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Home My WebLink AboutPermit Mechanical 1998-07-31SPRI,{GFIELD RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Otfice: 726-3759 LocAroN oF pRoposED woRK: -11; 7- -(1plary/?0ZoStZ Q8o62LJOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 ; ,aj TAX LOT:o/8o/ LOT: - BLOCK SUBDIVISION ?7?77ZIPDr PHONE:3y'3 z6# 7l7s- STATE: rh CITY: ADDRESS: OWNER: /e-rraeu r-DF-MOL ISH CTHER 4/"/ i.l ?n 4DESCRIBE WORK: REMODEL ADDITiON - 7os+6!vp11Eg ty'a/oyaoNea#J/t/ N DDRESS tl sl*-Gaer$ Hr''.Lrn3 llDz CONTRACTOR'S NAME MECHANICAL: ELECTRICAL CONST. CONTRACTOR # C EN ERAL: PLUMBING # oF uNlrs: - tT-iENTION:OregonT&SliUSjF@5sl€_ # oF STofiUT}IOR1ZEDUNDEFTH1S pERMfltB{$dPURCE: in oAR e52-001-001 wArER He$trFffiH*eeo-on+s*am*ooNED ffif,ce: -- - 00e0',Io1,ma)' obta calling the center. FLOOD PLAIN otfr6g6}l't9ARsEEOO 1- SFefollow rules adopted byoccY GHfillB ffiE rF THgqftflfl' rYPE: -N ot-il-i c ati o n ee nt e r. Th ose ru _ OFFICE USE _ LAND USE: - -OUAD AREA ,OFBL rTo reques st call 726-3769. This is a 24 hour made the same working rjav, inspecrions request.3d atler 7:31 a.rn. wirl ba REQUINED INSPECT|ONS Temporary Electric Rough Mechanical - Prior to cover. 7:00 a.m. will be Finai Plumbing - When all plumbing work is complete. Final Electrical - When all electrical work is complete. Site lnspection - To be made af ter excavation, l)ut prior to setting forms. Underslab Plumbing / Electrical I Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundalion - After forms are erected but prior to concrete placemen t. Underground Plumbing - Prior to filling trench. Underlioor Piumbing/ Mechanica! - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking. Floor lnsulalion - Prior to decki ng. Sanitary Sewer - Prior to filling trench. Slorm Sewer - Prior to fil!ing t renc h. Water Line - Prior to filling trench. Rough Electrical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power. Fireplace - Prior to facing materials and framing lnsp. Framing - Prior to cover, Wall/Ceiling lnsulation - Prior to cover. Wood Slove - After instailation lnsert - Af ier fireplace approval and installation cf unrt. Curbcut & Approach - Aiter fr,r1p5 2r'g erecic(l but r)ricr toplacernent of concrete. Sidev,raik & Dri.reway - After excavation is coi'nplete, forms and sub-basc material in pt26s. l-] ru"." - wh.rn ccrnpleted. Sireet Trees - \tit<,, i rees .rr,..) pit^;rtr,C. ay, X Final Mechanical - When all mechanical work is complete. Final Building - When all required inspections have been approved and building is completed. Other IVIOBILE FIOME INSPECTIONS Blocking and Set.Up - When all blocklng is complete. Plumbing Connections - When home has been connected to water and sewer. Electrical Conneclion - When blccking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Final - After all required inspections are approved andpcrches, skirting, <jecks, and veniinE have been installed. Rough Plumbing - Prior to cover.i--]all required ASSESSORS MAP: tl E tl E tl E tl tl [---l Drywall - Prior to taping. tl I r Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type .. - - lnterior - Corner - Panhandle - Cul-de-sac Sc.tbac ks P.L.*E,GAR ACC .v-, THE PROPOSED WORK IN THE HISTORICAL DISTFIICI OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED:E N 5 BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This pcrmit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adoptcd by the City of Springfield, including the Developmenl Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions o{ said ordinances. Plans Reviewed By Date Plan Check Fee: Date Paid: Receipt Number Received By: VALUE (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixt u res Residential Bath(s)' Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) No {2i a Vent Fan {.oaMechanical Permit lssuance State Surcharge Total Fermii MECHANICAL PERMIT Fu rnace Exhaust Hood -b-,ao--:$/.?r By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinanccs of the City of Springlield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that o|lly contractors and employees who are in compliarrcc with ORS 701.055 will be used on this proiect. I f urther agree to ensure that all required inspections are requLsierj at thc plopcr tirile, tllat each address is readable Signature -oC)Date S non the site at all ti it card is located at the f ront const ruct ion. set of plans will remain f rom the street, that the of the property, and theMISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Oemolition State Surcharge Total Miscellaneous Permits (E) a ? LO 3 0e VALIDATION flECEIPT NUMBER DATE PAID - -.. AMOUNT RECEIVED FIECEIVED BY _- -. TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Combined) / P"" {' THIS PENMIT SHALL EXPIRE IF THE WORK AUTHOHIZED UNOER THIS PERMIT IS NOT COMMENCED OR ISABANDONED FOR At\lV 1Qn nAV PtrRlfn225 FIFTE-STREET SPRINGFIELD, OREGON 974 INSPECf,ION REQTESTz 72 OFFICE z 726-3759 1 LOCATION OFtt-7 5-7 ALlJfi'Ibfltsld lr't ,It tn S'.. INGFIELt) ATTENTION:Oregon law req h,lovy s are set forth th&Hotdo$rus2-oo1-The 6-37 6 PTION JOB Permits are non-transferable and e>:pire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 ciays qtr4aY Ore on uti t388nNrrru".q bvV 1 3. COHPLETE FEE SCEEDULE BELOV Nev Residential-Single or Multi-FamilY Per dvelling unit' Service fncluded: I tems Cos t s 85.00 s 1s.00 call r. (Note: n/? 'A PER{IT APPLICATION 200 amps''or less 201 ainps r.u 400 amPs - 0ver 401 to 600 amPs Over 600 amPS cr 1OOO-voIT Branch Circui ts SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL s 40.00 2 CONTRACTOR TNSTALI.ATION ONLY Electrical Contractor Address t-{O e 6 \r.lt +3- * 19, Ci ty vnone eg 7 Ft-76 suP ervi-sor License Number i?tl1 Expiration Date o \ consrr contr . nunaer I Otl 71-7 c.Insiallation, Alteration or Relocation 200 amps or less 201 amps to 400 amPS - 401 amps to 600 amPs - 501 amps to 1000 amPs- Over 1000 amPs/volts - Reconnect 0n1Y Sum 40.00 55. OO 80. oo ee rrBrr a5ffi s s0.00 s 60.00 s100. 00 s130.00 s300.00s 40.00 t Expi ra t 7Date Signatur 1S Electri ci an Z.zr' R->v-:.-/ t s s sss Ovners Address ci ty_Phone OIINER INSTALI-ATION The instaLlation is being made onproperty I or^'n r-'hich is not intendedfor sa1e, lease or rent. Orrrers Signature: DATE: RECEIPT Nev, Alteration or Extension Per Panel I one circuit J $ 3s.00 3{ Each Addi tional -----cit"uit or vith Servicq ^,-,or Feeder Permia + S 2.OO ''t- Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation S sign/outline Lighting- q LiilitedEnergy/Res -- S D. Er 40.00 40. 00 20. 00 35.00 RECEIVED 5 b by the B. Services or Feeders Installation, Alterations CTqCot Relocation; 1000 sq.ft. or less Each additional 5C0 sq. ft or Portion thereof Each Hanuf'd Home- or Modular Dvelling Service or Feeder I I (