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Home My WebLink AboutPermit Mechanical 1996-10-19RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Offlce: 726.3759 LOCATION OF PROPOSED WORK:2 ASSESSOBS MAP:-7 03 LOT BLOCK: SPRI l\rGFIELt) JOB NUMBER 225 Fifth Street Sprlngfletd, Oregon 97477 il- tzg S*<.f TAX LOT: PHONE Jy'rzzf STATE:ztP ,'l) 22 ?7/77 74b- d7z2 rL /7 z OWNER: CITY:,'t // a^A L a..^.ta. 4*+ e DESCRIBE WORK: NEW- BEMODEL ADDITION DEMOLISH OTHER ADDRESS EXPIBES PHONE . la 3qr CONST. CONTRACTO Z.1) Rfl CONTRACTOB'S NAME GENEBAL: PLUMBING: MECHANICAL: ELECTRICAL: _ OFFICE USE - WATER HEATEF ZONING CODE: LAND USE:QUAD AREA: I OF BLDGST SECONDABY HEAT: SOUARE FOOTAGE: # OF BDBMS: -- RANGE: OCCY GROUP: * OF STORIES: FLOOD PLAIN; CONSTB, TYPE: HEAT SOURCE: # OF UNITS: --.- To request an lnspecilon, you must call 726-376, made the same worklng day, lnspections reque 9. Thrs rs a24 hour recordrng. Ail lnspectrons requested before 7:00 a.mrsted after 7:00 a.m. wlll be made the followlng work day. wlll be R UIRED INSPECTIONS [-l temporary Etectrtc to Flnal Plumbing - When altplumblng work ls complete. Slte lnspectlon - To be madoafter excavatlon, but prlor tosetting forms. Flnal Electrlcal - When allelectrlcal work ls complete. n Underslab ptumblng/ Electricat/u Mechanlcal - prlor to cover.Electrlcal Servlce - Must beapproved to obtaln permanent olectrlcal power.Foollng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng, Flreplace - prlor to faclng materlals and framlng lnsfl Framlng - Prlor to cover. approved and bullding iscompleted, Foundatlon - After forms are erected but prlor to concreteplacement.Wall/Celltng lnsulatlon - prtor to cover. Underground Plumblng - prior to fllllng trench.Drywall - Prior to taplng l--l Underlloor Plumblns/ Mechanlcall-l - Prlor to lnsutatloi .r ;;;ki;;. l-_l wood stovo - Arter lnstatlatton MOBILE HOME INSPECTIONS Posl and Boam - Prlor to floor lnsulatlon or decklng.lnserl - After flreplace approvql and lnstallatlon of unlt. [-_l Blocklng and Set.Up - When ail - blocklng ls complete. Floor lnsulatlon - Prlor to decklng.Curbcul & Approach - After lorms are erected but prlor toplacement of concrete. Plumbing Connectlons - Whenhome has been connected to water and sewer. Sanltary Sewer - Prlor to fllllng trench. Storm Sewer - Prlor to fllllng trench. Sidewalk & Driveway - After excavatlon ls complete, forms and sub.base materlal ln place. Electrlcal Connecllon - When blocking, set-up, and plumbing inspectlons have been approvedand the home ls connected to the servlce panel. Water Llne - Prlor to fllllng trench. Fence - When completed Rough Plumblng - Prlor to cover. Slreet Trees - When all requlred trees are planted, Flnal - After all required lnspectlons are approved andporches, sklrtlng, decks, and ventlng have been lnstalled. ADDRESS: E E E tl tl fI ii, :'; Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterlor - Corner - Panhandle - Cul-de-sac Setbacks PL.HSE GAR ACC N S E IS THE PROPOSED WOFK TN THE . HrsroRtcAL otsTRlgr, oR oN THE HISTORICAL REGISTER? - ll yes, thls applicatlon must be slgned and approved by the Historlcal Coordinator prlor to permit lssuance, APPROVED: VALUE (A) x $/so. FT. Total Value Bullding Permit Fee State Surcharge Total Feo BUILDING PERMIT ITEM SO, FT. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls petmit ls granted on the express condltlon that the sald constructlon shall, ln all respects, conform to the Ordlnance adopted by the City of Sprlngfleld, lncludlng the Development Code, regulatlng the constructlon and use of bulldings, and may be suspended or revoked at any tlme upon vlolatlon of any provislons of sald ordlnancgs. Becel pt Number:---- Plans Reviewed By Date Plan Check Fee: Date Pald Recelved By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge ls duo on all undeveloped properties wlthin the City limlts which are belng lmproved, ITEM Flxtures Fesldentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home FEE (t) N0 FT. PLUMBING PERMIT FT. Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan No Wood Stove/ lnsert/ Flreplace Unit Dryer Vent lhtt1n b"LTU t0.r1) Total Permlt (D)2hi?O Mechanical Permlt lssuance By slgnature, I state and agree, that I have carefully examlned ths compteted applicailon and do hereby certlfy that all lnformatlon hereon ls true and correct, and I f urther certlfy that any and all work performed shail be done rn accordance wlth the Ordlnanccs of the Clty of Sprlngfleld, and the Lawsof the State of Oregon perlalnlng to tho work descrlbed hereln, and that NO OCCUpANCy wlll be made of any structure wlthout permission of the Buildrng safety Drvrsron.I further certify that only contractors and employees who are ln compllance wtth ORS TOj,OSS wlll be used on thlsprolect. I further agree to ensuro that all requlred lnspecilons are requesled at the proper ilme, that oach address ls readable from ths street, that the permlt card ls located at the frontof the property, and the approved set of plans will remalnon the site at all tlmes durlng constructlon. 0 b0 ,{Slgnatu re Date MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolitlon State Surcharge Total Mlscellaneous permits (E) VALIDATION: AV'/oRECEIPT NUMBER DATE PAID 0-[ AMOUNT RECEIVEDTOTAL AMOUNT DUE (exctudlng electricat)(A, B, C, Q and'E'Comblned)FIECEIVED BY 2u FT- SPllINCIFIELE' Address: 247 17THST Description: GAS FURNACE/AC Urban Growth Boundary: Owner: TIM SLATER 247 17TH ST SPRINGFIELD, OR 97477 Owner Phone: 746-0777 Contractor Phone: General Contractor: Plumbing Contractor: Electrical Contractor: C & S Mechanical Contractor: GARIBAY HEATING Design Contractor: SEQ TYPE REQUIRED PERMITS CITY OF SPRINGFIELD BU!LDING DIVISION JOB # 961382 Lot: Division Tax Lot 1703363102303 Heat 1 Water: Range: lnsulation Path: FEE Block: Value: $0.00 Addition: Started: 10l11l1gg Finaled: 1212611997 Heat 2: Zone. Bldg: Flood Plain: No Stories: Occ Group Bedrooms: Units: Category: ADDITION Type: RESIDENTIAL Land Use: SINGLE FAMILY DWELLING Status: Finaled Quad Area: 2RNW SURCHARGE DATE RECEIPT CATEGORY VALUEm I srs.ool so.zsl2l ez I r ecHnNrcAL rssuAN L,o.oo I I d .l=.=.r*,"o,- | trr oo I $1 85 I 1 0/1 0/1 996 1 0/1 0/1 996 1 0/30/1 996 I zzns I szo l;::::1,,, SEQ TYPE MINIMUM INSPECTIONS ROUGH MECHANICAL ROUGH GAS GAS SERVICE FINAL MECHANICAL ROUGH ELECTRIC FINAL ELECTRICAL SEQ TYPE INSPECTIONS COMMENTS TWO CIRCUITS EXP DATE ACT DATE 1 2 3 4 5 6 2 1 0/31 /1 996 1 0/1 6/1 996 1 0/3 1 /1 996 12t26t1997 12t26t1997 COMMENTS INSP DATE RESULT INSPECTOR RALPH SHAW RALPH SHAW RALPH SHAW RALPH SHAW RALPH SHAW DAVE GADOMSKI DAVE GADOMSKI 4 ROUGH MECHANICAL ROUGH GAS ROUGH MECHANICAL GAS SERVICE FINAL MECHANICAL ROUGH ELECTRIC FINAL ELECTRICAL 1 0/ 1 6/1 996 1 0/'t 6/1 996 1 0/31 /1 996 1 0/31 /1 996 1 0/31 /'l 996 12t26t1997 12t26t1997 NOT OK OK OK OK OK OK OK 6 7 31 30 130 39 42 49 31 30 31 130 39 42 49 9l11l201g 11:12:47 AM Page 1 of 1 l-rNALEpl CITY OF OREGON sPr FIELD :re. .rr!o,does nct require speci.*.lc tanel ucl ro,tal, ll,:l : / O-3 s -(rb 225 FTFTE STREET spRrNGFrELD, OREGON 97 4J'1'":"t"'': TNSPECTION REQUESTz 726-3769 oFPICE: 726-3759 JOB PTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTATI,ATTON ONLY ETECTRICAL PERHIT APPTICATION City Job Number 3. COHPI^ETE FEE SCffiDTILE BELOII A. Nev Residential-Single or Multi-Family per dvelJ.ing unit. Service Ineluded: Items Cost .ft. or less di t ional- 500 or portion s 8s.00 thereof Each Manuf'd Home. or Modular Dvelling Sertice or Feeder s 1s.00 s 40.00 Services or Feeders Installation, Alterations or Relocation: 1. LOCATION OF t'*fb2'iltrilR-2303 Sum L000 sq Each ad sq. ft B Electrical Contractor Address cit Supervisor cense Expiration Date e f,S d tr,ntru.o'..?rrrn pnone rl4l - a^3b 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _ 601- amps to 1000 amps Over 1000 amps/volts -Reconnect Only 200 amps''or }ess 201 amps to 400 amps -Over 401 to 600 amps 0ver 600 amps or 1000-vofTs D. Branch Cireuits Number I h 81" S lo-t-q8 s s0.00 s 60.00 s100. 00 s130.00 s300.00 $ 40.00 Constr Contr. Number Expiration Date q- I _ qrl Signa re of Supervising Electrician Ovners Name Temporary Services or Feeders Installation, Alteration or Relocation C E s $ s s 40.00 55.00 80.00 ee rrBrt a6ove Add cir ress OI]NER IN The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. Ovners Signature: DATE: Nev, ALteration or Extension Per Panel one Circuit I $ 3s.00 15.qO Each Additional Circuit or vith Service or Feeder Permi t I $ 2.00 ArOp Miscellaneous (Service/feeder not included) pno".7 4 b'0rl'11 -Each installation Pump or irrigation $ sign/outline Lighting- S Li.mi ted Energy/Res - $ Limited Energy/Comm S 40. 00 40.00 20. 00 36.00 5 SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL 3rl, oo r. 95r.lt 3q. gh RXCEIVED B t-0(L i,