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Home My WebLink AboutPermit Mechanical 1995-10-30RESIDENTIAL PERMIT APPLICATION lnspections:726'3769 Office: 726-3759 LOCATION OF PRO ASSESSORS MAP: SPFlI}rGFIELE, n qsws efr, JOB NUMBER 225 Fifth Street Sprlng(leld, Oregon 97477 TAX LOT: ED-1 LOT; - BLOCK:SUBDIVISION PHONE: ZIP:STATE: OWNER: ADDR CITY: DEMOLISH OTHERNEW-- BEMODEL ADDITI DESCRIBE WORK I EXPIRES PHONEADDRESSCONTRACTOR'S NAME ELECTRICAL: MECHAN CONST. CONTRACTOR ' GENERAL: PLUMBING 5 WATER HEATER:RANGF.: _ OFFICE USE - LAND USE: ZONING CODE: FLOOD PLAIN I OF UNITS: SECONDARY HEAT: SOUARE FOOTAGE: OCCY GROUP: I OF STORIES: QUAD AFIEA: , OF BLDGS CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must cail 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be made the sante worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day' E ffi:lHd$:::T:::'.- cover. U Temporary Electric Site lnspection - To be made alter excavation, but Prior to setting forms. Underslab Plumblng / Electrical/ Mechanlcal - Prlor to cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are erected but Prior to concrete placement. Underground Plumbing - Prior to fllling trench. Underlloor Plumblng/ Mechanlcal - Prior to Insulatlon or decking. Post and Beam - Prior to floor lnsulation or decking. Floor lnsulation - Prior to decki ng. Sanitary Sewer - Prior to f llling trench, Storm Sewer - Prior to filling trench. Water Line - Prior to filling trench. Flnal Plumblng - When all plumblng worl< ls complete. Final Electrlcal - When all complete. - When all ls complete. FInal Buildlng - When all requlred lnspectlons have been approved and building is completed. Othor MOBILE HOME INSPE TIONS Blocklng and Set.Up - When all blocklng ls co.mplete. Plumbing Connections - When home has been connected to water and sewer. Electrical Connection - When blocking, set-up, and plumbing lnspections have been approved and the home is connected to the servlce panel. Final - After all required inspectlons are approved and porchos, sklrtlng, decks, and ventlng have been lnstalled. Rough Electrical - Prior to cover, Electrical Servlce - Must be approved to obtaln Permanent electrlcal power. Flreplace - Prlor to faclng materlals and framlng lnsP. Framlng - Prlor to cover. Wall/Celling lnsulatlon - Prlor to cover, l-_l Drywall - Prlor to taolng. Wood Stovo - After lnstallatlon lnsert - After flreplace aPProval and lnstallatlon of unlt. Curbcut & Approach - After forms are erected but Prior to placemcnt of concrete. Sidewalk & Drivewav - After excavation ls completc, fgrms and sub-base materlal ln Place. Fence - When completed. Street Treos - When all requlred trees are planted, Sfu, Bough Plumblng - Prior to cover. E E E E tf E E E E E tf E E E tl , , OF BDRMS: -_ ,ir E fl Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type>- - lnterlor - Corner - Panhandle - Cul.de-sac IS TH E PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ONTHE HISTORICAL REGISTER? -._- lf yes, thls appllcatlon must be slgnedand approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: PL.HSE GAR ACC N s E BUILDING PERMIT VALUE (A) so. FT. X $/SQ. FT.ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee Py.t_LD_tNG VALUE, PLAN CHECKAND BUILDING Pi=NMir Thls permit is granted on the express condition that the sardconstruclion shall, in all respects, conform to the Ordinanceadopted by the City . of Springtietd, lnctuding theDevelopment code, regurating in" ""on"trl"tion and use ofbuildlngs, and may be suspended or revoked at any ilmeupon vlolation of any provisions of said orjinnn""". DatePlans RevieweZ t3y Date Paid Receive<J By Plan Check Fee EMS DEVELOPMENT CHARGE (SDC) (B) SYST Systems Development Charge ls due on all undevelopedproperties within thc City limlts whlch are being improved. ITEM Flxtures Resldenilal Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT FEE No FT. FT. FT. (c) Plumblng permlt State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MECHANICAL PERMIT d) (D) Mechanical permlt lssuance State Surcharge Total Permlt Furnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have carcf ully examlnedthe completed application and do hereby certify lhat alllnformation hereon is true ancl correct, an j I f urther cerflfythat any and ail work performed shail be done in accordancewlth the Ordinanccs of the City of Sprlngfield, and the Lawsof the stare of oregon pertainrng to the work descrrbedhereln, and that NO OCCUPANCy will be macJe of anystructure wlthout perrnission of the Building Safety Divislon.I further certify that only contractors andlmptoyees whoare ln compllance with ORS 701.055 wiil be used on thlsprolect. I lurther agree to ensure that all required lnrequested at the proper ilme, thal each a from the street, that the perTlt ca of the property, and the approved spections are ddress ls readable rd ls located at the f ront set of plans will remalnon the slte at all imes uring conslrucilon. Slgnature Date MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk -._.- ft Curbcut -- ft Demolitlon State Surcharge Total Mlscellaneous permits (E) TOTAL Af\4OUNT DUE (excludtng eleclrlcat)(A, B, C, Q and E Comblned) ' vhrroarroru: RECEIPT NUMBER DATE PAID AMOUNT RECE RECEIVED BY D - N0 SPBI]VGFtELD 225 FIFTE STREET SPRINGFIELD, oREGoN 97477 INSPECTION REQUEST2 726-37 OFFICE: 726-3759 1 ELE TRICAL PERI{IT APPLICATION Nev Residential*Single or Multi-Family per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Hodular Dvelling Service or Feeder s 8s.00 s 1s.00 $ 40.00 B. Services or Feeders $ 50.00 s 60.00 $100.00 s130. 00 s300.00 s 40.00 c City Job Nu.ube, q3 DzS Arrirc.ii;:cu.l gl$naturoffiDlll^E BELOII Zonin LOCATTON t 4a1o (Da-l n ttt S! OF INSTALI..ATION A DESCRIPTTON Q.*x*, trf Sum JOB DESCRIPTION .i Permi ts are non-trans ferable and expire if vork is not started vithin 180 days of issuance or if work is suspen-ded for 180 days. 2. COI{TRACTOR INSTALI"A,TION ONLY Electrical Contract Address Ci ty Er.rgLr--\-^-Phon€!_3_:-l&&J r1 € LL*C,.- ll'i3l]::ti3;, Alterations 200 amps or l-ess 201 amps to 400 amps -401 amps to 600 amps -60L amps to 1000 amps- 0ver 1000 amps/voIts -Reconnect 0n1y l+ Superviso, il.""nr" Number /39A5 Expiration Date Constr Contr. Number SOQ Expiration Date rc; \q, L" S rvising Electrician 0vners Name Address 143 Uo*urr u,T Ci prronel(b - trlll OVNER The installation is being made on property I ovn vhich is not intended for sale, fease or rent. Ovners Sigaature: DATE:1.- l- q R.ECETVED Temporary Servi.ces or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps - S 55.00 over 401 to 600 amps - $ 80.00 0ver 600 amps or 1000 voEs see "8"aEove ON D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit ,( S 35.00 1S +o Each Additionai Circuit or vith Service or Feeder Permit S 2.00 E. Miseellaneous (Service/feeder not included) -Each install-ation Pump or irrigation Sign/OutIine Lighting- Limited Energy/Res Limited Energy/Comm ( C $ 40.00 40.00 20.00 36.00 SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL 5 d tq- o€-s?--- --r-?,is-g'l P., C\.,--)