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Home My WebLink AboutPermit Mechanical 1997-11-03SPRII\|GFTELr, RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 JOB NUMBER Q7 tc7?. 225 Fifth Street Sprlng f leld, Oregon 97 477 LOCATION OF PROPOSED WOBK: '7,-1 ASSESSORS MAP:t76 3352v t7fr TAX LOT LOT BLOCK;SUBDIVISION To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day. REOUIRED INSPECTIONS [-l Rough Mechanlcat - Prlor tolJ cover.[-l temporary Electrlc Slte lnspectlon - To lre mado after excavation, but prior to settlng forms. Underslab Plumblng/ Electrlcal / Mechanlcal - Prlor to cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are erected but prlor to concrete placemont. Underground Plumblng - Prlor to Illllng trench. Underlloor Plumblngl Mechanlcal - Prior to lnsulatlon or decklng. Post and Beam - Prlor to floor lnsulatlon or decklng, Floor lnsulation - Prior to decklng. Sanitary Sewer - Prior to fllllng trench. Storm Sewer - Prior to fllling trench. Water Line - Prlor to filling trench. Rough Eleclrlcal - Prlor to cover. Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Flreptace - Prlor to faclng materlals and framlng lnsp. Framlng - Prlor to cover. WalltCbltlng lnsulatlon - Prlor to cover. Flnal Plumbing - When all plumblng work ls complete. Flnal Electrical - When all electrlcal work is complete. tl E I-l Drywall - Prlor to taplng. Wood Stovo - After lnstallatlon lnserl - After flreplace approval and lnstallatlon of unlt. Curbcut & Approach - After forms are erected but prior to placement of concrete. Sidewalk & Drlveway - Alter excavatlon ls complete, forms and sub-base materlal in place. [--l Fence - lvhen coi-'1pleted. Strcet Trees - When all requlred lrees are planted. Flnal Building - When all requlred lnspectlons have been approved and bulldlng ls completed. MOBILE HOME INSPECTIONS Blocking and Set.Up - When all blocklng ls complete. Plumbing Connections - When home has been connected to water ancl sewer. fVFinat Mechanical - When allU mechanical work ls complete. l-_l Flnat - After all required 'J lnspectlons are approved andporchos, sklrtlng, decks, and ventlng have been lnstalled. ZlPtat,STATE: OWNEB: ADDRESS: CITY: DESCRIBE WORK: NEW - REMODEL ADDITION DEMOLISH OTHER ADDRESS coNsr. CONTRACTOR #EXPIRES .1 PHONECONTRACTOR'S NAME ELECTRICAL: MECHANI GENERAL: PLUMBING RANGE: /F r 'o4y - OFFICE USE - USE: WATER HEATER: r OF BDFIMS: FLOOD I)LAIN: SECONDARY HEAT: SQUARF. FOOTAGE: OCCY GROUP: * OF STORIES: QUAD AREA: r OF BLDGS: l-l Rough Plumblng - Prlor toU cover. tl E tl [--l other fl E tl Electrical Connection - When blocking, set-up, and plumbing lnspectlons have been approved and the home is connected to the servlce panel. PHoNE: - 7zA - zzas G ZONING CODE: Lol laces Lot sq. ftg. Lot coverage Topography Total helght Lot ])- - lnterlor - Corner - Panhandle - Cul-de.sac IS THE PHOPOSED WORK }N THE . HrsToRtcAL DtSTFilCT, OR ON THE HISTORICAL BEGISTER? - ll yes, thls appllcatlon must be slgnedand approved by the Historlcal Coordlnator prlor to permit lssuance. APPROVED: P.L.HSE GAR ACC N S W E BUTLDING PERMTT SQ. FT.VALUE (A) ITEM Main Garage Carport Total Value Bullding Permit Fee State Surcharge Total Fee :,? X $/SQ. FT. BUTLDING UALUE, PLAN CHECK AND BUILDING PERMIT Thls permit is granted on the cxpress condiilon that the sald construction shall, ln all respects, conform to the Ordinanceadopted by the City of Sprlngfleld, includtng the Development Code, regulating the constructlon and use ofbulldlngs, and may be suspended or revoked at any tlme upon violation of any provisions of said ordinances. Receipt Number:_ Plans Reviewed By a Date Date Paid Becelved By: Plan Check Fee: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge ls due on all undeveloped properties withln tlre City llmits which are being improved. ITEM Flxtures Resldentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home FEE * (c) N! FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent Mechanlcal Permlt lssuance State Surcharge f O,O3 Total Permlt /0, - fue.r:_ Gra*t)ru- Vok-&6.- ,?sr ,/1 (D) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby cerilfy that all lnformatlon hereon is true and correct, and I f urther certlfy that any and all work performed shall be done ln accorrJance wlth the Ordinances of the Cily of Sprlngfield, and the Laws of the State of Oregon perlalnlng to the work descrlbed hereln, and that NO OCCUPANCy will be made of any structure wlthout permission of the Bulldlng Safety Dlvislon. I lurther certify that only contractors and employees who are ln compllance wlth ORS ZO1.O5S wlil be used on thls prolect. I further agree to ensure that all requlred lnspectlons are requested at lhe proper tlme, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of ptans wlll remaln on the slte at all times durl ng constructlon Slgnature Date MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldewalk - It Curbcut -- ft Demolltlon State Surcharge TOTAL AMOUNT DUE (excludlng electrtcat) (A, B, C, Q and E Comblned) 7 :!o 7 *) -3 /1a4.-,*-/15 AMOUNT RECEIVED DATE PAID VALIDATION: RECEIPT NUMBER r..ll.. ir '1.li , ( FT. FT. N0 Total Mlscellaneous Permlts (E) FIECEIVED BY CITY OF OREGON The lollowing Projoct as er:bm zoning, and doas riot roqullt' ' aPprpvai SPt\ iFIELl) ELECTRTCAL PERUIT APPLICATION225 FIFTS STREET SPRINGFIEI^D,nnAINSPECTION REQT,ESTAUIhdIE6dSB'UTE OFFICE: 726-3759 1 LOCATION OP INSTALLATION 33'L 1r]\, Jt. JPB DESCRT Permits are non-transferable and exp lre if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALLATION ONLY Electrical Contractor Address cit Phone Job Nunbe. Q|)\SO 3 A Ci ty COHPI;ETE FBE SCEEDTILE BELOS Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or -Modular Dvelling Sertice or Feeder s 8s.00 s 1s.00 $ 40.00 B. Services or Feeders terat ions amps Sum t $ s $ s 60 100 130 00 00 00 00 00 00 50. $ 40.00 s ss.00 $ 80.00 OB\S amps Over 1000 Reconnec t o 600 amps _o 1000 amps_ amps/volts _0n1y s300Supervisorcense Number Exp iration Date l0 . t -94 constr contr. Number 3 84q S of Supervising Electrician 6 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps'"or less 201 amps to 400 amps -over 401 to 600 amps -Over 600 amps or 1000-Tolf[s Branch Circuits see rrB* a56ve s40 F-c. Ds Ovners Name Address 33L 'l f,u ,-)-t-- one lf,lo - ioSLci OIINER ON DATE: Nev, Alteration or Extension Per Panel ,ne Circuit I S 35.00 3f,pc, Each Additional Circuit or vith Service or Feeder Permit S 2.00 E. Miscel-laneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0ut1ine Lighting- Limited Energy/Res -Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL 00 00 00 00 s40 $40 $20 s36 5 RECEIVED \ Expirationoate 1-l-98 The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Onners; Signature: