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Home My WebLink AboutPermit Mechanical 1994-01-31RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 SPNIn.GFIELc, JOB NUMBER qLl b E *-7 WfL(*cnde.q LOCATION OF PROPOSED WORK:l?3 34 lq 6 TAX LOT:C-2c'C)ASSESSORS MAP: BLOCK SUBDIVISIONLOT: Tr4 7 Y7- PHONE: PVI op.zlP o ct N STATE:7 7 v770 W f tt6,c,+d e CITY: ADDRESS OWNER: NEW --- REMODEL ADDITION DEMOLISH OTHEFI ao|l?t+AoL^)DESCRIBE WORK: PHONEEXPIRESADDRESS -/b2,1?wF{ Sco a-i€ a*ol> tv oo77 co _J t_? ldE CONTRACTOR'S NAME vABTMECHANICAL: ELECTRICAL CONST. CONTRACTOR # GEN ERAL: PLUMBING RANGE , OF BDRMS _ OFFICE USE _ ZONING CODE: FLOOD PLAIN WATER HEATER SECONDARY HEAT: SQUARE FOOTAGE: OUAD AREA: # OF BLDGS CONSTR. TYPE HEAT SOURCE: LAND USE: # OF UNITS OCCY GROUP: # OF STORIES To request an inspection, you must call 726-3769. This is a24hour recording. All Inspections requested before 7:0o a.m. will be made the same working day, inspections requested after 7:00 a.m. will be rnade the following work day' REQUIRED INSPECTIONS Temporary Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is comPlete. Site lnspection - To be made after excavation, but Prior to setting forms. Rough Electrical - Prior to al Electrical - When all COVET electrical work is comPlete. Underslab Plumbing/ Electrical / Mechanical - Prior to cover' Electrical Service - Musl be approved to obtain Permanent electrical power. nal Mechanical - When all mechanical work is comPlete. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsP. Final Building - When all required inspections have been approved and building is completecl.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover.G L, r .faOther1 Foundation - After forms are erected but Prior to concrete placement. Wall/Ceiling lnsulalion - Prior to cover Underground Plumbing - Prior to filling trench.MOBILE HOME INSPE TIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Slove - After installation' Post and Beam - Prior to floor insulation or decking.lnserl - After firePlace aPProval and installation of unit' Blocking and Set.UP - When all blocking is comPlete. Floor lnsulation - Prior to decki ng.Curbcut & APProach - After forms are erected but Prior 1o placement of concrete. Plumbing Connections - When home has been connected lo water and sewe!'. Sanitary Sewer - Prior to filling trenctt.Electrical Connection - When blocking, set-uP, and Plumbing inspections have been aPProved and the home is connected to the service Panel. Slorm Sewer - Prior to filling trench. Sidewalk & DrivewaY - After excavation is comPlete, forms and sub-base material in Place. Water Line - Prior to filling trench. Street Trees - When all required trees are planted. Final - After all required inspections are aPProved and porches, skirting, decks, and venting have been installed.Rough Plumbing - Prior to cover. 225 Fifth Street Springfield, oregon 97 477 E E E E r tl tl E tl tl E E E l--l Drywall - Prior to taPing. E l--l Fence - When comPleted. E r E Lot {aces Lot sq. ftg. Lot coverage TopographY Total height Lot Type - lnterior -- Corner --- Panhandle - Cul-de'sac Setbacks P,L,HSE GAR ACC N S E BUILDING PERMIT ITEM SQ. FT.x $/so. Fr. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This perrnit 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 buildinqs, and may be suspended or revoked .rt any time upon violation of any provisions of said ordinances. Plan Check Fee Date Paid Receipt Numbe Fleceived By: Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE No FT. FT. Plumbing Permit State Surcharge Total Charge (c) ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan N0 Wood Stove/ lnsert/ Fi replace Unit Dryer Vent Mechanical Permit lssuance State Surcharge Total Permit \S oo tDoo .rs (D) l-- By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I furtfrer certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable f rom the slreet, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at times duri constructi Signatu Date | -z t-?+ di MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) VALIDATION RECEIPT NUMBER t DATE PAID AMOUNT RECEIVED 4 lrrl too RECEIVED AY --__C\RTOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) asrs IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: VALUE FT. st'rtrN(;FrI:Lo ab 225 FIFTE STREET SPRINGFIELD oRBG0N 97477 as submitted hae the loliowing require sPeci{ic PERHIT APPLICATION City Job Number Q q COq 1,, COHPI.BTE PBB SCEEDULE BBLOS A. Nen Residential-Single or Multi-Family per dvelling unit. Service fncluded: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Eaeh Manuf'd Home or Modular Dvelling Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocat ion: , The following Proiect zoning, and does not appioval. TNSPECTI0N RBQUBSTz 726-3769 OFFICE: 726-3759 fa'to 1. LOCATION OF INSTALLATIQIil;,rr., i; + i-i :j:;:r,-!)i,'rqLl*l \rtl ttr'Arorlo (\*, IJGAL DESCRIPIION 1-)O? ?ertq O ooe JOB DESCN.IPTION1 f, .. ,-', , ^ l,."t-l Permits are non-transferable and expirelf vork is not started within 180 daysof issuance or if vork is suspended for 180 days 2. CO}ITRACTOR INSTALI.ATION ONLY Electrical Contractor gs6gi.ld Elecrric Co. Address P0 Box 2765 Ci ty Eugene Phone 586-8612 Supervisor License Ndmber 508S Expiration Date l0- l-92 Constr Contr. Number 3B7Oz Expiration Date tZ-Zt-gZ Signature of Superv r1c1 0vners Name fl^,^,-, ,I},lzAJ Address Q..{r \)-N"-e o ,lt Ci ty Phone -Jq-) [-(1S.C OIJNER INSTALI,ATION The installation is being made on property I ovn which is not intended for sa1e, lease or rent. 0vners Signature: DATE: Temporary Services or Feeders Installation, Alteration or Relocation 200 amp-s or less $ 40.00 20L amps to 400 amps _ $ 55.00 Over 401 to 600 amps _ $ 80.00 Over 600 amps or 1000 volts see trBrr above D. Branch Circuits Nev, Alteratlon or Extension Per Panel One Circuit \ $ 35.00 3ifr,Each Additional Circuit or vith Service orFeederPermit \ g 2.90 .Qu' s amPs amps 000 amps_ Over 1000 amps/volts Reconnect 0nly Miscellaneous ( Service/feeder -Eaeh installation Pnmp or irrigation S Sign/Outline Lighting_ $ Limi ted Energy/Res _ $ Limited Energy/Comm S l\ar 200 amps or I 201 amps to 4 401 amps to 6 601 amps to 1 SUBTOTAL OP ABOVE 5Z State Surcharge TOTAL not included) 40.00 40.00 20. oo $so $60 $100 $130 $300 $40 es, 00 00 .00 .00 .00 .00 .00 .00 c. fr 5 RECEIVED BY:'QR 5),oo I