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Home My WebLink AboutPermit Mechanical 1991-12-12---- RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 SPRINGFIELO a-JOB NUMBER 225 Fifth Street Springf ield, Oregon 97 477 LOCATION OF PROPOSED WORK:2€01 N. 20th ASSESSOFIS MAP:/7^d3 -Z y-/2 TAX LOT:o??aa LOT:BLOCK:SUBDIVISION Chuck Lambert PHONE 747 -8781OWNER: ADDRESS:2801 N. 20th Springfield,STATE:OR ZIP:97 477 CITY: DESCRIBE WOFIK:Add air conditioning NEW -- REMODEL X ADDITION DEMOLISH OTHER CONTRACTOR'S NAME ADDRESS CONST. CONTRACTOR #EXPIRES PHONE GENERAL: PLUMBING MECHANICAL:Comfort Flow Heatin 855 W. First 0460 6/30/92 342-Btot ELECTRICAL:C&S Electric - OFFICE USE _ QUAD AFIEA: * OF BLDGS: LAND USE:FLOOD PLAIN * OF UNITS:ZONING CODE: OCCY GFIOUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: * OF BDRMS: WATER HEATER:RANGE: SECONDARY 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. REOUIRED INSPECTIONS fl Temporary Electricll 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 obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. 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. Other Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to f illing trench.Drywall - Prior to taping MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation. Post and Beam - Prior to floor insulation or decking.lnserl - After fireplace approval 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 filling trench.Electrical 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 tren c h. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Water Line - Prior to filling trench.I--l Fence - When completed Streel Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed.Rough Plumbing - Prior to cover. E E E tl E E E E E E rHE 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 Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac PL.HSE GAR ACC N S E Se VALUE (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport 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 Date Paid Receipt Number: Received By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtu res 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/ Fireplace Unit 4F--(D) N0Vent Fan fi/a ?a Dryer Vent Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERM!T Fu rnace Exhaust Hood o-e By signature, I state and agree, that I have carefully 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 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 on the site at all times during constru on. Signatu re Date 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=DATE PAID AMOUNT FIECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER Plan Check Fee: - ,C'TY OF 225 FIruE SIBEET SPRINGFIELD, ORBGON 9 INSPECTION REQIIEST: OFFICE: 726-3759 1 OF IJGAL DESCRIPTION JOB DESCRIPTION Permits are non-transferable and expire lf vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACf,OR INSTALI,ATION ONLY Electrical Contractor Address t+1k Ci ty pnonel4l -1,'1,3 b Supervisor License Ndmber li, g S Expiration nate i0* i-91- Const r Contr. Number An7.'4q PERHTT AP PLTCATTON Ci ty Job Number COIIPI,BTB PEE SCEEDUI;E BELOS s dential-Single or 200 amps or less zOi "*it to 400 amPs -0ver 401 to 600 amPs - Over 600 amps or 1000 volts Branch Circults Multi-Family Per dvelling unit. Service Included: I tems Cos t. $ 8s.001000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular Dvelling Service or Feeder $ 1s.00 $ 40.00 Servlces 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- Over 1000 amPs/volts - Reconnect 0nLY 40.00 s5.00 80.00 ee ilBil aSoE New, Alteratlon or Extenslon Per Panel TemporarY Services or Feeders lnsiallaiion, Alteration or Relocation Sum B 00 00 00 00 00 00 50 60 100 130 300 40 $ $ $ $ $ $ C Exp iration Date q-t-9r-,$ $ $ s a Signature of SuPerv ising Electrician Ovners Name ,nk *fl l*n.f, Address D One Ci.rcui t I Each Additional Circuit or vith Service or Feeder Permit I STIBTOTAL OP ABOVB 5Z State Surcharge TOTAL $ 3s.oo qIg $ 2.00 e'oo Ci ty pnone 14rl'8'l8l OIINER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0wners Signature: DATE: RECEIPT RECEIVBD BY: Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - $ 40'99 iienzoutrine Lightins- t 19'99 t iilited Energy/Res -- S 29'99 E. 5 a