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Home My WebLink AboutPermit Mechanical 1993-07-06SPRINGFIELE' RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Off ice: 726-3759 JOB NUMBER 225 Fitlh Street Springfield, Oregon 97 477 TAX LOT: SUBDIVISION *{r LOCATION OF PRO ASSESSORS MAP: POI I RK: PHONE: ZIPSTATE: OWNE ADDR CITY: REMODEL ADDITION DEMOLISH OTHERNEW --_ DESCRIBE PHONEEXPIRESADDFIESS I LrJ,'l CONTRACTOFI'S NAME G EN ERAL: PLUMBING MECHANI CONST. CONTRACTOR # WATER HEATER # OF STORIES: _ OFFICE USE _ ZONING CODE: FLOOD PLAINQUAD AREA OCCY GROUP: ------- r OF BLDGS: - RANGE: SECONDARY HEAT: SOUABE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS To request an inspection, you must call 726-3769. This is a 24 hour reccrding. 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' QUIRED INSPECTIONS Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is comPlete. Rough Electrical - Pi'ior to [-l TemporarY Electric ll Site lnspection - To be made af ter excavation, but l)rior to setting forrns. Underslab Plumbing/ Electrical / Mechanical - Prior to cover' Footing - After trenches are excavated. Masonry - Steel location, bond bearns, grouting. Foundation - After forms are erected but Prior to concrete placement. Underground Plumbing - Prior to filling trench. Underlloor Plumbing/ Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decki ng. Floor tnsulation - Prior to decki ng. SanitarY Sewer - Prior to filling trenc h. Storm Sewer - Prior to filling trench. Water Line - Prior to fillitlg trench. cover, Electrical Service - Must be approved to obtain Permanent electrical power. Fireplace - Prior to facing materials and framing lnsp. Framing - Prior to cover' Wall/Ceiling lnsulation - Prior to cover, Drywall - Prior to taping. Wood Stove - After installation lnsert - After fireplace aPProval and installation cf unit. Curbcut & APProach - After forms are erected but Prior to pl aceolen t of concretlo. Sidewalk & DrivewaY - After excavation is comPlete, fo.'ms ancl sub-base materiar in Place. Fence - VJhen comPleted. Slreet Trees - When all required tr{res are Planted. Final Electrical - When all electrical work is comPlete. Final Mechanical - When all mechanical work is comPlete. Final Building - When all required inspections have been approved and building is completed. Other MOBILE HOME INSPECTIONS Blocking and Set'UP - When all blocking is comPlete. Plumbing Connections - When home has been connected to water and sewer. Electrical Conneclion - When blocking, set-uP, and Plumbing inspections have been aPProved and the home is connected to the service panel. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed.Rough Plumbing - Prior lo cover. [] q ql # OF BDRMS: _=..-- E tl E E E E tl tl E E [] Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks PL.HSE ACC N S E AR IS THE PROPOSED WORK IN THE HISTOF'IICAL DISTRICI, OR ON THE HISTORICAL REGISTER? --,lf yes, this. application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: (A) X $/SQ. FT. = VALUE 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. Plan Check Fee: - Plans Reviewed By Date Date Paid Beceipt Number:-- Received By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems D:velopment Charge is, due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fi replace Unit Dryer Vent (D) a NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state anrJ 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 pcrformed shall be done in accordance with the Ordinances oi the City of Springfield, and the Laws of the State of Oregon pt:rtaining to the work described herein, and that NO OCCUPANCY will be nrade of any structure without pernrission of the Building Sa(ety Division. I further certify that only corftractors and employees who are in compliance with ORS 70.1.055 will be used on this project. I f urther agree to ensure that all required inspectio3s are requested at the propcr tinre, that each address is readable f rom the street, that the permit card is located at the front of the property, and the approved set of plans will remain Signatu 1-6-7 j Date on the site at I times during construction. F. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscelianeous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) DATE PAI BECEIVE AMOUN VA! IDAI'ION: RECEIPT NUMBER - 454s CITY OF OREGO'U 225 ?TFIE STRBBT SPRINGPIEIJ, OREGoN 97477 INSPECf,ION REQUBSTz 726-3769 OPPICE: 726-3759 1. LOCATION OP Permits are non-trans ferable and explre Exp SPFI'{GFIELO land use ELBCTRICAL PERI{IT APPLICATION City Job Nunber 7 3oq1 I PEB SCEBDTII^E BBLOII Nev Residential-Single or MuIti-Family per dvelling unit. Service Included:Items Cost L000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dvelling Servlce or Feeder $ 1s.00 s 40.00 Services or Feeders fnstallation, Alterations or Relocation: c1 lt ?to .fo.A Sum JOB DESCRI S a?ane /5 /2 Address &o lS N Uoe q \)*ol Ci ty e lffita Phone 1$b-tbTl Supervisor Licens e Number , qQS LZB- Explration Date Constr Contr.. Number eooLT_ iration Date t o-3 t-?3 Slgnature of ing trician owners Name De*n o b€R Address t 1?6 .Jo, L+Vfh urv Vr-f neFie tl Phone 1Y 7-ll ab OIINBR INSTALI.ATION The installation is belng made on property I own vhich is not intended for sale, Iease or rent. Omers Signature: DATE: Temporary Services or Feeders Installation, 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 1000I6-fTs se Hiscellaneous (Service/feeder -Each installation Pump or irrigation $ sign/outline Lighting- S t imited Energy/Res - $ c B. s s0.00 s 60.00 $100.00 $130.00 $300.00 $ 40.00 .00 .00 .00rB'' aEoE I D. Branch Circuits Nev, Alteration or Extension Per Panel 'One Circuit S 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 40 55 80 r€ 5 SUBTOTAL OP ABOVB 5Z State Surcharge TOTAL not included) 40.00 40.00 20.00 w 36.00 N,N l.oo RBCEIVBD ?t-oo $ 8s.00 if vork is not started r,rithin 180 days of lssuance or If vork ls suspended for 180 days. 2. COIITRACTOR INSTALI.ATION ONLY B. Electrical contractor /h+e|W v Pa'*c^e, Cc, -