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Home My WebLink AboutPermit Mechanical 1998-03-27RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726-3759 SPIlINGFIELI)tJ IJOB NUMBER 225 Fifth Street Sprl ng f leld, Oregon 97 477 LOCATION OF PBOPOSED WORK:7a /+4 P/a c e-. ASSESSORS MAP:3 TAX LOT:o SUBDIVISION: -LOT:BLOCK: PHONE:2f Zo c NB ZIP:47 *z ,4gnz.i 4 ttt CITY: ADDRESS: OWNER: z{eDESCRIBE WORK:kn NEW - REMODEL ADDITION DEMOLISH OTHER ADDRESS €r EXPIRES ," PHONE 6at 4et'- CONTFIACTOR'S NAME MECHANICAL: ELECTRICAL: PLUMBING: GENERAL: CONST. CONTRACTOR # - OFFICE USE - LAND USE: WATER HEATER: ZONING CODE: FLOOD PLAIN * OF UNITS: RANGE: QUAD AREA: r OF BLDGST SECONDARY HEAT SOUARF. FOOTAGE: # OF BDRMS: _OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. Th made the same working day, lnspections requested n Temporary Electric ls rs a24 hour recordrng. Alr rnspections requested before 7:00 a.m. wilr beafter 7:00 a.m. will be made the followlng work day. REQUIRED INSPECTIONS E' E tr Rough Mechanical - prior to cover.Flnal Plumblng - When ailplumbing worl< is complete. Final Electrlcat - When ailelectrical work is complete. Other I-l Masonry - Steet tocatlon, bond - beams, grouilng. Flreplace - prlor to facing materlals and framing lnsp. Flnal Buildlng - When ailrequired lnspectlons have beenapproved and building iscompleted. l-_| Understab ptumbtng/ Etectrical/ - Mechanical - prior to cover. Site lnspection - To be madeafter excavation, but prior tosetting forms. Footlng - After trenches are excavated. Foundallon - After forms areerected but prlor to concreteplacement. Undertloor plumblng/ Mechanlcal - Prior to lnsulailon or ctecking. Post and Bsam - prlor to floorlnsulatlon or decklng, Floor lnsulalion - prior todecking. Sanitary Sewer - prior to fiilingtrench. Slorm Sewer - prior to filtingtrench. Water Llne - prlor to fillingtrench. Rough plumbing - prior tocover. Rough Electrical - prior to cover. Electrlcal Service - Must beapproved to obtain permanent electrlcal power. l-l Framlng - prior to cover. Wall/Cetllng tnsulation - prlor tocover. ff g;; g;;5T,,i,?,; "T*i?"ili l--l Underground plumbtnq - priorlJ to fllltng trench l--l Drywall - prlor to taptng. Wood Slove - After lnstallatlon. ln":l - After ftreptace approvatano installaflon of unlt. Curbcut & AJrproach - Aftertorms are erected but prior toplacement of concrete. Sidewalk & Driveway _ Afterexcavation ls complete, formsand sub-base material in place. Fence - When coi-npleted. $treel Trees - When all requiredtrees are planted. MOBILE HOME INSPECTIONS E Bff-,TS ,X'3"i.*;!& - when arr Plumbing Connections _ Whennome has been connected towater and sewer. Electrical Connection _ Whenp_,::Ii19, set_up, and plumbingrnspections have been approvedarrd the.home is connected torne servlce panel. Final - After all requiredtnspections are appioved and .p.^"j^",1o": sklrting, decks, anc,venilng have been lnstalled. STATE: Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Typ< - lnterior - Corner - Panhandle ! - Cul-de-sac ll Setbacks P.L.HSE GAR ACC N S E S THE PROPOSED WORK TN THE . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be slgned and approved by the Historical Coordinator prior to permit issuance. APPROVED: SQ. FT. X $/SQ. FT. : VALUE (A) i;r Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERNITT ITEM Main Garage Carport This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Spri ngfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Fleceipt Number:- Plans Reviewed By Date BU I LDI NG AND BUIL E, PE LU c ECH KNLA D GN MR IT Plan Check Fee: Date Paid Received By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties wlthin tlre City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) N! PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge . FT. ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit ,?f r,4f / Lo la?o /fro,r71/A) t /o9- (D)-)/za/ ,?{__ N0 Dryer Vent Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby certlfy that all information hereon is true ancl correct, and I f urther certlfy that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure without perrnission of the Builditrg Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this proiect. I Iurther agree to ensure that all required inspections are requested at the proper time, that each address ls readable from the street, that the permit card ls located at the front of the property, and the approved set of plans will remaln ? Slgnature Date on the si I times during c ruction. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -....- ft Curbcut ...-- ft Demolition State Surcharge Total Miscellaneous Perrnits (E)3r LVALIDATION FIECEIPT NUMBER DATE PAI[) AMOUNT RECEIVED RECEIVED BYTOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Gombined) a)/Lo '. tl FT. FT. 5?- Permit #: Address Issued by o 2 Date statement: lnformation Notice to property ownersAbout construction Responsibiritils Note" oregon Law, oRS 701.055(1), requires re.viclential constructionperml appli-cants who are not registerecl with the Construction Contractors Board to sign thefollowing statement-b-efore a building permit can be issuerJ. This statement is requiredfor residential building, electrical, mechanicql, ancl plumbing permits. Licensedarchitect and engineer applicants, exempt from registiation under oRS 701 .0 t 0(7),need not submit this statement. This stirement wiii be filed with the permit. Fill in the appropriate blanks and initial boxes I andz,and either box 3A or 38 1' I own, reside in, or will reside in the completed structure. 2' I understand that I must register as a construction contractor if the structure is sold or offered for salebefore or upon completion. 3,A. My general contractor is (Name) I will instruct my general contractor that all subcontractors registered with the Construction Contractors Board. OR Contractor regis. # who work on the structure must be 38. I will be my own general contractor If I hire subcontractors, I will hire only subcontractors registered with the construction contractorsBoard' If I change my mind and hire a general contractor, I will contract with a contractor who isregistered with the CCB and will immediately notifi, the office issuing this building permit ofthe name of the contractor. I hereby certiff that the above information is correct and that I have read and do understand the Information Notice to Property Owners about C Responsibilities on the reverse side of this form. of permit applicant) (lVhite copy to issuing agency permit file, pink copy to aPPlicant) gnature (D 7 w ) I L #T}"iHR ffiffiSPtrN$iffiILlTIES ANM ARHA$ OF CONEHRN: il*dee*xxp{ixx*c*: As ti:*p*r*ii{ i:r:ld*r f*rti . iii,f i.:.it1: ,'1.';;i: i,jiir.ii,... . r ,rrr .ji..!,.......,,:..,,.i ; ..'.':.-..ji,:r...",',,:;.lli-ijili'.]iii.i;:i-.ltll.i;;i;:i..il:..-;;i',,..i:i... :t:,i.... ..)t. .".), r '. .. . ? ,! j '.1.j ::]i I iifjiJ,S:tj- I j).j ii i.i i rr.."f :l-i rr frtIr,l I t,J.! CITY OF ONEGON 225 FTFTB STREET SPRINGFIELD, oREGON 97477 INSPECTION REQT,EST: 726-376;9.,Ci 0FPICE: 726-3759 1. LOCATION OF INSTALLATION2{za /lrr,P/ 3 A *rT 3 -0 o //.1 JOB DESCRIPTION Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. use ELECTRICAL PERHIT APPLICATION City Job Number g Kt><b( COMPLETE FBE SCEEDTILE BELOIJ Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost $ 8s.00 sq. ft or portion thereof Each Manuf'd Home. or -Modular Dvelling Service or Feeder s 1s.00 $ 40.00 Services or FeedersInstallation, Alterationsor Relocation: SPFlTNGFIELE' 200 amps or less 20L amps to 400 amps - 40L amps to 600 amps - 60L amps to 1000 amps- over 1000 amps/volts - Reconnect 0n1y li,s,,?rffifs,ffir,ffimtr Sum .Zn 5+a // 4* < /'1r'?4.e J-+L,- k)trrn - 1000 sq.ft. or less , Each additional 500 2. COI{TRACTOR r-NSTALLATfON oNLY Electrical Contractor Address Ci ty Phone Supervi-sor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Ovners Name C. Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps''or less $201 amps to 400 amps - Sover 40L to 600 amps - $Over 600 amps or 1000 voITs se . Branch Circui tsfiftNev, Alteration or Extension per panel One Circuit L/ $ 35.00 !_;trEach AdditionalCircuit or vith Serviceor Feeder permit / S 2.00 E Miscellaneous (Service/feeder not included) -Each installation B s s0.00 s 50.00 $100. 00 $130.00 $300.00 $ 40.00 6ove 40. 00 55.00 80.00 eilBna D The installation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent. Add ress Ovners Signature: ( ft, E Pump or irrigation Sign/Outline Lighting- Limited Energy/Res -Limited Energy/Comm $ $ $ $ 40. 00 40. 00 20.00 36.00 5 SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL 3 RECEIVED B 7 ?d-? 37,? p uwTqnfrliI M Ph,".aL/Q -{21/( oVNER rMSfalurron