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Home My WebLink AboutPermit Mechanical 1997-07-09SPrlI]TGFIELc,RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 JOB NUMBER 225 Fif th Street Sprlngfleld, Oregon 97477 LOCATION OF PROPOSED WOHK:/ rFtl va<a D<i 'te ASSESSORS MAP;Z TAX LOT: LOT:BLOCK:SUBDIVISION: -7-5a76PHONE: D<,o/e E/d 04€aantSTATE:ZIP: a a7 v77 8el*.1 CITY: ADDRESS: OWNER: NEW - BEMODEL ADDITION DEMOLISH OTHER {roo,J r he4fa L s #*1DESCFIIBE WORK: GENERAL: ADDRESS EXPIRES PHON E o00 D 071 (o-) r? I ? t6-/6 ) I CONTRACTOR'S NAME PLUMBING: MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # FIANG E: r OF BDRMS: _ OFFICE USE - ZONING CODE: FLOOD PLAIN: HEAT SOURCE: OUAD AREA: I OF BLDGS: SECONDARY HEAT: SOUARE. FOOTAGE: OCCY GROUP: E OF STORIES: / OF UNITS: -_ CONSTR. TYPE: -- To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be made the same worklng day, lnspectlons requested after 7:00 a,m. wlll be made the followlng work day. REOUIRED INSPECTIONS Temporary Electrlc lV(nougl, Mechanlcat - Prtor to.frover.Flnal Plumblng - When all plumblng worl< ls complete. Slte lnspectlon - To be mado after excavation, but prlor to settlng forms. Rough Electrlcal - Prior to Flnal Eleclrlcal - When all electrlcal work is complete.cover. Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover.Electrlcal Service - Must be approved to obtaln permanent electrlcal power. f5J/rlnat Mechantcat - When ail ,l,Aqechanlcal work ls complete, Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framlng lnsp. Flnal Buildlng - When alt requlred lnspectlons have been approved and bulldlng ls completed.Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prlor to cover, Foundatlon - After forms are erected but prlor to concrete placemont.Wall/Celling lnsulatlon - Prlor to cover. Underground Plumblng - Prior to fllllng trench.I Drywall - Prlor to taplng. Underlloor Plumblng/Mechanlcal - Prlor to lnsulatlon or decklng. MOBILE HOME INSPE TIONS Wood Stovo - Alter lnstallatlon. Posl and Beam - Prlor to floor lnsulatlon or decklng.lnsert - After flreplace approval and lnstallatlon of unlt. l-_l Blocking and Ser.Up - When ail - blocklng ls complete. Floor lnsulatlon - Prlor to decklng.Curbcut & Alrproach - After forms are erected but prlor to placomont o[ concrete, Plumbing Connectlons - When home has been connected to water and sewer. Sanltary Sewer - Prlor to f llling trench.Electrlcal Connection - When blocking, set.up, and plumblng lnspectlons have been approved and the home ls connected tothe servlce panel. Storm Sewer - Prlor to filllngtrench. i Sidewalk & Drlveway - After excavatlon ls complete, forms and sub-base material ln place. Water Llne - Prlor to filling trench.[-l fence - When completed. Street Treos - When all requlred trees are planted. Flnal - After all required inspectlons are approved andporchos, skirtlng, decks, andventlng have been lnstalled. Rough Plumbing - Prlor to cover. ?- i, nssdo LAND USE: WATER HEATER: E tl E E E E E tl E E E tl E E [--l other tl E P,L.HSE GAR ACC N S E Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type '/ - lnterior - Corner - Panhandle - Cul-de-sac r , THE PROPOSEO WORK iN THE .--futsrontcAL DtsrRlcr, oR oN THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgned and approved by the Hlstorlcal Coordinator prlor to permit lssuance. APPROVED: VALUE (A) X $/SO. FT. Total Value Bullding Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SO. FT. Maln Garage Carport BUILDTNG VALUE, PLAN CHECK AND BUILDING PERMIT Thls permit is granted on the express condltion that the said construction shall, In all respects, conform to the Ordinanceadopted by the City of Springfietd, inctudtng the Development Code, regulatlng the construction and use ofbuildings, and may be suspended or revoked at any tlme upon vlolation of any provisions of sald ordinances. Plans BeviewecJ i3y Date Date Paid Receipt Number Beceived By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge ls due on all undeveloped properties within tlre City linrlts which are being improved. ITEM Flxtures Resldentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT FEE N0 FT. FT. (c) Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS - trfae f By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby certlfy that all lnformatlon hereon ls true and correct, and I f urther cerilfy 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 herein, and that NO OCCUPANCy will be made of any structure wlthout perrnission o[ the Bulldirrg Safety Divislon. I further certlfy that only contractors and employees who are ln compliance with OBS 701.055 wiil be used on this prolect. I further agree to ensure that all requlred inspections are requested at the proper time, that oach address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans wlll remain a4 -7 7 ,ry,"n. tL imes du ctlon the site at Slg natu re Date Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MISCELLANEOUS PERMTTS Moblle Home Stale lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolltlon State Surchargp Total Mlscellaneous Perrnits (E) MECHANICAL PERMIT 4rzt), /7r +,4t 2- (D) No /2r -),. zo -1,O. /f to J-ae-_)?o Mechanical Permlt lssuance State Surcharge Total Permit Furnace Exhaust Hood Vent Fan TOTAL AMOUNT DUE (excludlng electrlcat) (A, B, C, Q and E Comblned) 2_./ LO VALIDATION: BEcErPr NUMBER ----ZAJO 3 zoAMOUNT RECEIVED RECEIVED BY DATE PAID Plan Check Fee: _ FT. 'AN NAV ONEGON 225 PTFIE STRSET SPRINGPIELD, oREGoN 97477 INSPBCTION REOUEST: 726-3769 OFPICB: 726-3759 LOCATIO}L OP INSTALI.ATIONIt-ltK Vnrn Dr m Ia-lt ELECTRTCAL PER}IIT APPLICATION ciry Job Number 4 I l0r/ SPFITNCFIELO PEE SCBEDI'LE BELOV Nev Residentlal-Single orHuIti-FamiIy per dvelling unir. Service fncluded: I tems Cos t 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Hanuf,d Home or -Hodular Dvelling Servlce or Feeder s 8s.00 $ ls.00 s 40.00 Services or FeedersInstallation, Alterationsor Relocation: ?9q 1 DESCRIPTIONt= Permits are non-transferable and expireif vork is not started vithln 180 daysof lssuairce or lf vork ls suspended for 180 days., ',2. colrlRAcroR rNsrALLATroN olll,y ElecLrlcal Contractor BUI LDERS Address 293 M0NR0E ci EUGENE Phone 4BS-0922 Supervisor Llcense Number ?g7OS Explration Date t0/ r/eg Constr Contr. Number 0429d: Expi'ration'Date_ 12/10/\tr Slgnature of ervlsin.' Etectrfc r arl-Sup Temporary Services or'FeedersInstaIIation, Alteratlon or Relocation 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- over 1000 amps/volts -Reconnect 0nly SUBTOTAL OP AI}OVE5f State Surcharge ,-?fffil- 7>^6tal "' A c Sum B 200 amps or less S201 amps to 400 amps - $over 401 to 600 amps - S0ver 600 amps or 1000-i6Tis se 00 00 00 00 00 00 S so. S oo. 40 55 BO e $100. $ 130. $300. s 40. .00 .00 .00 rBrl s 2.00 aSoTF Ovners Name Address I ci Phone 7t/7- STALI.ATTON The. installatioh is beirig nade onproperty I ovn which is not intendedfor sale, Iease or rent. Onners Signature: DAIE: 1' D. Branch Circui ts Nev, Alteration or Extension Per panel One Circui q Each Addi tional s 35.00 Circuit or vith Serviceor Feeder Permi I I E v Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation SSign/OutIine Lighting- SLimited Energy/Res - SLimi ted Energy/Comm S 00 00 00 00 40. 40. 20. 36. 37fli.6^ i. t I RECETYED q'7 5 3q ,qb \ IJGAL DESCRIPTION L10u-!!33 o6t1)