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Home My WebLink AboutPermit Mechanical 1999-06-28SPRII.lGFIELE, RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Oflice: 726-3759 LOCATION OF PROPOSED ?f0f6/JOB NUMBER 225 Fifth Street Springfleld, Oregon 97477 23.12- ll 1 OWNER: ADDRESS: CITY:STATE: PHOAJE: ZlPi -*ADDITION DEMOLISH OTHER DESCRIBE WORK: NEW- REMODEL ADDRESS PHONE b/-4 EXPIRES .1 ELECTRICAI : CONTRACTOR'S NAME MECHANICAL: CONST- CONTRACTOB # GENERAL: PLUMBING ESSORS MAP:l7 o WORK:jzLr TAX LOT:0 TrooASS LOT:BLOCK:SUBDIVISION: - - OFFICE USE - )UAD AREA:NTlOll:Oregc llow rules#OFBL OCCY G , OF STORIPS Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, grouting. Foundatlon - After forms are erected but prlor to concrete placement. Post and Beam - Prior to floorlnsulatlon or decking. Floor lnsulation - Prior to decking. pie CONSTR. TYPE HEAT SOUBCE:--- cortrrt',rtmtcgo___ANfTg0-DAy pEmeEp N DA Ry H EAr: rr r :t1V'rr I i:ui'rli i;i J LAND USE: rLlles ote: the UNITS:#oF toriT -001-0010throug WATER H n utility il RANGE:SQUARE FOOTAGE: To request an lnspection, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. will bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be macle the followlng work day. REQUIRED INSPECTIONS l-l Temporary Etectrlc Rough Mechanicat - prior to cover. Final Plumbing - When ailplumbing worl< is complete. Slte lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to nal Electrical - When allelectrlcal work is complete. Underslab Plumblng/ Electrical / Mechanlcat - Prlor to cover. Underground Plumbing - prior to fllllng trench.Drywall - prior to taping. l-l Underlloor plumblng/ Mechanlcal Prior to lnsulailon or decklng. cover Electrical Service - Must be approved to obtain permanent electrlcal power. Fireplace - Prlor to faclng materlals and framing lnsp. l--l Framlng - prior to cover. Wall/Celling lnsulatlon - prlor to cover. Wood Stove - After lnstallation. Sldewalk & Drlveway - Afterexcavation is complete, formsand sub-base material in place. Fence - When coirrpleted Final Mechanlcal - When allmechanical work ls complete. Flnal Building - When allrequired lnspections have been approved and building is completed. Olher MOBILE HOME INSPECTIONS Plumbing Connections - Whenhome lras been connected towater and sewer.Sanitary Sewer - Prior to fllling trench. Stprm Sewer - Prior to filling trench. l-_l Warer Ltne - prtor to filing - trench. [-l Rough Ptumbing - prior rotJ cover. lnsert - After flreplace approvaland lnstallatlon of unlt. [-l Blocking and Ser.Up - When ail - blocklng ls complete. Curbcut & AJrproaclr - Afterforms are erected but prior toplacement of concretc-r. Electrical Connection - Whenblocking, set-up, and plumblngrnspections have been approvedand the home ls connected tothe servlce panel. l-_j Str€et Trees - When ail requiredH trees are planted. Final - After all requiredlnspeclions are approved andporches, skirtlng, decks, andventlng have been lnstalled. tl qi-141-t Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type _ - - lnterior -_ Corner - Panhandle - Cul-de-sac Setbacks PL.HSE GAR ACC N S E i- ,:z.IHE PROPOSED WORK iN THE - HrsToRtcAL DTSTRTCL OR ON THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgned and approved by the Historical Coordinator prlor to permit issuance. APPROVED BUILDING VALUE,Flnru cHEcK AND BUILDING PERMIT This permit is granted on the express conditlon that the said construction shall, in all respects, conform to thb Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: Date Paid Receipt Number:- Received By: Plans Reviewed By Date ADDITIONAL COMMENTS €Zo.q l\/, By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformation hereon is true and correct, and I lurther certlfy that any and all work performed shall be done in accordance with the Ordinanccs of the City o( Sprlngfield, and the Laws of the State of Oregon perlainlng to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure wlthout pertnission of the Building Safety Divislon. I further certify that only contractors and employees who -are in compliance with ORS 701.055 wlll be used on thls proiect. I further agree to ensure that all required inspections are requested at the proper time, that each address ls readable from the street, that the permlt card ls located at the front of the p;operty, and the app!'oved set of plans will remain on the site at all times duri st ru lon. Slgnature E L-zt.EqDate VALIDATION: RECEIPT NUMB 3t1 bsc LIDATE PAII') AMOUNT RECEIVED BUILDING PERMIT. VALUE (A) SO. FT. X S/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 tlre City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) Nc FT. FT. PLUMBING PERMIT Plumbing Permlt State Surcharge Total Charge Wood Stove/ lnsert/ Flreplace Unit MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Pertnits (E) /n.0r fr No . ()O qf, 7f Ly', 14 Vent Fan (D) MECHANICAL PERMIT Furnace Exhaust Hood Mechanical Permit lssuance State Surcharge Total Permit TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined)RECEIVED BY 4f h, ., t I FT. Drver VentW TNGFIELD "fheJol,owing project as s : r, :,' :, rf' oi;;"ffi n;lfl '|;3#:' I7:;' JZ1 * Zoning L'225 FIFTE STREET SPRTNGFIELD, oR.EG0N IIISPECTION REOUEST: OFPICE: 726-3759 "V'26L4.7,69gnature LEGAL DESCRIPTION,, o7z(tr o Ttao JOB SCRIPTION 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 INSTALTATION ONLY Electrica] Contractor u)cr CAL PERHTT APPLTCATTON City Job Number ?fo ff/ 3. COHPTETE FEE SCEEDTILE BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service Included: ftems Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular Dvelling Service or Feeder $ 8s.00 $ 1s.00 s 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPs -40L amps to 600 amPS _- 60L amps to 1000 amps- 0ver 1000 amPs/vo1ts - Reconnecf 0n1Y C Dato 97 47 ].. LOCATION OF23 z z lr TN'TALLA TION A Sum B I I Address 3o $ s0.00 s 60.00 s100.00 s130. o0 $300.00s 40.00 Ci ty Cr \\ Phone Spts-zc{qo 0 Supervisor License tiumber I iUS Expiration Date Constr Contr. Number Expi r:a t ion Da te l- t8 S ture of SuPervising Electrician TemporarY Services or Feeders Insiallaiion, Alteration or Relocation 200 amps''or Less $ 40'00 over abf to 600 amPs -l- $ 80'00 Over 600 amps or 1000 voTts see t'B" above -Each instal-lation Pump or irrigation _.-_ Sign/Out1ine Lighting_.- Limited EnergY/Res --Limited EnergY/Comm Name €A) Address ?7z l/,a/ Ci ty Phone 7 v6- fsft OITNER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent' Ovners Signature: DATE: D. Branch Circuits E Nev, Alteration or Extension Per Panel one circuit ( g 35.00 if Each Additional Circuit or vith Service or f""d"t Permit -- $ 2'00 Miscellaneous (Service/feeder not included) s $ s $ 40.00 40.00 20.00 36.00 5 SUBTOTAL OF ABOVE 7ft stut" Surcharge' 3Z Admini.s trative Fee TOTALRBCEIVED B 7 I ?f- qtt 2-rf_+*-- i I to"t oo Tdnl %lJ 2'