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Home My WebLink AboutPermit Mechanical 1996-07-18SPrlII\IGFIELI)RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726-3759 LOCATION OF PROPOSED WORK: Q oolt x efr, JOB NUMBER 225 Fif th Street Sprlngfleld, Oregon 97477 TAX LOT: qq nU ( ASSESSORS MAP:l-70 3 2q z"t LOT:BLOCK:SUBDIVISION OWNER: ADDRESS: CITY: PHONE STATE:o ADDITION DEMOLISH OTHER DESCFIIBE WOBK: NEW - REMODE. ADDRESS EXPIBES PHONE - 767*1L-q ELECTHICAL CONTBACTOB'S NAME MECHANICAL: CONST. CONTRACTOR ,' GENERAL: PLUMBING 5<\lt^i , OF BORMS: - OFFICE USE - LAND USE WATER HEATER Y OF UNITS: RANGE: QUAD AREA: , OF BLDGS FLOOD PLAIN: ZONING CODE SECONDARY HEAT: SOUARF. FOOTAGE: OCCY GFIOUP: r OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726'3769. Thls ls a 24 hour recordlng. All lnspectlons requestecl before 7:00 a.m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS Temporary Electrlc Rough Mochanlcal - prlor to cover. Flnal Plumblng - When allplumblng worl( ls complete. Slto lnspoctlon - To be mado after excavatlon, but prior losettlng forms. Rough Elcclrlcal - Prlor to Flnal Electrlcal - When allelectrlcal work ls complete.cover. Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be approvecl to obtaln permanent electrlcal power. Flnal Mochanlcal - When allmechanlcal work ls complete. Footlng - Af ter trenches are excavated.[-l flreplace - Prtor to factng - materlals and framing lnsp. Flnal Buildlng - When allrequlred lnspectlons have beenapproved and bulldlng lsMasonry - Steel locatlon, boncl beams, groutlng.completed hFramlng - Prlor to cover. Itro'no'aFoundatlon - After forms are erected but prlor to concrete placement.Wall/Colling lnsutatlon - prlor to cover. Underground Plumblng - prlor to fllllng trench.f Orywall - Prtor to taptng Underlloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or decklng. MOBILE HOME INSPE TTONS l-_] Wood Stovo - Afrer tnstaltatton Post and Beam - Prlor to floor lnsulatlon or decklng.[-_l lnsert - After flreplace approval - and lnslallatlon ol unlt. [--l Blocking and Ser.Up - When ail.J blocklng ls complete. Floor lnsulallon - Prlor to decklng.Curbcut & Alrproach - After forms are erected but prlor toplacomont of concrete. Plumblng Connectlons - When home has been connected to water and sewer, Sanllary Sewer - Prlor to filllng trench. Storm Sewer - Prlor to fllllngtrenCh. ,, Sidewalk & Drlveway - After excavatlon ls complete, (orms and sub-base materlal ln place. Electrlcal Connectlon - Whenblocklng, set.up, and plumblng lnspections have been approved and the home is connected lothe servlce panel. Water Llne - Prlor to filllng trench, Fence - When completed. Stroet Troos - When all requlred trees are planted. Flnal - After all requlredlnspectlons are approved andporchcs, sklrtlng, decks, andventlng have been lnstalled. Rough Plumblng - Prlor to cover. ztP, q7L/7 7 c t tl E E tl tl fl E n P.L.HSE GAR ACC N S E Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterlor - Corner - Panhandle - Cul-de-sac i '--rS THE PROPOSED WORK iN THE . HISTORICAL DISTRI T, OR ON THE HISTORICAL REGISTER? - ll yes, thls appllcatlon must be slgned and approved by the Hlstorlcal Coordinator prlor to pPrmlt issuance. APPFIOVED: VALUE (A) X S/SQ. FT. Maln Carport Garage Total Value Bulldlng Permit Fee State Surcharge Total Feo BUILDING PERMTT ITEM SQ. FT. BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permlt is granled on the express condltion that tho sald constructlon shall, ln all respects, conform to the Ordlnance adopted by the City of Sprlngfleld, includlng the Development Code, regulating the construcllon and use of bulldlngs, and may be suspended or revoked at any tlme upon vlolation of any provisions of sald ordlnances. Plans Rcviewecl t3y Date Date Pald Recelpt Number Received By: Plan Check Fee SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge ls due on all undeveloped properties withln tlra City linrlts which are being improved. ITEM Flxtures Resldentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home FEE (c) No FT. FT. PLUMBING PERMIT Plumblng Permlt State Surcharoe Total Charge ADDITIONAL COMMENTS By slgnature, I statc and agree, that I have carelully examlned the completed appllcatlon and do hereby cerilfy 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 Ordinanccs of the City 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 perrnission of the Bulldlng Safety Dlvlslon. I further certlfy that only contractors and employees who are ln compllance wlth ORS 701.055 will be used on lhls Proiect. I (urther agree to ensure that all requlred lnspectlons are requested at the proper tlme, that oach address ls readable from tlre street, that the permlt card ls located at the front of the property, and the approved set of Slg natu re Date plans will remaln UDfi/^W on the slte at times durlng construct Wood Stove/ lnsert/ Flreplace Unlt MISCELLANEOUS PERMTTS Moblle Home State lssuance State Surcharge Sldevralk - ft Curbcut - ft Demolltlon State Surchargg Total Mlscellaneous Perrnlts D ,1 (D) (E) Wt 40-t++r t5. r37, C,fi1 Mnt r Vent Vent Fan Mechanl Permlt MECHANICAL PERMIT Furnace Exhaust Hood lssuance State Surcharge Total Permlt TOTAL AMOUNT DUE (excludlng electrlcal) (A, B, C, D, and E Comblned)RECEIVED BY L25,/q AMOUNT RECEIVED la zo -7 -t.-qbDATE PAID VALIDATION: BECEIPT NUMBER ,0 fr'n No CITY OF OFEGO'U SPFlINGFIELO The totlowing proiect as tubmitted tnq thq following ;r:onirig, and?begnot reguire specilic lend uee approval. fi, zz5 Ftvt1 5TREET a*offu1{fut SPRINGFfEL,D' OREGON $Z*67reo INSPECTION REQtESTz 726-3769 OFFICE: 726-3759 1 OF LEGAI PTION JOB.DESCRIPTION Permits are non-trans ferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI..ATION ONLY Electrical Contractor Address I cit Pnone rl4i 4,An L muer lt86S -t-q8 ELECTRICAL PERHTT APPLICATION City Job Nunb er ?a?.7e COHPI^ETE FEE SCffiDI.II,E BELOIJ3 A Nev Residential-Single or Multi-Family per dvelling unit. Service Included: I tems Cos t Sum Constr Contr. Number 0 84q Expiration oate 9-l-16 Signature of- Supervising Electrician 0vners Name 1000 sq. f t. or l-ess Each addi.tional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Serviee or Feeder $ 8s.00 s 1s.00 s 40.00 B Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPs - 401- amps to 600 amPs _ 601 amps to 1000 amPs- Over 1000 amps/voIts Reconnect 0n1y Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less $ 40.00 over 4b1 to 6oo amps - $ 8o.oo over 600 amps or fbOO vofTs see rrgrr "ffi!!- Nev, Alteration or Extension Per Panel One Circuit I $ 35.00 35-AO Each Additional Circuit or vith Service or Feeder Permit - S 2'00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/Out1ine Lighting- Limited EnergY/Res Limited EnergY/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL.. s s0.00 s 60.00 s100.00 s130.00 $300.00 s 40.00Supervisorcense Nu Expiration Date lo c D Add cit ress Phone '14'l'+ ruq OVNER ALLATION The installation is being made on property I ovn vhich is not intended for sa1e, Iease or rent. Ovners Signature: DATE: s 40.00 s 40.00 $ 20.00 s 36.00 5 RECEIVED 2 /,\4,2_27_7V ?a-a=