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HomeMy WebLinkAboutPermit Mechanical 1996-07-16LOT BLOCK: I\lGFI Kl B P TAX LOT: SUBDIVISION JOB NUMBER ASSESSOBS MAP: LOCATION OF ESIDENTIAL EBMIT APPLICATION lnspectlons: 726.3769 Offlce: 726.3759 225 Flfth Streot Sprlngfleld, Oregon 9Z 4ZT OWNER: ADDRESS: CITY: PHONE: STATE:ZlPi NEW-- REMODEL ADDITION DEMoLISH OTHER DESCBIBE WOFK: \hrsl^A,l,tb I t0( ADDRESS EXPIRES PHONE CONTRACTOR'S NAME ELECTBICAL: MECHANICAL: PLUMBING: GENERAL: CONST. CONTRACTOB # - OFFICE USE - LAND USE: , OT UNITS: .-- I OF BDRMS: QUAD AREA: r OF BLDGS: OCCY GROUPT r OF STOBIES:SECONDARY HEAT: SOUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE; FLOOD PLAIN: ZONING CODE: WATER HEATEB:RANGE: To reques made the t an lnspectlon, you must call 726'3769. Thls ls a 24 hour recordlng. All lnspdcilons requested before 7;00 a.m. wlll besame worklng day, lnspectlons requested after 7:00 a.m. wlll be made the lollowlng work day. REOUIRED INSPECTIONS n femporary Etecrrlc l-l Slte lnapectlon - To bo madou after excavatlon, but prlor tosettlng lgrms. /l-l Undero!ab Plumblng/ Electrlcal/H Mechanlcal - Prlor to cover. l-l Footlng - After trenches are|J excavaied. tl n E tI E E E Maaonry - Stoel locatlon , bond beanls, groullng. Foundallon - Altdr lorma are erected but prlor to concrete placement. Underground Plumblng - Prlor to fllllng tiench. Underlloor Plumblng I Mechanlcal - Prlor to lnsulatlon or decklng. Poet and Beam - Prlor lo floor lnsulallon or decklng, Floor lneulallon - Prlor lo decklng, Sanltary Sewer - Prlor lo fllllng trench. - Prlor to l-l Rough Electrlcal - prlor roIJ cover. Eleclrlcat Servlce - Must tre approved to obtaln permanent olectrlcal power. Sldewalk & Drlveway - After excavatlon ls comploto, lorms and sub.base malerlal ln place. l--l Fence - When completed. Street Trees - When all requlred trees aro planled. [l Flreplace - Prtor to faclng - matertals and lramlng lnsp. l-l Framlng - Prlor to cover. n waltrcbtttns tnsJtatton - Frtor to|J cover. l--l Drywall - Prlor to taptng. [--l Wooa Stove - Afror tnsrailatlon. l-l lnsert - Alter flreplace approvalH and lnstallatlon of unlt. l-] Curbcul & Approaclr - After|J forms aro orecled but prlor to placoment of concrete. tl Flnal Electrlcal - \Allten all electrlcal work ls complele.s Flnal Mechanlcal - When all mechanlcal work ls complete. Flnal Bulldlng - Whon all requlred lnspectlons have been approved and bulldlng ls completed. [f other MOBILE HOME INSPECTIONS ErusJf,iqw,Flnal Ptumblng - Whon allplumblng work ls cornplel€. l-l Blocklng and Ser.Up - Whep ail 'J blocklng ls complele. E Plumblng Connectlong - When homo l-ras been connected to water and sewer. Electrlcal Connecllon - When blocklng, sel.up, and plurpblng lnspoctlons havo been approved anrl the homs ls conneoled to the servlce panel. Flnal - Afler all requlred lnspectlons are approved and porchos, sklrllng, decks, and ventlng have been lnslalled, n Slorm Sewsr - Prlor to lllllng 'J lrench. I-l Water Llne - Prlor to lllllngH lrench, [-] Fough Plumbtng - Prlor to|J cover. tl E I\|,i lttt Lot lacee Lot sq. ftg. Lol coverago Topography Total [elght Lol Typo - lnterlor - Corner - Panhandle - Cul-de.sac IS THE PBOPOSED WORK IN THE. . - HrsToBtcAL otsTRtcr, oR oN,.THE HISTORICAL REGISTER? lf yes, thls appllcatlon muet be slgned and approved by the Hlstorlcal Coordlnator prlor to permlt lssuancE, APPROVEDI VALUE (A) x $/so. FT. tv.,laln Carporl Galage Total Value Bulldlng Permlt Fee State Surcharge Total Fee BUILDING PERMIT ITEM SO. FT. BUILD|NG VALUE, PLAN CHECK AND BUILDING PERMIT Thls permlt ls granted on the €xpress condltlon that the sald constructlon shall, ln all respects, conform to the Ordlnance adopted by the Clty of Sprlngfleld, tnctudlng the Development Code, regulatlng the constructlon and use ol bulldlngs, and mey be suspended or revoked at any tlme upon vlolatlon ol any provlslons ol sald ordlnances. Plans Rovlewed By Date Plan Gheck Fee: Recelved By: Date Pald: Becelpt Nu SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developmont Charge ls due on all undeveloped propertles wlthln tho Clty llmlts which are belng lmproved. ITEM Flxturest Flesldentlai Bath(s) Sanltary Sbwer Water Storm Sewer Moblle Home FEE No FT. FT. (c) PLUMBING PERMIT Plumblng Permlt State. Surcharge Tolal Charge ADDITIONAL COMMENTS MECHANICAL PERMIT I Furnace Exhaust Hood Vent Fan No Wood Stove/ lnsert/Flreplace Unlt Dryer Vent Mechanlcal Permll lssuahcei srare.surcharse +&O Total Permlt (D) By slgnature, I state and agroe, that I have caretully examlned the completed appllcatlon and do hereby cerilly that all lnformatlon hereon ls true and correct, and I turther certlly that any and all work performed shail be done ln accordance wlth the Ordlnances of tho Clty of Sprlngfleld, and the Lawsof the State ol Orogon perlalnlng to tho work descrlbed heroln, and that NO OCCUPANCy wlll be made ol any struclure wlthout permlsslon ot the Bulldlng Safety Dlvlslon.I further certlfy that only contractors and employees who are ln compllance wlth ORS 7O1.OSS wlll be used on lhlsprolect. I furthor agree to ensure that all requlred lnspecilons are requested at the proper ilme, that each address ls readable from the street, that the pormlt card ls located at lhe frontof the property, and the approved set ol plans wlll remaln Date ng Slgnature on the slte at all ilm structlon. MISCELLANEOUS PERMITS Mobllo Home Stato lssuance Slate Surcharge Sldewalk - ft Curbcul _- ft Demolltlon Slate Surcharge Tolal Mlscollanoous Pornrlts (E) TOTAL AMOUNT DUE (excludtng etectrtc (A, B, C, Q and E Comblned) RECEIPT NU DATE PAID AMOUNT RECE RECEIVED BY P.L.HSE GAR ACC N S W E a FT, VALIDATION: CITY OF OBEGO'U SPrlIttlcFIELE, The foffowin as eubmittad haszoning, and S projoct does not L ETE TRICAL PERHIT APP q '4.v City Job Nunber BELOg require s1>ecific Nev Residential-Single or Multi-Famity Per dvelling unit. Service Included: I tems Cos t OFFICE: 726-3159 Auiirorized Signat ure 1. LOCATION INSTALLATION JOB DESCRIPTION Permits are non-transferable and expire if work ls not started vithin 180 days of issuance or if vork is suspended for 180 days ' 2. CONTRACTOR INSTALI.A'TION ONLY Electrical. Contractor $on i trol Secur i ty Address P . O Box 21 009 Ci ty Eu Phone 461 -5678 Supervisor License Number /687 Rgf Expiration Date -t-gb Constr Co ntr. Number 65 1 49 approval. 225 FIYTE STREET SPRINGFIELD, OREGON 97477 INSPECTI0N REOUESTz 726-3769 '1' B A c D 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder Services or Feeders Installation, Al-terations or Refocation: 200 amps or l-ess 201 amps to 400 amPs -401 amps to 600 amps - 60L amps to 1000 amPs- Over 1000 amPs/vo1ts Reconnect 0n1y 200 amps or less 201, amps to 4OO amps -Over 401 to 600 amPs Over 600 amps or 1000 voTTs One Ci rcui t Each Additional Circuit or vith Service or Feeder Permi t Temporary Services or Feeders Insiallation, Alteration or Relocation $ 8s.00 s 1s.00 s 40.00 $300.00s 40.00 Sum 6ove @ Expiration Date Signature of Su 6-28-96 0.00 s.00 0.00ilBlr a $ s0.00 s 60.00 s100.00 s13o.o0 $4ss$e seesing Electrician Ovners Nane Address So*e ci ty Phone 7 +7- 787 / OIINER INSTALT,ATION The installation is being made on property I ovn vhich is not intended for saIe. lease or rent. Branch Circuits Nev, Alteration or Extension Per Panel $ 3s.00 $ 2.00 $ 40.00 $ 40.00 s 20.00 s 36.00 E. MiscelLaneous (Service/feeder not included) -Each instaflation Pump or irrigation Sign/OutIine Lightir Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 2DD 5Z State Surcharge I ao 32 Administrative Fee bo€ Orrners Signa ture: TOTAL 2/. \_ ene DATE: RECEIVED