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Home My WebLink AboutPermit Mechanical 1993-03-24SPFrIh.GFIELD RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Of{ice: 726-3759 LOCATION OF PROPOSED WORK: ASSESSOFIS MAP: Zfr, JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 TAX LOT LoT: _- - BLOCK: SUBDIVISION STATE: PHONE: Lta. CITY: OWNER: ADDRES NEW -- REMODEL ADDITION DEMOLISH OTHER DESCRIBE WOFIK: EXPIRES PHONE IVlECHANICAL ELECTFIICAL: CONST. CONTRACTOR # GENERAL: PLUMBING RANGE: S OF BDRMS: _ OFFICE USE - ZON|NG CODE: FLOOD PLAIN WATER HEATER SECONDARY HEAT SQUAFIE FOOTAGE: QUAD AREA: # OF BLDGS LAND USE: OCCY GROUP: I OF STORIEST CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-376g. This is a24hour recording. 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' REOUIRED INSPECTIONS l-I TemporarY Electric ll Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is comPlete. Sile 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 P!umbing/ Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain Permanent electrical power. E Final Mechanical - When all mechanical work is comPlete. Footing - After 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.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Other Foundation - After forms are erected but prior to concrete placement. Wall/Ceiling lnsulatiorr - Prior to cover Underground Plumbing - Prior to {illing trench.I Drywall - Prior to taping MOBILE HOME INSPE TIONS Underlloor Plumbing/ Mechanical - Prior to insulatlon or decking.[-l Wood Stove - After installation Posl and Beam - Prior to floor ;nsulation or decking.lnsert - After firePlace aPProval and installation of unit. Blocking and Set-Up - When all blocking is complete. Floor lnsulalion - Prior to decki ng.Curbcut & Approach - After forms are erected but Prior ic 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 materia! in Place. Water Line - Prior to filling trench. Fence - When comPleted. Rough Plumbing - Prior to cover. Street Trees - When ail required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and vent!ng have been installed. a*7w zf -2rry 7{F ADDRESSCONTRACTOR'S NAME il r E E r E T tl E E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - Interior - Corner - Panhandle - Cul-de-sac Setbacks PL.HSE N S E GAR ACC .- I'HE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? --lf yes, this application must be signedand approved by the Historical Coordinator prior to permit issuance. APPROVED: 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 BUILDING PERMIT This permit is granted on the exBress con<lition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Developrnent 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. Plans Rcviewed By Date Fleceipt Numbe Date Paid Received By: Plan Check Fee: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developrnent 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. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit 226(D) /fZos ato Drye r Vent N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit /a-a MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state ancJ agree, that I have carefully 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 f urther certify that only contractors and employees who are in complrance 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 renr;,rrr 3 e+43 Signature Date on the s all times durin truction MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) AMOUNT RECEIVED FIECEIVED BY VALI DATION: RECEIPT NUMBER FT. FT. DArE PAID 7^</'7> 1 tos A{ CITY OF OFEGO'U SPRIflGFIELD and us /J,tT-EIJCIRICAL PERI{IT flffffxs225 PIFTE STRBET sPRrNGrrBLD, oREGON 97477 INSPBCTION REQUBST: 726-3 oPPICB: 726-3759 A'uthorized 1 OP JOB WA Permits are non-transferable and expire if vork is not started r.rithin 180 days of issuance or if vork is suspended for 180 days. 2. COI.ITRAgTOR INSTALI,ATION ONLI Electrical Contrac Address (l,t:' b Ci ty 6lr{k",,lQ-Phone Supervisor License Number 3(o(o(, - s Expi ration Date I '(0 4"c't Constr Contr. Number 24^z-?1C- City Job Nunber SCEBDTILB BBLOII A. 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 DweIIing Service or Feeder $ 8s.00 $ 15.00 s 40.00 Services or Feeders Installation, Alterations or Relocation: Sum w B ,Z- Expiration Date 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps 0ver 1000 amps/volts Reeonnect 0nly 4 E Miscellaneous (Serv -Each installation Pump or irrigation Sign/OutIine Lighti Limited Energy/Res Limited Energy/Comm 5. STIBTOTAL OP ABOVB 5Z State Surcharge TOTAL 200 amps or less 201 amps to 400 amps -0ver 401 to 600 amps Over 600 amps or 1000 vorf $ s0.00 $ 60.00 s100.00 s130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteratlon or Relocation 0 3 s 40.00 $ ss.00 $ 80.00Signature of Supervising Electrician q, 0wners Name Address Ci ty OVNER The installation is being made on property I or,rn vhich is not intended for sale, Iease or rent. 0mers Signature: DATB: s see rrBrr aEott D. Branch Circuits Nev, Alteration or Extension Per Pane \OneCircuit I $SS.OO Each Addi t ional -tCircuit or with Service or Feeder Permit $ 2.00 ir i ce/ feeder $ng$ s $ not included) 40.00 40.00 ---- 20.00 RBCBIVBD 5cc a €4,*" )