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Home My WebLink AboutPermit Mechanical 1993-06-29SPR IELO RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Off ice: 726-3759 h, JOB NUMBEFI 225 Fifth Street Springfield, Oregon 97 477 TAX LO-t: SUBDIVISION: LOCATION OF PRO ASSESSORS MAP: POSED R Lor: ---,- BLocK ( PHONE ZIP:STATE: OWNER hoon CITY: ) ADDITION DEMOLISH OTHER DESCRIBE WORK: *- NEW __- REMODEL PHONEEXPI RESADDRESS NLUPBM LICANHECM CONTRACTON'S NAME ELECTRICAL: CONST. CONTRACTOR # GENERAL: r OF BDRMS: OUAD AFIEA: _ OFFICE USE - ZONING CODE: FLOOD PLAIN WATEFI HEATER * OF STORIES: CONSTR. TYFE RANGE: SECONDARY HEAT souARE FOOTAGE: OCCY GROUPI. ---- HEAT SOURCE: -.-- To request an inspection, you must call 726-3769. This is a24hour recording' All inspections request made the same working day, inspections requested after 7:0c a'm' wili be made the following work ed before 7:00 a.m. will be day. REQUIRED INSPECTIONS TemporarY Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is comPlete. Site lnspection - To be made af ter excavation, but Prior to setting fortns. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Etectrical Service - Must be approved to obtain Permanent electrical Power. Final Mechanical - When all mechanical work is comPlete. Footing - After trenches are excavated.l-l Fireplace - Prior to facingU materials and framing lnsP. Final Building - When all required inspections have been approved and building is corn pleted. 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 filling trench.[-l orywall - Prior to taP!ng MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking'f-l Wood Slove - After installation' Posl and Beam - Prior'to floor insulation or decking. il Blocking and Set'UP - When all blocking is comPlete.lnsert - After fireolace aPProval and installation of unit. Floor lnsulation - Prior to decki ng.Curbcut & APProach -' Arter forms are erected but Pricr to placernerrt of conc;'ete. Plumbing Connections - When home has been connected to water and sewer. SanitarY Sewer - Prior to f illittg 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 trench. Sidcwalk & DrivewaY - Aiter excavation is cornPlete, {orrns and sub-base materlai iil Place. Water Line - Prior to filling t renc h. Fence - VVhen comPleted. Sl;eel Trees - When a!l required trrcs ate olanted Final - After all required inspections are aPProved and porches, skirting, decks, and venting have been installed.Rough Plumbing - Prior to cover.i-l LAND USE: E r E E Er ; L] E fl tl E tl tl tl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac ks P.L.HSE GAR ACC N S E IS'THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL HEGISTER? - lf yes, thls application must be signed and approved by the Historical Coordirrator prior to permit issuance. APPROVED 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 perrnit 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 bc suspended or revoked at any time upon violation of any provisions of said ordinances. Plans Reviewed By Date Plan Check Fee: _ _ Date Paid Receipt Nurnbcr:- - Reccived By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fi replace Unit (D) No Me t Vent Fan cal Permit MECHANICAL PERMIT Furnace Exhaust Hood lssuance State Surcharge Total Permit 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 Springf ield, 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 corftractors and employees who are in compliance with ORS 701.055 will be used on this proiect. I f urther agree to ensure that all required inspectio.ns are requested at the proper time, that each address is readable f rom the street, that the permit card is located at the front , and the approved set of plans will remain Si g nat b-ffi4 I tim duri of the ont MISCELLAN EOUS PERM ITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -- ft Demolition State Surcharge Total Miscellaneous Permits (E) ER E DATE PAID VALIDATION: RECEIPT NU AMOUNT R RECEIVED TOTAL AMOUNT DUE (excluding electric (A, B, C, D, and E Combined) FT. C'TY OF a6 submitted hae the lcllThe following Projecrz rti), and does not require sPeciric,Tt#&nf CAL PERHIT APPLICATION sarruNGFrELE} PI,BTB FEE SCBEDULE BELOV A. Nev Residential-Single or MuIti-FamiIy per dvelling unit. Service Included: % city Job wwuer 77F 225 FIFTE STRBET SPRTNGFTELD, oREGoN 97477 ai. f:fo!'dl. INSPECTION REQTEST: 726-3769 OFFICE: 726-3759 rlr, , A} or rNSTAL1A11g11:.u' r rcr :z*d ,,-(1a ZZ* f tq 'r+ 1. LOCATION IJGAL DESCRIPTION JOB DESCRIPTION 3r6$ql(ld G^4 Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. Z. CONTRACTOR INSTALI,ATION ONLY 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular Dvelling Service or Feeder Services or Feeders Installati.on, 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 Reconneet 0n1y SUBTOTAL OF ABOVB 5Z State Surcharge TOTAL Items Cost Sum $ 8s.00 s 1s.00 s 40.00 $100.00 $130. 00 $300.00 $ 40.00 B Erectricat contrac rc, Cy',*{bill ZQrl'{q lAddress PrO^ LGY city C t",m,l{-rvu,'lk phone 7YY-o4oS- $ s0.00 $ 60.00 --v Supervisor License Number s 666- s Expiration Date I 6 4 Constr Contr. Number 71fi\' Expiration Date lbtr_q l9q{-tr'' Signature of Supervising Electrician Ovners Name TO,.". #,WS Address 2-oS 4oPt{'. ZL^A ci ty f odlU.Phone 126-zoQo r) OIINER INSTALI..ATION The installation is being made on property I ovn which is not intended for sale, lease or rent. Ovners Signature: DATE: RECETPT Temporary Services or Feeders Installation, Alteration or Relocation c 200 amps or less $ 40.00 201 amps to 400 amps _ $ 55.00 Over 401 to 600 amps _ $ 80.00 0ver 600 amps or L000 volts see rrBrr above D. Branch Circuits Nev, Alteration or Extension Per Panel one circuit I $ 35.00 J Each Addi tional Circuit or with Service or Feeder Permit $ 2.00 E Miscellaneons (Service/feeder -Each installation Pump or irrigation $ Sign/outline Lighting- $ Limited Energy/Res _ $ Limited Energy/Comm $ not included) 40.00 40. o0 20. oo 5S-n /- ^-va<- 5 RECEIVED BY: