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Home My WebLink AboutPermit Mechanical 1996-10-22RESIDENTIAL PERMIT APPLICATION lnspections:726-3769 Office: 726-3759 SPtII}.GFIELt)?6//ssJOB NUMBER 225 Fifth Street Springfleld, Oregon 97477 2 bLOCATION OF PFIOPOSED WOBK: ASSESSORS MAP: LOT: -,4r TAX LOI: BLOCK SUBDIVISION PHONE STATECITY: ADDRESS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHEFI DESCRIBE WORK: ELECTRICALI ADDRESS EXPIRES PHONE ) CONTRACTOR'S NAME MECHANICAL: PLUMBING: GENERAL: CONSI. CONTRACTOR '' f OF BDRMS: _ OFFICE USE _ WATER HEATER: ZONING CODE: QUAD AREA: , OF BLDGS SECONDARY HEAT: SQUARF- FOOTAGE: LAND USE: OCCY GROUP: * OF STORIES: CONSTR. TYPE HEAT SOURCE: To request an inspectlon, you must call 726-3769. Thls ls a24hour rccordlng. Atl inspections requested belore 7:00 a.m. wlll be made the same working day, lnspections requested after 7:0O a.m. will be made the following work day. REOUIRED INSPECTIONS Rough Mechanical - Prlor to Site lnspectlon - To be made after excavatlon, but prior to setting forms. Rough Electrical - Prior to cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover.Eleclrical Service - Must be approved to obtairr permanent electrlcal power. Footlng - After trenches are excavated.Fireplace - Prior to facing materlals and framing lnsp. Final Building - When all required lnspections have been approved and building is completed.Masonry - Steel locatlon, bond beams, grouting.Framing - Prlor to cover. Foundatlon - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.l---l Drywall - Prior to taping Underlloor Plumbing/ Mechanical - Prior to lnsulatlon or decking. MOBILE HOME INSPE TIONS Wood Stove - After lnstallation. Post and Beam - Prlor to floor lnsulation or decking.lnserl - After flreplace approvql and installation of unit. Blocking and Set.Up - When alt blocklng is complete. Floor lnsulation - Prior to decking.Curbcut & Alrprroaclr - After forms are erected but prior to placement of concretc. Plumbing Connections - When home lras been connected to water and sewer. Sanltary Sewer - Prior to f illing 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. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Water Line - Prior to filling trench.l-_l fence - When compteted. Slreet Trees - When all required trees are planted. Final - After all requrred inspections are approved andporches, skirting, decks, andventlng have been instailed. Rough Plumbing - Prior to cover. a)/€'\ /i-)?, /w ,tr, 7 ?y'?6 BANGE: , OF UNITS: -- FLOOD PLAIN: [-l Temporary Electric E tl l--l Final Plumbing - When ail - plumbing worl( is complete. >< ij::l :r":11,:nr - When ail l-\qlecrrrcat work is complete.(- ffiri,.rrr Mechanical - when ail ,.-tnechanical work is complete. [--l otherll T E E E E E E E tl flE tl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac ks PL.HSE GAR ACC N S E IS THE PROPOSED WORK iN THE HISTORICAL DISTFIICT, OR ON TI{E HISTORICAL REGISTER? - lf yes, this applicatlon must be signedand approved by the Historical Coordinator prior to permit issuance. APPROVED: VALUE (A) X S/SO. FT- Total Value Building Permit Fee State Surcharge Total Fec BUILDING PERMTT ITEM SO. FT. Main Garage Carport BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT This permit is granted on the express condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, including theDevelopment Code, regulating the construcilon and use ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of said ordinances. Plans Fleviewed By Date Reoeipt Numbe Plan Check Fee: Date Paid Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City linrits which are being improved. ITEM Fixtures Resldentlal Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT FEE N0 FT. FT. FT. (c) Plumblng Permit State Surcharge Tota, Charge ADDITIONAL COMMENTS By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby certify that alllnformation hereon is true ancl correct, and I f urther cerilfy that any and arr work performed shail be done in accordance with the Ordinances 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 anystructure without perrnission of the Building Safety Division.I further certify that only contractors and employees who are in compliance with ORS 7O1.OS5 will be used on thisproiect. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable from tlre street, that the permit card ls located at the frontof the property, and the approved set Date /d -J 3-q f plans will remain du Sig natu re onston the site at all ti Wood Stove/ lnsert/ Fi replace Unit Dryer Vent Mechanicat permit 4l.l) lssuance State Surcharge,? f *, y'J- Total Permit (D) MISCELLANEOUS PERMITS MECHANICAL PERMIT J}D Total Miscellaneous perrni ts (E) J -DP o >o eo N0 Mobile Home State lssuance State Surcharge Sidewalk --- ft Curbcut -- ft Demolition State Surcharge Furnace Exhaust Hood Vent Fan TOTAL AMOUNT DUE (exctudins ctectricaO %3A(A, B, C, Q and E Combined) )7_1 DATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: FIECEIPT NUMBER 225 FTFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 914 roSlsST$Fisnatu 1 OF INST LEGAL DESCRIBTION 4oZ O(t L{? OO t02 JOB DESCRIPTION 2. CONTRACTOR INSTAILATION ONLY Electrical Contractor Address Permits are non-transferable and expire if vork is not started vithin 180 days oi i""urnce or if vork is suspended for 180 days. < ELEGIRICAL PERHIT APPLICATION City Job Number COHPLETE FEE SCEEDUI^E BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service Included: I tems Cos t L000 sq.ft. or less S 85.00 Each additional 500 sq. ft or portion tliereof $ 15.00 Each Manuf'd Home' or -Modular Dvelling Service or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: The lollowing pro zoning, and does approval. SPr JFIELO ess 00 amps 00 amps 000 amps_ s/vo1 t s v (t ( 3 A Sum B 200 am 201 am 401 am 60L am Over 1000 Reconnec t ps ps ps ps or1 to4 to6 to1 amp 0n1 s s0.00 s 60.00 s100.00 s130.00 $300.00 $ 40.00 Ci ty Ph Supervisor License er Expiration Date Constr Contr. Number Expi ra t ion te Signa of Supervising tncran Ovners Name Address Z8 q "r\a Ci ty Phone Temporary Services or Feeders Installation, Alteration or RelocationC. 200 amps''or less 201 amps to 400 amPs Over 401 to 600 amps 0ver 600 amps or 1000-7ofTs SUBTOTAL OF ABOVE 5Z State Surcharge 32 Admini.strative Fee TOTAL 40.00 55. O0 80.00 ee ttBtt a6ove s s S s 6l ( D. Branch Circuits Nev, Alteration or Extension Per Panel one circuit -V- $ 3s-oo f-fo Each Addi tional Circuit or vith Service - or Feeder Permit - $ 2'00 E. Miscelfaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/0utline Lighting- Limited Energy/Res Limited Energy/Comm 7L{1 The installation is being made on property I ovn vhich is not intended for sale, lease or rent' OIiNER I Ormers Signature: DATE: s 40.00 $ 40.00 s 20.00 $ 35.00 5 RECEIVED B -4 3?.s 0 ?atqt{