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Home My WebLink AboutPermit Mechanical 1993-09-20SPNINGFIELc, RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 LOCATION OF PROPOSED WORK:L+ h,9z ^/37 rks JOB NUMBER Q7 tv 7-) 225 Fifth Street Spri ngf ield, Oregon 97 477 /t TAX LOT:o9<lr-]of tq 4)r) ASSESSORS MAP LOT: -- BLOCK:SUBDIVISION PHONE: Tk ZIP:STATE *- 4/ OWNEFI ADDRESS: CITY: NEW --- REMODEL ---\4= ADDITIoN "ilL DEMOLISH OTHEB (,e- / 11 \DESCRIEE WORK: PHONEEXPI RESADDRESS /,ztr-t E-w,7' SGL ,.\ q)a? CONTRACTOR'S NAME MECHANICAL: CONST. COT.ITRACTOR # - GENERAL: PLUMBING S N e- # OF BDRMS OUAD AREA: -, # OF BLDGS _ OFFICE USE _ LAND USE: WATER HEATEfI * OF UNITS: FLOOD PLAIN: ZONING CODE SECONDARY HEAT: SOUARE FOOTAGE: OCCY GROUP: r OF STORIES: CONSTR. TYPE: HEAT SOURCE: Torequestaninspection,youmustcallT26'3769'Thisisa24F'ourrecording' made the Same working day, lnspections requested after 7:0C a.m. will be m REOUTRED INSPECTIONS TemporarY Electric Rough Mechanical - Prior to cover. Rough Electrical - Prlo' to All inspections requested before 7:O0 a'm' will be acle the following work daY. Final Plumbing - When all piumbing work is comPlete. Final Eleclrical - When all electrical work is comPlete'coverSite lrtspection - To be made alter t:xc;rvation, but Prior to setting forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover' Footing - After trenches are excavated. Electrical Service - Must be approved to obtain PL.rrnanent electrical Power. ffi il::**: ;.'il:l.1:,ii:;l': l--l Framing - Prior to cover' M;::1y:;Irr1,;"'3l',?"?:l Final Building - When all reouired insPections have been approved and building is completed. t uMasonry - Steel location, bond beams, grouting' Foundation - After forms are "t""t"O but Prior to concrete placement. Underground Plumbing - Prior to Iilling trench' Underlloor Plumbing/ Mechanical ]'-p-rioit" insulation or decking' Post and Beam - Prior to floor insulation or decking' Floor lnsulation - Prior to decking. SanitarY Sewer - Prior to litling trench' Storm Sewer - Prior to filling trench. Water Line - Prlor to filling trench. Rough Plumbing - Prior to GOVer. Wall/Ceiling lnsulalion - Prior to cover. fi'orher MOBILE HOME INSPECTIONS Blocking and Set'UP - When all blocking is comPlete' Plumbing Connections - When'rrome nis been connected to water and sewer' [l orYwall - Prior to taPing' l--l Wood Slove - After installalion' f-71 lnsert - After fireplace approval Qa*2n6 installation of unit' Curbcut & APProach - Af tcr i"r.. ,r" erected bul Prior to placement of concre"e' Sidewalk & DrivewaY .- A{ter I-l-"r"ii." is comPlete' fornts l"i-tr6-o"te material in Place' Fence - When completed' Street Trees - When all required tre€s are Planted' Electrical Connection - When ;i;;i.i;s; set'uP, and Prumbins i.I"",iiicjns have been aPProved ;;;i;; home is connected to the service Panel' Final - After all required iti"Il",i"^i are approved and "'"[i"o", .xirting'' decks' and ffi;iilh;;" been installed' --- t tl tl D E r rE Er Lot faces Lot sq. ftg. Lot coverage TopographY Total height Lot Type - lnterior - Corner -.._ Parthandle - Cul-de'sac backs P.L.HSE GAR N S E ACC IS THE PROPOSED WORK IN THE }JISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? _-- lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This perrnit is granted on the express condition tflat the said construction shall, in all respects, conform to the Ordinance adoptecJ by the City of Springfield, including the Develo;;mcnt Code, regulating the construclion and use of buildings, arrd may be suspended or revokcd itt any time upon violation of any provisions of said ordinances. DatePlans Reviewed By Plan Check Fee Date Pald Receipt Number:-- Fleceived By VALUE (A) X $/SQ. FI. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT, Main Garage Carport Systerns Developrrrent Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ITEM Fixtures Besidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE FT. FT. FT. (c) Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS 15,oO Ca=- L,l(l-,2,oa l1 oO (D) ?S nlr, Mechanical Permit lssuance State Surcharge Total Permit M ECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan Wood Stove Dryer Vent N0 / Fireplace Unit * lgoo By signature, I state and agree, that I have care{ully examined tlre completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be merde of any structure without permission of the Building Safety Division. I further certify tl'rat only contractors and employees who are in compliance with OFIS 70l.OS5 will be usecl on this project. I f urther agree lo ensure that all required inspections are requested at the proper time, that each adcJress is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. o Signatu Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -- ft Curbcut --.- ft Demolition State Surcharge Total Miscellaneous permits (E) ToTAL AMOUNT DUE (exctuding etecrrical) -2]_-?_fA, B, q D, and E Combined) VALIDATION: RECEIPT NUMBER DATE PAID 4\1 lr,: n AMOUNT FIECEIVED RECEIVED BY - / o3a3B15 NO 2L8s -?( a CITY OF OBEGO'V submiJtc''l h*i:i ro $Pecilic iant' i'uo 225 FIFTE STREBT zo ,. ii-'l !r,';'-l' sPRrNcFrBLD, ORBGoN g74ll INSPBCIII0N RBOUBST: 126-3169 OPFICE: 726-5159 Deta 1.Auln'iilzi):i :r:-: " ON A. I,EGAL DESCRIPTIOII Address 68 ll. "Q". ST. Nev Resldentlal-Slngle orHultl-Famlly per dvelllng unlt. Servlce fncluded: BIJCTRICAT APPI.ICATION 43tq 4a Supervlsor Llcense Ndmber Explratlon Date 10/l/95 0mers Slgnature: 200 amps or less g 50.00 201 amps to 400 amps - $ 60.00401 amps to 600 amps - itoo.oo601 amps to 1000 amps- Sl30.O0over lo00 amps/volts - $300.00 Temporary Servlces or FeedersInstallatlon, Alteratlon or Relocatlon Ctty Job Number STIBTOTAL OP ABOVB 5I State Surcharge TOTAL Constr Contr. Number 08699 Explratlon Date r0/18/93 Slgnature of Supervl slng Electrlclan Ovners Address el4 dt Ct ty Phone 74A .5 760 BELOII I tems 1000 sq.ft. or less Bach addttlonal 500 sq. ft or portlon thereof Each Hanufrd Honre or -. Modular Dvelltng Servlce or Feeder B. Servlces or Feedersfnstallatlon, Alteratlons orRelocatlon: Cost $ 85.00 $ 15.00 $ 40.00 Sum Permlts are non-transferable and explrelf vork ls not started vlthln lg0 diys-of lssuance or lf vork ls suspended for180 days 2. COIITRACTOR INSTALI.ATION ONLT Electrlcal contractor L.R. BRABHA|4, INC. t ct SPFLD I 4735 c OIINER INSTATI.ATION The lnstallatlon ls belng made onproperty I orn whlch ls not lntendedfor sale, lease or rent. 200 amps or less 201 amps to 400 amps -0ver 401 to 600 amps 0ver 600 amps or fOOOlETls Branch Circults Nev, Alteratlon or Extenslon per panel one circuit / S 35.00 35,00 Each Addltlonal -- Circuit or vith Servlceor Feeder permlt _ $ 2.00 _ B. Hiscellaneous (Servlce/feeder not included) -Each lnstallation Ptrmp or lrrlgation Slgn/0utIlne Llght lng- Llmlted Energy/Res Llmlted Energy/Comm - D above $ 40.00 $ 55.00 $ 80.00 see nBtr $ 40.00 $ 40.00 $ 20.00 s 36.00 oo2< DATB: c1 RECBIPT aa c 5 -..'........'..-I'_l, 15 Vl'' 1c' - Phone 747-6638 a , RECEIVED