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HomeMy WebLinkAboutPermit Mechanical 1999-04-06RESIDENTIAL PERMIT APPLICATION lnspectlons: 726-3769 Office:726$759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: 7rl #"4/ ? JOB NUMBER 225 Fitth Street Sprl ng fleld, Oregon 97477 TAX LOT:o29 SPrlI LD 7o LOT - BLOCK:SUBOIVISION NEW - REMODEL ADDITION DEMOLISH OTHER PHONE: STATE:ZlPi 2zrzz r CITY: DESCBIBE WORK: ADDRESS: OWNER:Gran473 /U :t' ADDRESS CONST, ICONTRACTOR# EXPIRES il PHONECONTRACTOR'S NAME PLUMBING: MECHANICAL: lri ,iHiu.SOUARF. FOOTAGE:WATER HEATER: - OFFICE USE - RANGE: NDARY HEAT:-- OUAD AREA: r OF BLDGS: ' ' 1','r oF,OCCY GROUP: * OF STORIES: LAND USE:hrr # OF UNITS: ,z cilll CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a24 nour recordlng. All lnspectlons requested before 7:00 a.m. wlll be made the same worklng day, lnspections requested af ter 7:00 a.m. wlll be ma<Je the foltowlng work day. REQUIRED INSPECTIONS J--l Rough Mechanlcal - Prlor to1--l cover. Finat Plumblng - When allplumblng work ls complete. Slto lnspectlon - To tre made after excavatlon, but prlor to settlng forms. Rough Electrlcal - Prlor to E E t] Flnal Electrlcal - When all electrlcal work ls complete.cover. Underglab Plumblng/ Electrical/ Mechanlcal - Prlor to cover.Etectrlcal Servlce - Must be approved lo obtaln permanent electrlcal power. Flna! Mechanlcal - When all mechanlcal work ls complete. E Footlng - Alter trenches are excavated.Flnal Bulldlng - When all requlred lnspectlons have been approved and bulldlng ls completed. tl Flreplaco - Prlor to faclng materlals and framlng lnsp. Maronry - Stcel locatlon, bond beams, groutlng.Framlng - Prlor to cover. Foundatlon - After forms are gractcd but prlor to concrete placemont. Other WalllCelllng lnsulatlon - Prlor to cover. tl E E Underground Plumblng - Prlor to fllllng trench.Drywall - Prlor to taplng MOBILE HOME INSPECTIONS Underlloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or decklng.Wood Stovo - After lnstallatlon. Post and Beam - Prlor to floor Insert - After flreplace approval and lnstallatlon of unlt. Blocklng and Set.Up - When ail blocklng ls complete.lnsulatlon or degrklng. , Floor lnsulatlon - Prior to decklng.Curbcut & Approaclr - After forms are erected but prior to placoment of concrete. Plumblng Connectlons - When home has been connected to water and sewer. Sanllary Sewer - Prlor to fllllng trench.Electrlcal Connectlon - When blocklng, set.up, and plumblng lnspectlons have been approved and the home ls connected to the servlce panel. Storm Sewer - Prlor to filling trench. J-l Sidewalk & DrlvewaV - After|J excavation ls complete, forms and sub-base malerlal ln place, Water Llne - Prlor to filllng trench. Rough Plumblng - Prlor to cover. $treet Trees - When all requlred trees are planted. Flnal - After all required lnspectlons are approved and porchos, sklrtlng, decks, and ventlng have been lnstalled. E E ".. i,., ELECTBICAL: [--l remporary Electrlc E tl E fl tl I-l Fence - When coinpleted. Lot faces Lot sq. ftg. Lot ooverage Topography Total helght Lot Type - lnterlor -- Cornor -- Panha4dle, !: . r,a r .:', , r...,tr. ( -: THE PROPOSED WORK IN THE. HISTOBICAL DISTRIGT, OR ON THE HISTORICAL REGISTER? - It yes, thls appllcatlon mult bG sloned and approved by the Historlcal t.Coordlnator prlor to p€rmlt lgguanoe. APPROVED: P.L.HSE GAR ACC N S ]W E VALUE (A) 't Total Value Building Permit Fee State Surcharge Total Fee SO. FT. X $/SO. FT. BUTLDING PERTO|IT ITEM Main Garage Carport BUTLDING VhIUE, iSMU CHECK AND BUILDING PERMIT Thls perrnit is granted.on the c+cpress condltlon that the said constructidn sh5ll, lri ail r'edpdc(i, iontqim io the Ordlnance adopted by the d[y'iot SpplTrgfietd, lqcludlng the Development Code, regulating the constructlon qnd use of ouildings, and may be suspertdeO'sr, fe$Ok€d\at any tlme upon violation of any provisions of sald ordlnances. Plans Reviewed By '.1 Date Receipt Numbe Received By: , .' Plan Oheok.Fe€?.r;r. I, i \ Date Paid: ;|:.QY,FJE|V!.S".B,SIELQ.P"M'ENT::e.HAfi GEI$P.c),1' (B) I i; sys temt. bble r op mqnl,crr ayqe'ls+d (r d 96, 4t u nd evet oped properties wlthln"the City limits which are being improved. ITEM Flxtures Residentlal Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) N' FT. PLUMBING PERMIT Plumblng Permlt Stato Surcharge Total Charge FT. ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent Mechanical Permlt lssuance State Surcharge ,7 f f ,4e Total Permlt (D) /5P/o,4 ,/t4 '/r(), N0Vent Fan MECHANICAL PERMIT Furnace t/ Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformatlon hereon is true and correct, and I f urther cerilfy that any and all work performed shall be done in accorrJance wlth the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertainlng to the work descrlbed herein, and that NO OCCUPANCY wlll be made of any structure wlthout permission of the Bulldlng Safety Divislon. I further certlfy that only contractors and employees who are ln compllance with ORS 701.055 wlll be used on thls proiect. I further agree to ensure that all requlred lnspections are requested at the proper tlme, that each address ls readable Slgnature Date 7 from the street, that the perml card ls located at the front of the property, and the a set of plans wlll remaln on the site at all tlmes construCtlon. MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolitlon State Surcharge Tolal Mlscellaneous Permlts (E) TOTAL AMOUNT DUE (excluding electrlcal) (A, B, C, Q and E Comblned) 242:2^a v 7 VAI-IDATION RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY FT. , CITY OF OPEGO'U SPF FIELO The lollowing pro,ect as submitted has the following zonrng. and does not require specific land use 225 FIFTB STREET APTJTOVAI SPRINGFIELD, 0REGON 97477 Zonins INSPECf,ION REQTESTz 72 OFEICE: 726-3759 A.lthoflaed Signature 1 LOCATION OF INSTALT,ATIONz ta,7 LEGAL DESCRTPTION/7n3 35 /2, .o27A0 Permits ire non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACf,OR INSTALT,ATION ONLY /-l LO rt-EIJCTRICAL PERHIT APPLICATION L{ -q - I 1 ci Job Nuruber oy';z SCEEDIILE BELOV A Nev Residential-Single or MuIti-FamiIy per dvelling unit. Servicd Included: I tems Ccs t 1000 $ B:.00 Each sq. ft o thereof Each Manu Modular s 1:,.00 DveIIi Sertice or Feed 00 Sum sq,f*. addi t r f'd Home.ard'' B c D Services or Feed Installation, AI or Relocation: ers terat ions Electrical Contractor Address N S-4 Ci ty Phone a I'/r{ 3Lq a 200 20L 401 601 affilErtQg:l $ 50.00 WIO3g RET c rules Supervisor License Number Expiratio" o"r.u l0 '-O I - 17 Expiration Date /2 o/ )( Signature of Supervising Eleetrician lo Ovners Name hddress sf,z ciry JdF) , Pnone 7y'/-/6// OVNER INSTALT,ATION The installation is being made on property I ovn vhibh is not intended for'sa1e, Iease or rent. Osners Signature: DATB: Circuit or vith Service or Feeder Permit $ 1:.00 E. Hiscellaneous (Service/feeder not included) 200 amps"or less 201 amps to 400 amps -Over 401 to 600 amps over 600 amps or fbOO voTT Branch Circuits Nev, Alteration or Extension Per Panel one c"{rcuit ES 3:i.OO 3tr Each Additional -Each installation Pump or irrigation Sign/Outline Lighting_ Limi ted' Energy/Res Limited Energy/Comm LOn s see, lrBrr a5ffi $ 4(r.00 $ 5-5.00 s 80.00 $ 40.00 $ /d0.00 $ 2fJ.00 $ 36.00 5 SUBTOTAL OF ABOVE 5Z State Surcharge 32 Admini.strative Fee TOTALRBCETVED Oa /DD"e JOB DESCRIPTION ,i) e Fu,or*z = consrr contr. Number 70g%-Ins taIIat erbtain +7f'o-