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Home My WebLink AboutPermit Mechanical 1998-02-13RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WOFII( :}PFlINGFIELP JOB NUMBER /?b 225 Fittlr Strcet Springtleld, Oregon 97477qit, 65b S Jtnd //au- ASSESSOBS MAP:4o>2 TAX LOT:037trD LOT;BLOCK: SUBDIVTSION 14/:8rfr8PHONE q7479ZIP: J STATE:_cR OWNEB: ADDR CITY: NEW - REMoDEL L/ ADDrroN DEMoLrsFr orHErl DESCBIBE WOR}(: ELECTRICALi ADDRESS EXPIIlES PHONECONTRACTOR'S NAME MECHANICAL CONST. CONTFIACTOFI , GENERAL: PLUMBING % & _ OFFICE USE _ D USE: , OF BDNMS: ITS: WATER HEATER: FLOOD I)LAIN SECONDNT.IY HEAT: SOUARt: FOOTAGE: OURCE TYPE QUAD AFIEA: I OF BLDGS: OCCY GBOUP: I OF STORIES: To request an Inspectlon, you must call 7: made the sanre worklng day, lnspections hour rccordlng. All lnspections re(luestcd belorc 7:00 a.rn. wlll be a.m. wlll be made the lollowlng worl( day. E SPECTIONS Temporary Electric Rou | - Prlor to Final Pluntbing - When all plunrbing worl< is completc.cover. Site lnspcctlon - To be madc af ter excavation, but 1:rior to settlnO [orrrrs. Rough Prior to Firral Elcctlical - When att electrical worl< is corrrplcte.cover. Underslab Plumbing/ Electrical / Mechanlcal - Prior to cover. Electrical Scrvlcc - Must bc approved to obtain pcrrnanent electrlcal l)ower. Final Mechanical - When all mochanical worl( ls cornplete. Footlng - Af ter trenches are excavated.Flreplace - Prlor to faclng materlals and f ramirrg lnsp. Final Builcling - Wherr all required inspectlons have been approvecl and building is complctcd.Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prlor to cover. Foundatlon - Af ter (orms are erected but prior to concrete placemenl. O ther Wall/Cciling lnsulation - Prlor to cover. Underground Plumbing - Prior to fllllng trench.Drywall - Prlor to taping MOBILE I.IOME INSPE TIONS Underlloor Plumblng/ Mcchanlcal - Prior to lnsulatlon or decking.Wood Stovc - nftcr lnstalliilion Post and Bcam - Prlor to floor lnsulatlon or decklng.lnsert - AIter f lreplacc approval and lnstallatlon oI unlt. Blockirrg and Set.Up - When all blt>cking is cornplete. Floor lnsulalion - Prior to deckl ng,Curbcr,rt & A1>prroaclr - Aftcr forms are erectcd bUt Prior to placemcnt of concrct(:. Plurnbirrg Corrrroclions - When lrornc lras been conttected to water itncl sewer. Sanitary Sewer - Prior to filling t rcnch.l---l Elcctric;rl Corrrrcctiorr - WhcnU blockir)g, sol.up, ancl plrrnrbing lnspccllons lrnvo bccn approvcd ancl tlre hornc is connccted to thc scrvlcc f)anel. Storrn Scwor - l)r'ior to f illing trcnch, Sidewalk & Drivcway - Atter excavaliorr is complctc, [ort]ls ancl sul)'basc matcrial irl placc. Watcr Llne - Prlor to filling trench.[--l fence - When cornpletcd. (;tre€t Trees - Whcn all requlred trees are planted. Final - Af tcr all requlred irrspcctions are approved and porclrcs, skilting, decks, and ventlng havc been lnstallecl.Rouglr Plunrbirrg - Prior to cover. 'Ya ZONING CODE: E tl tl E E E tl tl E tl fl T tl il tl E I:] /t] fl rl E tl E E L] tt tl t:] \l GAR ACCPL.HSE N c E Lot (aces Lot sq. ftg. Lot coverage Topography Total helght --Lol lyt)c - lntcrior' -- Corner - Panhandle - Cul'rJe'sac Se cl<s IS-IHE PROPOSED WORI( iN THE HISTORICAL DISTRICT, OR ON TI]E HISTORICAL REGISTEB? - lf yes, this application must be slgned and approved bY the Historlcal Coordinator prior to permit issuance. APPROVED BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This pcrmit is grantecj on the cxpress conditiorr that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Dcvelopment CocJc, regulating the construction and use o, buildings, and may be suspended or rcvokcd at any time upon violation of any provisions of said ordinances. Beceipt N urnbcr:__.. Plans Rcvicwcd 13y Oate Plan Chcck Fec: Datc Paid Rcceived By: VALUE (A) BUILDING PERMIT Total Value Building Pcrmit Fee Statc Surcharge Total Fcc SO. FT. X $/SO. F-T.ITEM Main Garagc Carport Systems Developmcnt Chargc is due on all undeveloped propcrties within tlrc City linrits whiclr are bcing improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ITEM Fixtures Bcsldontial Bath(s) Sanitary Sewer Watcr Storm Sewer Moblle Home FEE (c) F-1. FT, FT. PLUMBING PERMIT Plumblng Pcrrnit Stato Surcharge Total Charge N0 ADDITIONAL COMMENTS / By slgnature, I state and agree, that I have carcf ully examlned tl'le completed application and do hereby certify that all Irrformation hcreor'r is true ancl correct, and I lurthcr certif y that any and all work performed shall be done in accordance witlr thc Ordinanccs ot thr: City of Springficld, ar'rd the Laws of the Statc of Orcgon pertaining to thc work described hcrcin, arrd tlrat NO OCCUPAITICY will [:c rnacJc of any structurc wilhout pcrrnission of the Buildlllg Safety Division. I furtlrcr certify ti)at only contractors and employees who are in corr:pliance'with ORS 701.055 wlll bo used on this p ro jec t. I f urther agree to ensurc that all rcquired inspections are rcquested at the propcr time, that each address is roadable from tlrc strcct, that the pcrmlt card ls located at the front approved set of plans will remain I perty, and t con/iluctlon. uJ*^, duri s Arorte cat oI the pro on the sit S lgnatu re Wood Stove/lnscrt/Flrcplace Unit Drycr Vcnt MISCELLANEOUS PERMITS Mobile Homc State lssuance Statc Surcharge Sidewalk - ft Curbcut -- ft Dcmolitlon State Surcharge /0 Total Miscellaneous Pcnnits (E) (s.f ? Nt o )c->" Vcnt Fan (D) MECHANICAL PERMIT Furnacc Exhaust Hood Mcchanical P-rnrit lssuance State Surcharge Total Permlt VALIDATION: RECEIT'T NUMBER -_2X.' I h2 - 13 - 1t x e( DATE PAID AMOUNT RECEIVF.D RECEIVED BY TOTAL AMOUNT DUE (cxcluding clcctrical) (A, B, C, D, and E CornbinccJ) ii, ( CITY OF OREGON SPRIF.\iFfELD DEVELoPMEN""''!:il,{Fff '#:H*ffi tr'Htr 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-368e apProval. 225 T'IFTH SIts.EET SPRINGFIELD, oREGoN TNSPECTION REOIEST: OFFICE: 726-3759 1. LOCATTON OF TNSTALLATTON JOB DESCRIFTION Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2.. CONTRACTOR INSTATI,ATION ONLY Electrical Contractor Address (-cs 6oX t\qZ\ Ci ty phone 6/6 -G)3,L Supe rvisor License Number Sqtl s Expiration Date -? Constr Contr. Number ?AL$? Expiration Date /) - 3A-?P Signature of Supervising Electrician rs Name fi4",-e< Joe Op J Address 8% S \z;o ?lo u* ciry V&{qfiefi enone ?t- fu?P OIINER TNSTA.LLATION The installation is being made on property I ovn which is not intended for safe, Iease or rent. Onners Signature: DATE: ETECIR CAL PERUTT APPLICATION ty Job Nunbe, q(C tqQ 3. COI{PI,BTB FEE SCEEDULE BBLOS Nev Residential-Single or Multi-Family per dvelling unit. Service Included: ftems Cost 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or -Modular Dvelling Service o.r Feeder $ 40.00 Services or FeedersInstallation, Alterationsor Relocation: V A B C Sum 200 amps or less 201 amps to 400 amps -401- amps to 600 amps -601 amps to 1000 amps- Over 1000 amps/volts -Reconnect 0n1y $ s0.00 $ 60.00 $100.00 $130.00 $300. o0 s 40.00 Temporary Services or FeedersInstallation, Alteration or Rel-ocation 200 amps or less $ 40.00 20L amps to 400 amps - S 55.00 Over 401 to 600 amps - $ 80.00 Over 600 amps or 1000-vo1Ts see trgtt "[[!!- D. Branch Circuits E Nev, Alteration or Extension Per Panel oneCircuit I $35.00 Eaeh Additional Circuit or vith Serviceor Feeder Permit t $ 2.00 MisceLlaneous (Service/feeder not included) -Each installation Purnp or irrigation Sign/OutIine Lighting- Limited Energy/Res -Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 5 BRECETVED &) {. _,_)#_/l Ovne I,EGAL DESCts,IPTION No,s<-* t(o)- Oai ='i fq-t) ,,