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HomeMy WebLinkAboutPermit Mechanical 1995-09-11RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Qffice; 726.3159 \ LOCATION OF PHOPOSED WOBK: SPRING IELt) JoBNUMBE"% 225 Fllth Streer Sprlngfteld, Oregon g7477 n lloh ASSESSORS MAP:/?-a 3-a </*L// TAX LOT:O3 LOT:BLOCK:SUBDIVIStON: _ CONTRACTOR'S NAME ADDRESS CONST, CONTRACTOR ,{EXPIRES PHONE PHONE: STATE:ZIP: I r) OWNER: ADDRESS: CITY: DEMOLISH OTHERITION DESCRIBE WOR}(: NEW-_- REMODEL A G EN ERA L: PLUMBING MECHANICAL: ELECTBICAL: QUAD ABEA: I OF BLDGS: OCCY GROUP: E OF STORIES: WATEB HEATER: _- l--l tornporary Etectrlc CONSTR. TYPE: HEAT SOURCE: RANGE: Rough Electrlcal - prlor tocover. , OF BDRMS: - - OFFICE USE - LAND USE;FLOOD PLAIN '{ OF UNITS:ZONING CODE:_ To request an inspcction, you must call 726.3769. Thls lsmade thc sanre worklng <.tay, lnspections rcquested afle a 24 hour recordlng. Alr lnspectlons requestccl before 7:00 a.m. wlll ber 7100 a.m. wlll bo macJe the tollowlng work day. REOUIRED TNSPECTIONS ffi Rough Mochanlcat - prtor to'- cover. SIlo lnspoction - To lre madoafler excavailon, but prlor tosettlng lorrrrs. U.nderslab plumblng/ Electrical /Mochanlcal - prloi to cover. Footlng - After trenches areexcavated. Masonry - Steel locauon, bondbeams, grouting, Foundatlon - After lorms areerecled but prlor to concretopracoment. Underground plumblng _ prlorto (llllnq trench. Underlloor plumblng/ Mochanlcal - r,ilor to Insulatlon or decklng. Post. and Boany. _ prlor to f loorrnsutailon or docklng, Floor lnsulallon - prlor todecklng. Sanltary Scwer - prior to fllllng t rcnch. Storm Sewer - prlor fo lllllngtrench. Water Llno - prlor to llllingtrench. Rough Plurnbing - prlor tocover. Eleclrlcal Servlce - Must beapproved to obtaln flermanentcleclrlcal power. Flroplace - prlor to faclngmaterlals and lramlng lnspi Framlng - prlor to cover, [l Wail/Celilng tnsutarton _ prlor to - cover. [-_l Drywal] - prtor to raptng. Wood Slovo - Aftcr lnstallatlon, lnserl - After flreplace approvqland lnslallatlon of unlt. Curbcut & Approaclr _ Alterforms are erectcd but prlor toptacomont ol concrctc. Sidswalk & Drlveway - Afterexc.availon ls completo, formsand sub.base malerlal ln place. Fence - When compleled. Slroel Troes - When all requlredtroes aro planted. f-l Ftnat ptumbtng - Whon alt - plumblng work ls complete. l--l Ftnat Etoctrtcat - Whon ail'- electrlcal work ls complete. ffi rntt Mechantcat _ When ail - mochanlcal work ls complete. Flnal Buildlng - When attrequlred.lnspecilons have beenapproved and bulldlng lscomplotcd, Electrlcal Connoclion _ Whenp]9:Krlg, set.up, and ptumbinsrnspecilons have been approveda.no ilte home ls connected tothe servlce panel. [Z ottror MOBILE HOME INSPECTIONS [-l Blocktng and Ser.Up _ When ail - blocklng ls compleie. Plumblng Connoctlons _ Whennome has been connecled towaler and sewer, Final - Af ter all requiredInspecilons are approved andporc.hes, sklrilng, decks, andvenun0 have been lnstailod, ,i SECONDABY HEAT: SOUARE FOOTAGE: Lot facos Lot sq, ftg, Lot coverage Topography Total helght Lot Type _ - lnterlor - Corner - Panhandle - Cul-de.sac ks --; THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls applicatlon must be slgned and approved by the Historical Coordinator prior to permit issuance. APPBOVED P.L,HSE GAR ACC N S E BUILDING PERMIT ITEM SQ. FT. Maln Garago Carport (A) X $/SO. FT, = VALUE Total Value Bullding Permit Fee State Surcharge Total Fee BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permlt ls grantect on the exprcss cor.lcjition that the said construction shall, ln all respects, conform to il.]e Ordinance adopted by the City of Springflclct, including the Development Code, regulating the co0struction and use of bulldlngs, and may [:e suspended or revokcd at any tlme upon violation of any provisions of saicJ ordinances, Recelpt Nurnbcr:__-... _ Plans RcvlewecJ t3y Da te Plan Check Fee: Received By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developmcnt Charge ls cJue on all undeveloped propertles wllhln tlro City linrlts which are being lmproved. ADDTTIONAL COMMENTS ITEM Flxtu res Rosldentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home FEE ((, ) FT, 0 PLUMBING PERMIT Plumblng Permlt Stato Surcharge Total Charge Wood Stove/ lnsert/ Flroplace Unlt Dryer Vent 74aa(D) -/s= drz> NoVent Fan Mechanlcal Permlt lssu ance State Surcharge Total Permlt zL?q f->-r> MECHANICAL PERMIT Fu rnaco Exhaust Hood I further agree to ensure that all requlred lnspections are requested at the proper tlme, that oach address ls readable from the street, that the permlt card ls located at the f ront h-e_approved set of plans will remain n req of the property, and t tidu Slgnatu Date on the slte at MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldowalk - (t Curbcut ' f t Demolltlon Slate Surcharge Total Mlscellaneous Permlts (E) 4Zt---t TOTAL AMOUNT DUE (excluding clectrlcal) (A, I, C, O, and E Comblned) VALIDATION: BECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY Date Pald: FT, FT. By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby certlfy that all lnformatlon hereon is true and correct, and I Iurther certlfy that any and all work performed shall bc done in accordance wlth the Ordinanccs of the Clty of Sprlngf icld, and the Laws of the Stato of Oregon pertalnlng to thc worl< described hereln, and that NO OCCUPANCY will be made of any structure wlthout pertnission of the Bulldirtg Safety Dlvislon. I further certlly that only contractors and employees who are ln compllance wlth OFIS 701.055 wlll be used on thls prolect, a /B? >,/ SPCIIN(- FIELO afr, lii,l"J',1Tlno::?X"i'?ilXH'$:t'lSiJIEl:;*-'nn aPProval' 225 PIFTE STREET Zonin SPRTNGFTELJ, OR-EGON INSPECTTON REQIIEST: OFFICE: 726-3159 97 47 AUthorizsd 1. LOCATION OF INSTAILATION o LEGAL DESCRIPTION ., JOB DESCRTPTION ELECTRICAL PERHTT APPLICATION City Job tor Au, ?27 2O L Permits are non-trans ferable and exPire if vork is not started vithin 1B0 days of issuance or if vork is suspended for 180 days. 2. COI\TTRACTOR INSTAII^ATTON ONIY 3. COHPI.ETE FEE SCMDULE BELOS Nev Residential-Single or Multi-Family per dvelling unit. Service Included: I tems Cos t s 8s.001000 sq.ft. or less additional 500 sq. ft or portion thereof Each Manuf'd Home. or Hodular DveIIing Service or Feeder s 1s.00 s 40.00 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- 0ver L000 amps/vo1ts Reconnect 0n1y C Temporary Services or Feeders Installajtion, Alteration or Relocation A B Sum t a Ci ty Supervisor cense Number ILg s Expiration Date lo - Constr Contr- Number 0 s+q Expiration Date q Signa re of Supervising Electrician Yn"". ltll - {^3to Electri Address Ovners Name Address cal Contractor P,0 .E s s0.00 s 60.00 $100.00 s130.00 $300.00s 40.00 Ci ty OVNER I-ATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. Ovners Signature: DATE: 200 amps"or Iess 201 amps to 400 amps -Over 401 to 600 amPs 0ver 600 amps or 1000-?oTTs D. Branch Circuits Nev, Alteration or Extension Per Panel . one circuit I S 3s.00 J$PO Each Additional Circuit or vith Service or Feeder Permit I S 2.00 A,aA E. Miscellaneous (Service/feeder not'included.) -Each installation Pump or irrigation _Sign/Outline Light i.g_ Limited Energy/Res Limited EnergY/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAI -t-qb 40.00 s5. oo 80. o0 ee "Brt aEove s s s s o pnone 141 - ^444 s 40.0q s 40.00 $ 20.00 s 36.00 r,E AE!TITFN 5 3q, q o