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HomeMy WebLinkAboutPermit Mechanical 1999-06-04SPrlINGFIELE, RES!DENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOS ASSESSORS MAP: LOI q?6 q efr, 225 Fif th Street Sprlng(leld, Ore[on 97477 TAX LOT SUBDIVISION:BLOCK: PIlONE: 7).t u<) STATE:( -./r <_ Zr ztp: 7>t:77CITY: ADDRESS: OWNER: ?tq K,n.ho,.t NEW - REMODEL ADDITION DEMOLISH OTHER D7r*or//nn,aDESCRIBE WORK ADDBESS ?4 4c*-z/1/ ELECTRICAL: MECHANICAL:,/lrn, 2nAt-lr/?2 EXPIRES 1 PHONECONTRACTOR'S NAME PLUMBING: GENERAL: CONST, CONTFIACTOR # QUAD AREA:LAND USE: NOTTCE:* OF BLDGS: OCCY GROUP: * OF STORIES: wArER H EATEB'ANY+80 DAY PEBI-OD.RANGF-: _ OFFICE USE _ To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour rccordlng. All lnspectlons requested before 7:00 a.m. wlll bemade the safire worklng day, lnspections requested af ter 7:oO a.m. wlll be macle the followlng work day. REOUIRED INSPECTIONS Temporary Eleclrlc Rough Mechanlcal - Prior to cover. Flnal lrlunrblng - When all mblng worl( ls complete. Slte lnspecllon - To lre made after excavatlon, but prior to setting forms. Rough Electrical - Prior to Eleclrlcal - When allcover.lectrlcal work.ls complete. Underslab Plumblngl Electrical / Mechanlcal - Prlor to cover.Electrical Servlce - Must be approved to <lbtalrr permanent electrlcal power. Final Mechanical - When all lcal work ls complele. Foollng - After trenches are excavated.Flreptace - Prlor to faclng materlals and framlng lnsp. I Buildlng - Vlihen ail uired lnspectlons have been Masonry - Steel locatlon, boncl beams, groutlng. approved and bullding is completed. Framlng - Prior to cover. Foundallon - After forms are erected but prlor to concrete placement. Other Wall/Celling lnsulatlon - Prlor to cover. Underground Plumblng - prior to fllllng trench.Drywall - Prlor to taplng. Underlloor Plumblng / Mechanlcal - Prior to lnsulatlon or decklng. IVIOBILE HOME INSPECTIONS I-l Wood Stove - After lnstailarton Post and Beam - Prlor to floor lnsulatlon or decklng.lnserl - After flreplace approvgl and lnstallatlon ol unlt. [-_l elocking and Ser.Up - When ail - blockln0 ls cornplete. Floor lnsulalion - Prior to decklng.Curbcul & Alrfrroach - After forms are ert:cted bUt prior toplacemcnt of concrete. Plumbing Connectlons - When Jrome has been connected to water and sewer. Sanllary Sewer - Prlor to fllllng trench. Slonn Sewer - PIior to fllllng trench. Sidewalk & Driveway - Alter excav:rtion ls complete, [orrns and sub.base material in place. Electrlcal Conneclion - Whenblocklng, sel-up, and plumbing lnspections have been approved and the home is connected tothe servlce panel. Waler Llne - Prlor to filling trench. Fence - Wtren cciitplete<j Slreel Trees - When all rcqulred trees are planted. Flnal - After all required lnspectlons are approved andporches, sklrting, decks, and ventlng have been lnstalled. Rough Plumbing - Prlor to cover. .,OB NUMBER S.onr< 4-/4- 7az- Zz+tr E E E E E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lntertdr -- Corner -- Panhandle i' - Cul-de-sac Setbacks P.L.}]SE GAR ACC N S E IS THE PROPOSED WORK iN THE. ,r-IISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - It yes, thls appllcatlon must be slgned arrd approved by the H lstorlcal Coordlnator prlor to permlt lssuance. APPROVED: BUILDING PERMIT ITEM SO. FT. ,t x $/so. FT.VALUE Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fec (A) BUTLDING VALUE, i5LRru CHECK AN D BUILDING PERMIT This pernrit is granted on the express conditlon that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Dovelopment 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. Plan Check Fee Date Paid Receipt Number:- Received By: Plans Fleviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tl-re City lirnits which are being improved. PLUMBING PERMIT ITEM Flxtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE N. FT. FT. FT. Plumblng Permlt State Surcharoe Total Charge ((.) ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rnace Exhaust l{oorj Vent Fan No Wood Stove/ lnsert/Flreplace Unit Dryer Vent Mechanical Permit lssuance State Surcharge Total Permit 15.oo /0'oo 4r, ?f z(.za(D) By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformatlon hereon is true and correct, and I further 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 herein, and that NO OCCUPANCY wlll be made of any structure wlthout perrnission of the Bulldlrrg Safety Divislon. I further certily lhat only contractors and employees who are In compliance wlth OBS 701.055 wlll be used on thls proiect. I further agree lo ensure that all requlred lnspections are requested at the proper tlme, that each address ls readable from tlre street, that the permlt card ls located at the front of the property, and the approved set of plans wlll remaln on the slte at all ti Slgnature Date MISCELLANEOUS PERMITS Mobile Home State lssuance state surcharge Sldewalk .- ft Curbcut --_ ft Demolitlon State Surcharge Total Miscellaneous Perlnits (E) VAI-IDATION 03{33RECEIPT NUMBER DATE PAII-) AMOUNT RECEIVED RECEIVED BY TOTAL AMOUNT DUE (excluding electrlcal) (A, B, C, D, and E Comblned) SPlr.}\ iFtELg li,";:':#l%::,1""":it,11ffi:ff;the ,and use ge PERHTT APPLICATTON225 FTFTE STREET SPRINGFIEI^D, OREGON INSPECTTON REQUEST: oFPrCf,:'' " 726-3759 Zoning Date 9 7 fytf orize d Signature 726-37 69 Job Nunber 7[f 1. L0 OF INSTAILATION 3. COI{PLETE FEE SCEEDULE BELOS A New Resiciential-Singre o: MuI t i-Fam: iy per riveJ.i:ng uni t . Service included:DESCRTPTIOIil7jtrU Ot>oo E: 1000 sq.ft. or less Each addirional 500sq. ft or portionPermits are non-transferableif vork is not starred withinof issuance or if voril is sus 180 days. z. cor,rrRAcr,R rNsrAr,r.a,,,N ,NLfNY18ODAY BFR'9&"ices or Feeders ?ahe Cos t s 8s.00 Sum Ci ty Consrr Contr. Expiratj.on Da Number =S ?oo t sHAb{ SUBTOTAT OF ASOVE5f State Surcharge 3Z AduinistrativE Feeur;lt Installation, Alterations or Relocation: Circuit or vith Serviceor Fee<ier pernit s 15.00 s 40.00 .00 00uB' a6ffi- PaneL oo 3sl9 s 2.00 a1{ldMERMrrr ,rffiffizso. COMMENCED Erectricaf contrac.o. k** uEfirru[ slii;ui Addres-c Po A-r rrone 3.*l-f67 200 amps or less 201 arnps to 400 anps -401 amps to 600 amps -501 aops to 1000 amps- over 1000 anps/volts -Reconnect 0n1y Temporary Services or FeedersInstallation, Alteration or Relocation Superviso License Number /.14 2t.S Expi ra t i on Da te [tg -/-o s 50.00 s 50.00 s100.00 s130.00 s300.00 s 40.00I C. te Si ture of Su Ltrufl^a-, Ovners liame Address Ci ty e, DATE: 6 Pump or irrigation s _siqzou tline Ligh ting- aLinited Energy./ies e- I OSNEN. INSTALIATION The installation is being marje onpropert-\.i ovn vhich i-. not inten<iedfor sa1e. lease or rent. ners Signature: Hiscellaneous (Service/feeder not included)-Each installation 40. 00 40.00 20. 00 36.00 RECETT/ED 5 t <'c\)aE-__ -+ar-T-_ less s 40.00 I D{L -h ^, .:, Pno,"1616 -&9{cl Each Addi tional One Circui t (