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Home My WebLink AboutPermit Mechanical 1999-07-07c( r /q6'7{ SPRINGFTELE, RESIDENTIAL PERMIT APPLICATION f1o?>z lnspec Offlce:efr, tlons: 726-3769 726-3759 JOB NUMBER 225 Fifth Street Sprlngfleld, Oregon 97 477 TAX LOT:O f2D LOCATION OF PROPOSED WOBK:a'7 a ASSESSOBS MAP:/7tiL9zc1 LOT:BLOCK:SUBDIVISION: OWNER: ADDRESS: CITY: PHONE: ZIP:STATE; 7q6^GqoS NEW - REMoDEL ADDtrtoN DEMoLtsH orHER -_ I qDESCRIBE WORK: CONST. CONTRACTOR ,,ADDRESS lo ,.#AS? EXPIRES .t PHONE CONTHACTOR'S NAME ELECTRICAL: MECHANICAL: PLUMBING: GENERAL: FLOOD l)t atAr. # oF uNrrs: _ ceni+rgofug1i6.g66-AryL CONSTR. TYpE: _ HEAT SOURCE: -BANGE: FICE USE -THIS PERMIT SHALL EXPTRE IF calling the center (Note: rhe relepnoneouAo AREA:N TTHORIZED UNDERTHIS , oF BLDGS'COMMENCED OR lS ABAN occy cRoudNY 1 80 DAY PERIOD' , OF BDBMS: SOUARE FOOTAGE: _ , OF STORIES: - WATER HEATEFI: - SECONDABY HEAT: _ 'ro request an rnspectlon, you must cail 726-3769. Thrs rs a 24 hourmade the same worklng day, lnspectlons requested after 7:00 a.m, recordrng. Ail rnspectrons requested before 7:00 a.m. wlil bewlll be mado the foltowlng work day. REQUIRED TNSPECTIONS Temporary Electrlc Slte lnspectlon - To be madoafter excavailon, but prlor tosettlng lorms. n Underslab plumblng/Electrlcat/ - Mechanlcal - prloi to cover. f-l Footlng - After trenches ar6 - oxcavaled. Masonry - Steel locailon, bondbearns, grouilng. Foundallon - After forms are€rected but prlor to concretepracemont. Underground plumblng _ prlorto filllng trench. Underltoor ptumblng/ Mechanlcat - yilor to lnsulatlon or decklng. P_ost. a.nd Beam _ prlor to floorrnsutauon or decklng, Floor lnsulallon - prior toclecklng. Sanltary Sewer _ prlor to fllllngtrench. t] ;:t"'S.Sewer - Prior to nnrns Water Llne - prlor to tilllngtrench. Electrlcal Servlce - Must beapproved to obtaln permanent olectrlcal power. Flreplaco - prlor to taclngmaterlals and framlng lnsf Framlng - prlor to cover. n Wall/Celllng tnsulatlon _ prtor to - cover. I--l orywatt - prtor to taplng I--l Wood Stovo - Aftor tnstailarton. ll*l_: After ftreptace approvalano tnstallatlon of unlt. Curbcut & AJ:proach _ Afterrorms are erected bUt prior topracomont of concrete, Sldewalk & Drlvewav - Afterexcavation ls comploto, formsano sub.base materlal ln place. Fence - When corirpleted. Flnal Bulldlng - When altrequlred lnspectlons have beenapproved and bullding iscomptotod. Rough Mechanlcal - prlor tocover. Rough Electrical - prior tocover. Flnal Plumbln I - When allmblngworl( ls complete. FI Electrlcal - When alltrlcal work ls complete. Fln M echanlcal - When alllcal work ls complete. Other MOBILE HOME INSPE TIONS f-l Blocktng and Ser.Up _ When alt - blocklng ls compteie. Plumblng Connectlons _ Whenhome has been connected towater and sewer. Electrlcal Connection _ When P-l99ktng, set.up, and plumbin-gtnspectlons have been approvedand the .home ls connected tothe servlce panel. f;"t: Prumblns - Prlor to E ;ff,.1;i,"";"In"" arr roqurrod f_lnal - After all requiredrnspecilgns. are appiovecl and t"X *,?: ; llX'l??;ii""ii i, ll t ^a tl fl a Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterlor - Corner - Panhandle i' - Cul-de-sac IS : PROPOSED WORK TN THE . HlsroRlCAL DlSTRlCr, OR ON THE HISTOBICAL REGISTER? - lf yes, thls appllcatlon must be slgned and approved by the Hlstorlcal Coordlnator prlor to permlt lssuance. APPROVED: P.L.HSE GAR ACC N S E VALUE (A) Main Carport Garage Total Value Building Permit Fee State Surcharge Total Fee ,. .| x $/so. FT. BUILDING PERMIT ITEM SQ. FT.AND BUILDING PERMIT Thls permlt ls granted on the express conditlon that the said cgnstructlon shall, ln all respects, conform to the Ordinance adopted by the City of Springfleld, tnctudtng the Development Code, regulatlng the constructlon and use of bulldlngs, and may be suspended or revoked at any tlme upon vlolation of any provlsions of sald ordlnances. Plan Check Fee: - Plans Revlewed By Date Recei pt Numbe Date Paid: Flecelved By: ..: BUILDING VALU E, PLAN CHECK SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge ls due on all undeveloped properties wlthln the Clty llmits which are belng lmproved. ADDITION ,h / COMMENTS ITEM Flxtures Resldential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) N' FT. FT. FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge Wood Stove/ lnsert/Flreplace Unlt Dryer Vent (D) NoVent Fan Mechanical Permlt lssuance State Surcharge Total Permlt MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed appllcatlon and do hereby certlfy that all lnformatlon hereon ls true and correct, and I f urther certlfy that any and all work perlormed shall be done ln accordance wlth the Ordinanccs of the Clty of Sprlngfleld, and the Laws of the State of Oregon pertalnlng to the work descrlbed heroln, and that NO OCCUPANCY wlll be made of any structure wlthout perrnission of the Bulldlng Safety Dlvislon. I further certlly that only contractors and employees who are ln compllance wlth OBS 701.055 wlll be used on thls prolect. I further agree to ensure that all required lnspections are requested at the propar tlme, that €ach address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln Slgnature Date on the slte at all mes durlng constructlon MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolitlon State Surcharge Total Mlscellaneous Permlts (E) q 09'/t qVALIDATION BECEIPT NUMBER DATE PAID AMOUNT RECEIVED BECEIVED BY TOTAL AMOUNT DUE (excludlng electrlcal) (A, B, C, D, and E Comblned) --':- \ /r//7 C'TY OF OBEGO'U The following prolect as submitted has the tollowing zoning, and-does not require specific land use t DfL-225 EIFTE STREEf,approval SPRINGTTELD, oREGoN 97477 Zoning INSPECf,ION REQIIEST: OFFICE: 726-3759 1. I.OCATION -7 ht OF /r, EI,EGTRICAT PERHIT APPIJCATION ?zz-t ty Job Nuruber FEE SCffiDI'LE BELOg Nev Residential-Single or MuIti-Family per dvelling unit. Service Included: A]-TEi\i l0l\:Ureguri '"I tems Authorized Signature o(.7tr z1 A- I,EGAL DESCRTPTION2 {){3 olLo/ the rules b]" Cost Sum s 8s.00 $ 1s.00 $ 40.00 $ s0.00 s 60.00 $100.00 $130.00 $300.00 $ 40.00 JOB DESCRTPTIONZ Craor,f: follow inOAB Peruits are non-transferable and expire lf rrork is not started vithin 180.days of issuance r if vork is suspended for n 180 days. 2. CoI{TRACToR ONLY SerWGe .8. Services or Feeders Installation, Alterations NOTICE:or Relocation: THiSPERMIT EXPIREIFTHE WORK NOT- t Reconnec t D. Branch Circuits One Circuit Each AdditionalCircuit or vith Serviceor Feeder Permit SUBTOTAL OF ABOVE "l?65 ta te Surcharge 32 Administrative Fee TOTAL rurephgll€ Ndiiticatiotr Electrical Contra or Address Ci ty Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Ovners Name Address lg>< 4 /b4 Ct ty I / Phone ,f,ttl' 7-r Cbto r C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less $ 40.00 Over 401 to 600 amps - $ 80.00. Over 600 amps or t0O0-6fts see nB( a56E Nev, Alteration or Extension Per Panel 5./$ 3s.00 $ 2.00 $ 40.00 $ 40.00 $ 20.00 $ 36.00 The lnstallation is being made onproperty f ovn vhibh is not intendedfor sale, Iease or rent. OVNER INSTALI,ATTON E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/outline Lighting- Limited Energy/Res -Limited Energy/Comm RECETVED B ture: t 5 Xoo I 0090. ANY 180