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Home My WebLink AboutPermit Mechanical 1999-04-29HESIDENTIAL PERMIT APPLICATION lnspectlons: 72647A9 Office: 726.3759 LOCATION OF PROPOSED FIK: ASSESSORS MAP:7o WOt,t .,U LOT ?1rss t 3 7' BLOCK: .JOB NUIvIBER 225 Fif ttr Street Spri rrgfir:lrJ, Oregon 97477 TAX LOT: 0/ zf SUBDIVISION (aco Pl-JOl"l E: - STATE ztP: {Yla 12"S*4 c< ?74 r q 747 I f L),EtJ tfrtn OWNER: ADDRESS: CITY: DESCFIIBE WORK: ctl I ADDT.]ESS EXPIRES 4, PHONECONTBACTOR'S NAME MECHANICAL: ELECTRICAL: CONST. CONTRACTOR ,f GENERAL: PLUMBING WATER HEATER: _ OFFICE USE,- # OF BDRMS: LAND USE: # OF UNITS SECOT\IDAFIY HEAT SOUAR[: FOOTAGE: OCCY GROUP: s OF STORIEST OUAD AREA: I OF BLDGS: To request an lnspectlon, you 69. All lnspections re(luested before 7:00 a.m. wlll bemade the same worklng day, lns tlffRtgwotmUdbmaoe the followins work dav. IONS l--| Temporary Electric flJRough Mechanlcat - Prtor to 'J cover. : Final l,lumbing - When allplunltring worl( ls complete. Site lnspectlon - To lre made after excavatlon, but prior to setting forms. Rough Electrical - Prlor to Final Electrical - When all electrical work is complete.cover Underslab Plumblng/ Electrical / Mechanlcal - Prior to cover.Electrical Service - Must'be approved to obtain permanent electrlcal power. al Mechanlcal - When all rneclranical work ls complete. Footlng - After trenches are excavated.Fireplace - Prlor to faclng materlals and framing lnsp. Final Buildlng - When all required lnspectlons have been approved and building is corn pleted.Masonry - Steel locatlon, bond beams, grouting.Framing - Prior to cdver. E Foundatlon - After forms are erected but prlor to concrete placement. Other Wall/Ceiling lnsulatlon - Prlor to cover. Underground Plumbing - Prior to fllllng trench.[--l Drywall - Prtor to raptng. Underlloor Plumblng/ Mechanical - Prior to lnsulatlon or decking. MOBILE I.IOME INSPECTIONS Wood Slove - After lnstallation. Post and Beam - Prior to floor lnsulatlon or decking.lnserl - After flreplace approval and installation of unlt. Blocking and Set.Up - When all blr:c|<ing is complete. Floor lnsulation - Prior to decking.Ctrrbcut & AJrproach - After forms are erected brit prlor to placemcnt of concrete.. Plunrbing Connections - When |rornr: has been connected to water and sewer. Sanitary Sewer - Prior to f illing trench. Storrn Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete;.forms an(l sub.base material ln placc. Eleclrical Connection - When block,ing, set-up, and plumbing inspections have been approved and tlle home is connected tothe scrvice panel. Water Llne - Prlor ro filling trench. Fence - When cct'rrpleted. Street Trees - When all. tequired trces are planted. Final - After all required inspections are approved andporches, sklrting, decks, andventing have been lnstalled. Rough Plumbing - Prior to cover. / n a4-6/0{ ZONING CODE: -. FLOOD I)LAIN: r fl t_l tl tl il Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type _ , -- ln terior . . Corner _- Panhandle - Cul-de-sac Selbacks Ilst:ACC rS-THE PROPOSED WORK TN THE . FI ISTORICAL DISTRICT, OR ON TIIE TJISIORICAL REGISTER? - lf yes, this appllcatlon must be slgned arrd approved by the Historlcal Coordinalor prior to permit issuance. APPROVED: P,L.GAR S W E BUILDING PERMIT VALUE (A) SO. FT. X $/SO. FT.ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee BUILDING VALUE, PLAN CHECK AND tsUILDING PERMIT This pcrrrit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Devclopment 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. Plans RcviewecJ By Date Receipt Numbe Plan Check Fee: Date Paid Reccived By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped propcrties within thc City limits which are being improved. ITEM Fixtu res Flesidential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT FEE FT. N Fl. Fl'. (c) Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Uni t (D) / 4j Drye r.Vent 0t 7 No r{-at Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust l{oorj By sigrrature, I state and agree, that I have caref ully examinecl the conrpleted application and do hereby certlfy that all lnformation hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of thc State of Orcgon perlainlng to the work described herein, and that NO OCCUPANCY will be made of any structure without perrnission of the Buildirrg Satety Division. I furthcr certify that only contractors and employees who are in cornpliance with ORS 701.055 will be used on this proiec t. I f urther agree to ensure that all required inspections are requeste d at the proper time, that each address is readable f ronr thc street, that the permlt card ls located at the front of the property, and the approved set of plans will remain on the site at all times during constructlon. Date '/- a z-frSig natu re MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut _--- ft Demolition State Surcharge TOTAL AMOUNT DUE (exclutl ing electrical) (A, B, C, D, and E Cqmbincd) VAI-IDATION RECEIPT NUMBER DATE PAIi) AMOUNT RECEIVED 3sz3 ( RECEIVE D BY L) U N It---- I zC" Zd Total Miscellaneous Perrnits (E) CITY OF OREGON 225 FIFTE STREET i)ate 0FFICE: 726-3759 SPRTNGFTELD, OREGON 97477 ^. rNSpECf, r ON REQUE ST $ ury2$e!3$ grgt u re i'he tollowing proiect as submitted has the following zoning. and does not require specific land use upproval. Zoning SPF'-.GFIELO ELECTRICAL PERHIT APPLICATI Ci ty Job Number fla r? COHPTETE FEE SCEEDTILE BELOTI New Residential-Single or MuIti-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Modular Dvelling Service or Feeder $ 8s.00 $ 1s.00 s 40.00 1 Permits are non-transferable and expire if vork is not started vithin 180 days of issuanee or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI,ATION ONLY Elect rical contrac torC<tr5 E lect Y't Address 0 0 v lu?.,b Ci ty Phone '1'l l- 724 Supervisor License Number lUsts Expiration Date l0-o l-ol Cons tr contr. Number TIltLlL, Expiration Date l0-01 si of Supervising Electrician s Name rtat il4,1 /a/" Address 211 r UlcvAeyT Ci ty Phone ?'lL tt 77 OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. 0vners Signature: DATE: LOCATI27?ON OF INSTALLATIONf (//aPtuN T A LEGAL DESCRIPTION O 0tx JOB DESCRIPTION""i "2,";;;:i; b/r tu a t a o,l/,J Sum Br' iL$tuUlceeugori Egedqfifiie** 1uU i; , f oi towru&rddo+rdo by rna fsEg$nQ*f; ity fl,l otif ication@qe g q+$Sb ru les ar e set f or"tl., in OAR 952-001-0010 h oAH 952-001", 0090 cal num Reconnect 0n1Y c. $ s0.00 s 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders InstalLation, Alteration or Relocation 200 amps''or less 201 amps to 400 amps -Over 401 to 600 amps 0ver 600 amps or 1000-voIT $ 40.00 s ss.00 $ 80.00 D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAI J $3s.oo ?f s see rrg* affi 2 00 ?-$t E. Miscellaneous (Service/feeder not included) -Each insta]lation Pump or irrigation $ sign/outline Lighting- $ Liilited Energy/Res - $ 40.00 40.00 20.00 36.00 5 7oo RECEIVED