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HomeMy WebLinkAboutPermit Mechanical 1999-05-28SPrlTNGFIELE, RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 ?fo ?25 q$, .JOB NUIvIBER 225 Fi(th Street Sprirrgfleld, Oregon 97477 L9QATION AF PROPOSEO WORK: - -Z l)oe ASSESSORS MAP:/7n3zz t7 LOI BLOCK: TAX LOT 07too SUBDIVISION: V^.-t-, l)a--- / |l!7. s ?qg-?L saPI{ONE: €zrzZIP:+STATE: OWNER: ADDRESS: CITY: NEW - REMODEL ADDITION DEMOLISH OTHER 6iX^r/H..t r/^e I ,A, ftanl/a-DESCRIBE WORK: ADDRESS hmt tU/ Lcr 7/f. 4)o EXPIFIES 1 PHONE 6 Okr^ CONTRACTOR'S NAME MECHANICAL: ELECTBICAL: CONST. CONTRACTOR # GENERAL: PLUMBING USE _ FLOOD I]LAIN ANYlsoDAYPERIOD ISTHISPERMTTSHALLEXPIRE OR IS r OF UNITS: \UTHORI-trDUNDER BANGE:WATER HEATER: QUAD AREA: r OF BLDGS: CONSTR. TYPE HEAT SOURCE: OCCY GROUP: , OF STORIES: To req ues t an n S pec il nl you m us ca 726-3 769.Thrls ls a 24 hour recordlng. All af ter 7:00 a.m. wlll be macje UIRED INSPECTIONS NS #cnmr;$dq886iABB&B4/,l:oo bemadehea.msatIteworklnsdaY,ns pect lon req U es ted he fol owl n work d ay. Temporary Electric h Mechanlcal - Prior to Flnal lrlunrbing - When allplumblng work ls complete.r. Slte lnspectlon - To be madc after excavatlon, but prlor tosetting forms. Rough Electrical - Prior to nal Electrlcal - Wlren allcoverelectrical work.ls complete. Underslab Plumblng / Electrical / Mechanlcal - Prlor lo cover.Electrical Service - Must be approved to obtaln permanent electrlcal power. Mechanical - When all hanlcal work ls complete. Footlng - After trenches are excavated. [-l Flreplace - prtor to factng - malerlals and framing lrrsp. Flnal Buildlng - When ailrequlred lnspectlons have beenapproved and bullding is completed.Masonry - Steel locatlon, bond beams, groutlng. Framlng - Prior to cover. Foundatlon - After forms are erected but prlor to concrete placement. Other Wall/Celling lnsulatlon - prlor to cover. E l'Jflii:lii,ll"ln'.'-orns - Prror [--l Drywar - prror to tapins Underlloor Plumblng / Mechanlcal - Prior to lnsulatlon or decklng. MOBILE HOME INSPE TIONS Wood Slove - Afler lnstallatlon. Posl and Beam - Prlor to floorlnsulatlon or decklng.l-_| lnsert - After flreplace approval - and lnstallatlon of unlt. Blocking and Set.Up - When allblocklng ls co,nplete. Floor lnsulation - prlor to decking.Curbcut & AJrprroach - After forms are erected bul prior loplacemcnt of concrete. Plumbing Connectlons - Whenhome has been conrrected towater and sewer.Sanilary Sewer - Prior to fllling trench. Slorrn Sewer - Prior to fllllng trench. Sidewall< & Driveway - Afterexcav.rtion ls complete, forrns and sub.base material in place. Eleclrical Connection - Whenblocklng, set.up, and plumbinglnspections have been approvedand the home ls connected tothe servlce panel. Water Llne - Prlor to filling trench. Fence - When ccinpletecl Street Trees - When all requlred trees are planted. Flnal - After all requiredlnspectlons are approved andporches, sklrtlng, decks, andventlng have been lnstalled. Rough Plumbing - prlor to cover. 4^ the rules by 9s2-001 rules ATTEfrr in OAR --OO9C you tl E tl PL.HSE GAR ACC N S E Lot hces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lntelror - Corner .- Panhandle i' - Cul-de-sac -IISTORICAL OISTFTICT, OR ON TIJE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgned arrd approved by the Hlstorlcal Coordinator prlor to permlt lssuance. ,S THE PROPOSED WORK TN THE APPROVED: BUILDING VALUE, PTRITI CHECK AND BUILDING PERMIT This pernrit is granted on the cxpress condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfleld, includlng the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions ol said ordinances. Receipt Number:- Plans Reviewed By Date Plan Check Fee: Date Paid: Received By VALUE (A) Total Value Building Permil Fee State Surcharge Tolal Fee X S/SO. FT. BUILDING PERMIT ITEM SQ. FT. Main Garage Carport Systems Development Charge is due on all undeveloped properties within tlre City limits which are being lmproved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS aai,4tzITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) FT. FT, FT. PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all ln(ormatlon hereon is true and correct, and I lurther certlly that any and all work performed shall be done in accorrJance 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 pertnission of the Bulldlng Safety Divislon. I further certily that only contractors and enrployees who are In compliance with ORS 7O1.O55 wlll be used on thls proiect. I further agree to ensure that all requlred lnspections are requested at the proper tlme, that each address ls roadable from tlre street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln Slgnature Date on the site at all times durl ruc tlon. Wood Stove/ lnsert/ Flreplace Unit MISCELLANEOUS PERMITS Total Miscellaneous Perrnits (E) MECHANICAL PERMIT P/{ oJ (D) 7f /0 No ?.o Dryer Mobile Home State lssuance State Surcharge Sidewalk _.-- ft Curbcut -- ft Demolitlon Stale Surcharge Furnacc Exhaust l-loorl Vent Fan Mechanical Permlt lssuance State Surcharge Total Permit TOTAL AMOUNT DUE (excluding electrlcal) (A, B, g D, and E Comblned) VAI-IDATION: RECEIPT NUMBER DATE PAI[) AMOUNT RECEIVED l4z4o RECEIVED BY Lo, ,. a . . N. 225 TTFTE STREET SPRINGFTELD, oREGoBa INSPECf,fON REQUEST:- The tollowing project as submitted has the lollowing zonrng and does not reguire specific land use approval Zoning t/7b 7 477 zlt h.q, SPFIINGFIELO ENT'lON:rf,re cl t>,uJ*qb.{,tr,ht ELXCTRTCAI PERHIT A.PPLTCATTON , ??tt 1L,OFpICE: 126_3759 Authonzeo Signat 1. LOCATTON O INSTALIJ,TION k otification in OAB bnt hBELOIJ c: :ng unL t _6hc v 927 ,8Y tr calling the ceI,EGAI DESCRIPT numberforthe eenter JOB CRTPTION (tr Cos t s 8s.00 s 1s.00 $ 40.00 Sumis 'l -800-332 -29441. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereofPermits are non-transferabie and expireif vork is not started r,-irhin 190 daysof issuance or if vork is suspended ior 180 days. Each Hanuf'd Home. or -l{odular Dvelling Sertice or Feeder' 2. COiIIRACTOR INSTA.LI.ATTON ONLY Electricar contractor llHe0il uJ,;iBil i_jiyfeE Address Ci ty Ptrone .arh - lbSPTlCE: Supervis License Number Expiration Date' Constr ConIr. Number Expiration Dare - ob S ture of Supe ing Electrician l-yfui- Ovners liam Address €h-l:, ci tv_pr,onQ_Eglot9._ OgNEP. TNSTALI,ATION The installation is being macje onpropertl' i oun vhich is no t inten<iedior sale. lease or rent. ners Signature: DATE:.{, B. Services or FeedersInstallation, A1 teration,c or Relocation: 200 amps or less S 5O.OO 201 anps to 400 anps -401 amps to 600 amDs -oHAhh FxPt a E1 0001 ES6lRl-- s 50.00 s100.00 s130.00 s300.00s 40.00 THISPERMIT COMMENCED FOR _ ANYl g&AypggfCISy Services or FeedersInstallation, Alteration or Relocation 200 amps"or less S 4O.OO 201 anps to 400 anps - S 55.00. Over 401 to 600 amps S g0.OO Over 600 amps or 1000-Gf rs see uB, aEo-G- D. Branch Circuits Nev, Alteration or Extension per panel One Circuir I S 35.00 1q ao Eacir Aci<iirionai. r--\)- Circui t or vi th Serviceor Feeder pernit I S 2.oo qff E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0ut1ine Lighting- Linited Energy/Re Linited Energa/Comm s 40.00 s 40.00 s 20.00 s 36.00 5. SUBTOTAI OF ABOVE 5Z State Surcharge 3Z Adninistrativi Fee T0r.lt CAtL \a!S.t S-{r RBCEII/ED t-\3 TJ(tO Cn-aL+trr-l- I