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HomeMy WebLinkAboutPermit Mechanical 1998-05-11RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: SPRTNGFIELE, JOB NUMBER 0% 225 Fif th Street Sprlngfleld, Oregon 97 477 3r{?o S tt(A^ ^ CJ ASSESSORS MAP:11 0L rq 4L TAX LOT ot LOT: - BLOCK:SUBDIVISION: -- PHONE: ZlPiSTATE: I \e CITY: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER - +I td.\,,1_DESCRIBE WORK: ADDRESS q1 fi ?.s -t 3(t^.\\rJ EXPIRES .5 PHONECONTRACTOB'S NAME GENERAL: PLUMBING: MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # r,l&rrefi WORK .. TYPE: - OFFICE USE - LAND USE: r OF BDRMS: WATER HEATER: FLOOD PLAIN:OUAD AREA: * OF BLDGS: SECONDARY HEAT: SOUARE FOOTAGE: OCCY GROUP: * OF STORIES: ZONING CODE: Tc)request an NS pect ion you m ust cat 7CH\Biqirli,hA,/E0fihspe"tions requested before 7:00 a.m. wilt be made the same worklng day,ns pect ions req ue sted wlll be made the followlng work day. REQUIRED INSPECTIONS [-_l Temporary Electrlc Rough Mechanlcal - Prlor to cover. Final Plumbing - When all plumblng worl< is complete. Slte lnspectlon - To be made after excavatlon, but prior to settlng forms. [-l Rough Electrical - Prior toL--J cover.Flnal Eleclrlcal - When all electrical work ls complete. Underslab Plumblngl Eleclrlcal/ Mechanlcal - Prlor to cover.Electrical Servlce - Must be approved to obtain permanent electrlcal power. Mechanlcal - When all mechanical work ls complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framing lnsp. Flnal Buildlng - When all required lnspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prlor to cover. Foundatlon - After forms are erected but prlor to concrete placement. Other Wall/Celting lnsulatlon - Prlor to cover. Underground Plumblng - Prlor Drywall - Prlor to taping.to Illllng trench. MOBILE HOME INSPECTIONS Underlloor Plumblngl Mechanlcal - Prlor to lnsulatlon or decklng.Wood Stovo - After lnstallatlon. Posl and Beam - Prlor to floor lnsulatlon or decklng.lnserl - After flreplace approval and lnstallatlon of unlt. Blocking and Set-Up - When all blocklng ls complete. Floor lnsulalion - Prlor to decklng.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Conneclions - When home lras been connected to water and sewer. Sanltary Sewer - Prior to fllling trench.Electrlcal Connection - When blocking, set.up, and plumbing inspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to fllllng trench. Sidewalk & Drlveway - After excavation ls complete, forms and sub-base material ln place. Water Llne - Prlor to filling trench. Fence - When ccinpleted. Rough Plumblng - Prlor to cover. Street Trees - When all requlred trees are planted. Final - After all required inspectlons are approved and porches, skirting, decks, and ventlng have been lnstalled. ADDRESS: NoT # OF UNITS: - E E fl tl tl E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - - lnterlor - Corner - Panhandle :' - Cul-de-sac i-IS THE PROPOSED WORK TN THE. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls applicatlon must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: P.L.HSE GAR ACC N S E VALUE (A) BUILDING PERMIT Total Value Building Permit Fee State Surcharge Total Fee SO. FT. X S/SQ. FT.ITEM Main Garage Carport This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Receipt Number:_ Plans Reviewed By , E Date Plan Check Fee: Date Paid Received By BUILDING VALUE AND BUILDING P PLAN CH ECK ,RM!T SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tlre City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobl!e !-lcme FEE (c) FT. FT. N' FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS q AJ Wood Stove/ lnsert/ Fl replace Unit Dryer Vent ,a{-r , L/{ #xD(D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit fi6, -Lu.: MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed apptication and do hereby cerilfy that all lnformatlon hereon is true and correct, and I further ceril(y that any and all work performed shall be done in accorrJance wlth the Ordinanccs of the City of Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed herein, and that NO OCCUPANCy will be made of any structure wlthout pennission of the Building Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on thls proiect. I further agree to ensure that all required inspections are requested at the proper ilme, 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 Slgnature S-((Date 48 on the site at al mes during constructlon MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge - Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electricat) (A, B, C, D, and E Comblned) VALIDATION: REcErPr NUMBER A1^ 6 1 t(-?( +C,tr Jb_ aa /2DATE PAI') AMOUNT FIECEIVED RECEIVED BY ,. Aulne/rz€d 225 FTFTE STPGET SPRINGFIEIT, OREGON 97477 INSPECf,I0N REQITEST 3 726-3 OFEICE: 726-3759 1 JOB DESCRIPTION SPfr..-riFIELO Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home- or -Hodular 'DveIIing' Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 '[he frll n'" A .8. Services or Feeders Installation, Alterations or Relocation: s 50.00 s 60.00 $100.00 $130.00 s300.00 $ 40.00 $ 3s.00 s 2.00 Sum a556 {r Supervisor License Number ?tro s Expiratio n oare /O - qq - ci Phone Constr Contr. Number Expiration Date -t t-- 200 amps or less 201 amps to 400 amps - 401 amps to.600 amps - 601 arafs to 1000 amps- over 1b0O amps/volta -Reconnect OnIY Temporary Services or Feeders Installation, Alteration or Relocation 200 amps''or less 201 amps to 400 amPs - Over 401 to 600 amPS - 0ver 600 amps or 1000 voltsture ofv Ovners Name Address 3(5 c.I ing Electrician $ 40.00 $ s5.00 $ 80.00 see rBll D Branch Circuits Nev, Alteration or Extension Per Panel )r,u Ci ty SP OVNER INSTALIiTION The installation is being made on property I ovn vhibh is not intended for sale, Iease or rent. OvnerstSignature: DATE: one Circuit I Each AdditionalCircuit or vith Service or Feeder Permit y E Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/OutIine Lighting- Limited EnergY/Res SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL s s $ s 40.00 40.00 20.00 36.00 a5 RgCETVED B PBRHIT APPTJCAUON pEBlQD' city Job Nunber 3 Permits are non-transferable and expire lf vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. , 2. CONTRACf,OR INSTALI"ATION ONLT Electrical Contrac rM eaar"" i elj A}IY 180 oAY (t Phone Phone Phone BUILDING Type of Construction - Group F ire Zone d/odo TRS, T JOB LO LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # Partitioning #) Completed Subdivision Lot- Bloc APPLICANT'S NAME AND ADDRE OWNER'S NAME AND ADDRESS CONTRACTOR'S NAME AND ADDRESSlailpermitto()Applicant()owner()Contractor.()Prefertopickup.Call-(owner, etc.) when ready. 1Z STRUCTURES NOW ON THE PEOPERTY THlsPERl\,llTlSFoR#BEDRool\4S-#PLUMBlNGcoNNEcTloNs- \A/ATER SUPPLY SEWAGE DISPOSAL s.l. # THlSPRoPERTYlSWlTHlNoNENnlLEoFTHEClTYoF'PLUIVIB ING BY I hereby certily that the above statements are lrue and accurate, and that I have the lollowing legal interest in the property: -owner o{ record; -contract purchaser; - potential buyer; - realtor or agent. I further certify that li{ not the owner} I am authorized to act for the owner of record, and that said owner is aware and approves of thas action. I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid $-Signature Date () NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT ( )SPECIAL PlVlT. AREA. MlN. ELEVATION: - ]AN ITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Date: Use Classification Comments Comments By By Date PLANNING REOUIREMENTS SATISFIED. B Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FROM C/L) INT. SIDE YARD REAR (FROIVI P/L) LANE COUNTY DEPARTI\IENT OF ENVIRONMENTAL |\4ANAGEI\4ENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBTNG - CANARy; SANTTATTON - cOLOENROD; OFFTCE COpy - WHTTEc55-1 3 SITE INSPECTION Ape nov r o RruaRxs D r sAPPRovEo Drr e I NspEcton FOUNDATION I NSPECTION AppRovEo D Drsnppnoveo n Drrr I Hspecron REuanxs FRAM I NG Appnov r o Reuanx s I NSPECT I Drsappnove, D Drr ,1?44,NS PE CTOR LATH OR SHEETROCK INSPECTION D DrsrppnovE o 77 Dar E I NspEctonAppaovro Rruaax s F I NAL I NSPECT ION APpRovEo Mt' ry_-"ry DrsAPPRovEo n I /L4a*-e Dart 2 -I Nsptcron Reueax s RTIFICATE OF ANCY RraoY To lssuE RtuaRx s D Nor Reaov ro lssue D Dore_I NSPEcToR RR ECTION COUNIY DEPI. OF ENVIR'ONMENTAI. Construction Permits & lnspections EUGENE, OREGON NOTICE il tANE ilIANAGEIIENT gvision 0k This bui slruclure does nol conform to Lone County buil\S regulotions, ordinonces or codesos noted TO ,'-L<d T >cl-l Lt :, llrt j css_73 RE-|NSPECTION REQUTRED FOR APPROVAT Date 7 -' o .oJ,Building Permit #ryU4, I lnspector ' , LANE COUNTY, OREGON DEPT. OF ENVIRONMENTAL MANAGEMENT CCTFIFIECTIGIN NGITICE JOB ADDRESS TO NOTE CONSTRUCTION PERMITS A INSPECTION DIV. DATE BLDG. PERIVIT a AA-, I FIE-INSPECTIclN I Phone E A7_4c,65i FoFt APPFIoVAL EE, INSPECTOR