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HomeMy WebLinkAboutPermit Mechanical 1999-10-27t RESI DENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: SPRINGFIELD ?1rqroJOB NUMBER 225 Fifth Street Sprlngfleld, Oregon 97477 KcA/<n./ ASSESSOBS MAP:bZ 0/r'{L TAX LOI 0tt LOr BLOCK:SUBDIVISION: rrl I 7rr1-/e zzsPHONE: 3s.zg ZIP:)---STATE:?7' 'R,'* CITY: ADDRESS: OWNER; NEW- FIEMODEL ADDITION DEMOLISH OTHER uDESCRIBE WORK: GENERAL: _ PLUMBING: ELECTBICAL: a( DSr-.-/L ADDRESS EXPIRES ,f PHONECONTRACTOR'S NAME MECHANICAL: CONST. CONTRACTOB # ,{ oF uN rrs: ffi DER n4BfpEnf\fr?RffiloT_ @NSTR. rvre: COMMENCEnORISABAf\SDHEBIFOB- ..,^^!inn OCCY GROUP: ,,.LAND usE'- THtsFERMITSFIALLEXFffiPf\A tN:^-^ -WUHK WATER H RIES: EATER: # OF STO SQUARE- FOOTAGE: OUAO AREA: r OF BLDGS: - oFFrcENffrTcgt HEAr souRcEr ANYIS0DAYPERIOD. sEcoNDARy HEAr:,.', To request an lnspectlon, you must call 726-3769. Thls ls a24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be made-tho:Sen1g wqrklnO day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day. REOUIRED INSPECTIONS Temporary Electrlc E E tr Slte lnspectlon - To be mado after excavatlon, but prlor to setting forms. Underslab Plumblngl Electrical / Mechanlcal - Prlor to cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are erected but prlor to concrete placement. Underlloor Plum$lng I Mechanlcal - Prlor to lnsulatlon or decklng. Post and Beam - Prlor to floor lnsulatlon or decklng, Floor lnsulatlon - Prlor to decklng. Sanltary Sewer - Prior to fllllng trench. Storm Sewer - Prior to fllllng trench. Water Llne - Prlor to filling trench. Rough Plumblng - Prlor to cover. l-l Rough Electrical - Prior toI-J cover. l_l Framlng - Prior to cover. l-l WatttCelllng lnsutatlon - Prlor tou cover. Rough Mechanlcal - Prlor to cover. Electrlcal Servlce - Must be approved to obtal olectrlcal power. n permanent Flreplaco - Prlor to faclng materlals and framlng lnsp. Drywall - Prlor to taplng Wood Stovo - After lnstallatlon lnsert - After flreplace approval and lnstallatlon of unlt. Curbcut & AJrproaclr - After forms are erected but prior to placomont of concrete. Sidewalk & Drlveway - After excavation ls complete, forms and sub-base materlal ln place. Fence - When coinpleted. l--l Flnal PlumbinglJ plumblng worl<- When all ls complete. Electrlcal - When all cal work ls complete. Mechanlcal - When all nlcal work ls complete. Buildlng - When all requlred lnspectlons have been approved and bullding is completed. Other MOBILE HOME INSPECTIONS Blocklng and Set.Up - When all blocklng ls complete. Plumblng Connectlons - When home has been connected to water and sewer. Eleclrlcal Conneclion - When blocklng, set-up, and plumbing lnspectlons have been approved and the home ls connected to the servlce panel. Flnal - After all required lnspectlons are approved and porchos, sklrtlng, decks, and ventlng have been lnstalled. l--| Underground Plupblng - Prlor|J to fllllng trench. tl .$troet Trees - When all roqulred trees are planted. F .,iras BANGE: E fl E E tl E E .t Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - - tnterior - Corner -- Panhandle I: - Cul-de-sac IS THE N THE. HISTOBICAL D OR ON THE HISTORICAL REGISTER? - It yes, thls appllcatlon must be slgned and approved by the Historlcal Coordlnator prlOr to permit issuance. ED: P.L.HSE GAR ACC N E lry__ FT. (A) rdlrr t Total Value Building Permit Fee State Surcharge Total Fee iIm X $/SQ. FT. = VALUE BUILDING PER ITEM SO. Main Garage Carport BUILDIN:G tAIrf,e, Fmru cHEcK AND BUILDING PERMIT Thls permit is granted on the cxpress condition that the said construction shall, ln 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 Revlewed By Date Fleceived By: Plan Check Fee: Date Paid: Receipt Nu SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge ls due on all undeveloped properties wlthln the City llmlts which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) Nc PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge - FT. ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit tf .,, 26"{o t €n (D) N0 't? Vent Fan ().J0 Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned the completed appllcatlon and db hereby certlfy that all lnformatlon hereon ls true and correct, and I f urther cerilfy that any and all work performed shall be done in accordance wlth the Ordinances of the Clty of Sprlngfield, and the Laws of the 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 Divislon. I further certlfy that only contractors and employees who are In compllance with ORS 7O1.OS5 wlll be used on thls prolect. I further agree to ensure that all requlred lnspections are requested at the proper tlme, that each address ls readable from the street, that the permlt card ls located at the tront of the property, and the approved set of plans will remaln ru Slgnature Date on the slte at all tlmes MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolitlon State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (exctudtng electrtcat) (4, B, C, Q and E Comblned) 0 (o c DATE PAID RECEIVED BY VALIDATION: RECEIPT NUMBER AMOUNT RECEIVEO s rI__ FT. 225 IIFTE STREEI$eidifi r^0,' onseUl[' " g?f, 7Ys n""'" INSPECTTON REQTEST: 726-3769 OFPICE: 726-3759 'fhe tollowing Prolect AS zontng, and does not require sPecific land use approval Lr) Zoning Uate ?A EI,ECBICAI PERI{IT APPLTCATIO}' Citl' Job Nunber Q?rcra 3. COH}L'TE FgE SCEEDUIJ BELOV Neu i:sitie:iial.-S:.ngie c: Hui:: -Fam: -;; Per oue!-!-lng un: : Se:'i'::e in:iudeC: I iens sPat lELo 100i sc.. f :. or Ies*= Eaci a<idi t: onal 50[: sc. :r o; pcrricr thb:eof Each lianuf i Home- or Ho<iu-ar Dvelling ggsr'rce or Feeder Serrices or Feeders Instailation, Alterations or Reiocation: 1. :..OCATION OF .r: i6i^ll3!1y'a i - L',rr 1-i.utiL DiSCRIPTI642 OI\ I B D Lus. s 85.00 s 40.00 c,,- JOB DESCRIPTIOX Permris are non-t if vork is not st ransferabre and exPire arted viti:in 190 daYs L), of ittu"nc€ or if r.'o:il' is suspended for 180 ca1's. 2. COI{TRACTOR INSTALI,AITON ONLY Electrical Contracto L.[iIftIC SERYICT Address A.'. ur Lj/ Supervis License Number s Expiration Date lO - |-o Const: Cont::. Number htCO ( Expirarion cate a-tt - 6 Siggature of Supervising Electrician QEo. THISPERMIT REIFTHEWORK A 200 amps or less 201 amis to 400 anPs -401 amps to 600 aEPs - 601 anis to 1000 amPs- over ib00 amps/vo1ts -Reconnect OniY Tenpo:arY Services or Feeders tnsiallaiion. Alteration or Relocarion 200 amos"or less S 40'0C over 4b1 to 600 anPs - S 80'oo Over 500 amPs or lO0OEis see uBn above tsranci. Circui ts iies, iLtera:lon or Extension Per Paael oneC::cuit I S -?5'C.-ff iach ;titii tional Circu: t or ui th Service or leeder Permit s 2.0c !'1i.sce-ianeous ( Service/:eeder not :ncludecl ) -9ach lnstall-ation ?unp c: irriSation - Sign/0u tline Ligi: ting- Liuited EnergY/Res - Linited EnergY/Comm s 50.00 s 50.00 s100.00 s130.00 s300.00 s 40.00 C :) T9gMMENCEDORTS ANY 180 DAY PEBIOD. OINEP. INSIALI.ATION The installat:on is being maoe on piop.trl'r oun vhich i-< not intended io; sale. lease or reni' ners Signature: DAIE: lt SIETOTAL OF ABOVE )V State Surcharge 3I Adninistrative Fee,ry s 40. s 40. s 20. s 36. OC OC OC 00 RBCETVED tt 7? 5 OO