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Home My WebLink AboutPermit Mechanical 1996-08-09RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726.3759 i;PFlTI\rGFIELD JOB NUMBER 225 Fifth Street SprlngflelcJ, Oregon 97477 i eft, LOCATION OF PROPOSED WOBK:74 ASSESSORS MAP:/?-a 2 -3,/TAX LOT:o 6./ LOT:BLOCK:SUBDIVISION:_-- PHONE: STATECITY: ADDRESS OWNER: NEW - BEMODEL ADDITION DEMOLISH OTHER - DESCRIBE WORK: GENERAL: ADDRESS EXPIHES PHON ECONTRACTOB'S NAME PLUMBING: ELECTRICA MECHANI CONST. CONTRACTOR # RANGE: _ OFFICE USE - LAND USE:FLOOD PLAIN r OF UNITS: OUAD AREA: , OF BLDGS SECONDARY HEAT: SQUARE. FOOTAGE: OCCY GROUP: N OF STORIES: ZONING CODE: _ CONSTR. TYPE: HEAT SOURCE; To request an lnspectlon, you must call 726'3769. Thls ls a 24 hour recordlng. All lnspecilons requestecJ before 7:00 a.m. wlll bemade the same worklng day, lnspectlons requested after 7:OO a.m. wlll be made the followlng work'day. REQUIRED INSPECTIONS Temporary Electrlc w w Rough Mechanlcal - Prlor to Flnal Plumbing - When ailplumblng worl< ls complete,"%vrrta Slte lnspectlon - To be madc after excavatlon, but prior to settlng forms. Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover. Footlng - Af ter trenches are excavated. Masonry - Steel locatlon, boncl beams, groutlng. Foundatlon - After forms are erected but prlor to concrete placement. Underground Plumblng - Prlor to fllllng trench. Underlloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or decl<lng. Posl and Beam - Prlor to floor lnsulatlon or decklng. Floor lnsulatlon - Prlor to decklng. Sanltary Sewer - Prlor to f llllngtrench. ,r Slorm Sewer - Prlor to fllllngtrench. r Water Llne - Prlor to filllng trench. Rough Plumblng - Prlor to cover. Rough Eleclrical - Prior to cover. Electrlcal Servlce - Must be approved to obtalrr permanent eleclrlcal power. Flreplaco - Prlor to faclng materlals and framing lnsp. Framlng - Prlor to cover. Wall/Colling lnsulatlon - Prlor to cover. [-l Orywall - Prlor to taplng Wood Stovo - A(ter lnstallatlon lnserl - Af ter llreplace approval and lnstallatlon of unlt. Curbcut & A1:proaclr - After forms are erected but prlor to placomcnt of concrete. Sldewalk & Drlveway - After excavation ls completc, forms and sub.base materlal ln place. Fence - When completed Street Troos - When all requlred trees are planted. lfi Flnal Etectrlcal - When ail'rH electrlcal work is complete. ;4 Final Mechanlcal - When allmechanlcal work ls com plete, €8t//4€ nal Building - When all requlred lnspectlons have beenapproved and bullding ls completed. MOBILE HOME INSPE TIONS Blocklng and Set.Up - When ail blocklng ls complete. Plumblng Conncctlons - When hornc has been connected to water and sewer. Electrlcal Connection - When blocklng, set.up, and plumblng lnspections have been approved and the homo ls connected tothe servlce panel. Final - Af ter all required lnspectlons are approved andporches, sklrtlng, decks, and ventlng have been lnstalled. E,n' - zlP: ?- /i,€> , OF BDRMS: WATER HEATER: fl tl E E E fl E tl E tl E tl E tl Other _--....- Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterior -_ Corner - Panhandle - Cul-de-sac t bac ks PL.HSE GAR ACC N S S THE PROPOSED WORK iN THE . HISTORICAL DISTBICT, OB ON THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgned and approved by the Hlstorlcal Coordlnator prior to permit issuance. APPBOVED: BUILDING PERMIT ITEM SO. FT. X $/SO. FT.VALU E Maln Garage Carport Total Value Bullding Permit Fee State Surcharge Total Fec (A) BUILDING VALUE AND BUILDING P 'I , PLAN CHECK ERMIT Thls permlt is granted on the cxpress conditlon that the sald constructlon shall, ln all respects, conform to the Ordlnance adopted by the City of Springfleld, includlng the Development Code, regulating the constructlon and use of bulldings, and may be suspended or revoked at any tlme upon violation of any provisions of sald ordinances. Plan Check Fee Date Paid Receipt Number:- Received By: Plans Rcvlewed t3y Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge ls due on all undeveloped properties within tlre City linrits which are being lmproved. PLUMBING PERMIT ITEM Flxtures Resldentlal Bath(s) Sanltary Sgwer Water Storm Sewer Moblle Home FEE N0 FT. FT. Plumblng Permit Stato SurcharOe Tolal Charge (\,) ADDITIONAL COMMENTS MECHANICAL P Fu rnace Exhaust Hood Vent Fan ERMITW.rc ffi4 No Wood Stove/ lnsert/ Fl replace Unlt Dryer Vent Mechanical Permlt lssuance State Surcharqe Total Permlt rAry-223 4i2frt (D)-26.2 MISCELLANEOUS PERMITS Mobile Home Stato lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolitlon Slate Surchargg Total Mlscellaneous Pennits (tr, By slgnature, I statc and agree, that I have caref ully examlned the completed applicatlon and do hereby certlfy that all lnformatlon hereon is true and correct, and I f urther cerilly that any and all work performed shall be done in accordance wlth the Ordinanccs of the City of Sprlngfield, and the Laws of the State of Oregon pertalnlng to thc work descrlbed heroin, and that NO OCCUPANCY will be mado of any structure wlthout perrnission of the Bulldlng Safety Dlvislon. I further certlfy that only contractors and employees who are ln compliance with OBS 701.055 wlll be used on thls proiect. I f urther agree to ensure that all requlred lnspections are requesled at the proper tlme, that oach address ls readable from tlro street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln on the sit Slg natu re e at all times&*r ngc st ructlon. Date 2 2 DATE PAID g-?,% AMOUNT RECEIVED RECEIVED BY _.-. TOTAL AMOUNT DUE (excluding clectricaD ^{-2? (A, B, C, D, and E Comblncd) E FT. </r /qa 2.a VALIDATION; FIECEIPT NUMBER : ThTGFTELO iir{, inliov/ing projecl as eul '"',,;,i1; and does not requl ,1,,i":Cf e!. ro specifio land uce 7\/\ One Circui t Each Addi tional Ci rcui t or vi thor Feeder Permit ELECTRTCAL PERHIT APPLICATION ,eft, Zoni L 225 FIFTE STREET ,= ElZz-9lf SPRINGFfELD, OREGON 97477 ,:. ,:t-:F INSPECIIION REQUEST: 726-3169 OFFTCE: 726-3759 1 Ci ty Job Nrrmber COHPLETE FEE SCMDULE BELOV Items Qtrt n T oNot 3 A Nev Residential-Single orMulti-Family per dvelling unit.Service Included:tn PTI Electrical Contractor Add ress Ci ty Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date 3'\1 qn\ e of Supervising Electrician ( I Cos t s 8s.00 Sum Ovners N Address *n Ci ty Phone NSTALLATION The installation is being made onproperty I oun vhich is not intendedfor sa1e, lease or rent. Ovners Signature: DATE: 1000 sq.ft. or less Each additionat 500sq. ft or portion thereof Each Manuf,d Home or - Modular Dvelling Service or Feeder 's 1s.00 s 40.00 Services or FeedersInstallation, Alterationsor Relocation: 200 amps or less S201 amps to 400 amps - S401 amps to 600 amps _- $601 amps to 1000 amps- Sover 1000 amps/volts T sReconnect Only S Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps"or less S 40.00201 amps to 400 amps - S 55.00Over 401 to 600 amps - S 80.00Over 600 amps or 1000 volTs see "Bu a6oie D- Branch Circui ts Nev, Alteration or Extension L Per Panel $ 3s.oo ss Servi c1 Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended tor180 days. 2. CONTRACTOR INSTAILATTON OTTLY B Seef 50.00 60.00 100.00 130.00 300.00 40.00 \u C ( s 2.00 E. Miscellaneous (Service/feeder not included )-Each installation Pump or irrigation Sign/OutIine Lightirg- Limi ted Energy/Res - Limi ted Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL. 0.00 0. 00 0.00 6. O0 U)5 RECEIVED B SA Sa$zS: (( b\ Signa 33q\rsq?