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Home My WebLink AboutPermit Mechanical 2000-01-21Job# 00-00094-01 SPRINGFIELD Page 1 of2 TRANSS:01-0000i14 DATE:JAN 21 ?CIOi} AilT RECD:2 $ ?6.50 IHANGE: IAEHiER:059RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety 225 North Fifth Street Springfield, OR 97477 Location Of Proposed Site: 1919 00022ND ST Spr AssessorsMap#: 00000000 Lot: Block: Addition: Job Number: 00-00094-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot #: 00000 Subdivision: ctTY oF sPRtNcFtELD, OREoON Owner: Artie Mae Harlow Address: 1919 22nd Street Scope Of Work: Mechanical Phone Number: City/State/Zip: New 541-7464060 Springfield, OR 97477 Value: $0 NEWAPPLIANCES IN NEWMAN. HOME Contractor Type MechanicalContr Contractor Marshalls Oil and lnsulation 4110 Olympic Street, Springfield, OR 97478 Registration # Expiration Date Phone Quad Area: # Of Units: Gonstr. Type: Water Heater: Office [Jss - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. FinalGas Final Mechanica! Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main: Required lnspections Mechanical -When all gas work is complete. -When all mechanicalwork is complete. # Of Stories: Height (feet): Current Units: Proposed Units: Census Gode: Does not apply Accessory Total Page 2 of 2 Paid On Receipt#Value/QuantityFee Minimum Mechanical permit Mechanical Administrative Fee Miscellaneous Mechanical Mechanical lssuance State Surcharge For Mechanical permit Total Mechanical Grand Total 01t21t2000 01t21t2000 01t21t2000 01t21t2000 01t21t2000 334 334 334 334 334 15 Fee Amount $.00 $.45 $15.00 $10.00 $1.05 $26.50 $26.50 zonrng, and does not approval 225 rrFTg SrREst SPPJNGFTELD, 0REGSN 97 477 INSPECTION REQI.TES? 2 TT{p*A 0FPICE: 726-3759 Aurrioirzed Signature NN OP IHSTALI,I\TION ._]1 aa_ LEGAL DESSRIPTION JOB DESCRIPTION The following project as submitted has the following specific land use Zoning A. Nev Residential-Single or MuLti-Family per dvel}ing unit' Service Included:Items Cost liPtrJrvcFtELrl i0rJ0 sq.ft. or less Each aCditional 500 sq" ft or Portion thereof Each Hanuf'd Home. or Hodular Dr.relling SerVice or Feeder c,i. EEICI;? $ ?0.?0 IHflNGE:-[ftEHiER:004 SLECTKTC.AL PERHTT APPLICATION y Job Nrmber.-Q.!?.83 * -FEE SCffiDULE BELOV $um Permits ai:e non-transferable and expire ii ,ort is not started vithin 180 days oi i"auunce or i f r.rork is suspended f sr 180 days. 2. COT.IIRACTOB INSTALLATTON ONLY 1. LOCATI iq rq',g Supervisnr Lice Expiration Date Electrica]. Contrac tor Address Ci ty tl Ph*""8q5" *qqC nse Number 3-or-t -) loc $ 85.00 $ 1s.00 $ 40.00 $ 50.00 $ 60.00 $100 " 00 $130.00 s300.00 $ 40.00 constr contr. lJumber Expiration Date *l SignEf,ure of Supervising Blectrician 0vne.,,'..*ttt Address z Ci ty " Phone ?'e T^7 L}ATE: Services or Feeder.s Instailation, Alterations or Relocat ion; 200 amps or less 201 amps to 400 amPs -. 401 amps to 600 amPs -_--.601 amps to 1000 amPs-- 0ver 1"000 anPs./vo1ts .--. Reconnecf 0n1Y Tem.oorarY Services or Feeders in"iiriuiio", Alteration or ReLoeation 200 amps'"or l.ess $ i!'qqtoi ilb; to 4oo amps T t :l'qqor*.-+bi io 600 ambs - $ 80'00 over 600 "tp= ot*i56oErfu see trBir aETTe- Branch Circui ts Nev, Alteratiorr or Extension Per Panel one Circuit $ 35'00 Each AdditionaLCircuit or vith Service ot-r""O"t Permi t -l- $ 2"00 HisceLlaneous (Service/feeder not included) OTNER. INSTALLATION The installation is b'eing made on piop"tty I ovn vhich is not intended for sale, Lease or rent' Omers Signature: L B. c D. 'l f,' ri -Each installation Pumo or irrigation .- SieniOutli.ne Ligh ting- t iillted EnergY/Res -.-Limited EnergY/comm SUBTOTAI, OF ABOVE 7 t/" state Surcharge 32 Administrative !'ee TOTAL $ 40"00 $ 40.00 $ 20.00 $ 36.00 RECEIVBD B o(> 75)da lro, l,tt'ril,u I I I ?{/ l - Cxishng RESIDEN L PERMIT APPLICATION lnspections: 726-3169 Office: 726-3t59 4,-ttn {rerlp qw+ilarft SPFl GFIELt) 5 lq tq .,OB NUMBER 225 Fifth Street Sprirrgf lelrJ, Oregon gl 477 NL)CATION OF PROPOSED WORK ASSESSORS MAP: LOT: BLOCK CONTRACTOR'S NAME TAX LOT - SUBDIVISION ADDRESS CONST. CONTFIACTOR ,F:XPIRES 1 PHONE :ENERAL: .-PLUMBING: MECHANICAL:+ ELECTRICAL: PlJOr.,JE: ZIP:STATE: o1!("-OWNEB ADDRESS: CITY: I -+ a IDESCRIBE WORK: ADDITION DEMOLIS]{ O"I.IEBNEW- REMODEL # OF BDRMS: _ OFFICE USE _ LAND USE: WATER HEATER SECONDARY HEAT: _ SOUARE FOOIAGERANGE: QUAD AREA: r OF BLDGS: FLOOD I)LAIN: ZONING CODE OCCY GROUP: II OF STORIES: CONSTR. TYPE HEAT SOURCE: # OF UNITS: --_-- Torequp-stanlnspect!on.youmustcall 72537€9.Ti:lsls-li4hr)rjrre,:ordrnn At'lnqL-,e:tioi*fie{.i:Jrjste{JbeforcISe a.rn.."jiii bemade the same working day, lnspections requested after 7:00 a.m. wlll be macle the following work day. REQUIRED INSPECTIONS J-l Temporary Electrlc Final Pluntbing - When ailplumblng worl< ls complete. J Site lnspectlon - To be made after excavation, but prior to setting forms. Underslab Plumbing/ Electrical/ Mechanical - Prior to cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, boncJ beams, grouting. Foundatlon - After forms are erected but prior to concrete placernent. Underground Plumblng - Prior to filling trench. Underlloor Plumblng/ Mechanical - Prior to insulatlon or decking. Post and Beam - Prlor to floor lnsulation or decking. Floor lnsulation - Prior to decklng. Sanitary Sewer - Prior to lilling trench. Storm Sew€r - Prior to fllling trench. Waler Line - Prlor to filling trench. Rough Mechanlcal - Prior to cover. Rough Electrical - Prior to cover, Electrical Servlce - Must be approved to obtain permanent electrlcal power. Flreplace - Prlor to faclng materlals and framing lrrsp. Framlng - Prior to cover. Wall/Celling lnsulatlon - prtor to cover. Drywall - Prior to taplng Wood Stovo - After lnstallation. lnsert - After flreplace approvql and lnstallatlon of unit. Curbcut & AJrproach - After forms are ert,'cted bUt prior to pl acemcnt of concretc-.. Sidewall< & Driveway - After excavation ls complete, lormsand aub.bas6 materlal ln placo. Fence - lVhen cci.,lpleted $treet Trees - When all required trees are planted. Flnat Electrlcal - When altelectrical work is complete. Final Mechanical - When all mechanical work is complete. Flnal Buildlng - Vlihen altrequired lnspectlons have been approved and building is completed. Other MOBILE HOME INSPE TIONS Blocking and Set.Up - When ailblocking ls complete. Plumbing Connections - When lrome lras been connected to water ancl sevJer. Electrical Connection - When blocking, set.up, and plumbing inspeclions have been approvodand the homo ls connected to the servlce panel. Flnal - After all requlred inspeclions are approved and porches, sklrting, decks, andventlng have been lnstalled. Rough Plumbing - Prlor to cover. E tl tl E E E E --'l E E tl t] E E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type -. lnterior -- Corner - Panhandle - Cul-de-sac P.L.HSE GAR ACC N S Se E, VALUE (A) X $/SQ. FT. Total Value Building Permit Fee State Surchargo Total Fce BUILDING PERMIT ITEM SO. FT. Main Garage Carport SYSTEMS DEVELOPMENT CHARGE (SDC) (B) FEE (c) FT. F1. Ft' PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Sanitary Sewer Water Storm Sewer N4obile Hcme ITEM Fix t u res Residential Bath(s) l-'l- Wood Stove/ lnsert / Fireplace Unit Dryer Vent MECHANICAL PERMIT (D) N0 Mechanical Permit lssuance State Surcharge Total Permit Furnace Exhaust lloorl Vent Fan MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut ---- ft Demolition State Surcharge Total Miscellaneous Pennits (E) TOIAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Combincd) IS THE PROPOSED WORK TN THE . HISTORICAL OISTRICT, OR ON THE HISTORICAL REGISTER? --lf yes, this applicatlon must be slgned arrd approved by the Historlcal Coordinator prior to permit issua-e. APPFIOVED: BUILDING VALUE, PLAN CHECK AND BUILDING PER|\/IIT This pernrit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springlield, including the Development Code, regulating the construction and use of bulldings, and may be suspend€d or r€voked at any tlme upon violatlon of any provlslons of gald ordlnancss. Plan Check Fee; Date Paid Recelpt Number:--.. Recerved By: Plans Rcviewed By Date Systems Development Charge is due on all undeveloped properties within the City linrits which are being improved. ADDITIONAL COMMENTS @ By slgnature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all lnformation hereon is true and correct, and I turther cerilfy that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertainlng to the wpyk jss3llbafl herein, and that NO OCCUPANCy will be made o / structure wlthout perrnission of the Builclirrg Safety Diviston. I further certify that only contractors and enrployees who are In compliance with 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 ls readable from tlre 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 times du ng construction. signature a)Date VAI-IDATION: RECEIPT NUMBER DATE PAID RECEIVED BY _.-..._ AMOUNT RECEIVED - I )