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Home My WebLink AboutPermit Plumbing 1992-12-07S'DENI'At RIfiIT APPLICATION pections: 726-3769 ice:726-3759 JOB NUMBER 39? s ^rtr@ St-}CATION OF PROPOSED WORK: t1 0) 3/ L+3 TAX LOT O e\J o')}SESSORS MAP: )T:BLOCK:SUBDIVISION PHONE:1t-41 - 8155)WNER: ADDRESS: ,bL,) c8 Q'tq-)? CITY:STATE:ZlPt DESCRIBE WORK: NEW-- REMODEL ADDITION DEMOLISH OTHER CONTRACTOR'S NAME ADDRESS CONST. CONTFIACTOB #EXPIRES PHONE GENERAL: PLUMBING )J\\i tr MECHANICAL: - ELECTBICAL: # OF BDRMS - OFFICE USE - LAND USE: ZONING CODE: FLOOD PLAIN RANGE: SECONDARY HEAT: SQUARE FOOTAGE: OUAD AREA: C OF BLDGS: WATER HEATER: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOUBCE: # OF UNITS: - To request an inspectlon, you must call 726-3769. This ls a24hour recording. All lnspections requested before 7:00 a.m. wlll be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS TemporarY Electrlc Rough Mechanical - Prior to cover. lQ,final Plumbing - When alll.d 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. Final Mechanical - When all rnechanical work is complete. Fooling - 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. Other Foundation - After forms are erected but prior to concrete placement. Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.[-_l Drywall - Prior to taoing MOBILE HOME INSPE TIONS Underlloor Plumblng/ Mechanica! - Prior to lnsulatlon or decking.Wood Stove - After lnstallation Post and Beam - Prior to tloor insulation or decking.lnsert - After fireplace aPProvql and installation of unit. Blocking and Set-Up - VJhen all blocking is complete. Floor lnsulalion - Prior to decking.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 Plumblng lnspections have been approved and the home is connected to the service panel. Storm Sewer - Prlor to filllng trench. Bdr' lJ cr / Water Line - Prlor to filling trench. [--.l Sidewalk & DrivewaY - Afteru excavation ls conlplete, forms and sub-base rnaterlal in Place' 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. E Rough Plumbing - Prior to cover. 7Jrueo 225 Fifth Street Springfield, Oregon 97 477 O, rr E E E tl E E E n r r n E r r E E Lot laces Lot sq. ftg' Lot coverage TopograPhY Total height Lo )€ - lnterior -- Corner - Panhandle - Cul-de-sac IS THE PROPOS ED WORK IN THE H ISTORI CAL DIST RtcT, oR ON T HE HISTOFI CAL REG ISTEB? -- lt Yes, this aP plication must Historical be signed and aPProv ed bY the t issuance' Coordinator prior t0 pelmi APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the saidconstruclion shall, in all respects, conform 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. Plan Check Fee; _--_ Date Paid Receipt Numbe Received By PI ans Fleviewed By Date Ac9GARHqE-P.L. \ E VALUE (A) BUILDING PERMIT Total Value Building Permit Fee State Surcharge Total Fee SQ. FT. X $/SO. FT,ITEM Main Garage Carport SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developrnent Charge is due on all undevelopedproperties within the City limits which are being improved. ITEM Fixtu res Residentiat Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE i)-Dt No FT. FT. FT. (c) ht:.oo l DOLl)OO Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent MECHANICAL PERMIT (D) No Mechanical permit lssuance State Surcharge Total Permit Fu rnace Exhaust Hood Vent Fan By signature, r state and agree, that r have carefulry examinedthe completed apptication and do hereby certify that allinformation hereon is true and correct, and I further certifythat any and ail work performed shail be done in accordancewith the Ordinances of the City of Springfield, and the Lawsof the State of Oregon pertaining to the work describedherein, 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 in compliance with ORS 701.055 will be used on thisproiect. I further agree to ensure that all required inspections arerequested at the proper time, that each address is readabrefrom the street, that the permit card is located at the frontof the property, and the approved set of prans wirr remainon the site all ring construction. Sis Date MISCELLANEOUS PERMTTS Mobile Home State lssuance State Surcharge Sidewalk --- ft Curbcut -_- ft Demolition State Surcharge Total Miscellaneous permits (E) TOTAL AMOUNT DUE (exctuding etectricat)(4, 13, C, D, and E Combined) tr ) rea sq l) Ie I q> /)4r DATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER --\ 40.ctts no ,I .ja.rrrr{Gl:rr:t-t-, Jr qfr, 225 FIFTII STRI':IiT SPRINGFIELD, ORF.GON 97N7 INSPE(ilION REQUESTz 726-3769 oFFICE: 72-6-3759 \>-4 t LOCATION OP INSTALLATI lo*s TAGAL DESCRIPTION ,1)f,1/6et4o) JOB DESCRIPTION ila,s 5&VtcE Permits are non-transferable and explre lf vork is not started vlthin 180 days of issuance or if vork ls suspended for 180 days. ELBCTRICAL PERHIT APPLICATION City Job Number ,3 /Lk) 3. COHPLBTB IIEE SCTIEDULB BELOV A Nev Residential-Single or HuIti-FamiIY Per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portlon tlrereo f Each Hanuf 'd llome or Moclular Dvellirig Service or Feeder s 8s.00 $ 15.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: LDR -1a S} 3 Sum 2. G0NTRACf,0R Electrical Con Addr:ess Ci ty Supervisor Lice Expiration Date INSTALITTION ONLY tractor Plrone nse Numb e 200 amps or less / 20L anrps to 400 amps - 401 amps to 600 amPs - 601 amps to 1000 amPs- Over 1000 amps/volts - Reconnect 0nly 200 amps o.r less 201 amps to 400 amPs - over /r01 to 600 amps _ Over 600 amps or 1000 volt B $ so.oo $ 60.00 $100.00 $130.00 s300.00 $ 40.00 z^&.)L).# Temporary Services or Feeders Installation, Alteration or RelocationConstr Contr. Number Expiration Date Signature of Supervising Blcctrieian 0wners Name A<ldress 387 .S,57. Ci ty *trtD, -rnone 741-97-SS OVNER INS'TALLATION Tlre installation is being made on property I own which is not intended for sale, Iease or rent. C $ $ $ 40. 55 00 00 00BO Ovners Signature:''%-^. I E 5. SIIBTOTAL OF ABOVB 5f State Surcharge TOTAL Hiscellaneous (Service/feeder -Each installation Pump or irrigation S Sign/0utline Lighting- S Limi ted Energy/Res _ S Limi ted Energy/Comrn S s see rrBrr a Sove not included) 40.00 40.00 20. oo 5b.4 D. Branch Circuits Nev, Alteration or Extension Per Panel one circuit $ 35'00 Each Aclditional Circui t or vi th Service or Feeder Permit S 2.00 DATE:t> * III|CI.IIV[I) I}Y:]99- q5 7,te{-<a,e