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Home My WebLink AboutPermit Mechanical 1999-04-26SPRIh.GFIELE, R ESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 JOB NUMBER 225 Fifth Street Spring(leld, Oregon 97477 o LOCATION OF PROPOSED K: ASSESSORS MAP:TAX LOT: SUBDIVISION: Notificatlon Center. Thoserr f,UAD AREA in OAR952-001 oAB952-001- u090. You may oolatn coptes ot the rules Dl/FLOOD })LAIN: r OF BLDGS:ealling the ce nt e'-o$tutg Ifi elel€phone_ZONING CODE: numberfortheOCCY GROUP: r OF STORIES: WATER HEATER: To request an lnspecflon made the same working l-_l remporary Elecrrtc Site lnspectlon - To be made after excavation, but prior tosetting forms. Underslab Plumblng/ Electrical /Mechanlcal - Prlor to cover. Footlng - After trenches are excavated. Foundatlon - After forms are erected but prlor to concreteplacement. HEAT SOURCE: BANGE Rough Electrical - prior to cover. Electrlcal Servtce - Must beapproved to obtaln permanent electrlcal power. r OF BDRMS: SECONDABY HEAT: SOUARE FOOTAGE: Final Plumbing - When allplumblng work ls complete. Final Electrlcal - When allelectrlcal work ls complete, Final Mechanlcal - When altmechanical work ls complete. ils ' you must call 726'3769' Thls ls a24hour recording. All inspections requested before 7:00 a.m. wlll beday, lnspections reguested after 7:00 a.m. wiil be macje the foilowlng work day. ,EOUtRED TNSPECTTONS PZI Rougn Mechanicat - prior to - cover. E Masonry - Steel locatlon, bond beams, groutlng, f-l Flreplace - prtor to facing|J materlals and framing lnsfi Final Building - When ailrequired lnspections have beenapproved and building is completed. MOBILE HOME INSPECTIONS Plumbing Connections - Whenhome has been connected towater and sewer. Framlng - Prior to cover. Wall/Celling lnsulatton - prlor to cover. J-l Underground plumblng - prior _ _l-J to rlrrrig Gncn [--l Drywall - Prlor to taplng E Underlloor Plumblng / Mechanlcal - Prior to lnsulatlon or decking.Wood Stovo - After lnstallation Post and Beam - prlor to floorlnsulatlon.or decklng. Floor tnsulation - prior to" decking.Curbcut & Alrproach - Afterforms are erected but prior toplacement of concrete.Sanitary Sewer - Prior to fliling trench. Stonn Sewer - prior to filllng trench. Sidewalk & Driveway - Afterexcavation is complete, lormsand sub-base material in place. Fence - When coinpleted. lnsert - After flreplace approvgland installation of unlt. [-_l BlocXing and Ser.Up - When ail. - blocklng ls complete. l-l Water Ltne - prtor io fiilingIJ trench. Electrical Connection - Whenblocking, set.up, and plumbingInspections have been approvedand the home ls connected tothe servlce panel. Final - After all requiredinspections are approved andporches, sklrilng, decks, andventlng have been installed. PHONE: ZIP:STATE:CITY: ADDRESS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER _-- DESCRIBE WORK: NAME ADD EXPIRES CONST. o .1 PHONECONTRACTOR' PLUMBING: GENERAL: MECHANICAL: ELECTRICAL: Rough Plumbing - prior to cover.$treet Trees - When all requlredtrees are planted. LOT: - BLOCK: E I oo 1A',l -ln rL ^ A-^ Lot.faces Lot sq. ftg. Lot coverage Topography Total helght Lot Typ - lnterior - Corner - Panhandle )' - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E - IS THE PROPOSED WORK IN THE . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this appllcatlon must be slgned and approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: ADDITIONAL COMMENTS By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformatlon hereon is true and 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 Oregon pertainlng to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure wlthout perrnission of the Bulldlng Safety Divislon. I further certify that only contractors and employees whc _ 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 pr6psrty, and the approved set of plans will remain on the site ali times during construction. sls ,l\ -Date VALIDATION: RECEIPT NUMBE DATE PAID AMOUNT REC RECEIVED BY BUILDING PERIVIIT. , SO. FT.VALUE (A) ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee X $/SQ. FT. BUILDING VALUE, FUru CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, conform to the 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. Receipt Number:- Plans Beviewed By Date Plan Check Fee: Date Paid 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) N. FT. FT. FT. PLUMBING PERMIT Plumbing Permlt State Surcharge Total Charge Wood Stove/ lnsert/ Fl replace Unit Dryer Vent MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Oemolition State Surcharge Total Mlscetlaneous Permits (E) N0Vent Fan Mechanical Permit MECHANICAL PERMIT Furnace Exhaust Hood lssuance State Surcharge Total Permit TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Combined) VE %(4i> ri , Received By: (D) CTTY OF OREGON lffi':#l%:!,jT:i t"T[:;:m ffi f H:", 5I iGFIE.LD EIJCTRICAL PBRUIT APPLICATTON225 FITTE STREET SPRINGTTELD, oREGoN 9paE7 INSPECTION REOUEST: OFFICE: 726-3759 Ierf"'3;5 9s,enature 1 LOCATTON OF INSTALLATTON lb l5 5e Qr-,o iq , SorC lJ LEGAL DESGRIPTION3 Permits are non-transferabie and expireif vork is not started vithin 1.E0 daysof issuarrce or i f rrorir is suspended f or 180 days. 2. CONrRACTOR INSTALI..ATTON ONL] Electrical Contracto Address 3.513 o UJ.{l'la.nu--, * ciry ([dJrell ,rroru-ffi2440 Supervi.snr License l,iurnber L Expiratiorr Date /olr/65 Constr Contr. Number &kBqLl Expir:ation Date :lBqq bt ure of S uper,,'ising Electrician Cwne {loa-rcx Addressl ty rob x,-uegQ f',5Kf LP y'?* -a 3 A FEE SCEEDULE BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service Ineluded: I tems Cos t ' q'r-t -l-? Sum 1000 sq.ft. or less Each additional 500sq. ft or portion thereo f Each Manuf'd Home. or - Modular Dvelling Service or Feeder B. Services or FeedersInstallarion, Alterationsor Rel.oca t i on : 200 amps or Less 201 amps to 400 amps --- 40L amps to 600 amp-s - 601 amps to 1000 amps-0ver 1000 amps/vo).ts - Reconneef Only C D s 85.00 s 1s.00 $ 40.00 $ s0.J0 $ 50.00 S100. Cli s130. 00 s300.00s 40.00 $ 3s.00 $ z.oo .X:' ^ood\ t.v5 l.t t .ct G Temporary Servi.ces or FeedersInstaJ.lation, Alteration or Relocatior; 200 amps''or less 201 amps to 400 amps -__0ver 401 to 600 amps --Over 600 amps or 1000-7oT[s Branch Circui ts i'iev, Alteration or Extension per panel $ 40.00 $ 55.00 $ 80.00 see ilBil aEiTF <?(ta-) L1 l'!e OITNER INST The instaLlation is ueing made onproperty I ovn which is not intendedfor sale, Iease or rent. 0vners Signature: DA E. Miscellaneous (Service/feeder not incj.rlded) One Circui t IEach Addi tionalCircuit or with Serviceor Feeder Permi t / -Each installation Pump or irrigation g Sign/Out1ine Lighting- SLimi ted Energy/Res -- $Limited Energy/Comrn S 40. 00 40.00 20. 00 36.00 5 SUBTOTAL OF ABOVE 52 State Surcharge 3i( Administrative Fee TOTAL - afoo t, RECEIUE, B 65 €) . JOB DESCRIPTTON l-7 0:, .?a 3-3 i( 5 (tr)