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Home My WebLink AboutPermit Mechanical 1998-03-02RESIDENTIAL PEBMIT APPLICATION lnspections: 726'3769 Olflce: 726-3759 LOCATION OF PBOPOSEO WORK: ASSESSOBS MAP: LOT ?P^z?7 2fi, JOB NUMAER 225 Fitth Slreet Sprlnglleld, Oregon 97477 TAX LOT:a SUBDIVISION: q BLOCK: l.J' l.Jr.ri S STATE:cp- PHONE:-74 1-E;A- ZIP:41411 4 lnrOWNEB: AOORESS: CITY: DEL - AODITION - OEMOLISH _-. OTHER l41nt*: ee Lfun ADOBESS -zg;qa EXPIRES .l PHONE CONTBACTOR'S NAME PLUMBING: MECHANICAL: ELECTRICAL: CONSI CONTRACTOB ' , OF BDRMS: _ OFFICE USE _ FANGE: SECONDABY HEAT SOUARE FOOTAGE: OUAD AREA: , OF BLOGS: LAND USE: zoNlNG CoDE: -.-- FLOOD I'LAIN: WATEB HEATER: ..-..=--- OCCY GROUP: , OF STORIES: CONSTR. TYPE: HEAT SOURCE: , OF UNITS: To request an lnspectlon, you must call 726'3769' Thls ls a 24 hour recordlng All made the same worklng day' lnspections requested alter 7:00 a'm' wlll be made I TemPorarv Elsctrlc f--l slle lnsP€cllon - To be madot-J 6J1s7 excavatlon, but Prlor to settlng lorms. f---'I Underslab PlumblngrEloclrlcal,U Mechanlcal - Prloi to cover. I--'l Footlng - After ttenches atoU excavated. l--l Maconry - Sleol locatlon, bondU beams, groutlng. l--] Foundatlon - Arler lorms areU erected but prlor to concrelo placemont. l----l Underground Plumblng - PrlorL-l lo fllllng trench. Underlloor Plumblng/Mechanlcal - ?tlot to lnsulatlon or decklng' Post and Beam - Prlor to lloor lnsulatlon or decklng. REQUIRED !NSPECTIONS E:;;"t: Mechanrcar - P,ror to fl ;lffil"i:[Ti?fl';#ffii"i:: [-] Rough Eleclrlcal - Prlor toU cover. F E lnspectlons requested belore 7:00 a.m. wlll be the lollowlng work day. Flnal Eleclrlcal - When all electrlcal work ls comPlele. Flnal Mechanlcal - when all mechanlcal work ls complete. E E D tl Floor lnsulallon - Prlor lo decklng' Sanltary Sewer - Prlor to fllllng trench. Slorm Sow€r - Prlor to (llllng lrench. Wator Llno - Prlor lo tllllng trench. Rough Plumblng - Prlor to cover. Eleclrlcal Servlco - Must be approved to obtaln Permanenl electrlcal Powar. f--l FtreDlaco - Prlor lo laclngl-l 6sq!71s1e and lramlng lnsp f-l Framlng - Prlor to cover.t-I f.l waltrcolllng lneulatlon - Prlor loU cover. l--l Drywall - Prlor to laplng. L--l l----l Wood Slovo - Arter lnstallatlon'll f---'l lnB.rt - Altet flreplace approval U and lnstsllstlon ol unlt. [--l Curbcut & ApProach - AlterU forms are erecled b*t prlor to placomont ol concrete. Sldswalk & Orlveway - After excavatlon ls comPletc, lorms and 9ub-bas€ materlal ln Place. Foncs - When co.llPleted. Slroot Troos - When all roqulred trees are Planted. Flnal Bulldlng - Whon all requlr6d lnspectlons have been approved and bulldlng ls completed. E Othor MOBTLE HOME INSPECTIONS Btocklng and Set'UP - When all blockln0 ls comPlete. Plumblng Connectlons - When home has been connected to water and sewer. Electrlcal Connecllon - When blocklng, set.uP, and Plumblng lnspectlons have been approved and the home ls connecled to lhe servlce Panel. Flnal - After all requlred lnspectlons are apProved and porches, sklrtlng, decks, and ventlng havo b€en lnstalled. t-)Z O=) E E D Lot faces Lot sq. ttg. Lot coverage Topography Total helght Lot f' - tilEitor - Corner - Panhandle - Cul-de-sac PL.HSE GAR ACC N S E IS Ti OPOSED WORK IN THE . HrsrL _ AL olsTRtcr, oR oN THE HISTOBICAL REGISTER? - lf yes, thls appllcatlon must be slgnod and approved by the Hlstorlcal Coordlnalor prlor lo permlt lssuance. APPROVEO: SO. FT. X $/SO. FT. = VALUE BUILDING PERMIT (A) ITEM Main Garage Carporl Total Value Bullding Permit F€e State Surcharge Total Fee 'I BUILDING VALUE, PLAN CHECK AND BU]LDING PERMIT Thls permit is granted on the cxpress condltlon lhat the sald construction shall, ln all respects, conlorm to the Ordlnance adopted by the Clty of Springfleld, includlng the Oevelopment Code, regulallng the constructlon and use of bulldlngs, and may be suspended or revoked at any tlme upon vlolation of any provisions ol sald ordlnances. Plans Rcvlewed By Date Date Pald: Recelpt Number:- Flecelved By: Plan Check Fee: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Oevelopment Charge ls due on all undeveloped propertles withln thc City limits whlch are belng lmproved. ITEM Flxtures Besldenllal Bath(s) Sanllary Sewer Waler Storm Sewer Moblle Home PLUMBING PERMIT FEE N' (c) FT. - FT FT. Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnserl/Flreplace Unlr Dryer Vent MECHANICAL PERMIT / roo_=+_ JeY- _71:_eptTrf 4J- N6 (o) ,// 4d.Furnace Exhaust Hood Vent Fan Mechanlcal Permlt lssuance State Surcharge Total Permlt By slgnature, I stato and agree, thal I have carefully examlned tho completed appllcatlon and do her6by certlfy that all lnformatlon hereon ls true and correct, and I lurther cgrilly that any and all work perlormed shall be done ln accordance wlth the Ordinanccs of the Clty ol Sprlngfleld, and the Laws ol lhe State of Oregon pertalnlno to tho work descrlbed hereln, and that NO OCCUPANCY wlll be made ot any structure wlthout pennission o, lhe Bulldlng Safety Olvislon. I furlher certlfy that only contractors anc, employees who are ln compllance wlth ORS 701.055 wlll be used on thls prolecl. I lurther agree to ensuro that all requlred lnspecllons are requested at the proper tlme, that oach address ls readable ,rom the street, thal the pormll card ls localed al th€ front of the property, and the approved set of plans wlll remaln on the slte at all tlmes durlng conslrucilon. Date Slgnature MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldewalk - ,t Curbcut - ft Oemolltlon State Surcharge Total Mlscellaneous Pennlts (E) TOTAL AMOUNT OUE (excludlng electrical) (A, B, C, O, and E Comblned) -t./ lO4@- Zo VALIOATION: BECEIPT NUMBER OATE PAI[) AMOUNT RECEIVED --RECEIVED BY I 1!rC'TY C,,E,.SPR CDRFGO'I' 'b,b 2r:,vnalt ' A. Neir Residentlal-Singie or MuJti-Fami)-Y Pcr duelling uni t Service Includeti: siPRTA,GFIELO I tems 1000 sq. ft. or less Each addirional 500 sq. ft or Portionthereof Each Hanuf'd Home. or Hodular DvelIing Sertice or Feeder Services or Feeders InstaLlation, Alterationsor Belocation: SUBTOTAL OF ABOVE 52 State Surcharge 32 Adninistrative Fee TOTAL o o JOB ll Pc rrn i t5 aL-e non- trans ferable and expire if vork is not started vithin 180 days of issuance oL' i f r.,ork is suspended f or 180 days. 2. CONTRA(TOR INSTAII,ATTON ONLY Eleetrical contraccor Able Electric Address 5511 MAIN ci ty SPRINGFIELD Phone 726-6701 Supervisor License Number Expi ration Date 1O/O1/98 Constr contr, Number 92506 Exp iration Date 7116198 Signature of Supervising ElecEricianA approval. &frones IS Pii, ..' I i{LL EXPIRE IF THE WORK 2 25 PIFTE uSTttESrISru'nature .. i)FR THIS PERMffib1$6TJCAL PERHTT APPLICATION SPRINGFIELD, OREGON 97 INSPECf,ION REQUEST;726-SOMfu ii lS ABANDONED HIRY Job Nunber oFFICE: 726-3759 ANY '-orol-'!3. coHpuTE FEE sCEEDLJL! BELov 1. LOCATION OF ALI..ATIONINST7t/ Cos t s 8>.00 s 1s.00 s 40.00 s s0.00 s 60.00 s100.00 s130 . o0 s300.00s zo.oo --' ./ S- - -./""_ ,4 :l' : L. Sum tV B c . D..tJ 200 amps or lcss 201 amirs to 400 amPs -401 amps to 600 amPs _601 anis to 1000 amps Over 1000 amps/volts -- Reeonneet OnlY Ternporary Services or Feeders-Installation, Alteration or Relocation 200 amps"or less $ 40.00 ioi "rbr to 4oo amps -- S 5s.oo over 4b1 to 600 amps ._-- S 8o-o0 -or"i oOo amps or lboo-GTts see "Btr aE6T- Branch Circuits New, Alteration or Extension Per PanelOvners Name / Address / ? ,/o -f '4 -f Z Ci ty sf 5z O Phone OVNER INSTALI.ATION The installation is being made on property I ovn vhich is not intended f or .saIe, lease or t'ent. omers Signature: DAIE: RECETWD oto)\onecircuit / s35-oo 3{oo Each Additional Circuit or vith Service E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/OutIine Ltghting- Limited Energy/Res Limi ted EnergY/Comrn $ao s40 s20 $36 37 00 00 00 00 oo5