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HomeMy WebLinkAboutPermit Mechanical 1992-07-21SPRI,tGFIELC' RESIDENTIAL PERMIT APPLICATION lnspections: 720-3769 Of fice: 72G-3759 LOCNTION OF PROP ED WOFIK ASSESSORS MAP: JoB NUMBE " 9A222- -225 Fi{th Street Springf ield, aregon 97 477 Js /U 3s+ TAX LOT: LO r:BLOCK SUBDIVISION S<rlrue Clrqa e_5 q 5 __lu_.__3_8 +)L cr tY | ,' i 6tr rgr\\ PHoNE: 11I:8!15d -- ,rr, I '7 4 la OWNER: - ADDRESS: .- DESCRIBE WORK: STATE:CR I TD SilN t-L b\ L+} PU {'frQ 3 NEW -- REMODEL ADDITION DEMOLISH OTHER CONTRACTOR'S NAME ADDRESS CONST. CONTRACTOR #EXPIRES PHONE GENERAL: PLUMBING 55 to.\st E Da o tla-ttoMECHANICAL: _ OFFICE USE _ 5-LAND USEOUAD AREA , OF BLDGS OCCY GROUP: r OF STORIES: WATER HEATER r OF UNITS: HEAT SOURCE: * __ FLOOD PLAIN: ZONING CODE:---,- * OF BDRMS: SECONDARY HEAT SQUAFIE FOOTAGE: - CONSTR. TYPE: RANGE: To request an inspection, you must call 726-3769. This is a24hour recording. All inspections reguested before 7:0O 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 Temporary Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspection - To be made af ter excavaliorr, but prior to setting forms. Rough Electrical - Prior to Final Electrical - Wherr all electrical work is complete.cover. Underslab Plumbing/ Electrical/ Mechanical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrlcal power. X Final Mechanical - When all mechanical worl( is complete. Footing - After trenches are excavated.Fireplace - Prior to facing materlals and framing lnsl:. 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 lo concrete placerllent.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench. MOBILE HOME INSPE TIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation. Post and Beam - Prior to floor insulation or decking.lnsert - After flreplace a;rproval and installation of unit. Blocking and Set-Up - Wherr 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 f illing 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 lrench. Sidewalk & Driveway - Af ter excavation is complete, forms and sub-base material in Place. Waler Line - Prior to fllling trench. Streel Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting lrave been installecl.Rough Plumbing - Prior to cover. ELECTRICAL: -- fl tl ErE r fl E tl E E l-l Drywall - Prior to taping. tl tl E l-_l Fence - When comPleted.E S TI.JE PROPOSED WORK IN THE I.IISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? ---It yes, tlris application must be signed ancl apProved bY the Historical Coordinator prior to permit issuance' APPROVED Lot Type - lnlerior _-- Corner '- Panhandle - Cul'de'sac Lot faces Lot sq. ftg. Lot coverage TopograPhY Total height P.L.HSE GAR ACC N J E Setbacks BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is grantcd on the express conditiorr that the said consiruction shall, in atl respects, conform to the Ordinance "Jopt".f by the City of Springlield' including the Development Code, regulating the construction and use of [uif Oin'g", and may be suspencted or revoked at any ti'rne upon violation of any provisions of said ordinances' DatcPlans Rcviewed BY Receipt Number:-- Received BY: Plan Check Fee: Date Paid: BUILDING PERMIT VALUE (A) SQ. FT. X $/SO. FT.ITEM Main Garage Carport Total Value Builcling Permit Fee State Surcharge Total Fee Systems Developnrent Charge is clue on all undeveloped properties within thc City limits which are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE N0 FT. FT. (c) FT. Plumbing Permit State Stttcltarl;c Total Charl;e WoocJ Stove/ lnsert/ Fireplace Unit Dryer Vcnt MECHANICAL PERMIT ao 7{25, /2/.1) No (D) ,7t Mechanical Permit lssuance State Surcharge Total Permit Furnace Exhaust Hood Vent Fan oo By signature, I state arrcJ agree, that I have caref ully examined the completeci application ancl cJo hereby certify that all informationhereotristrueandcorrect,ancllfurtherccrtify that any and all work performed shall be done in accordance with the Ordinances o{ thc City of Springfield, and tl're Laws of tl-re State of Oregorr pertaining to thc worl< dcscribcd lrerein, and that NO OCCUPANCY will be tnade of any structure without permission of the Building Safety Division' I f urther certify that only contractors and ernployees who are in compliance with ORS 701.055 will be used on lhis proiect. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit carcj is located at the front of the property, and the approved set of plans will remain S ring c structi Signature - Date on the site at all MISCELLANEOUS PERMITS Mobile Home State lssuance Stats Surcherge Sidewalk .-_ lt Curbcut .--- ft Demolition State Surcharge Total Miscellaneous Permits (E) EI E DATE PAID VALIDATION: RECEIPT NUMBER.. - AMOUNT BEC RECEIVED BY TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 257{ c.$'nJqlpqqq 225 FIFTB STREET SPRTNGFTELD, oRBGoN 97477 INSPBCTION REQITESTz 726-3769 oFFICE: 726-3759 1. LOCATION OF INSTALI,ATION IJGAL DESCRIPTION JOB DESCN.IPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. Address 2. CONTRACf,OR INSTALI,ATION ONLY Electrical Contractor C{S 800 tf,tfn',0rrrn " ELECTRICAL PERfiIT APPLICATION S,'gnati;re City Job Number /2o ""? 3 BETOIJ A Nev Residential-Single or MuIti-FamiIy per dvelling unit. Service fncluded: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion t hereo f Each Manuf'd Home or Modular Dvelling Service or Feeder $ 8s.00 s 1s.00 s 40.00 B Services or Feeders Installation, Alterations or Relocat ion: st',ilN(;FtELE) One Circui t Each Additional STIBTOTAL OF ABOVB 5Z State Surcharge TOTAL ah Sum cit Phone'1+l-7 t?b Supervisor License Number t{"flh s Expiration Date Constr Contr. Number or9+g Exp iration Date q -t-qD si ture of SuPervising Electrician Owners Name Address 200 amps or less $ 50.00 601 amps to looo amps- $130.99 over lboo amps/vorts - $3oo.oo Temporary Services or Feeders Insia1lation, Alteration or Relocation 200 amps or less $ 40'00 over 4b1 to 6oo amis - $ Bo'oo - Over 600 amps or 1O0O voTIs see ilBtr above Branch Circuits Nev, Alteration or Extension Per Panel c D I $ 3s.oo 35. oo c ne1ryl-Ici OVNER ,TION The installation is being made on proPerty I own vhich is not intended for sale, lease or rent' Owners Signature: DATE:7 RECEIFT *: Circuit or vith Service or Feeder Permit I $ 2'00 ,''DO Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/0utIine Lighting-- Limited EnergY/Res - Limited EnergY/Comm E s $ s S .00 .00 .00 .00 40 40 36 20 l..I -iIia RECEIVED BY: -2>q2 5 3'l.oo# /7v2-/?. /1afu^