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Home My WebLink AboutPermit Mechanical 1998-02-10t/4 6 RESIDENTIAL PERMIT APPLICATION lnspectlons: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: SPR!NGFIELO I c/6 afr, JOB NUMBER 225 Fifth Street Spri ng f leld, Oregon 97 477 l.t 18 Ver"r '2_ TAX LOT or: 3 OT SUBDIVISION ASSESSORS MAP: LOT - BLOCK: PHONE: U er.t STATE:ZlPt qtY*,CITY: ADDRESS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER _- ;t t^Jdr K-DESCRIBE WORK: 'l-(4t ADDRESS 0tlk L 14zsh g EXPIRES .i PHONECONTRACTOR'S NAME GENERAL: ) vv'r PLUMBING: MECHANICAL: ELECTRICAL;cc 0 * >-s>qb . 611 CONST. CONTFIACTOR # RANGE * OF BDFMS: - OFFICE USE - LAND USE: WATER HEATEFI: ZONING CODE: FLOOD PLAIN: * OF UNITS: QUAD AREA: * OF BLDGS: SECONDARY HEAT SQUARE FOOTAGE: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an lnspection, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS Temporary Electrlc lpf Rough Mechanlcat - Prtor to z}z*.cover. Flnal Plumblng - When allplumbing work is complete. Slte lnspectlon - To lre made after excavatlon, but prior to settlng forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. Underslab Plumblngl Electrical / Mechanlcal - Prlor to cover.Electrlcal Service - Must be approved to obtain permanent electrlcal power. ,K,Final Mechanlcal - When all mechanlcal work ls complete. E Footlng - After trenches are excavated.Flnal Buildlng - When all required lnspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng. fl Flreplace - Prlor to facingu materlals and framing lnsp. l-l Framlng - Prtor to cover. Foundatlon - After forms are erected but prlor to concrete placemont. Other Wall/Celling lnsulatlon - Prlor to cover. Underground Plumblng - Prior to filllng trench.Drywall - Prlor to taplng. Undertloor Plumblngl \F IHE v{oRK MOBTLE HOME TNSPECnONS - Prlor to lnsulatlon or 1g$OTratron. Post and Beam - Prlor lnsulatlon or decklng.approval [--l elocking and Ser-Up - When ail - blocklng ls complete. Floor lnsulalion - Prior decking.',NY 180 PEB\OD'Curbcut & AJrproaclr - After forms are erected br.tt prior to placement of concrete. Plumbing Connections - When home lras been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Electrical Connection - When blocking, set.up, and plumbing Inspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Water Llne - Prlor to filling trench. Fence - lVhen corrrpleted Street Trees - When all requlred trees are planted. Rough Plumbing - Prlor to cover. 8 l7D'2, 24 E E tl E E fl tl of unlt. IH\s FOB l--l Final - After alt required.J inspections are approved andporches, skirting, decks, andventlng have been installed. Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Typ,c - lnterior - Corner - Panhandle ! - Cul-de-sac ks (IS THE PROPOSED WORK TN THE. HISTORICAL DISTRICT, OR ON THE HISTOFIICAL REGISTER? - lf yes, this applicatlon must be slgned and approved by the H istorlcal Coordinator prlor to permit issuance. APPROVED: BUILDING PERMIT ITEM SO. FT. t x $/so. FT.VALUE Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) 1 r). BUTLDING VALUE, PIAru 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. Plan Check Fee: Date Paid Receipt Number:- Received By: Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems.Development Charge is due on all undeveloped properties within tlre City limits which are being improved. PLUMBING PERMIT ITEM Flxtures Resldential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Horne FEE Nc FT. FT. FT. Plumblng Permit State Surcharge Total Charge (c) ADDITIONAL C "#*qhAt,^t 4 )4 MECHANICAL PERMIT Furnace Exhaust Hood rZrz) Vent Fan No Wood Stove/ lnsert/ Flreplace Unit Dryer Vent Mechanical Permit lssuance Statesurcharse /? f 7,4J- Total Permit (D) /of /,20 MISCELLANEOUS PERMITS Moblte Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformatlon hereon is true ancl correct, and I f urther cerilfy that any and all work performed shall be done in accordance with the Ordinanccs 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 without permission of the Bulldlng Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on thls prolecl. I further agree to ensure that all required lnspections are reguested at the proper tlme, that each 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 remain on the site at all ti during constructlon Signature Date Z.7q VALIDATION: REcEIPT NUMBER -ZE,7A T DATE PAID AMOUNT RECEIVED RECEIVED BY 2 2o TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Comblned) -''t t 2() -z<E2t-- P.L.HSE GAR ACC N S E / s,a" Z;.t:u f Arthoilacd 225 FIFTE SIREET SP&INGFTEIT, OREGON 97477 INSPECTION REQITESTz 726-3769 OFEICE: 726-3759 1 OF ,TION .SPl*-GFtELO A. Nev Residential-Single or Multi-Family per dvelling unit. Service fncluded:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home- or Hodular.'DvelIing' Sertice or Feeder $ 85.00 $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: <t',7N ? &._I 3 JOB DESCRIPTION Permits are non-transferable and expire lf vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. , 2. CONTRACTOR INSTALI.ATION ONLT .B Sum -aE66 Electrical Contractor f/rff, t^)e4-4--200 amps or less 201 amps to 400 amps - 401 amps to.600 amPs - 601 ands to 1000 amps- Over 1000 amps/volts - Reconnect OnIy Addres ci Phone 3'(l {f z a Supervisor License Number ?tro s ExP iration oare /O - gq - Expiration Date -?f- Electrician $ 50.00 s 60.00 s100.00 s130.00 $300.00 $ 40.00 200 amps"or less $ 40.00 201 amis to 400 amps - $ 55.00 over 4b1 to 600 amps - $ 80.00 Over 600 amps or 1000-6Lts see nB, $ 40.00 $ 40.00 $ 20.00 s 35.00 Supe Orners Name Address lL+'){ Ci ty.il.&Phone OVNER The installation is being made on property I ovn vhiih is not intended for sale, lease or rent. Orneri+Signature: DATE: Nev, Alteration or Extension Per Panel one circuit I $ 3s.oo 1{ Each AdditionalCircuit or vith Service ,-, -or Feeder Permi t 'L $ 2.00 T E. l'tiscellaneous (Service/feeder not included) ture of;,U c D. Branch Circuits -Each installation Pump or irrigation Sign/0u tline Lighting_ Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAL Temporary Services or Feeders Instal}ation, Alteration or Relocation 5 RECEIVED 3 constr contr. Humuer J 13 S /