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HomeMy WebLinkAboutPermit Mechanical 1995-07-27BK: BLOCK: 7 S/ZS 7 PRINGFIELO LOT: JOB NUMBER LOCATION OF PROPOSED ASSESSOBS MAP: RESID ENTIAL PERMIT APPLICATION lnspections: 720.3709 Offlce: 726.3759 TAX LOTI SUBDIVISION,:- % 225 Filtlr Street Springfleld, Oregon 97477 OWNER; ADDN CITY: PHONE: STATE:ZIP: NEW --*-. IIEMODE,L*----. ADDITION DEMOLISH DESCRIBE WORI( OTHER CONST. CONTRACTOR #ADDRESS EXPIRES PHONE CONTRACTOR'S NAME ELECTRICAL M EC HAN ICA L: G EN ERAL: PLU M B ING - OFFICE USE - LAND USE;QUAD AREA: e OF BLDGST SECONDABY HEAT: SQUARE FOOTAGE: r OF BORMS: _ OCCY GBOUP: C OF STORIES: ZONING CODE: FTOOD PLAIN: CONSTFI, TYPE: HEAT SOUBCE: '{ OF UNITS: _ WATER l-iEATER:_-.*BANGE: To request an inspectlon, you must call 726.3769. Thlmade the sante werl(ing day, lnspections requested l*l Ternporary Etecrric s ls a 24 hour recordrng' A, Inspectrons requestecJ berore 7100 a.maf ter 7:00 a,m, wlll bo macle the tollowlng work day. REQUIRED INSPECTIONS wlll be Slto lnspectlon - 'Io be rnadoafter excavation, but prior toSotting lorilrs. Underslab plumbing / Electrical /Mechanlcal - prioi to cover. Rough Mechanlcal - prior tocover, Rough Electrlcal - prior tocover. Electrlcal Servlce - Must beapproved to obtaln permanent olectrlcal power, Flreplace - prlor to faclngmaterlals and lramlng lnsI I*l Framlng - prlor to cover, Wall/Colllng lnsulatlon - prlor tocover, FInal Plumbing - Whon ailplumblng wgrk ls complete. l--l flnat Electrlcat - When ail - etectrlcal work ls complete, f(),frnd Mecharrtcat - When ail.* mechanlcal work ls complete. Foollng - Af ter trenches are exc avated. [*l fUasonry - Sreel tocatton, boncJ - beams, grouting, Foundallon - After forrls slserected but prior to concreteplacemen l, Undergrour.rd pluntbing - prior to filllng trench, Underlloor plumblng / Mcchanlcal - Prlor to lnsulatlon or decklng. Post and Bearry. - prior to floorinsulatlon or decklng. Floor lnsulation - prior to dec ki n g, Sanitary Sewer - prior to fllllngtrench. Storm Sewer - prior to filllng trench. Water Llne - prlor to fillinglrench, Rough Plurnbing - prior to cover. Flnal Buildl n9 - When allrequlred lns pec tlons have beenapproved and bulldlng iscompleted Drywall - prlor to taplng. Wood Stovo - Afler lnstallatloh. lnsert - After flreplace approvaland lnslallatlon ot unlt. : ' Curbcut & Approaclr - Afterlorms are erected but prlor toplacomont of concret(r. Sldewalk & Drlveway - Af terexcavatlon ls completo, formsand sub.base materlal ln place. Fenco - Whgn completed. Stroot Troes - When all requlredtrees ara plantod, flo,n,, MOBILE HOME INSPE TIONS I elocking and Sot.Up - When ail - blocklng ls complete. Plumbing Connectlons - Whenhome lras been connected towater and sewer, Electrical Connection - Whenblocking, set.up, and plumblnglnspoctlons have been approvedand the home ls connected tothe servlce panel. Final - After all requlredlnspectlons are approved andporches, skirilng, decks, andventlng have been lnstalled, r r il tl E Lot faces Lot sq. fto, Lot coverage Topography Total helght Lot Typo + - lnterlor - Corner - Panhandle .- Cul.de.sac S ,, -S THE PFOPOSEO WOBI( tN THE HISTORICAL OISTRICT, OR ON THE HISTORICAL FIEGISTER? --lf yes, thls applicatlon must be signedand approved by the Historlcal Coordlnator prior to perrnit issuance. APPROVED: P.L.HSE GAR ACC N S E VALUE (A) BUILDING PERMIT Total Valie Bullding Permit Fee State Surcharge Total Fee SO. FT. X $/SO. FT,ITEM Main Garage Carport BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT Thls permit is grantecJ on the cxprcss corlclitiorl that the saidconstruction shall, in all respects, confo'm to the Ordinanceadopted by the City of Sprirrgfielcj , includtng theDevelopment CocJe, regulating the coDstruction and use ofbulldings, and may l)c suspended or rcvol(ccJ at any timeupon violation of arry provisions of said ordinances. Plan Check Fee: ----_ Recelpt Nurnbcr:-___ _. Plans Rcviewecl 13y Date Date Pald: Received By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developmcnt Charge ls cjuo on all undeveloped properties within the City linrits whiclr are bcing inrproved. ITEM Flx t u res Resldentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT FEE N0 FT. FT. FT. ( \,) Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan No Wood Stove/ lnsert/Flreplace Unit Dryer Vent (D) Mechanlcal Permlt lssuance State Surcharge Total Permlt By slgnature, I state ancJ agrce, that I have carcf ully examlned the completed app|cailon and do hereby coril fy that all lnformatlon hereon is true ancj correct, ancJ I f urther cerilly that any and allwork performed shall bc done in accordance wlth the Ordinanccs of thc Clty of Sprlngf ield, and the Laws of the Stato of Oregon pertalnlng to thc work descrlbed hereln, and that NO OCCUPANCy wiil be mado of any structure wlthout perrnission of the BullrJirrg Safety Dlvislon. I further certlfy that only contractors and employees who are ln compllance with ORS 701.05S wlil be used on this Prolect. I {urther agree to ensurc that all requlrecl lnspections are requested at the proper Ume, that each adcjress ls readable from tho street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln slle at all tlmes durlng constructlon Date o 7-2e atu re MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - ft Curbcut ' ft Demolltlon State Surcharge Total Mlscellaneous Permlts (E) TOTAL AMOUNT DUE (excluding clectrlcal) (A, B, C, D, and E Comblned) VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY 2 Zo u zoniii-.. ..'.,.: rr)es not roquire spe._dic la, td useapl)rovx,. sPlltwGFtELO EI,ECTB.ICAL PERHTT APPLICATTON225 FIFTH STREET SPRINGFIELD OREGON 97 INSPECTION REQIIEST: 7 OFFICE: 726-3759 ? Authori;ed Si rob Nunbe.q5 i2ZlCity SCEEDTIIJ BELOV New Residential-Single or Multi-Family per dvelling unit. Service Included: ftems isFl'tiXJIJt';-\i"*A Ost.a6b r JOB DESCRIPTION q&s Yermits are non-trArtsferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspen?ed for 180 days. 2. COMRACTOR INSTALI,ATION ONLY B Electrical Contrac,orNL!": L.-,O.rr LLt& Address\lCf 1;, LIL:L d Ci ty [11(1-L rLe ptrone Le E,Lc--d.itoS Cos t $ 8s.00 Sum 200 amps or less 201 amps to 400 amps -40L amps to 600 amps -60L amps to 1000 amps- 0ver 1000 amps./voIts -Reconnect 0n1y Supervisor License Number *}JPJ S Expiration Dat e/O ?c Constr Contr. Number & ^ I 9SC Expiration Date sing Electrician r11 0vners Name Phone o*L[r*rrALLArroN The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: -__T__ 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Manuf 'd llome or -Modular Dvelling Service or Feeder Services or FeedersInstallation, Alterationsor Relocation: $ 1s.00 $ 40.00 $ 40.00 s ss.00 $ 80.00 see trBil aEve $ s0.00 s 60.00 $ 100. 00 $130.00 $300.00 $ 40.00 c Temporary Services or Feeders InstalIation, Alteration or Relocation D 200 amps or less 201 amps to 400 amps -Over 401 to 600 amps 0ver 600 amps or 1000Eris Branch Circuits aa6'"""&8 L{CoDLfWE city]1n lJ-& Nev, Alteration or Extension Per Panel One Circuit \ $ 35.00 ryEach Additional Circuit or vith Serviceor Feeder Permit ,$ 2.00 E Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation $Sign/Outline Lighting- $Limited Energy/Res - $Limited Energy/Comm S SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL 0 f- 40.00 40.00 20.00 36.00 EO5 S RECEIVED