUILDING PER ITEM SO, Main Garage Carport Systems Development Charge is due on all undeveloped properties within tl.re City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) FT. Nc FT. FT. PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge ADDITIONAL COMMENTS By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby cerilfy that all information hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinanccs of the City of Springfield, and the Lawsof the State of Oregon pertaining to the work described herein, and that NO OCCUPANCy will be made of any structure without perrnission of the Building Safety Divislon.I further certify that only contractors and employees whoare in qernpliance with ORS 701.055 wiil be used on thisproiect. I further agree to ensure that all required inspections are ted at the proper time, that each address is the street, that the permlt card ls located atof the property, and the approved set of plans wi E-t-1t ,P fr-'() , reques v- readable from the front ll remainon the site at times du tion. Signature Date Wood Stove/ lnsert/ Flreplace Unit MISCELLANEOUS PERMITS MECHANICAL PERMIT Total Miscellaneous perrnits tb (D) (E) No Dryer /S nt IO,QPMechanical Permit lssuance State Surcharge Total Permit Mobile Home State lssuance State Surcharge Sidewalk .-- ft Curbcut .-- ft Demolition State Surcharge Furnace Exhaust Hood Vent Fan TOTAL AMOUNT DU (A, B, C, e and E Co E (excluding electrical),mblned) VALIDATION: FIECEIPT NUMBER DATE PAII) AMOUNT RECEIVED 07 o?z I ? RECE'VED BY LO €/ t{-;rb 4 .IGFIELEl 1 -1% ELECTRICAL PERMIT PLICATION by the'09tg )/ou . City Job Nunberto FEE SCEXDUI.E BELOV the of e idential-Single or 0y-p amily per dvelling unit. ice fncluded: I tems Cos t s 85.001000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home. or Modular Dvelling SerVice or Feeder s 1s.00 $ 40.00 s s0.00 s 60.00 s100.00 s130.00 s300.00s 40.00 e loca t i on s 40.00 $ ss.00 s 80.00 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1 LOCATION OF INST PTI i4 the ob rso/ I VA Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if uork is suspended for L80 days. 2. CONTRACT0R INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical contract". RU i defs gteckf'C lfp6. Relocation: Address nb tsD.l 200 amps or less ZL 201 amps to 400 amPs Ci ty Phone Supervisor License Number 2%o-s Expiration Date lo - l-g constr contr. Number 2O-\LC FOR Exp ir:arion o",u lo 'l -9 8 201 amps to 400 amPs Signature of Supervising Electrician Over 401 to 600 amPs 0ver 600 amps or 100 O-vofTs see "B" aEove Owners Name I crn D€n \oh O,'1 D. Branch Circuits Add ress Z t\Nev, Alteration or Extension Per Panel Sum "5D 40.00 40. 00 Ci ty Aed Phone OIINER INSTALLATION The installation is being made on property I ovn r,rhich is not intended for sale, lease or rent. 0sners Signature: DATE: onecircuit I s35'oo Each Addi tional I Circuit or vith Service or Feeder Permit S 2.00 E. Miscellaneous (Service/feeder not included) -Eaeh installation Pump or irrigation - Sign/0ut1ine Lighting- Limited EnergY/Res - Limited EnergY/Comm SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL S $ s s ,B RECEIVED B 5 20.00 36.00q) JOBDOe tr,3,e,e o 600 amps o i.000 amps Anty ess (/