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