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Home My WebLink AboutPermit Mechanical 1994-09-29B P ESIDENTIAL ERMIT APPLICATION lnspectlons: 726.9269 Offlce: 728.3759 SPRTr\l GFIELD t., JoB NUMBE ^ %/e - 225 Flfth Street Sprlngflef d, Oregon gl4ZZ LOCATION OF PROPOSED WORK: ASSESSORS MAP:TAX LOT: SUBDIVISION:_ - OWNER: ADDRESS: CITY: PHONE: STATE:ZIP: ?1 -?743 .4?)4'. NEW- REMODEL ADDITION oEMoLtSH oTHEB DESCRIBE WORK: ADDHESS EXPIRES PHONE ELECTRICAL: CONTRACTOR'S NAME GENERAL: MECHANlCAL: PLUMBING: CONST. CONTRACTOR # - OFFTCE USE - ,I OF BDRMS: ZONING CODE: RANGE: QUAD AREA: r OF BLDGS: FLOOD PLAIN:LAND USE: WATER HEATER: OCGY GROUP: r OF STORIES:SECONDARY HEAT: SQUARE FOOTAGE: CONSTH. TYPE: HEAT SOURCE: , OF UNITS: - To request an lnspectlon, you made the same worklng day, must call 726'3769. Thls le a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll belnspectlons requested after 7:00 a.m. wlll be made the followlng work day. REOUIRED INSPECTIONStl E tl Temporary Electrlc Rough Mechanlcal - prlor to cover.I--l Flnat ptumblng - When alttJ plumblng work ls complete. Slte lnspectlon - To be made after excavatlon, but prlor to settlnO forms. Jl Rough Electrlcal - prtor tot-J cover.Flnal Electrlcal - \Mren allelectrlcal work ls complete.s Underslab Plumblng/ Electrlcal /Mechanlcal - Prlor to cover. I I Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. w Flnal Mechanlcal - When allmechanlcal work ls complete. ll Foottng - After tJenches areH excavated. I_l Magonry - Steet locatlon, bondu beams, groutlng. tl Flreplace - Prlor to faclng materlals ancl framlng lnsp. Flnal Bulldlng - When ailrequlred lnspectlons have beenapproved and bulldlng ls completed. Framlng - Prlor to cover. E Foundatlon - After forms are erected but prlor to concrete placement.WalllC'elllng i tnsr.llatlon - Frlor to cover. E Underground Plumblng - Prlor to fllllng trench.[-l Drywall - Prlor to taptng tl Underlloor Plumblng I Mechanlcal - Prlor to lnsulatlon or decklng.Wood Stovo - After l'hstallatlon. MOBILE HOME INSPECTIONStl Posl and Beam - Prlor to floor lnsulatlon or decklng,tl lnsert - After flreplace approval and lnstallatlon of unlt. Blocklng and Set.Up - Whel all blocklng ls complete, Floor lnsulatlon - Prlor to decklng.Curbcut & Approach - After forms are erected but prlor to placoment of concrete. Plumblng Connectlons - When home has been connected to water and sewer. Sanltary Sewer - Prlor to fllllng trench.Electrlcal Connectlon - When blocklng, set-up, and plurpblng lnspectlons have been approved and the home ls conneoted to the servlce panel. Slorm Sewer - Prlor to fllllng trench. [--l Sldewalk & Drlveway - After'J excavatlon ls completG, forms and sub.base materlal ln place. l-l Fence - When completed.t_JWater Llne - Prlor to fllllng t16nch. Rough Plumblng - Prlor to cover. Slrool Trees - When all requlred trees are planted.E * tl I-_l other tl il [-l Flnal - After all required.- lnspectlons are approved andporches, sklrtlng, decks, and ventlng have been lnstalled, Lot faces Lot sq, ftg. Lot coverage Topography Total [elght 'a 'r"- Lot Type - lnterlor - Corner - Panhandle - Cul-de-sac tbacks THE PROPOSED WORK TN THE rsroBlcAL DlsTBtc-r, oR oN THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgned and approved by the Hlstorlcal Coordlnator prlor to permlt lssuance, APPROVED: P.L.HSE GAR ACC N S E VALUE ,- (A) X $/SO. FT. N.4ain Carport Gaqage Total Value. Bulldlng Permit Feo State Surcharge Total Fee BUILDING PERMIT ITEM SO. FT. BUILDING VALUE, PLAN CHECK AND BUILDING PERMTT Thls permit ls granted on the express condltlon that the said constructlon shall, ln all respects, conform to the Ordlnance adopted by the City of Sprlngfield, lncludlng the Development Code, regulatlng the constructlon and use of bulldlngs, and may be suspended or revoked at any tlme upon vlolatlon of any provlslons of sald ordlnances. Plans Revlewed By Date Recelpt Numbe Plan Gheck Fee: Recelved By; SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge ls due on all undeveloped propertles wlthln the Clty ilmlts wflich are belng lmproved. FEE (c) N0 FT, FT. PLUMBING PERMIT Plumblng Permlt State. Surcharge Total Charge ITEM Flxturest Residentlai Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home ADDITIONAL COMMENTS MECHANTCAL PERM_!fFurnacs +fr Exhaust Hood Wood Stove/ lnsert/ Fl replace Unit Dryer Vent ./Zr'/f (D) rB N0Vent Fan Mechanical Permlt lssuahce State:Surcharge Total Permit By slgnature, I state and agree, that I have carefully examlned the completed appllcatlon and do hereby certlfy that all lnformatlon hereon rs true and correct, and r f urther certrfy that any and all work performed shall be done ln accordance wlth the Ordlnances of the Clty of Sprlngfleld, and the Lawsof tho State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCy wlll be made of any structure wlthout permission of the Bulldlng Safety Dlvislon.I further certlfy that only contractors and employees who are In compllance with OBS 7Ol.O55 wlll be used on thlsproJect. I further agree to ensuro that all requlred lnspectlons are requested at the proper ilme, that each address ls readable from tho street, that the permlt oard ls located at the frontof the property, and the approved set of plans wlll remaln on the site at all times durl ng constructl Slgnature Date MISCELLANEOUS PERMITS Mobllo Home State lssuance State Surcharge Sldewalk _ ft Curbcut _ ft Demolltlon State Surcharge Total Mlscellaneous permits (E) TOTAL AMOUNf DUE (excludtng etectrtcat) (A, B, C, Q and E Comblned) ?r4DATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: BECEIPT NUMBER Date Pald: FT- @; ?rz,z-, 06 7. SP'IIIt.GFIELD 225 FIFTE STREET SPRTNGFIELD, OREGON 97477 trpproval. TNSPECTION REQIJESTz 726-3769 DD,2--**,- city Job nura". ?*P> T?re lo[l6u': ,t r ". iA"i *i! 1, rr. '-, ;1: i4 y5 the lunlng,9r.i : .,.iril i'\..lir,. "ptCiflE PERHIT APPLICATION FEE SCEEDUI.E BELOS A. Nev Resi ential-Single or Multi-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less S 85.00 each additional 500 sq. ft or portion thereof S 15.00 Each Manuf'd Home or -Hodular Dvelling Service or Feeder S 40.00 B Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/volts Reconnect 0n1y c.Temporary Services or Feeders Installation, Alteration or Relocation OFFICE: 726-3759 1. LOCATI INSTALLATIffihori.rsel u"-L.24.q7.3 3r ON, qF?tS,Q,-?t - -*- I.EGAI DESCRIPTION DESCRI Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspen-ded for 180 days. 2. COMRACTOR INSTALI.A,TTON ONLY Etectrical contractor0REG0N EffiCfRlt SIRYICE Address Pcl A &A.\-) Ci ty one3cls /b8t Su'f ertiso icense Number /-gge5 Expiration Date Constr Contr. Number {\x.)l Expiration Date q Signat of Supervising Electrician Ovners Name 00- " ab6F D. Branch Circuits Nev, Alteration or Extension Per Panel onecircuit I S3s-O0!f,f Each Additional Circuit or vith Service or Feeder Permit _ $ 2.00 Miscellaneous (Service/feeder not included) 200 amps or less $ 201 amps to 400 amps - S Over 401 to 600 amps S Over 600 amps or 1000-J61-[s se -Each installation Pump or irrigation $ sign/0ut1ine Lightitg- $ l,irnited Energy/Res - $ Linited Energy/Comm S $ 50.00 s 60.00 s100.00 s130. 00 s300.00 s 40.00 0040 55.0 80.0 re rrB Address Ci ty Phone ^rz4/67 OIINER INSTALI.ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: E 5 40.00 40.00 20.00 36.00 DATE: SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL ^- aH- r?5 1aS RECEIVED -\re--r \Qq 9ta Qto