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Home My WebLink AboutPermit Mechanical 1999-10-27RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 INGFIELD 77t'/QJOB NUMBER 225 Fifth Street Sprlngfleld, Oregon 97477 LOCATION OF PROPOSED WORK:2l?5 aTTO s7 s,/V)a6 rticz ASSESSORS MAP:/7 03 >rt47 TAX LOT:/bro o BLOCK:SUBDIVISION: -- LOT: 70 o4STATE ZIP: o - /3s77YtItI tt'l *0c5 / CITY:S,/./).rdf)r cZ ADORESS -ST OWNER: NEW - REI!,ICDEL ADD|TIoN DEMoLISH oTHER al r74 Coa?/Lr7e,4ear /o *t/!.r -sfsre qDESCRIBE WORK:/^l-s74 ac 4 ADDRESS jU s4/Ga EXPIRES ,t PHONE CONTRACTOR'S NAME ELECTRICAL:Q^/ PLUMBING: GENERAL: MECHANICAL: CONST. CONTBACTOR # ut> , i !- OFFICE USE -, flt I IIJE. LAND USE:" .-- NOTICE: ;;;;;;: co11sr.1,i1v pE: _ GOMMENeED OR tS ABA0D0hED FORr.. ..:j:'lii)I' |tE+T souRce: ANy 1n0 DAY PERlGBcor.rDARy HEAI _ AI IE WATER HEATEF SOUARE FOOTAGE: 0090 QUAD AREA:. I OF BLDGS: BANGE: OCCY GROUP:, , OF STORIESI spectlon, you must call 726-3769. Thls ls a24hout recordlng. All lnspecilons requested before 7:00 a.m. wlll beworklng day, lnspections requested after 7:00 a.m. wlll be ma<.le the followlng work day. REQUIRED INSPECTIONS To request an ln made the same l--l remporary Etectric Slte lnspectlon - To be mado after excavatlon, but prior tosettlng forms. Underslab Plumblng/ Electrlcal /Mechanlcal - Prlor to cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are erected but prlor to concrete placemont. Underground Plumblng - prior to fllllng trench. Underlloor Plumblng/ Mechanlcat - Prior to lnsulatlon or decklng. Post and Beam - prlor to floorlnsulatlon or decklng. Floor lnsulalion - Prior to decking. Sanitary Sewer - Prior to filllng trench. Stonn Sewer - Prlor to fllllng trench. Water Llne - Prlor to filling trench. Rough Plumbing - Prlor to cover. Rough Mechanlcat - prior to cover. Rough Electrlcal - Prior to cover. Electrlcal Servlce - Must be approved to obtaln permanent olectrlcal power. l--l Flnal Plumbing - When ail'J plumblng worl< ls complete. [l Flreplace - prtor to factng - materlals and framing lnsp. Framlng - Prlor to cover. Wall/Cetllng lnsulatlon - prlor to cover. l--l Drywall - prior to taptng Wood Stovo - After lnstallatlon Sidewalk & Driveway - Afterexcavatlon ls complete, forms and sub-base materlal ln place. Fence - When coinpleted. Flnal Electrlcat - When ailrlcal work ls complete. al Mechanlca! - When alllcal work ls complete. Eulldlng - When ailired lnspectlons have beenapproved and bulldlng is completed. Other MOBILE HOME INSPECTTONS Plumblng Connectlons - Whenhome has been connected towater and sewer. Inserl - After flreplace approvql and lnstallatlon of unlt. n Blocking and Set.Up - When ail - blocklno ls complete. Curbcut & Ajrproach - After forms are erected but prior toplacement of concrete. Electrlcal Connection - Whenblocking, set-up, and plumbing lnspectlons have been approvedand the home ls connected tothe servlce panel. Slr€ot Trees - When all requlred trees are planted. Final - After all requiredlnspectlons are approved andporchos, sklrilng, decks, andventlng have been lnstallod. PHONE: q77q E f , ' t" Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type.- - lnterlff - Corner - Phnhandle - Cul-de-sac Se i- ' THE PROPOSED WORK iN T-rE.- _.sToRrcAL DlsTRtcT, oR oN THE HISTORI.CAL REGISTER? - lf yes, thls appllcatlon must be slgned and approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: P.L.HSE GAR ACC N s E BUILDING PERIVIIT VALUE (A) Tota! Value Building Permit Fee State Surcharge Total Fee ITEM Main Garage Carport SO. FT. X $/SO. FT. ':: ,| BUILDING UALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express conditlon that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfleld, including the Development Code, regulating the construction and use of bulldings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plans Reviewed By Date Receipt Numbe Plan Check Fee Date Paid Received By: (B) Systems Development Charge is due on all undeveloped properties withln tlre City limlts which are being improved. Flesidentlal Bath(s) N'-- , FEE (c) FT. FT. PLUMBING PERMIT P!urnblng Pcrmlt State Surcharge Total Charge Sanitary Sewer Water Storm Sewer Moblle Home ITEM Fixtures ADDITIONAL COMMENTS,+ 9eyzz*r. e Ze CTrc, a //rr-//f *_/ / Wood Stove/ lnsert/Flreplace Unit /{o" / o.oo 1-s-z 26 -fv (D) N0Vent Fan Vent Mechanical Permit lssuance State Surcharge Total Permit MECHANrcAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have caretully examlned the completed application and do hereby certlfy that all lnformatlon hereon is true and correct, and I f urther certlfy that any and all work performed shall be done in accordance wlth the Ordinanccs of the City of Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCY will be made of any structure wlthout perrnission of the Building Safety Divislon. I further certify that only contractors and employees who are in compllance with ORS 701.055 will be used on thls proiect. I further agree to ensure that all required inspections are requested at the proper tlme, that each address ls readable from the street, that the permlt card ls located at the front approved set of plans will remaln 1 Date sdu construction. Sls to-u q9 MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - lt Curbcut - ft Demolltion State Surcharge Total Mlscellaneous Permits (E) /o 3 (rrt ,l AMOUNT RECEIVED RECEIVED BY DATE PAID VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excludlng electrlcal) (A, B, C, Q and E Comblned) SYSTEMS DEVELOPMENT CHARGE (SDC) FT, of the property, on the site at C'TY OF SPB OREGO'V 1 The foltowing project as submitted require specific has the tollowing ,and use zonrng and does not approvat Zoning LDR LOCATION OF INSTALI.,ATION 2L o*t o -s* ON/7 o L/ 61) JOB DESCRIPTION lo oa A Permits are non-transferable and exp re if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTATT,ATION ONLY B Electrical Contractor ress Ci Supervi.sor Li ber Expi ra t ion Cons t r tr. Number Ex ation Date Signature of Supervising Electrician 0wners Name Address 214 f O f/-o g cit Phone 7 q 1 -/ 3{/ OTINER INSTALLATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. s Signature: DATE:- 3- 5 'qGFIELD BLECTRICAL PERHIT CATION Ci ty Job Nurnber 3. COI{PI8TE FBE SCffiDTILE BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1-000 sq.ft. or less Each additional 500 so. ft or portion T riereot Each Manuf'd Home- or Modular Dvelling Service or Feeder s 8s.00 s 1s.00 s 40.00 Services or Feeders InstalIation, Alterations or Relocation: 200 amps or less l" 201 amps to 400 amPs _ 401 amps to 600 amps - 601 amps to 1000 amPS- Over 1000 amps/volts Reconnect 0n1y A Sum 61)50$ s0.00 s 60.00 s100.00 s130.00 s300.00s 40.00 C D. Branch Cireuits */.r- Nev, Alteration or Extension Per Panel One Circui t Each Additional Circuit or vith Service or Feeder Permit -q E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Out1ine Lighting- Limited EnergY/Res - Limited EnergY/Comm Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less S 40.00 over 4b1 to 6oo amps - $ Bo.0o Over 600 amps or ibOO voTts see rrBrr a66vE- SUBTOTAL OF ABOVE 7% State Surcharge 32 Administrative Fee TOTAL $ 3s.00 $ 2.00 o-t)6 s 40.00 s 40.00 $ 2o.oo s 36.00 67, RECEIVED B 5 -UT-o- h 225 FIFTE STREET SPRINGFIELD, INSPECTI0N REQUEST a u rrp[$:c]9$r$ture OFFICE: 726-3759 t5