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Home My WebLink AboutPermit Mechanical 1995-09-11RESIDENTIAL PERMIT APPLICATION lnspections: 726.376S Qftlce; 726.3759 i LOCATION OF PROPOSED WOBK ASSESSOHS MAP:2-.a LOT; SPRIN LO JOB NUMBER 225 Fitth Street SpringilelcJ, Oregon 97477 9 lh TAX LOT: SUBDIVISION: I OWNER ADDRESS: CITY: PHONE; STATE:ZIP: ON - DEMOLISH OTHER DESCBIBE WORI( NEW._- REMODEL AD ADDRESS EXPIBES PHONE MECHA NICAL: CONTRACTOR'S NAME G ENEBAL: PLUMBING: ELECTRICAL: CONST. CONTRACTOR # - OFFICE USE - / OF UNITS: HEAT SOURCE; -_RANGE; __ QUAD AREA: , OF BLDGS FLOOD PLAIN: ZONING CODE SECONDARY HEAT: SOUARE FOOTAGE: , OF BDFIMS: WATER HEATER;___ OCCY GROUP: E OF STOFIIES: To roqu ES an n S ec yo U m c al a 26-3769. Ttrls ls a 24 hour rccordlng. Allrcquested after 7:00 a.m. wlll bo made REQUIRED INSPECTIONS [f] Rough Mochantcat _ prtor ro - cover. Rough Eloctrlcal - prlor tocover. Flroplaco - prlor to faclngmaterlals and framlng lnspl Framlng - prlor to cover. Wall/Celllng lnsulailon _ prlor to p S m ad o e s an le wor k n s ft pechc)a n s pec o n re qu e ted before 7;00 a.m day, Snsons wlll bcheworl( Slto lnspcclion - To be madoalter excavatlon, but prlor tosottlng forrns. U_nderslab plumblng / Electrical /Mechanlcal - prioi to cover. Footlng - Af ter lrenches areexcavated. Masonry - Steel locailon, bonclbeams, Orouling. Foundatlon - After forms areerected but prlor to concretepracelnent. Underground plumblng _ prior lo fllllnq trench. Underlloor plumblng/ Mochanlcal - prlor to lnsulation or decklng. Post and Boany. - prlor to f loorrnsutallon or docklng. Floor lnsulation - prlor todecklng. Sanllary Scwer - prior to filllngtrench. Slorm Sewor - prior to filllng t rench, Waler Llne - prtor to tiltinglrench. Tonrporary Electric Rough Plurnbing - prlor tocover, Flnal Buildlng - When allrequired.lnspectlons have beenapproved and bulldlng lscompleted. Sothor 4F <-<r - |-_] Flnat ptumbtng - When ail - ptumblng worl< ls complete. [-_l Finat Etocrrtcat - When ail'- ctectrlcal work ls complote. iffxi:e,;";ri":;##:i3;, m ili:l*ffx,"'l]L?,;#,T;?"il:oleclrlcal power, cover. I Drywall - prlor ro taptng, l_l Wood Stovo - Afrer tnstaltatlon MOBILE HOME INSPE TIONS [--l tnsert - After flreplace apDrovrt.- and lnstailailon ,i';;lt: -FP'vrYq' [-l e]ocking and Sot.Up _ When ail.+ blocklng ls compleie. Curbcul & Approach - Aftertorms are erected but prlor loplacomont ol concrctc,. Plumblng Connectlons _ Whenhome lras been connected lowater and sewer. Sidewalk & Drlveway - Af terexcavailon ls complcto, formsand sub.base materlal in place. Electrlcal Connoction _ When P]::lIp, set.up, and plumbrnsrnspocilons have been approvedand tl.re.home ls connected tothe servlce panel.I-l fence - When complered [-l Streot Troes - When all requlred - rroes are planled. FInal - After all requiredrxspecilons are approved andp_or9.hcs1 sklrilng, decks, andvenung havo been lnstailed. r n BLOCK: tion, followlng f] rl T tl E E Lot faces Lot sq. ftg. Lot coverage Topography Iotal holght Lot Type - Interior - Corner - Panhandle - Cul-de.sac P,L.HSE GAB ACC N D E , THE PROPOSED WORK IN THE HISTORICAL DISTFIICT, OR ON THE HISTORICAL REGISTER? lf yes, tl'rls applicatlon must be slgned and approved by the Historical Coordinator prior to permit issuance. APPROVED: VALUE (A) X $/SO. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SO. FT, Maln Garagc Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permlt ls granted on the cxpress condition that the said conStruction shall, ln all respects, confoiln to the Ordinance adopted by the City of SpringfielcJ , includlng the Development Code, regulating lhe co0struction and use of bulldlngs, and may be suspended or revokcd at any time upon violation of any provisions of said ordinances. Da tePlans Rcvleweci By Plan Check Fee: Date Pald Received By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developmcnt Charge ls due on all undeveloped properties wlthln tha City linrits which are being lmproved, Resldentlal Bath(s) No - - FEE (c) PLUMBING PERMIT Plumblng Permlt Stato Surcharge Total Charge ITEM Flx t u res Sanltary Sewer Water Storm Sewer Moblle Home ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unlt Oryer Vent ,41.< /6.rc(D) 1-3zz>*,./ -*- 4 -/f ae 7 N0Vent Fan Mechanical Permlt I ssu ance Stato Surcharge Total Permlt MECHANICAL PERMlT Fu rn aco Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby ceril f y that all lnformatlon hereon is true and correct, and I f urther cerIfy that any and allwork performed shall bc done in accordance wlth the Ordinances of tho City o( Sprlngf ield, and the Laws of the Stato of Oregon perlalnlng to thc worl< described hereln, and that NO OCCUPANCY will be macje of any structure wlthout perrnission of the Bulldirrg Safety Dlvislon, I further certlly that only contractors and employees who are ln compllance with ORS 701.055 will be used on thls prolec t. I further agree to ensure that all requlred lnspections are requested at the proper tlme, that oach address ls readable from tho street, that the permlt card ls located at the front of the property, and the approved set of plans will remain Slg natu re Date ttmes rlnon the slle at MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk - ft Curbcut ' ft Demolitlon State Surcharge Total Mlscellanoous Permlts (E) TOTAL AMOUNT DUE (excluding clectrlcal) (A, B, g D, and E Comblned) VALIDATION: BECEIPTNUMBER- .-2 -z z.zr=9-OATE PAID AMOUNT RECEIVED BECEIVED BY FT. FT'' FT, )I .SPRINGFTELO ELECTRICAT PERHIT APPLICATION The tollowing project as submitted has tha following zcnrrig, erld does not requ;re specific lan.l use 225 FIFTE STREET APPIUVAI. spRrNGFrEr,D, OREGO N 97477 uono'n- -{-fr-k- INSPECTIoN REQUEST: 7?6o3769 Cl4t, qf City Job Number aq OFPICE: 726*3759 1. AJtilorzeo TTON OF INSTALI..A,TTON .IOB DESCRIPTION e,f)? .NMDI P.I'P ransferable and expirearted vithin 180 days enone rl4l -A*Z b A B. Services or FeedersInstallation, Alterationsor Relocation: FEE SCMDULE BELOV Nev Residential-Sing1e 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 - Hodular Dvelling Sertice or Feeder s 85.00 s 1s.00 s 40.00 of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATTON ONLY ELectrical Contractor Address Sum Permits are non-if vork is not s t pervisor L 'ense Number 200 amps or less 201 amps to 400 amps --401 amps to 600 amps -- 601 amps to 1000 amps-0ver 1000 amps/vo1ts - Reconnect Only 60. 100. s130. $300. S ao. S 3s.00 35-. oO $ 2.oo l,oo 4, oc> L g.5 c 50$ $ $ 00 00 00 00 00 00 Ci Su 0vners Narne Address Ci OVNER Phone +rl - 33o Expiration Date i0 -t-,15 Constr Contr. Number 0 38 +q ExpirarionDate q--l-qb Signature of Su pervising Electrician Temporary Services or FeedersInstalla.tion, Alteration or Relocation 200 anps"or less $ 40.0020L amps to 400 amps -- S 55.00over 401 to 600 amps .- $ g0.00 Over 600 amps or fOOO-ToITs "." 'igi a6'ove Branch Circui ts Nev, Alteration or Extension per panel o C D TION One Circuit tEach Addi rionalCircuit or vith Serviceor Feeder perrnit /The installation is being made onproperty I ovn vhich is not intendedfor sa1e, lease or rent. Ovners Signature: Miscellaneous (Service./feeder not, included)-Each instal-lation E Pump or irrisation ( fielloltline Lighting- I ,"{1l]::q Energy/Res --- S SUBTOTAL OF ABOVE5Z State Surcharge 3Z Admini.strative Fee TOTAL 40.00 40.0d 20. 00 36.00 DATE:5 ,il-l 12t DI?AIiTIrEIN EI "Y '3q .gb , I 8t S