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HomeMy WebLinkAboutPermit Mechanical 1998-04-27SP,lINGFIELr)RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: Qvc ''t,JOB NUMBER 225 Fifth Street Sprlngfleld, Oregon 97477 Z1i 3 Yo lo,,r)n ASSESSORS MAP:lr o2_ tq v3 0TAX LOT LOT:BLOCK:SUBOIVISION: -- OWNER PHONE: og,STATE:ZIP: no 7 7 ADDRESS: 'z? CITY:5 lc."* A{{Aff NEW - REMODEL ADDITION DEMOLISH OTHER _- ,,trnji{ hDESCRIBE WORK: ADDRESS dsft 'Jrra Bi^,*c EXPIRES ,l PHONECONTRACTOR'S NAME GENERAL: ELECTRICAL: MECHANICAL: PLUMBING: CONST. CONTRACTOR # - OFFICE USE - FLOOD I)LAIN:LA EAI: a RANGE: QUAD AREA: I OF BLDGST SQUARE FOOTAGE: _ OCCY GROUP: * OF STORIES: To request an inspectlon, you made the same worklng day, must call 726-3769' Thls ls a24hour recording. All lnspections requested before 7:00 a.m. wlll belnspections requested after 7:00 a.m. wlll be made the folrowrng work day. REQUIRED INSPECTIONS Rough Mechantcal - prlor to cover. E iJffiifl!"i,lfljn'.'-otns - Prior [--l orywau - prlor to tapins. Underlloor Plumblng / Mechanlcat - Prior to lnsulailon or ctecking. l-_] Understab plumbing/ Etecrricat/ - Mechanlcal - prior to cover.--/| fl Final Mechanlcal - When all - mechanical work ls complete. Electrical Connection - WhenbJocking, set-up, and plumbinglnspections have been approvedand the home is connected tothe servlce panel. Temporary Electric Site lnspectlon - To be madeafter excavatlon, but prior tosetting forms. Footlng - After trenches are excavated. Masonry - Steel locatlon, bondbeams, groutlng. Foundatlon - After forms areerected but prior to concreteplacement. Floor lnsulation - prior todecking. ly,zf Rough Electricat - prior to|J cover- Eleclrical Service - Must beapproved to obtain permanent electrlcal power. Flreplace - prlor to faclng materlals and framing lnsfl Framlng - Prior to cover. Wall/Celting lnsulallon - prlor to Flnal Plumbing - When altplumbing worl< is complete. al Electrical - When ailelectrical work is complete. Flnal Buitdlng - When allrequired lnspectlons have beenapproved and building iscompleted. Other MOBILE HOME INSPECTIONS cover. Wood Stove - After lnstallation. Sidewalk & Drivewav - Afterexcavation ls comp,ete, formsand sub.base material in place. [-l Post and Beam - prior to floor - lnsulatlon or decking. [-l Sanitary Sewer - prior ro fiiling.J trench. Curbcut & AJrproach - Afterforms are erected but prior toplacement of concrete. Storrn Sewer - prior to fillingtrench. l-l Warer Ltne - prtor to fiilinglJ trench.I_l fence - When coi-,rpleted. Rough Plumbing - prior to cover. l--l lnsert - After ftreptace approval - and installailon of unlt. [-l Btocking and Set.Up - When alt - blocklng ls compleie. Plumbing Connections _ Whenhome has been connected towater and sewer. l--l Streer Trees - When ail required - trees are planted. Final - After all requiredInspectlons are approved andporches, sklrilng, decks, andventlng have been lnstalled. iiI FOR SHALL EXPIRE IF THE UNDER THIS WATER HEATER:- CODE: WORK ZONING IS NOT 'r OF BDRMS: _ E !i:' Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Ty,_ - lnterlor - Corner I - Panhandle - Cul-de-sac IS THE PROPOSED WORK TN 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: P,L.HSE GAR ACC N S E BUILDING PERMIT I VALUE (A) Total Value Building Permit Fee Stale Surcharge Total Fee ITEM Main Garage Carport SQ. FT. X $/SO. FT. 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:- iluru cHEcK Plans Reviewed By Date Date Paid Received By: Plan Check Fee: RMIT BUILDING VALUE, I AND BUILDING PE 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 Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) Nr FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge Wood Stove/ lnsert/Flreplace Unit Dryer Vent MECHANICAL PERMIT {Lr--+1Q._1 (D) N0 Mechanical Permit lssuance State Surcharge Total Permit ,7r(+ ,45- 6h_2q Fu rnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have caref ully 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 Springfield, 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 pertnission of the Building Safety Divislon. I further certily that only contractors and employees who are in compliance wlth ORS 701.055 will be used on thls proiect. I further agree to ensure that all required inspections are requested at the proper tlme, that each address is readable from tlre street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln on the site at all times during constructlon. (rsn",u," 7- /11 -t -27 -28("," MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolltlon State Surcharge Total Miscellaneous Perlnits (E) a15C / ?-o DATE PAI[) AMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding electrical) (A, B, c, D, and E Combined) . FT. FT. QITY /aF aiilt'Lilr" tlr.'tsI OBECON .,prov8l. SPRINGPIEIJ, OREcoNAfttr4h7r,ra INSPECTTON REQITESTt 726-376I PERTOD SPFIiJGFIELO SHALL EXPIHE IF THE WORK UNDEH THIS PERMIT IS NOT OR lS ABANDONED FOH ELECITRI0AI PERI{IT A}pLrcATIoN Ci ty Job Nrrnber o 3, COHPIJTE FEE SCEEDIN^E ggLOY A. Nev Residentia]-Single or Mul- t i-Family per duel).ing uni t . Service fncluded:Items Cost L000 sq.ft. or less Each additlonal 500 sq. ft or portion thereof Each Manuf'd Home. or -Modular Dvelling SerVice or Peeder $ 85.00 F ,+ NOTICE: THIS PERiJlIT AUTHORIZEDArll 225 FTrr,H SIts,EET oFFTGE: 726-3759 1. LOCATION OT INSTALI.ATION IJGAL DESCRTPTIOI.I 10 JOB DESCRIPTION lkoj}- ?v,-,--+--- Permits are non-tran,sferabLe and expirelf vork is not started vithin 180 days of issuance or if uork ls suspenried for 180 days. 2. COIT]SACTOR INSTAIJ.ATTON OM,Y Electrical Contrac to, SrlUs {zC1-,,tL Address Z/O /5 Fa City EzSala Phone 6 z z-r5 c> $upervisor. License Number -eA-{H Expiratio"ouc. /0- / -78--c Constr Contr. Number e> Expiratio"o^r.. 6- b -?^3. Sigua of Electrician 0vners Name Pyw Address X a Ci ty Phone OSNER TNSTALI,ATION The installation is being made on property I ovn r,rhibh is not intenoed for sa1e, lease or rent. Ovners $ignature: 5 DATE;-a< RgCEIVED B. Services or Feeders Installation, Alterations or Relocation; Sum D $ 15.00 $ 40.00 $ 50.Q0 $ 60.00 $100. 00 $130. 00 s300.00 $ 40.00 Temporary Servlces or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 atnps 401 amps to 600 amps 601 amps to 1.000 amp 0ver 1000 amps/voIts Reconnect Only 200 anps"or 1 201 amps to 4 Over 401 to 6 Over 600 amps One Circui t Each Additlonal SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAI, ess $ 40.00 00 amps S 55.00 --00 amos S 80.00 or 1000-VioTts see I'B'r aSoG- D, Branch Circuits Nev, Alteration or Extension Per Panel. I $ 3s.oo @_- Circuit or vith Serviceor Feeder Pernrit J_ $ 2.0 E. Hiscellaneous (Service/feeder not included) o+>. - -Each lnstallation Pump or irrigation Sign/0ut1ine Lighting-- Limi ted EnergT/Res Limited Energy/Comm ^ - $ 40.00 $ 40.00 $ 20.00 $ 36.00 Vq*z r/ola-*J=--_ s $sl-: l,<{ <. - f?#T