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Home My WebLink AboutPermit Mechanical 1998-10-30SPrlINGFIELE,RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 w, JOB NUMBER 38111 l 225 Fifth Street Springfleld, Oregon 97477 LOCATION OF PFIOPOSED WORK:21 i5 A,toref#51/^ S+ ASSESSORS MAP:l-7 o3ztt Y TAX LOT:to i o c: LOT:BLOCK:SUEDIVISION Goese<PHONE:7+7- +78 STATE:CRe4ot ZIP:1747nS?Rr w qFIF-LbCITY: t5 N, n6S ADDRESS OWNER: n A C o.L,l t bNT NSHDESCRIBE WORK: NEW - BEMoDEL ,/ADDITION DEMOLISH OTHER ADDRESS 7./t €b€NE /o245s /o-1-11 ELECTBICAL:ER tr/ Rur 'SHrG, (o.3S7D €, /4/{, Xr" EXPIBES .\ PHONECONTFIACTOR'S NAME MECHANICAL: PLUMBING: GENEBAL: CONST. CONTRACTOR # To request an inspectlon, you must call 726-3769. Thls is a24hour rccordlng. All lnspections requested before 7:00 a.m. will bemade the same worklng day, lnspections requested after 7:00 a.m. will be macle the followlng work day. REOUIRED INSPECTIONS Temporary Electrlc Rough Mechanical - Prior to cover.f_l Final Plunrbing - When ail 'J plumbing worl( is complete. Slte lnspection - To be made after excavatlon, but prior tosetting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover.Electrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When allmechanical work ls complete. Footlng - After trenches are excavated.Flnal Building - When all required lnspecilons have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng. Flreplace - Prlor to faclng materlals and framing lnsp. Framlng - Prior to cover.E Foundatlon - After forms are erected but prlor to concreteplacement. Other Wall/Celling lnsulation - prlor to cover. Underground Plumblng - prior to filling trench.Drywall - Prior to taping. Underlloor Plumblng / Mechanical - Prior to lnsulatlon or decking. MOBILE HOME INSPECTIONS Wood Stove - After lnstallation Post and Beam - Prlor to floor lnsulatlon or decklng,lnserl - After fireplace approval and lnstallatlon of unlt. [-_] glocking and Set.Up - When ail - blocking is complete. Floor lnsulation - Prlor to decklng,Curbcut & Approach - After forms are ert.,cted but prior toplacement of concrele. Plumbing Connectlons - Whenhome lras been connected towater and sewer.Sanitary Sewer - Prior to fllling trench. Storm Sewer - Prlor to fllllng trench. Sidewalk & Driveway - Afrerexcavatlon ls complete, forms and sub-base material in place. Electrical Connection - Whenblocklng, s€t.up, and plumblngtnspectlons have been approved and the home is connected tothe servlce panel. l-_l Water Llne - prlor to fiiling - trench. Fence - When coi.r'ipleted. Final - After all required inspections are approved andporches, skirtlng, d€cks, andventlng hav6 been lnstalled. Rough Plumblng - Prlor to cover,[-l Strect Trees - Whon all required - treeg are plantod. fl E E T E tl E ACCPL.HSE GAR N S E, Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterlor -_ Corner - Panhandle - Cul-de-sac i.5 rHe PROPOSED WORK }N THE . HrsToRtcAL DlsTRlcr, oR oN i r/\ THE HISTORICAL REGISTER? ,V'' lf yes, this appllcatlon must be slgned arrd approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: BUILDING VALUE, FTRru CHECK AND BUILDING PERMIT Thls pernrit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, includlng the Development Code, regulating the construction and use of bulldings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plans Reviewed By Date Receipt Numbe Plan Check Fee: Date Paid: Received By: BUILDING PERMIT VALUE (A) SO. FT. X $/SO. FT.ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) N. FT. FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge . FT. Wood Stove/ lnsert/ Flreplace Unit MECHANICAL PERMIT b dt) ItlJt26u t/ (D) No t/ /{-o0 /o ' 't'l Mechanical Permit lssuance State Surcharge Total Permit Drver Ventftl. Fu rnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby certlfy that all information hereon is true and correct, and I f urther certlfy that any and all work performed shall be done in accordance with the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertainlng to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure wlthout perrnission of the Buildltrg Safety Divislon. I further certify that only contractors and enrployees who are in compliance with ORS 701.055 will be used on this proiect. I further agree to ensure that all required lnspections are requested at the proper tlme, that each address ls readable Irom tl're street, that the permit card ls located at the front of the property, and the approved set ol plans will remain N Date on the site at all times duri constructlon Slg natu re MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcul -- ft Demolition State Surcharge Total Miscellaneous Pertnits (E) 07r(o ?)AMOUNT RECEIVED RECEIVED BY DATE PAIi) VAt-IDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Comblned) rL ' ! le ,icwing Proiect as eubmittcd h*tttc , ,n-* andaoes not epecl$c landtm SPFTH(IFIELO EI,SC-IRI,CAL PERITT City Job Nunber_ r?rOval APPLICATION225 PIETE STREET SPRTNGFTEI,I), OREGON 97 477 INSPEGIION REQUBST: 726-3769oFPfGE: 726-3759 requires BELOII 1000 Bach sq. the Services or FeedersInstaLlation, Alterationsor Relocation: 200 aups or less 201 amps to 400 amps - 401 amps to.600 amps - 601 aops to 1000 amps-over 1000 amps/volts - Reconnect Only 200 amps'on less 201 anps to 400 amps Over 4O1 to 600 anps Over 600 amps or 1000 Branch Circuits 1xt355 ransferable and expirearted vithin 180 dayswork is suspended for Nev Residentlal-Single orHulti-f,q$H-per duelling uni t.Servi*(ffiHIffrled: iHts pErir/ltr SHALLtlplTk rr rEBl,tonr ER rHrS PEsl\#t lgqjoT-- IS ABANDONED FOR Each reof Hanuf , r. .1 $ 15.00 EOme. or llodular 'DvelIing Service or Feeder $ 40.00 torth rules by A c. D. Sum UtilitY Permi ts are norr-tif vork is not stof issuance or if ,d 180 days. 2. COTITRACTOR INSTA.tI,ATTON ONI,Y B. Electrical Conrrac rcrMe Addressur@ Pnone6W'1?7? Supervisor License Number J o 761 S_ Expiration Date ld- 7-?y S so. $ 60. s100. $130. s300. S 40. 00 00 00 00 00 00 Constr Contr. Number I ?.5- Expiration Date ./'Js'-DA Signat of Blectrician Ovners Name Address DATE Tenporary Services or PeedersInstal.latlon, Alteration or Relocation crry lf c-r,* f, ) ll phone OTII{ER TNSTALI^ATION The installation is being made onproperty f ovn which is not intendedfor saIe, lease or rent. Ovners Signature: One Circuit / Each AdditJonalCireuit or vith Serviceor Feeder Permit / E. Hiscellaneous (Service/feeder not lncluded) Ner, Alteration or Bxtenston per panel s 40.00 $ ss.00 s 8o:oo,-T6Its see trBtr aE'oE :, '2 t-' u1)s 35.00 D>' e_D$ 2.00 2- 1ng_ -Each installation Pump or irrigation Sign/Outline LightLimlted Bnergy/Res $ 40.00 s 40.00 $ 20.00 $ 36.00 SUBTOTAL OT ABOVE 52 State Surcharge 32 Admtnistrative Fee TOTALRECEIVED 5 (2>