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HomeMy WebLinkAboutPermit Mechanical 1996-06-24'F 7osl' RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726-3759 LOCATION OF PROPO ASSESSOBS MAP: PR 1421 YOLANDA IELt) Zfr, JOB NUMBER 225 Fif th Street Springfleld, Oregon g7 4lZ TAX LOT: LOT:- BLOCK:SUBDIVISION 741,-1355PHONE: STATE ZIP: Jim & Carol yn Gent t42t Yolanda CITY:lpringfield OWNEB: ADDRES NEW ---- REMODEL ADDITION DEMOLISH OTHER systemfnstall- he at pumpDESCRIBE WORK ADDRESS EXPIRES PHONE ELECTRICAL MECHANICAL:Comfort FIow Heat 1951 Don St Ste D 6 27ttd 97477 00460 97 726-0700 CONTRACTOR'S NAME CONST. CONTBACTOR , GEN ERAL: PLUMBING - OFFICE USE _ WATER FIEATER ZONING CODE: OUAO AREA: , OF BLDGS: -.-- _ SECONDARY HEAT: SOUARE FOOTAGE: , OF BDFIMS: -_ OCCY GROUP: g OF STOBIES: RANGE: CONSTR. TYPE HEAT SOURCE: LAND USE;FLOOO PLAIN: # OF UNITS: To request an inspection, you must call 726-376g. made the sante working day, lnspections reques, Thrs ls a 24 hour recordrng. Ail rnspections requested before 7:00 a.mted after 7:00 a.m. wlll be made the foilowing work day. wlll be l--l Temporary Elecrric REQUIRED INSPECTIONS lffaouen Mechanlcal - prtor to.__ cover. Site lnspection - To be made af ter excavation, but prior tosetting forrns. Rough Electrical - prlor to cover. Electrlcal Servlce - Must beapproved to obtain permanent olectrlcal power.Footlng - Af ter trenches are excavated, Masonry - Steel locatlon, boncl beams, grouting. Flreplaco - Prlor to faclng materlals and framlng lnsp. Framlng - Prlor to cover. Foundatlon - After forms areerected but prior to concrete placement,Wall/Celllng lnsulatlon - prlor to cover. [-l Underground ptumbinq - prioru to fitttig trencrr.-"-"'r l--l orywall - Prlor to taptng. Underlloor Plumbing / Mechanical - Prior to insulation or decklng. MOBILE HOME INSPECTIONS Wood Slovo - After lnstallatlo'n. Post and Bearry.- prlor to floorinsulation or decking.l-_l lnsert - After fireptace approval - and installatlon of unlt. . [-_] Alocking and Ser.Up - When ail.+ blocklng ls complete. Floor lnsulation - prior to dec ki n g.Curbcut & Approaclr - Afterforms are erected but prior toplacement of concrete. Plumbing Connectlons - Whenhome has been connected towater and sewer.I---l Sanitary Sewer - prior ro f ilting - trench. [-l Storm Sewer - prior to fiiling - Irench. Sidswalk & Drivewav - Afterexcavation ls completc, forms and sub.base material ln place, Fence - When completed. Electrical Connection - Whenblocking, set.up, and plumblng lnspections have been approvedand the home ls connected tothe service panel. [--l Water Lino - prior to f iltinglJ trench. Rough Plumbing - prior to cover.[-_l Street Trees - When ail requtred - trees are planted. Final - After all requiredinspectlons are approved andporches, sklrtlng, decks, andventlng have been lnstalled. 97 A77 [--l Understab plumbing / Etectrical/ - Mechanical - prior to cover. I I I E E E I-_l Finat ptumbing - When ail.- plumblng work ls complete. [-_l Flnal Etectricat - When ail.+ electrical work ls complete. I yzl Final Mechanlcal - When all - mechanical work ls complete. [-_] finat Building - When alta requlred lnspectlons have beenapproved and bulldlng iscompleted. Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type v - lnterlor - Corner - Panhandle - Cul-de-sac '-ri THE PFIOPOSED WORK lN THE HISTORICAL DISTFICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPROVED P.L.HSE GAR ACC N S E VALUE (A) x s/so. FT. BUILDING PERMIT ITEM SQ. FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permlt is grantecJ on the cxpress cor.rcJition that the saidconstruction shall, in all respects, conform to il.re Ordinanceadopted by thc City of Springfield, includlng the Development Code, regulating the coostruction and use ofbulldings, and may t)e suspended or revokcd at any time upon violation of any provisions of saicj ordinances. Plans Reviewecl By Date Date Paid Receipt Numbcr:_-_. Received By; Plan Check Fee: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developmcnt Charge is clue on all undeveloped properties wlthin tlre City limits which are being improved. ITEM Fixtures Resldentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home FEE (c) N0 PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unlt (D) N0Vent Fan r Vent Mechanical Permit lssuance State Surcharge Total Permlt MECHANICAL PERMIT Fu rn ace Exhaust Hood By slgnature, I slate and agree, that I have carcf ully examlned the completed application and do hereby cerilfy that all lnformation hereon is true ancl correct, ancJ I f urther certify that any and all work performed shall bc done in accordance wlth the Ordinances of the City of Sprlngf ield, and the Laws of the State of Oregon pertainlng to thc work descrlbed hereln, and that NO OCCUPANCy wiil be made of any structure wlthout perrnission of the Bultdirrg Safety Divislon. I further certify that only contractors and employees who are ln compliance with ORS 7O1.OS5 wllt be used on thls prolect. I f urther agree to ensure that all requirecl inspections are requested at the proper tlme, that each adcJress is readable from the street, that the permit card ls located at the front of the property, and the approved set of plans will remain on the slte at all tlmes durlng constructlon. / E?bDate .7\ Slg natu re MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - ft Curbcut ' f t Demolitlon State Surcharge Total Mlscellaneous Permlts (E) TOTAL AMOUNT DUE (excluding electricat) (A, B, C, D, and E Comblned) 1 {r* D BECEIVED BY AMOUNT RE DATE PAID VALIDATION: RECEIPT NUMB FT. FT. FT. ST'FtIhlGFtELO . lild coes r il1"afr,L .Le'!F4tt 225 FIFTE STREET ; , '.',i.'.:i !r::t SPRINGFIELD, OREGON 97 477 INSPECTION REQIIEST: 726-3769 OFPICE: 726-3759 1. LOCATION OF INSTALLATION T^EGAL DESCRTPTION JOB DESCRI PERHTT APPLICATION City Job Number % COHPLETE FEE SCEEDTILE BEtOIi Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof S 15.00 Each Manuf'd Home. or -Modular Dvelling Service or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less I 201 amps to 400 amPs - 401 amps to 600 amps - 601 amps to 1000 amPs- Over 1000 amps/vo1ts - Reconnect 0n1Y Temporary Services or Feeders Installation, Alteration or Relocation g 3 B C A rJ KtV Sum 50.oo Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI.A:IION ONI,Y Electri Address cal Contractor p ci vnonel4l - AA3b Supervisor Number l68bS Expiration Date l0 -l - 98 Constr Contr. Number o 3e+q Expiration oate 9-l -i{e S of Supe rvising Electrician 0vners Name Address cit Phone l4l- i 3s5 OIJNER INSTALI.-ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0vners Signature: DATE: 200 amps''or less S 201 amps to 400 amps - $ over 4b1 to 600 amps - $ 0ver 600 amps or 1000-vo-fts se s130.00 $300.00s 40.00 $ s0.00 s 60.00 $100.00 40 55 BO r€ .00 .oo .00uB', aETE- D. Branch Circuits E Nev, Alteration or Extension Per Panel One Ci.rcuit S 35.00 Each Additional Circuit or vith Servic€ ;or Feeder Permi t k S 2.00 +'CO Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/Outline Light i.g- Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL OO s 40.00 s 40.00 $ 20.00 s 36.00 5 l"4- RECEIVED B 59.')- / ^ -e?^27'? V= a/,/aa