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Home My WebLink AboutPermit Mechanical 1995-01-26SPFlINGFIELE),p JOB NUMBEB 225 Fifth Street Sprlngf leld, Oregon 97477 TAX LOT: RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726.3759 LOCATION OF PROPOSED WOBK: ASSESSOBS MAP: LOT: ?fr, BLOCK:SUBDIVISION ADDRES S: OWNER: CITY: PHON E: STATE:ZIP: DESCRIBE WOBK: NEW- REMODEL ADDITION DEMOLISH OTHEN GENERAL: ADDRESS EXPIRES PHONECONTRACTOB'S NAME PLUMBING: MECHANICAL; ELECTRICAL; CONST. CONTRACTOR # RANGE: # OF BDRMS - OFFICE USE _ LAND USE: * OF UNITS:ZONING CODE: FLOOD PLAIN SECONDARY HEAT: SQUARE FOOTAGE:WATER HEATER; OCCY GROUP: * OF STORIES: CONSTR, TYPE: HEAT SOUBCE: To request an lnspecllon, you must call 726'3769. Thls ls a 24 hour recordlng. Alt lnspections requested before Z:oo a.m. wl1 bemade the same worklng day, lnspections requested after 7:00 a.m. will be macle the followlng work day. REQUIRED INSPECTIONS Temporary Eloclrlc [--l nough Mechanlcal - prtor totJ cover. Final Plumbing - When altplumblng work ls complete, Slte lnspection - To be made after excavatlon, but prior to settlng forms, Rough Electrical - Prlor to Flnal Electrical - When all electrlcal work is complete.cover. [-_l Understab Plumblng/ Electricat / - Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be approved to obtaln permanent olectrlcal power. Final Mechanical - When all mechanical work ls complete. l-l Footlng - After trenches areIJ excavated.Flreplace - Prlor to faclng materlals and framlng lnsp. Flnal Building - When all requlred lnspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng,Framlng - Prlor to cover. Foundatlon - After forms are erected but prlor to concrete placement. hor Wall/Celllng lnsulation - Prlor to cover. Underground Plumblng - Prior to fllllng trench.l-l Orywall - Prior to taping. Underlloor Plumblng/ Mechanical - Prlor to lnsulatlon or decklng. MOBILE HOME INSPECTIONS Wood Stovo - After lnstallatlon Post and Beam - Prior to floor lnsulatlon or decking,[-l lnsert - After ftreptace approvalu and lnstallatlon of unit. Blocking and Set.Up - When ailblocklng ls complete. Floor lnsulatlon - Prlor to decklng.Curbcut & Approach - After forms are erected but prior toplacement of concrete. Plumbing Connectlons : Whenhome has been connecttd towater and sewer.E Sanltary Sewer - Prior to filling trench. Storm Sewer - Prlor to fllling trench. Sidewalk & Drlveway - After excavation ls complete, forms and sub.base material in place. Electrical Connection - Whenblocking, set-up, and plumbing lnspections have been approved and the home is connected tothe servlce panel. Water Llne - Prlor to filling tronch,l-l Fence - When compteted Rough Plumblng - Prlor to cover. Street Troes - When all requlred treeg are planted. Final - After all requiredInspectlons are approved andporches, sklrting, decks, andventlng have been lnstalled. E QUAD AFIEA: * OF BLDGS: E T r AAAJ tl E E tl L Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lo, Tr__ - lnterlor - Corner - Panhandle - Cul-de-sac ks P.L.HSE GAR ACC N S E IS THE PFIOPOSED WORK TN THE . HtsToRtcAL OtSTRtCr, oR oN THE HISTORICAL REGISTER? - lf yes, thls applicailon must be slgnedand approved by the Historlcal Coordinator prior to permit issuance. APPROVED: BUILDING PERMIT VALUE (A) SO. FT. X $/SQ. FT,ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT Thls permit is granted on the express condrilon that the sardconstruction shall, in all respects, conform to the Ordlnanceadopted by the City of Springfteld, including theDevelopment Code, regulating the construction and use ofbulldings, and may be suspended or revoked at any ilmeupon vlolatlon of any provisions of sald ordlnances. Plan Check Fee: _-_ Date Paid: Recel pt Number:--.-_ DatePlans Reviewed By Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties wlthin the City limits which are being lmproved, FEE (c) NoResidentlal Bath(s) Sanitary Sewer Moblle Home Water FT. Storm Sewer FT. Plumblng Permit State Surcharge Total Charge PLUMBING PERMIT ITEM Fixtures . FT. ADDITIONAL COMMENTS Wood Stove/ lnsert/Flreplace Unit Dryer Vent MECHANICAL PERMIT (D) N0 Mechanical Permlt lssuance State Surcharge Total Permlt Furnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have carefully examlnedthe completed application and do hereby certlfy that alllnformatlon hereon ls true ancl correct, and I f urther certlfy that any and all work performed shall be done ln accordance wlth the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCy wlll be made of any structure without perrnission of the Bullding Safety Dlvlslon. I further certify that only contractors and employees who are ln compliance wlth ORS 7O1.OS5 wlll be used on thls proiect. I further agree to ensure that all requlred lnspectlons are requested at the proper tlme, that each address ls readable from the street, that the permlt card ls located at the front slte at Date n ofof the and the approved wlll remaln lon.I times durlng MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - ft Curbcut _-_- ft Demolition State Surcharge Total Miscellaneous Permlts (E) VALIDATION: RECEIPT NUMB DATE PAID AMOUNT R RECEIVED \ TOTAL AMOUNT DUE (exctuding electricat) (A, B, C, D, and'E'Comblned) i .. CITY OF SPB OREGON SPRINGFIELD The loliowlng prol zoning, and does approval. 225 FTTII SlREBf,l-" SPRINGTIELD ,oREGoN 97477 TNSPECTTON REOT'BST , 72WJeLJ{=qs OFFICE: 726-3759 1.LOCATION OF INSTALI,ATION Z' I,EGAL DESCRIPTION ect as oubmitterd has the lollowi not requite sPeuiiic l&nd udt BIJCTRICAL PERI{IT APPLICATION Ci ty Job Nunber SCEEDUI,E BELOS Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost $ 8s.00 Sum 4- A L000 sq.ft. or less nach additional 500 sq. ft or portion thereof Each Hanuf'd Home or -Modular Dvelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -40i- amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/volts Reconnect 0nly C D SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL Expiration Date Constr Contr. Number ,fc" ^ 2 ;a Exp irationDate 4-Z'?5 Signature of Supe ing Electrician Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 1.80 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address q: ,lzr.t/z.u/*/*1 Ci ty )non" 7/r, -'z{'a ,, Supervisor License Number 3 Ed- s Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less S 40.00 201 amps to 400 amps - $ 55.00 over 4b1 to 6oo amps - $ Bo.oo over 600 amps or ibOOE[s see rrB" aEo?A- -Each installation Pump or irrigation S Sign/Out1ine Lighting- $ Limited Energy/Res $ Limited Energy/Comm S /? -/ - ? I s 1s.00 s 40.00 $ s0.00 s 60.00 $r.00.00 s 130. 00 $300.00s 40.00 rvls Ovners Address Ci ty Phone ame "rk OIJNER INSTALLATION The installation is being made on property I ovn vhieh is not intended for sale, lease or rent. 0nners Signature: DATE: RECEI Nev, Alteration or Extension Per Panel one circuit '// S 35.00 ={ * Each acidi tional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) 2'? 1; 00 00 00 00 40 40 20 36 RECETYED B 5 -e