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Home My WebLink AboutPermit Mechanical 1996-02-14Lox BLoCKI PRINGF t'..ZO R P A.(tt.t TAX LOI LOCATION OF PROPO ASSESSOBS MAP: . JOB NUMBER ESID ENTIAL ERMIT APPLICATION lnspectlons: 726.3769 Ofllce: 726.3759 SUBDIVtSION: --- 225 Flfth Street Sprlngfleld, Oregon 97477 PHONE: ztP $ \'t:r {eSTATEI q SLL e ADDRESS: OWNER: CITY: OTHERDEMOLISH DESCBIBE WORK: NEW - REMODEL ADDITION ADDBESS EXPIRES PHONE I I S -'l#L q.a q7g 1 O\2 u( CONTBACTOR'S NAME GENERAL: PLUMBING: MECHANICAL: ELECTB!CAL: CONST, CONTRACTOR # _ OFFICE USE - ,r OF BDRMS: ,- LAND USE:QUAD AREA: r OF BLDGS: FLOOD PLAIN: ZONING CODE OCCY GROUP: I OF STORIES:SECONDARY HEAT: SOUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: # OF UNITS: ---- WATER HEATER:RANGE: To request an lnspectlon, you must call Zl macie the same worklng ctay, lnspecilons [-l femporary Elecrrlc Slte lnspectlon - To be made after excavatlon, but prlor toseltlnO forms. tl tf Underelab Plumblng/ Electrlcat /Mechanlcal - Prlor to cover. l-l Masonry - Steel locatlon, bond - beams, groutlng. _l Rougbztst66fi antcd[/- prtor tocover. dDts/ Rough Et}ctllcal - prtor to [-l Flnal plumbtng - When a[ - plumblng work ls complete. 26'3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:0c a.,.n. will berequested after 7:00 a.m. wlll be made the followlng work day. R UIRED INSPECTIONS cover, cover. Flnal Electrlcal electrlcal work I VWren all complete. s l-l Sanltary Sewer - prtor ro fliltng - trench. l-l Storm Sewer - Prtor to flillng - trench. tl Water Llne - Prlor to lllllng trench. Eleclrlcal Connectlon - Whenblocklng, set.up, and plurpblng lnspectlons have been approvedand the home ls connected tothe servlce panel. FInal - After all required lnspectlons are approved andporchos, sklrtlng, decks, andventlng have been lnstalled. Footlng - After trenches are excavat€d. Foundatlon - Aftdr forms are erected but prlor to concrete placemont. Underground Plumblng - prlor to fllllng tfench. Underlloor Plumblngl Mechanlcal - Prlor to lnsulatlon or decklng. Post and Beam - Prlor to floor lnsulatlon or decklng. Floor lnsulallon - Prlor to decl<lng. Rough Plumblng - Prlor to cover. Electrlca! Servlce - Must beapproved to obtaln permanent electrlcal power. Flreplace - Prlor to faclng materlals and framlng lnsp. l-l Framlng - prlor to cover. tl I Wall/Cbltlng tnsJtatlon - prlor to When allanlcwork ls complete. Flnal Bulldlng - When allrequlred lnspecilons have beenapproved and bullding lscompleted. Other MOBILE HOME TNSPECTTONS finut 'J mech [-l Blocklng and Set.Up - Whep ail - blocklng ls complete. l--l Dwwall - Prlor to taptng. l--l Wood Stove - Afrer tnstailatton. l-l lnsert - After flreplace approval - and lnstallailon of unlt. Curbcut & Approach - After forms are erected but prlor toplacement of concrete. Sldewalk & Drlveway - After excavatlon ls complelo, forms and sub.base materlal ln place. Fence - When completed. Street Trees - When all requlred trees are planted. Plumblng Connectlons - Whenhome has been connected towater and sewer. ,:, rl '4 tt,;t, Lot faces Lot sq. ftg. Lot covorago Topography Total [elght S k IS THE PFIOPOSED WORK tN THE. HISTOBICAL DISTFIICT, OR ON THE HISTOBICAL FIEGISTEFI? - ll yes, thls appllcatlon mugt be slgned and approved by the Hlstorlcal Coordlnator prlor to permlt lssuance. APPROVED: P.L,HSE GAR ACC N S W E (A) X $/SQ. FT. = VALUE Total Value Bullding Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Ir,!aln Gaqage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permlt ls granted on the express condltlon that the sald constructlon shall, ln all respects, conform to the Ordlnance adopted by the City of Sprlngf leld, lncludlng the Development Code, regulatlng the constructlon and use of bulldlngs, and may be suspended or revoked at any tlme upon vlolatlon of any provlslons of sald ordlnances. Plans Bevlewed By Date Recelpt Numbe Plan Gheck Fee: Date Pald; Recelved By; SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge ls due on all undeveloped propertles wlthln the Clty llmlts which are belng lmproved. ITEM Flxturest Resldentlal Bath(s) Sanliary Sewer Water Storm Sewer Moblle Home FEE FT. FT. (c) PLUMBING PERMIT Plumblng Permlt Stato. Surcharge Tolal Clrarge ADDITIONAL COMMENTS T L I3 Oo Wood Stove/ lnsert/ Flreplace Unlt Dryer Vent (D) N0Vent Fan Mechanical Permlt lssuahctl State Surcharge Total Permlt MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have carefully examlned tho completed appllcatlon and do hereby cerilfy that all lnformatlon hereon ls true and correct, and I f urther cerilfy that any and all work performed shall be done ln accordance wlth the Ordinances of ths Clty of Sprlngf leld, and the Laws of the State of Oregon pertalnlng to tho work descrlbed hereln, and that NO OCCUPANCy wlll be made of any structure wlthout permisslon of the Bulldlng Safety Dlvislon. I further certlly that only contractors and employees who are ln compllance wlth ORS 7O'1.05S wlll be used on lhls project. I further agree to ensuro that all requlred lnspecilons are requested at the proper tlme, that each address ls readable from the street, that the permlt oard ls located at the lront and the approved set of plans wlll remaln I tlmes durlng constructlon.o the slte at ture of the prope MISCELLANEOUS PERMTTS Moblle Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolltlon Slate Surcharge Total Mlscellaneous Permlts (E) TOTAL AMOUNT DUE (exctudlng electrtcat) (A, B, C, Q and E Comblned) DATE PAID AMOUNT BECEI RECEIVED BY VALIDATION: RECEIPT NUMBER Lot Type - lnterior - Corner - Panhandle -- Cul-de-sac ; 1t lt4 I. N0 FT, I SPC'INGFIELI) afr { tflstl 1r.*ecit as oubmlttoc .:.j u 225 FIFTE STREET INSPECTION REQUEST:726-3769 L4 qSPRINGFIEI,D, OREGON 974]7 ELECTRICAL PERHIT APPLICATION 1 LOCATION OF INSTA.LI-ATION I.,EGAL DESCRIPTION .JOB DESCRTPTION Permits are non-ransferable and expire if vork is not started vithin 1"80 days of issuance or if vork is suspended for 180 days. 2. CONIRACTOR INSTALIATION ONLY Electrical Contractor 3 A 1000 sq.ft. or less fupach additional 500 sq. ft or portion thereof Each Hanuf'd Home- or Modular Dvelling Sertice or Feeder B. Services or Feeders Installation, Alterations . or Relocation: C E SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL Ci ty Jo.b Number Qtro lq7 FEE SCEEDUI-E BELOS Nev Residential-Single or Mufti-Family per dvelling unit- Service Included:Items Cost I OFFICE: 726-3759 nn One Circui t Each Addi tional Circuit or vith Service or Feeder Permit Miscellaneous (Service/feeder -Each installation Pump or irrigation $ Sign/outline Lighting- S Limi ted Energy/Res $ Limi ted Energy/Comm S Sum s 8s.00 s 1s.00 $ 40.00 S 3s.oo X_[pe: s 2.oo a,,oo no t' included.) 40.0q 40.00 20.00 -36.00 -. Address Phone'l4l -a3l-cit Supervisor License Num ber lb'tb 200 amps or less 201 amps to 400 amps _ 401 amps to 600 amps _- 601 amps to 1000 amps_ 0ver 1000 amps/volts Reconnect 0n1y s 40.00 Temporary Services or Feeders Installa.tion, Alteration or Relocation 200 amps"or less 201 amps to 400 amps Over 401 to 600 amps 0ver 600 amps or 1000-voTTs see 'B' a Eove Branch Circuits Nev, Alteration or Extension Per Panel a 00 00 00 00 00 50. 60. 100 130 300 s s $ s sd Expiration Date Constr Contr. Number a-3 038 q Exoiration Date '1- I -q b Signature of Supervising Electrician $ 40.00 s ss.00 s 80.00 0wners Name Address Ci ty Ynone tl41 - 4 b1-,3 OVNER INSTALI^ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0vners Signature: DNE:Z- D. ,rd, 5 g/1,D l.ll DT'AETITtrN N rh ftPo 3q, qb r[Jd