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Home My WebLink AboutPermit Mechanical 1994-09-22SPFrI FIELO RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Of {ice: 726-3759 LoCATION OF PFIOPOSED WoRK: - 272-\'A4th ASSESSORS MAP JOB NUMBER 225 Fifth Street Springf ield, Oregon 97 477 TAX LOT: SUBDIVISIONLOT:BLOCK: 726-4\45PHONE: 9747P,ZIP:STATE \:r/ ORspringfield Cliff HembreeOWNEFI: 272 N. 44th Street CITY: ADDFIESS NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK InstaII heat pump MECHANTcAT: Comfort Flow Heating Sss,lal. -1st Eu gene, WAOT OOa6O 6/n /95 3a2- EXPIRES PHONE ELECTRICAL: CONTRACTOR'S NAME ADDRESS CONST. CONTRACTOR # G EN ERAL: PLUMBING _ OFFICE USE _ LAND USE: # OF BDRMS OUAD AREA: - + OF UNITS:ZONING CODE: FLOOD PLAIN r OF STORIES: , OF BLDGS: -- -- WATER HEATER:--- SECONDARY HEAT: SQUARE FOOTAGE:RANGE: - CONSTR. TYPE: HEAT SOURCE: OCCY GROUP: _--- Tc request an inspection, you must call 726-3769. 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 Ternporary Electric Rough Mechanica! - Prior to Final Plumbing - When all plumbing work is complete. Site lnspection - To be made af ter excavation, btrt Drior to setting forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location. bond beams, grouting. Foundation - After forms are erected but prior to concrete placement. Underground Plumbing - Prior to filling trench. Underlloor Plumbing/ Mechanical - Prior to insulation or clecking. Post and Beam - Prior to floor insulation or decking. Floor lnsulalion - Prior to decki ng. Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. Water Llne - Prlor to fillinq trench. Electrical - Prior to Electrical Service - Must be approved to obtain permanent electrical power. Fireplace - Prior to facing materials and framing lnsp. Framing - Prior to cover Wall/Ceilin-q Insulation - Prior to cover. Wood Slove - After installation lnserl - After firel)lace approval and instaliation of unit. Curbcut & Approach - After forms are erected but pricr to placement of concrete. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Fence - When completed Street Trees - V/herr all require'J trees ^re pianted. Vy'l:inat Electrical - When all,ldelectrical work is complete. il7 finat Mechanical - When all ui^:srechanical work is complete. ft*l' L-l Final Building - When all required inspections have been approved and building is completed. Other MOBILE HOME INSPE TIONS Blocking and Set-Up - When all blocking is complete. Plumbing Connections - When home lras been connected to water and sewer. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed.Rough Plumbing - Prior to cover. E E E tl tl tl E tl r E r il E E I |-l Drywall - Prior to taping. E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks p.u. I usr GAFt N S E ACC ,5 THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OFI ON THE HISTORICAL REGISTER? _- lf yes, this application must be signed and 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 express condition that the said construciion shall, in all respects, conform to the Ordinance adopted by tl.re 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 Reviewed By Date Plan Check Fee: Date Paid Receipt Number:-- Fleceived By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developrnent Charge is due on all undeveloped properties within the City limits which are being improved. ADDlTIONAL COMMENTS ,-SA4?z#- -1s- ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) No FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fi replace Unit Dryer Vent /4 ?, /5: o,rQta' / D,x (D) N0 MECHANICAL PERMIT Mechanical Permit lssuance State Surcharge Total Permit . 2J-___4_-^6? Fu rnace Exhaust Hood Vent Fan 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 further 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 furtlrer certily that only contractors and employees who are in compliance with ORS 701.055 will be used on this prolect. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, thal the permit card is located at the front e approved set of plans will remain t,/z>/24-Date - I of the property, and on the site Xnnu,,," r7 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 electricaD '^A ,4(A, I, C, D, and E Combined) Z o DATE PAID AMOUNT RECEIVED RECEIVED BY -_ VALIDATION: RECEIPT NUMBER __. FT. /fr--@- CITY OF OREGO'U .[v zoning, and approval. SPFINGFIELC' BIJCTRTCAL PERI{IT APPLTCATION225 PITTE SI?BET SPRTNGFIELD, ORBGON 97477 INSPBCIrON REOTIBSTI 726_3 OPFICE: 726-3759 Electrical Contractor C Address does not requiro speclflc land A B. Services or Feeders fnstallation, Alterations or Relocation: c. D l-)6r', 769 lA-t{-1 1 LOCATTON OP INSTALI"ATION LBGAL DESCRIPTION oo bm JOB DESCRIPTION a Permits are non-trallsferab e and expire if vork is not started vithin 180 days of lssuance or lf vork ls suspended for 180 days. 2. COIIIRACITOR TNSTALI.ATTON ONLY City Job Nunber BBLOV New Residentlal-Single or MuIti-Family per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Hone or -Modular Dvelling Servlce or Feeder s 8s.00 $ 1s.00 $ 40.00 Atrthsrized Signature Sum ci ptrone {41 -A gto Supervisor License Number tb8 AS Exp iration Date to- l-q5 Constr Contr. Numbe r0 s{,1 Expiration Date I - I -QS . Signature of Supervlsing Electrician 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ 0ver 1000 amps/vo1ts Reconnect 0nIY Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or }ess $ 40.00 201 amirs to 4oo amps - $ 55.00 over 4b1 to 600 ambs - $ 80.00 0ver 600 amps or fbOO voTts see uB" a56E Branch Circuits New, Alteration or Extension Per Panel $ s0.00 $ 60.00 $100.00 s130.00 $300.00 $ 40.00 -/€z '|r'? t Owners Name Address t\, cit Phon"!ab4)45 OgNER The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ocners Signature: DATB: One circuit I $ 35.00 35,ao Each Additional Circuit or vith Service or Feeder Permi t | $ 2 .00 /'. OO E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation _Sign/OutIine Lighti.g- Limited Energy/Res Limi ted Energy/Comm 5. SUBTOTAL OT ABOVE 5f State Surcharge g r'lo TOTAL c .00 .00 .00 .00 rQ $40 s40 $20 $36 (l I RECEIVBD