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Home My WebLink AboutPermit Mechanical 1995-07-07RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP LOT: SPRIN FIELD h, JOB NUMEER 225 Fif th Street Springfleld, Oregon 97477 TAX tOT; SUBDIVISION; -_ BLOCF.: STATE:ZIP: 2).C OWNER: ADDRESS: CITY: Uh- ADDITION DEMOLISH OTHER DESCRIBE WORI( NEW .._-_- nEMODEL "____*_ ADDFESS EXPIRES PHONE 3!q' CONTBACTOR'S NAME MECHANICAL ELECTRICAL CONST. CONTRACTOR # G EN EFAL: PLUMBING WATER Fi EATEF FLOOD PLAIN:QUAD AREA: Y OF BLDGS: SECONDABY HEAT: SQUARE FOOTAGET / OF BDRMS: --- RANGE; OCCY GROUP: d OF STORIES: ZONING CODE;_-. CONSTR. TYPE: HEAT SOURCE: To request an i macJe the sanr inslrr:ction, you must call 726'3769. Tlrls ls a 24 hour recordlng, All lnspectlons requestecj before 7:00 a.me working day, Inspections requested after 7:00 a.m. wlll be made the followlng work day. wlll be '[ernporary Electric REOUIRED TNSPECTIONS ffi Rouglr Mechanlcal - prior toH cover,l-_l rtnat ptumbing - When ail.J plumblng worl( ls complete. Site lnspection - To be madaafter excavatlon, but prior tosetting forrrls. Rough Electrical - prior to cover,Final Electrical - When ailelectrical work ls complete, [-_] Understab ptumbing/ Electrical / - Mechanical - prior to cover.Electrlcal Servlce - Must beapproved to obtaln permanenl electrlcal power. m Final Mechanical - When allmechanlcal work ls complete, Footlng - Af ter trenches are excavated,Final Buildlng - When ailrequired lnspecilons have beenapproved and bulldlng is com pleted.Masonry - Steel locatlon, boncjbeams, groutlng. Flreplaco - Prlor to faclng materlals and lramlng lnsp. Framlng - prlor to cover. Foundation - After forms areerected but prior to concrete placemon t.Wall/Celling lnsulatlon - prior tocover, i7l othor 94--5ffi-./.€.l -ar 2:: [-l UnAerground plunrbinq - priorL-J to f 11ig rre;crr.-- '-"'v [-l Drywail _ prtor to taping Underlloor Plumbing/ Mechanlcal - Prior to lnsulation or decking. Posl and Beany.- prlor to floorlnsulatlon or decklng. MOBILE HOME INSPECTIONS Wood Stovo - Af ter inslallailon, [-l tnsert - After ftreptace approval - and lnstallatlon of unlt. [--l Blocking and Sor.Up - When ail - blocklng ls complete. Floor lnsulalion - prior to decki n g.Curbcut & Approaclr - Afterforms are erected but prlor toplacement of concrete. Plumbing Connections - Whenhome lras been connected towater and sewer,Sanltary Sewer - Prior to f llling trench. Storm Sewer * Prior to fllling trench. Sidewalk & Drlveway - Afterexcavation ls completo, formsand sub.base materlal ln place, Electrical Connection - Whenblocking, set.up, and plumbinglnspoctlons have been approvedand the home ls cgnnected tothe servlce panel.Water Lino - Prlor to filling trench,Fenco - When completed Rough Plurnbing - prior to cover.I-l Stroet Troos - When ail requlred - trees are planted. Flnal - Af ter all requiredlnspections are approved andporc.hes, sklrtlng, decks, andventlng have been lnstalled, PHON E: 9t ?z,P - OFFICE USE - LAND USE: # OF UNITS: ,. Lot {aces Lot sq. ftg. Lot coverage Topography Toral helght Lot Type - lnterlor - Corner - Panhandle - Cul-de-sac IS THE PFIOPOSED WORK IN THE HISTORICAL DISTRICT, OR ON TI{E HISTORICAL REGISTER? - lf yes, thls application must be slgned and approved by the Hlstorical Coordinator prior to perrnit issuance. APPROVED: P.L.HSE GAR ACC N S E VALUE (A) BUILDING PERMIT Total Value Building Permit Fee State Surcharge Total Fee SO, FT. X $/SO. FT,ITEM Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permit is grantect on the cxpress concJition that the Saidconstruction shall, in all respects, conlorm to the Ordinanceadopted by the City of Sprir.rg{icld, including theDevelopment Code, regulating the coDstruction and use ofbulldings, and may be suspended or revol<ed at any timeupon violation of any provisions of saicJ ordinances. Recelpt Numbcr:-_-. _- DatePlans Rcviewcd By Date Pald Received By: Plan Check Fee SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge ls cjue on all undeveloped properties withln the City linrits which are being improved. ITEM Flx t u res Resldentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT FEE (c) N0 FT. Plumblng Permlt Stato Surcharge Total Charge ADDTTIONAL COMMENTS Wood Stove/ lnsert/Flreplace Unit Dryer Vent Ztu a.A' 3(D) No MIT ArLu6- Vent Fan Mechanlcal Permit lssuance State Surcharge Total Permlt 2rZ /-,fr MECHANICAL PER Furnace Exhaust Hood By slgnature, I state and aoree, that I have carcf ully examlned the completed application and do hereby cerilfy that all lnformatlon hereorr is true ancj correct, and I lurther cerilfy that any and all work performed shall be done in accordance wlth the Ordinanccs of thc Clty o( Sprtngf ield, and the Laws of the State of Oregon pertalnlng to thc work descrlbed hereln, and that NO OCCUPANCY wiil tre macJe of any structure wlthout perrnlssion of ilre Bullclirrg Safety Divislon. I further certify that only contractors and employees who are ln compliance wlth ORS 70l.OS5 wiil lle used on thls prolect. I further agree to ensure that all required inspections are requested at the proper tlme, that each aclclress ls readable from the street, that the permlt card ls locatcd at the front of the property, and the approvecJ set of plans will remaln Slg natu re Date /7- /?- ts- on the slte at all tim durlnq construction MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - ft Curbcut ' f t Oemolltlon Slate Surcharge Total Mlscellaneous Permlts (E) TOTAL AMOUNT DUE (excluding clectricat) (A, B, C, D, and E Comblned) VALIDATION: HECEIPT NUMBER DATE PAID 7-?5- AMOUNT FECEIVED RECEIVED BY ---. -a FT. FT. zoliifil.!. , ,';ii rjo8s nc1l:: _ ," SPFrrr-dFlELf) The {*llowins, Prolect aS subnrlttad lrss ths fol r6quir€ sixr;iiii' isrrd use 225 FTTTH STRXET SPRINGFIELD, OREGON INSPECTION REQT]EST: OFFICE: 726-3759 L gtatl*" '8'1:1Ai 726eg;'189€/J liisnatur* ELECTRICAT PERHTT APPLICATION ob Nu-mber f g COHPIJTE FEE SCffiDTII.E BELOV Nev Residential-Single or MuIti-Family per dvelling unit. Service fncluded:Items Cost 2orr 1 TION OF I.,EGAL DESCRTPTION JOB DESCRTPTION ON 3 A Sum Permits are non-transferable and expire if vork is not started vithin 180 days ;; i;trrrce or if vork is susPended for L80 days. 2. COMRACTOR INSTAII^ATION ONLY 4 Electrical Contractor Address Citv Phone Supervisor License Number Expiration Date C- Constr Contr. Number Expiration Date Signature of Supervising Electrician D 0vners Name 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Hanuf'd Home or Hodular Dvelling Service or Feeder s Bs.oo s 1s.00 s 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPs ---401 amps to 600 amPS _- 601 amps to 1000 amPS_- Over l-000 amPs/volts --Reconnect OnlY TemporarY Services or Feeders in.i"ffriio", Alteration or Relocation 200 amps"or less ioi "*irt to 400 amPs -- Over 401 to 600 amPS - Over 600 amPS or 1000 volt Branch Circuits s see ilB( a6ove Nev, Alteration or Extension Per Panel one circui t t/ g 35.00 str Each Additional Circuit or vith Service, or Feeder P;;;;t 4 s 2'oo EY E. Miscellaneous (Service/feeder not' i'ncluded') -Each installation Pump or irrigation - Sign/0ut1ine Lighti.g-- Limited EnergY/Res - Limi ted EnergY./Comm SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL s s0.00 s 60.00 s100.00 s130.00 s300.00 s 40.00 Address Ci ty Ovners S yno"" 7/6-4362 $ 40.00 s ss.00 s 80.00 s 40.0q s 40.00 s 20.00 s 36.00 OVNER INSTALT^ATION The installation is being made on froperty I ovn vhich is not intended for sale, lease or rent' 5 DATE: RECF,TVEI-) ture: 4?-7-4/4 i: " l.i ' -.