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Home My WebLink AboutPermit Mechanical 1996-02-29RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 72A$759 a JoB NUMBE ^ aGe z7 G 225 Fifth Street 'Sprlngftetd, Oregon 97477 ,,l: LOCATION OF PROPOSED WORK:?35L ASSESSORS MAP:TAX LOT: SUBDIVISION: : 3?z ozS lPHONET/*t STATE:ZlPi ,4/t 7O. OWNERT ADDRESS: CITY: Oz € ADDITION DEMOLISH OTHER DESCRIBE WORK: NEW- REMODEL AODRESS 9z qab Z lOCz>I (,y3? o 'to 'f 6 CONTBACTOR'S NAME GENERAL: EXPIFES PHONE PLUMBING: MECHANICAL: ELECTBICAL: CONST, CONTRACTOR # - OFFICE USE - LAND USE: ,r OF UNITS: - ZONING CODE: # OF BDRMS: QUAD AREA: I OF BLDGS: SECONDARY HEA.I: SOUARF. FOOTAGE: OCCY GROUP: * OF STORIES: CONSTR. TYPEI HEAT SOURCE: WATER HEATER:RANGE: To.request an lnspecflon, you must call 726-376g. Thls ls amade the same worklng day, lnspecilons requested after , Temporary Electrlc Slte lnspectlon - To be madeafter excavatlon, but prlor tosettlng forms. [-l Unaerslab ptumblng/ Electrlcat/u Mechanlcat - prlor to cover. '24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be .7:00 a.m. wlll be made the followtng work day. REQUIRED INSPECTTONS fl Rough Mechanlcat - prtor to|J cover. fl Rough Elecrrlcal - prior to - cover. Electrlcal Servlce - Must beapproved to obtaln permanent olectrlcal pow€r. WallrO'elllng lnsutalton - prlor to cover. [-_l Ftnat ptumbtng - When ail - plumblng worl( ls complete. ffirn"f Electrlcat - When ailflelectrlcal work ls complete. K Flnal Mechanlcal - When allmechanlcal work ls complete. f] l'd'ffii:!'tllfljn'."orns - Prror [-l Drywar - prror ro taprns. Underlloor Plumblng / Mechanlcat - Prlor to lnsulatlon or decklng. l_l Posl and Beam - prlor to floorlnsulatlon or decktng. tf Foollng - After trenches are excavated. Masonry - Steel locatlon, bondbeams, groutlng. tf Foundatlon - After formg are erected but prlor to concreteplacement. Floor lnsulatlon - Prlor to decklng. Sanltary Sewer - Prlor to fllllng trench. I--l Storm Sewer - prtor to fililng - trench. l-l Water Llne - prtor to fliltnglJ trench. MOBILE HOME TNSPECTIONS Wood Stovo - After lnstallatlon. lngerl - After flreplace approval anc, lnstallailon of unlt. l*_l Blocktng and Ser.Up - When ail - blocklng ls compleie. Plumblng Connectlons - Whenhome has been connected towater and sewer. Flreplace - prlor to faclng materlals and framlng lnsp. Flnal Bulldlng - When altrequlred lnspecilons have beenapproved and bulldlng lscompleted. I-l Framtng - prtor ro cover. ffo,n". { ', ,' [-l Curbcut & Approach - After,J forms are erected but prlor loplacomont of concrete. i l--l Sldewatk & Drtveway - After.J excavatlon lb complete, formsand sub-basle matirlat [n ptace. [-l Fence - lVhen compteted.tt Electrlcal Connectlon - Whenblocklng, set.up, and plumblng lnspectlons have been approvedand the home ls connected tothe servlce panel. [--l Rough Plumblng - prtor to.J cover.Slreel Trees - When all requlred trees are planted. Flnal - After all requiredtnspectlons are approved andporches, sklrilng, decks, andventlng have been lnstalted. 4, 777 Lot faces Lot sq. ftg, Lot coverage Topography Total helght Lot Type - lnterior - Corner - Panhandle - Cul-de-sac ( IS THE PROPOSED WOBK i'N THE HISTORICAL OISTRICT, OB ON THE HISTORICAL REGISTER? - lf yes, thls applicatlon must be slgned and approved bY the Historical Coordinator prlor to permit issuance' APPROVED; ADDITIONAL COMMENTS By slgnature, I state and agree, that I have caref ully examlned the completed appllcatlon and do hereby certlfy that all lnformatlon horeon ls true ancl correct, and I f urther certl{y that any and all work performed shall be done in accordance wlth the Ordinances of the Clty of Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCY will be made of any structure wlthout permission of the Bullditrg Safety Division. I further certlly that only contractors and employees who are ln compliance with ORS 701,055 wlll be used on this prolect. I further agroe lo ensure that all required lnspections are requested at the 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 plans will remain on the slte at durlng constructlon. Dr^ all tlmes H,,,(Slgnaturo Date z-"q-?1 VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED f,3 a P.L.HSE GAR ACC N S W E BUILDTNG VALUE, PLAN CHECK AND BUILDING PERMIT Thls permlt ls granted on the express conditlon that the said constructlon shall, ln all respects, conform to the Ordinance adopted by ifro City ol Springfleld, includlng the Development Code, regulatlng the construction and use ol bulldings, and may be suspended or revoked at any tlme upon violatlon of any provlslons of sald ordlnances. DatoPlans Revlewod By Recelpt Numbe Plan Gheck Fee; Date Pald Becelved By: SO. FT,_ X $/SO. FT. = VALUE BUILDING PERMIT (A) ITEM Main Garage Carpart Total Value Building Permit Fee State Surcharge Total Feo Systems Development Chargo is due on all undeveloped properties wlthln the City limits which are belng improved' SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ITEM Flxtures Residentlal Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) N0 FT. FT, PLUMBING PERMIT Plumblng Permlt Stato Surcharge Total Charge .FT MECHANICAL PERMIT Furnace Exhaust Hood Wood Stove/ lnsert/ Flreplace Unit Dryer Vent Mechanical Permlt ,f4r.<) lssuance Statesurcharge ,7f +, <J- Total Permlt (D) /<N/v / o.M /zo.,. zoH12, &b N0Vent Fan MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldewalk - ft i Curpcut - ft i Demolltlon State Surclrat!e \, Total Mlscellaneous Permits (E) TOTAL AMOUNT DUE (excludlrfg electrical) .--- (A, B, C, Q and E Comblned)BECEIVED BY 'z- DO CITY OF SPB OFEGOru 225 FIFTE STREET SPRINGFIELD, oREGoN 97 INSPECTION REQTIEST: 7 OFFICE: 726-3759 SP]rIN-TXFIELO CAL PERHIT APPLICATION City Job Number I E oL7( COHPT,ETE FEE SCEEDULE BELOV --/ L 26-3169 3 A1ON OF INST ALI^ATION O D JOB DESCRTPTION Permits are non-t rans if vork is not starte of issuance or if vor Nev Residential-Single or Multi-FamilY Per dvelling unit Service Included:. Items Cos t $ 8s.00 s 1s.00 s 40.00 s s0.00 s 60.00 s 100. 00 s130.00 s30o.00 $ 40.00 Sum ferable and exPire d vithin 180 daYs k is susPended for 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Home' or Modular Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 180 days. 2. COMRACTOR INSTALLATION ONLY Electrical contractofOll b-uJc,f, . SEPy'rc l;- Address P /) (\nX R? Ci Phone \- lt QI Supervisor License Number lSqA' -S Expiration Date,\) -q Constr Contr. Number qt" Expiration Date q -Qt. Signature of Supervising Electrician Ovners Name Address /t/o N,,);7 city vnone 3/-4236 OIINER INSTALLATION The installation is being made on piop"tty I ovn vhich is not intended for sale, lease or rent' 0vners Signature: 200 amps or less 20L amps to 400 amPs - 401 amps to 600 amps - 60L amps to 1000 amPS- Over 1000 amPs/vo1ts - Reconnect 0nIY B C Temporary Services or Feeders i""iuriiiio", Alteration or Relocation 200 amps''or less ,oi ;;; to 4oo amps -Over 401 to 600 amps ..-.-- Over 600 amps or l'000 volts Branch Circuits Nev, Alteration or Extension Per Panel one Circuit I $ 35'00 53 Each Additional Circuit or vith Service oi-r'..a"t Permit - $ 2'00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/Outline Light ing- Limi ted EnergY/Res - Limited EnergY/Comm 40.00 80.00 ee rrBrr a56ve $ $ $ s $ s $ $ D E 00 00 00 00 40. 40 20 36 5. SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Admini.strative Fee TOTAL a4 ffi;;-- RECEIVED 2 7