The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 1997-01-14IESIDENTIAL 'EBMIT APPLICATION nspections; 726-3769 )ffice: 726-3759 SPR %, JOB NUMBEFI 225 Fifth Street Springfleld, Oregon 97 477 TAX LOT: ^IoLOCATION OF PRO 'iul'7 ASSESSORS MAP: LoT BLOCK: OWNER: ADDRESS:\ CITY:r_b SUBDIVISION PHONE:J STATE:rtE ZIP:q1..t]l I NEW- REMoDEL\L- ADDITION DEMOLISH OTHER DESCRIBE WORK:4^:\r\\G.-S (..,, aac C PLUMBING: MECHANICAL: -.-_- ES LlLo< :, PHONE u.*I, ADDRESSCONTBACTOR'S NAME GENERAL: CONST. CONTRACTOR'Y r OF BDRMS: - OFFICE USE - ZONING CODE: FLOOD PLAIN WATER HEATER * OF UNITS: RANGE: SECONDAFIY HEAT: SOUARF. FOOTAGE: QUAD AREA: I OF BLDGS: OCCY GBOUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an inspectlon, you must call 726-3769. Thls is a24hour recording. All inspections requested before 7:0o a.m. wlll be made the same worklng day, lnspections requested after 7:00 a.m. will be made the following work day' R UIRED TNSPECTIONS I TemRorarY Electric Rough Mechanlcal - Prior to cover. Final Plumbing - When all plumbing worl( is complete. Slle lnspection - To lre made after excavation, but Prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical worl< is comPlete.cover. Underslab Plumblng / Electrical / Mechanlcal - Prlor to cover. Electrical Servlce - Must be approved to obtaln Permanent eleclrlcal power. al Mechanical - When all mechanical work ls complete. Footlng - After trenches are excavated. nal Building - When all l-l Flreplace - Prlor to faclnglJ materlals and framing lnsP. required inspections have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.l--l Framlng - Prlor to cover. Other Foundatlon - After forms are erected but Prlor to concrete placement. WalllCelllng.lnsulatlon - Prlor to cover. Underground Plumbing - Prior to fllllng trench.Drywall - Prior to taPing' MOBILE I.IOME INSPECTIONS l--l Underlloor Plumblng / Mechanlcalt-J - prlor to lnsulatlon or decklng.Wood Stove - After lnstallation Post and Beam - Prlor to floor lnsulatlon or decking.lnsert - After flrePlace apProval and installation of unlt. Blocking and Set'UP - When all blocklng is complete. Floor lnsulation - Prior to decklng.Curbcut & AJrProaclr - After forms are erected btrt Prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Sidewalk & Driveway - After excavation ls comPlete, forms and sub-base materlal in Place. Eleclrical 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. Water Llne - Prlor to filling trench. l-l Fence - lvhen comoleted. Final - After all required inspections are approved and porches, skirting, decks, and ventlng have been lnstalled.Rough Plumbing - Prlor to cover, Street Trees - When all requlred trees are Planted. q LAND USE: tl E tl E E E tl i:- : ; i," Lot faces Lot sq. ftg. Lot coverage TopograPhY Total helght Lot TYPe -- lnterior -- Corner -__ Panhandle - Gul-de-sac P.L.HSE GAR ACc N S IS THE PROPOSE D WOBK TN THE HISTORTCAL D ISTRI cT, oR oN THE HISTOBICAL REGISTER? ll yes, this aPPlicati on must be signed and aPProved bY the Historical Coordinator Prior to permit issuance' APPBOVED: VALUE (A) Total Value Building Permit Fee State Surcharge Total Fee X S/SO. FT. BUILDING PERMIT ITEM SO. FT. Main Garage Carport AND BUILDING PERMIT This permit is granted on the cxpress condition that the said construction shall, in all respects, con{orm to the Ordinanceadopted by the City of Springfield, including theDevelopment Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of said ordinances. DatePlansReviewed By BUILDING VALUE,punu CHECK Plan Check Fee: Date Paid: Recei pt Num 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 Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) FT. FT. N0 FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MECHANICAL PERMIT t6"fr() NR:lLP-'.'{€ (D) No Mechanical Permit lssuance State Surcharge Total Permit Furnace qlL, gxnaust HoQoci Vent Fan By slgnature, I state and agree, that I have caref ully examlnedthe completed application and do hereby certify that alllnformation hereon is true ancl correct, and I f urther cerilfy that any and ail 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 permission of the Building Safety Division.I further certify that only contractors and employees whoare ln compliance with ORS 701.055 will be used on thisproiect. I further agree to ensure that all required lnspections arerequested at the proper time, that each address is readabrefrom the street, that the permit card rs rocated at the frontof the property, and the approved set of prans wirr remain times durin constructlon Y q on the slte at Signature Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk --- ft Curbcut -- ft Demolition State Surcharge Total Miscellaneous pennits (E) TOTAL AMOUNT DUE (exctuding electrical)(A, B, C, D, and E Combined) q VALIDATION RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY E ctTYOF ONEGON 5 PITTE STRBET 'RTNGPIEU), oRBGON 97477 ISPE(IION REQIIBST: 726-3769 PFICB: 726-3759 stPtu!-,F|ELO BLBCTRICAL PERIIIT APPLICATIONt-DL Ci tY Job Nunber SCEBDI'I.B BELOS il-single or Hultl-Family per dvelling unit. Service Included:Items Cost Suu 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or -Hodular Dvelling Service or Feeder s 8s.00 s 1s.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: a,t-"J1Zjj,c 3tff*L\S/Iflqryn . , 3. COTIPI,RTE YBE IA. Nev Residenti Supervisor License Number 3ttt 3 I,BGAL/tcz o_3350 Permits are non-transferable and explrelf vork is not started uithin 180 days of lssuance or lf vork ls suspended for 180 days. 2. COIITB,ACTOR INSTALIATION ONIT Electrical Contractor {B fuqnor"r, Address Eua e1?_. Phone b?z-szzo 200 amps or less 201 am[s to 400 amps -401 amps to 600 amps -601 amps to 1000 amps Over 1000 amps/volts Reconnect 0nly ci Explratlon Date o !: Constr Contr. Number /O4 q Expiration Date Slgna Electriclan Ovners (/, Address 3/O 3 tZ tL/) ct Phone OT'T{BR INSTALIATION The installation is being made on property I ovn vhlch is not intendedfor sale, Iease or rent. Ovners SlgDature: DATE: C. Temporary Services or'Feeders Installatlon, Alteratlon or Reloca D. Branch Circults 200 amps or less S 40.00 201 amps to 400 amps - S 55.00 over 401 to 600 amps - $ 80.00 Over 600 amps or 1000-ioT[s see uBu aE6le- $ 50.00 $ 60.00 s100.00 s130.00 $300.00 $ 40.00 t ion I E Nev, Alteration or Extension Per Panel I one circuit ( '$ 35.00 I Each Additional Clrcuit or vlth Serviceor Feeder Permit [ $ 2.oo I Miscellaneous (Service/feeder not included) -Each installation Pump or irrigatlon Sign/OutIine Lighting- Llmited Energy/Res -Limited Energy/Comm _ s s $ $ 40.00 40.00 20.00 36.00 37.eSIIBTOTAL OP ABOVB 5Z State Sutcharge TOTAL RBCBIVBD 5 $cq qd