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Home My WebLink AboutPermit Mechanical 1996-08-09t% RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726-3759 LOCATION OF PBOPOSED WOBK; -.ASSESSORS MAP: LOT; SPFl!NGFIELE' BLOCK JOB NUMBER 225 Fitth Street Sprlng fielcl, Oregon g7 477 i TAX LOT: SUBDIVISION 746-0018PHON E 97 477ZIP:OR 2365 N. 11thADDRESS: OWNER: NEW - FIEMODEL ADDITION DEMOLISH OTHER InstaII heat pump s ystem (includes ductwork)DESCRIBE WORK Ccnfct Flo^r Fbatirg 1951 Don St, Ste D, Spfld OR 97477 00460 6/27197 726-0100 ADDRESS EXPI R ES PHONECONTBACTOR'S NAME MECHANICAL: ELECTRICAL; CONST. CONTRACTOR f GENERAL: PLUMBING RANGE: I OF BDRMS: - OFFICE USE _ WATER HEATER: HEAT SOURCE OUAD AREA: I OF BLDGS: FLOOD PLAIN: ZONING CODE SECONDABY HEAT: SOUARE FOOTAGE: LAND USE: # OF UNITS OCCY GBOUP: E OF STORIES: CONSTB. TYPE: -- 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 [-l Temporary Electrlc | .{Rough Mechanlcal - Prlor toU cover. Flnal Plumbing - When allplumblng worl< ls complete. Slte lnspectlon - To be made after excavatlon, but prlor to settlng forms. Rough Electrical - Prior to Flnal Eleclrical - When all electrlcal work is complete.cover. Underslab Plumblng/ Electrical / Mochanlcal - Prlor to cover.Electrical Servlco - Must be approvecl to obtalrr perrnanent electrlcal power. Final Mechanlcal - When all mcchanlcal work ls complete. Footlng - Af ter trenches are excavated.Flroplace - Prlor to faclng materlals and f ramlng lnsp. Flnal Bulldlng - When all requlred lnspectlons have been approved and bullding ls completed.Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prlor to cover, Foundatlon - After forms are erected but prlor to concrete placement. O ther Wall/Celling tnsulalion - Prlor to cover, Undorground Plumblng - Prlor to fllllng trench. MOBILE HOME INSPESTIONS Underlloor Plumbing/ Mechanlcal - Prlor to lnsulatlon or decklng. Post and Boam - Prlor to floor lnsulatlon or decklng.lnsert - Af ter f ireplace approval and lnstallatlon of unlt. Blocking and Set.Up - When alt blocklng ls complete. Floor lnsulallon - Prlor to decklng.Curbcut & A1:proach - After forms are erected but prlor to placemcnt of concretc. Plumbing Connections - When home has been connected to water and sewer. Sanltary Sewer - Prior to fllling trench. i,r Electrical Connectlon - When blocklng, set-up, and plumblng lnspectlons have becn approved and the homo ls connected to the servlce panel. Storm Sewer - Prior to fllllng trench. I Sldewalk & Drlveway - After excavatlon ls complcte, forms and sub-base materlal in placc. Water Llne - Prlor to (illlng trench. Fence - When completed. Slroot Treos - When all requlred trees are planted. Final - After all requlred lnspectlons are approved and porches, sklrtlng, decks, and ventlng have been lnstalled.tl Rough Plumblng - Prlor to cover. --- tl tl [-l Drywall - Prlor to taplng. l-l Wood Slovo - After lnstallatlon. E fl E fl Lot faces Lol sq. ftg. Lot coverage Topography Total helght Lot Type v - lnterior -- Corner - Panhandle - Cul-de-sac APPROVED: PL,HSE GAR N S E k VALU E (A) X $/SO. FT. Total Value Bullding Permit Fee State Surcharge Total Fec BUILDING PERMIT ITEM SO. FT. Maln Garage Carport Thls permit is granled on the express conditlon that the sald construction shall, ln all respects, conform to the Ordlnance adopted by the City of Springfield, lncludlng the Development Code, regulating the constructlon and use of bulldings, and may be suspended or revoked at any tlme upon violation of any provisions of sald ordlnances. Receipt Numbcr:- Plans Flcvlewcd t3y Plan Check Fee Datc Paid Received By: BUILDING VALUE, ] AND BUILDING PE PLAN CHECK RMlT SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developmcnt Charge ls due on all undeveloped properties within tho City linrlts whlch are being lmproved. ITEM Flxtures Resldentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home FEE (\,) N0 FT. PLUMBING PERMIT FT. Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/Flreplace Urrlt Dryer Vent Mechanical Permlt lssuance State Surcha rou *3O2, Total Permlt (D) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have caref ully examlned the completed appllcation and do hereby certlfy that all lnformatlon hereon is true ancl correct, and I f urther certlfy that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngfield, and the Laws of the State of Orcgon pertalnlng to thc work descrlbed hereln, and that NO OCCUPANCy will be made of any structure wlthout perrnission of the Bulldlrrg Safety Divislon. I f urther certify that only contractors and employees who are ln compliance with OFIS 701.055 wlll be used on thls pro ject. I (urther agreo to ensure that all requlred lnspections are requested at the proper Ume, that oach address 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 on the slte at all times durlng conslrucilon. Slgnature Date MISCELLANEOUS PERMITS Moblle Home Stato lssuance Slato Surcharge Sldewalk - fr Curbcut - ft Oemolitlon State Surchargp Total Mlscellaneous Perrnits (E) TOTAL AMOUNT DUE (excludtng clecrricat) (A, B, C, D, and E Comblned) E DATE PAID VALIDATION; RECEIPT NUMBE AMOUNT REC RECEIVED BY S THE PROPOSED WORK iN THE . -HISTORICAL OISTRICT, OR ON THE HISTOBICAL REGISTER? - ll yes, thls appllcatlon must be slgned and approved by the Hlstorlcal Coordlnator prlor to permit issuance. Dale FT. N0 L-q4 CITY OF SPR OFEGO'U The zcning ippioval' Zoni , and doee not require epocilic SPRIhrGFIELO Nev Residential-Single or Multi-Family per dveJ.ling unit. Service fncluded:ftems Cost s 8s.00 L 225 FIFTB STREET SPRINGFIELD, OREGON INSPECTION REQTIEST: OFFICE: 726-3159 !/{}/rihcrized 726-3769 PERHIT APPLICATION City Job Nr*b", ?42% COHPIJTE FBE SCMDULE BELOV 1. LOCATION OF INSTALT^A.TION LEGAL DESCRTPTION JOB DESCRIPTION o 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. COMRACTOR INSTALLATTON ONLY B. Electricar contrac."' C fS €-X-q[IrUn,gnL, Address P.0 -u+8p 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Modular Dvelling Service or Feeder Services or Feeders InstalIation, Alterations or Relocation: 3 A 200 amps or 1 20L amps to 4 401 amps to 6 601- amps to 1 00 amps 00 amps 000 amps_ 00 00 00 00 00 00 S so. s 60. $100. s130. ses 40 55 80 e s 1s.00 s 40.00 .00 .00 .00rBfi Sum aEove cit Phone 1+l -aasb Supervisor L Cense Number lbSo s Exp iration Date r D- t -q8 Constr Contr. Number b3S+q Expiration Date q-l -qb Signature of Supervising Electrician Ovners Name Address 1 Ci ynone 14b-0019 OVNER ON The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Ovners Signature: DATE: Temporary Serviees or Feeders Installation, Alteration or Relocation Over 1"000 amps/voIts Reconnect OnlY SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL $300 s40 C D. Branch Circuits E Nev, Alteration or Extension Per Panel one circuit I $ 35.00 35 Co Each Additional Circuit or vith Service or Feeder Permit I $ 2.OO L-@ Miscellaneous (Service/feeder not included) 200 amps''or less $ 201 amps to 400 amps - $ over 4bL to 6oo amps - S over 600 amps or 1000 voITs se -Each installation Pump or irrigation - $ sign/outline Lighting- $ t iilited Energy/Res - $ 40.00 40.00 20.00 36.00 5 3rl , oo 1,85 l lI 3q.qbRECEIVED coru $'lD:4-9- /^oa-?Zi-'1 ct<w=