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Home My WebLink AboutPermit Mechanical 1991-05-15SPltII\.GFIELE, RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 h, JOB NUMBER 225 Fifth Street Spri ngf ield, Oregon 97 477 cLOCATION OF PROPOSED WOFIK: ASSESSORS MAP:TAX LOTr a3 LOT:BLOCK:SUBDIVISION PHONE: ZIP.,STATE:------7-C--CITY: ADDRESS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER ZDESCRIBE WORK: EXPIRES PHONEADDRESSCONTRACTOR'S NAME MECHANICAL: ELECTRICAL: CONST CONTRACTOR # GENERAL: PLUMBING RANGE * OF BDRMS: _ OFFICE USE _ LAND USE: ZONING CODE: FLOOD PLAIN: WATER HEATER: * OF UNITS: SECONDARY HEAT SQUARE FOOTAGE: QUAD AREA: # OF BLDGS OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. This is a24hour recording. AII 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. REQUIRED INSPECTIONS l---l Temporary Electric t___l w 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. N 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. Foundation - 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 MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation. Post and Beam - Prior to floor insulation or decking.lnsert - 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 trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Water Line - Prior to filling trench.[-l fence - When completed. Street 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. 2/Z-*o* E Other - E tl r E r r Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac rS THE PROPOSED WORK lN 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: PL.HSE GAR ACC N S E 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 BU!LDING PERMIT This permit is granted on the express conditlon that the sald construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regr-rlating 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 Plan Check Fee: 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 Su rcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fi replace Unit Dryer Vent VentFan-- |/,(- /4tY'/a- (D) lo- g-n2No/ ^ a-2 & EC MECHANICAL PERMIT Fu rnace Exhaust Hood Mechanical Permit 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 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 front of the property, and the approved set of plans will remain Signatu re f-rs-? I 6, Date on the site all times ring construction MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electricat) G4-Z-{ (A, B, C, D, and E Combined) -22p24S-rf^7 rDATE PAID -2_AMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER -ra-- 25- CITY OF onEGorv 225 BIFTE $NBBf, SPRINGFIEI.D, OREGON 97 INSPBCTION RBOTIBST: 7 0PPICB: 726-3759 Authorlro 1. IOCATION OT INSTALI,ATIONx q) rV al=! SPTIIN(;FIELC' One Circuit Tvo to ten Clrcults Each Addtrl ten orportion thereof PERHIT APPLICATIONqrMq3 Permlts are non-transferable and explrelf vork ls not started vlthin 180 daysof lssuance or lf vork ls suspended for 180 days. 2. CONTRACTOR INSTALI.ATION ONLI Electricar contrac to, f { S {/. ,'/t o Address )tq s ooT4 /(F clty_tt "{d.-Phone Tytl I 3e City Job Number PBB SCBBDTII,E BELOII New tial-Single or Multi-Famlly per dwelllng unlt. Servlce Included:Items Cost 1500 sq.ft. or less Each additional 500 SQ. ft or portion thereof Each Manuf,d Home or Modular Dwelllng Servlce or Feeder $ 85.00 $ 1s.00 $ 3s.00 D. Servlces or Feeders (10 Branch Circuits included). Installatlon, Alterations or Relocation: \'s.I lIr $ 35.00 $ 60.00 $ 90.00 $130.00 $300.00 $ 3s.00 Sum aE6F 100 amps or less 101 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/volts Reconnect Only Supervlsor Llcense Number /c(r Explratlon Date '1*' Constr Contr. Number Explration Date Slgnature of Supervlslng Electrlcian 0vners Name Ltan L Address Cl ty phone )f biaa Y OIINER INSTALLATION The lnstallatlon ls belng.made onproperty I ovn vhich is not intendedfor sale, Iease or rent. 0yners Slgnature: DATE: =>- c Temporary Servlces or FeedersInstallation, Alteration or Relocation 200 amps or less $ 35.00 201 amps to 400 amps _ $ 40.00 Over 401 to 600 amps $ 80.00 0ver 600 amps or 1000-GT[s see trBr D. Branch Circults Nev, Alteratlon or Extenslon Per Pane1 I - r"?,) B 5. SUBTOTAL OT ABOVB 5X State Surcharge TOTAL $ 35.00 $ 50.00 $ 1s.00 Miscellaneous (Servlce/feeder not tncluded) -Each lnstallation Pump or irrigation $ 36.00 Sign/outline Llghting- $ 36.00 Slgna1 Clrcuit or Iimited energy panel $ 36.00 BRECEIVBD I .? L,D