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Home My WebLink AboutPermit Mechanical 1993-05-21STTRINGFI ELE} RESIDENTIAL PERMIT APPLICATION Inspections T26'37{)9 Offrce: 726-i]759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: h, JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 TAX LOT: SUBDIVISION 2 PHONE ZIP:STATE:CITY ADDRESS: - OWNER: .-, NEW -x- REMODEL --- ADDlrloN DEMOLISH oTHER /pzoes,,htae woRK PHON EEXPIRESADDRESSCON TRACTOR'S NAME CONST. CONTRACTOR /, MECHANICAL ELECTRICAL: CENERAL: - PLUI;1BlNG: # OF BDRMS WATER HEI\TER _ OFFICE USE _ LAND USE:FLOOD PLAIN: ZONING CODE SECONDARY HEAT: SQUARE FOOTAGE: OUAD ARE,\: . g OF BLDGS: OCC/ GROIJP: " OF STORIES: CONSTR. TYPt-:: -=__=___-=- HEAT SOURCE: - To request rrn inspection, you must call 726'3769. This is a 24 hOUr recording' All inspect madCtheS.]meworkinC]Clay,inspe(rtionsreqUestedafterT:00a.m.willbemadethefoll ions requested before 7:00 a.m. will be owing work day. REQUIRED INSPECTIONS f-l TamPorarY Electric L__-l Rough Mechanical - Prior to cover. Finat Plumbing - When all plumbing worl( is comPlete. fl Site lnspection - To be made af tcr ,:xcavation, but Prior to scttir,() forms. Rough Electrical - Prior to Final Electrical - When all electrical work is comPlete.cover, Underslab Plumbing / Electrical / Mechanical - Priot to cover' Electrical Service - Must be approved to obtain Permanent electrical power. E Final Mechanical - When all mechanical work is comPlete' Footing - Afler trenches are excavated.Fireplace - Prior to facing materials and f raming lnsP. Final Building - When all required insPections have been approved and building is completed.E Masonry - Steel location, bond be;rms, grouting.Framing - Prior to cover. Other Foundation - Af ter forms are sls6trid t)ut Prior to concrete placement. Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to fillrnq trench.Drywall - Prior to taPing MOBILE HOME INSPECTIONS fl Underlloor Plumbing/ Mechanical - Pr or to insulation or decking'Wood Stove - After installation Post and Beam - Prior to floor insulirtion or decking.lnsert - After {irePlace approval and installation of unit. Blocking and Set'UP - When all blocking is comPlete. n Floor lnsulation - Prior to decki ng.Curbcut & APProach - After forms are erected btrt Prior tc placement of concrete. Plumbing Connections - When home has been connected to water and sewer. [l Sanilary Sewer - Prior to f illing I ren c l).Electrical Connection - When blocking, set-uP, and Plumbing inspections have been aPProved and the home is connected to the service Panel. Stornr Sewer - Prior to filling Sidewalk & Driveway - After excavalion is comPlete, forms and sub-base material in Place.trencir Waler Line - Prior to filling trencn. Fence - When comPleted. Slreet 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. 3/ n [] tl fl il fl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior -- Corner - Panhandle - Cul-de-sac backs PL.HSE GAR ACC N S I E IS THE PROPOSED WORK IN THE HISl-ORICAL DISTRICT, OFI ()N THE HISTORICAL FIEGISTEF]? _- lf yes, this application must be signed and approved by the tJistorical Coordinator prior to permit issuance. APPROVED BUILDING PERMIT ITEM SO. FT.X $/SQ. FT,VALUE Main Garage Carport Total Value Bullding Permit Fee State Su,rcharge Total Fee (A) BUILDING VALUE, PLAN CHECK AN D 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, inctuding 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 ordinarrces. Plan Check Fee: _ _ Date Paid Receipt Number':_ Received By: Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE NO FT. FT. FT. Plumbing Permit State Surcharge Total Charge (c) ADDITIONAL COMMENTS M ECHAN ICAL Fu rnace Exhaust Hood Vent Fan P ? ERMITd#-ry -2*a. N0 Wood Stove/ lnsert/ Fireplace Unit Dryer Vent Mechanical Permit lssuance State Surcharge Total Permit n//y. /^* '/2-*v (D) By signature, I state and agree, that I have caref ully examined the completed application and do hereby certrfy that all information hereon is true and correct, and I furthcr certify that any and all work performed shall be clone tn accordance with the Ordinances of the City of Springfield, and the Laws of the State of Orcgon pertaining to the work cJc:;cribecJ herein, and that NO OCCUPANCY will be marcJc of any structure without pcrmission of thr.. Building Safety Division. I f urther certif y that only contractors and ernployer-'s who are in compliance with ORS 701.055 will bc used on this prolect. I f urther agree to ensure that all required inspe ction;; 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 rvill remain on the site at s during cons. Signature Date -z/ZZ- n MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) VALIDATION RECEIPT NUMBER DATE PAID AMOUNT RECEI RECEIVED BY _. TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D and E Combined) ,C'TY SIDIIINGFII:LT.) 225 FIFTE STREET SPRTNGFTELD, ORBGON 97477 INSPECUON RBOTIBST: OFPTCE: 726-3759 1 LOCATTON 726-37 6e E I z +11' r, \-t. *#i; ELE TRICAL PERHTT APPLICATION ob Number SCEEDULB BELOV Nev Residential-Single or MuIti-FamiIy per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf,d Home or -Modular Dvelling Service or Feeder $ 8s.00 $ 1s.00 s 40.00 Services or Feeders Installation, Alterations or Relocation: LPE A JOB,4-,s Sum s see "B* aEiiE Permits are non-transferable and expireif vork is not started vithin 180 daysof tssuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALI.ATION ONLY Electrical Contractor Address B Ci ty K-AA grofZ Phone Supervisor License Ndmber /A7:$' S' Exp iration Date ,/A- /-q_s Constr Contr. Number Expiration Date ,6?-/- -'-t n-q< Signature of Supervising Electrician C. Temporary Services or Feedersfnstallation, Alteration 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 200 amps or less 201 amps to 400 amps -over 401 to 600 amps -Over 600 amps or 1000-vm s s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ 40.00 $ ss.00 $ 80.00 cit@phone 24/.-/id{ Ovners Name Address Z{ €.;5Z OIINER INSTALLATION The installation is being made onproperty I ovn vhich is not intendedfor sale, Iease or rent. 0mers Signature: DATE: D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit g 2.00 E SI,BTOTAL OF ABOVE 5Z State Surcharge TOTAL Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting- S 40.00 Limited Energy/Res - $ 20.00 Limited Energy/Comm S 36.00 4 "7, UvA-a *-<4 Z g1) RECEIVED 5 -4.>(, f 1-zp/ i /