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Home My WebLink AboutPermit Mechanical 1994-04-15SPFlII\rGFIELc) RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Ofiice: 726'3759 LOCATION OF PROPOS ASSESSORS MAP: h, JOB NUMBER 225 Fifth Street Springf ield, Oregon 97 477 TAX LOT: SUBDIVISION R I NY. BLOCK: PHONE: OR ZIP:STATE: 433 726 -8688Je 77th Mitchellv & Evila 974 OWNER: ADDRESS: CITY: NEW - FIEMODEL ADDITION - DEMOLISH OTHEFI ELECTRICAL.. PHONEEXPI RES 342-gtlt0460 6127le4irst. Euqene 97402 #0Heatinq 855 W. Fort Flow CONTRACTOR'S NAME MECHANICAL CONST. CONTRACTOR # OENERAL: PLUMBING _ OFFICE USE - LAND USE: r OF BDRMS: r OF UNITS:ZONING CODE: WATER HEATER:RANGE: SECONDARY HEAT: SOUARE FOOTAGE: OUAD AREA: r OF BLDGS: OCCY GFIOUP: # OF STOR|ES CONSTR. TYPEr HEAT SOURCE: To request an inspection, you must call 726-3769' This is a24 l\ou( recording' All inspections reques made the same working day, inspections requested afler 7:00 a'm will be made the following work ted before 7:00 a.m. will be day. TemporarY Electric REQUIRED INSPECTIONS &;;;t Mechanicat - Prior to Final Plumbing - When all plumbing work is complete. Site lnspection - To be made af ter excavation, but Prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is comPlete.COVCT inal Mechanical - When all Underslab Plumbing / Electrical / Mechanical - Prior to cover. Electrical Service - Must be approvecl to obtain Permanent electrical Power. echanical work is complete. Fooling - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsP. Final Building - When all required insPections have been approved and building is completed. Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Other Foundation - After forms are erected but Prior to concrete placemen t. Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to f illing trench. Drywall - Prior to taping. MOBILE HOME INSPE TIONS Undertloor Plumbing/ Mechanical - Prior to insulation or decking'Wood Stove - After installation Post and Beam - Prior to floor insulation or decking.lrlsert - Alter fireplace approvai and installation of unit. Btocking and Set'UP - When all blocking is comPlete. Floor lnsulation - Prior to decki ng.Curbcut & APProach - After fcrms are erected but Prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. SanitarY Sewer - Prior to f illing trench.Sidewalk & DrivewaY - After excav:!ion is comPlete, {orrns and sub-base material in Place. 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. Waler Line - Prior to filling trench. l-_l Fence - Wi:en conPleted Final - After all required inspections are aPProved and porches, skirting, decks, and venting have been installed.Street Trces - UJhen ali reqrjired trees are irlanteo'Rough Plumbing - Prior lo cover. i_l 1 oao ADDRESS FLOOD PLAIN: E tl I E E E E r r il fl rE E E tl P.L.HSE N Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Sc tb:rc l<s GAR ACC '-i'S l-t'lE PROPOSED WORK lN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? --lf ves, this application must be signed and approved by the Historical Coordin:rtor prior.to permit issuance. AFPHOVEL) J E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT 'fhis permit is granted on the express condition that the said ccnstruction shall, in all rcspects, conform to the Ordinance ;rclopted by the City of Sprirrgfield, including the Development Cooe, regulating the construction and use of builrJing:;, anrJ may be suspended or revoked at any time upon violation of any provisions ol said ordtnatrces. Plans Rcviewed By Date Plan Check Fee: Date P;ricl llcceipt Nutltbcr: Received By: VALIT E (A) X S/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport Systems Developrncnt Chargc is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtu res Besidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) NO FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Tolal Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) ) ( N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood 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 certif y that any and all work performed shall be done in accordance witl.r the Ordinances of the City of Springf ield, and the Laws of thc 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 {urther certify that only contractors and employees who are in cornpliance with ORS 701.055 will be used on this proiect. I {urther agree to ensure that all requlred inspections are requested at the proper time, that each address is readable f rom the street, that the permit card is located at the f ront of the property, and the approved set of plans will remain L{a _tuate . U*t, on the site at all times /l during construction Signature MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical (A, B, C, D, and E Combined) VALIDATION: RECEIPT NUMB DAI'E PAID AMCJUNT R I I HECEIVED B' FT. I OFEGO'VCITY OF SPR Tha lorl owln$ n" SPRINGFIELO BI,ECI?ICAL PERHIT APPLICATION225 FTTtfl STRBET SPRINGPIELD, oRBGoN INSPBCTION REQTIEST: OFFICE: 726-3759 Ztnirrg, ' gTlgplcvei 726-3789 QL-q4 DStL' ndC -, 1'-.',Lr^f, l.pr the f'ollo|f-{l t: :and u€O 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Hodular Dvelling Servlce or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps _ 401 amps to 600 amps - 601 amps to 1000 amPs- 0ver 1000 amps/volts Reconnect Oniy One Circuit i Each Additional Circuit or vith Service or Feeder Permi t I o*o-kL1 tJ.1.LOCATION OP JOB ble and expire thin 180 days suspended for 180 days. 2. COIiITRACTOR INSTALI.ATION ONLY Electrical Contractor 0 t S FXo n\ilrn ,t{lni' Address City Job Nunber COHP[ATE FEE SCEBDTILE BELOS A. Nev Residential-Single or HuIti-Family per dvelling unit. Service Included: I tems :.q.? (3. B Cos t $ 8s.00 $ 1s.00 $ 40.00 Sum Permits are non-traflsfera if vork is not started vi of lssuance or lf vork ls ci Phone 141 -AA3lo Supervisor Expiration cense Number tbflbs Date lb .- I -q5 Constr Contr. Number o3 Elq Expi ration Date q 4 -q+ Signature of SuPervi sing Blectrician C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 over 401 to 600 amps - $ 80.00 Over 600 amps or 1000-ioTts see rrB" above D. Branch Circuits New, Alteration or Extension Per Panel $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 a Owners Address ci PhonerlkL- 8bZZ OgNBR ALI,ATION The installation is beirig made on property I ovn vhich is not intended for sale, lease or rent. Omers Signature: DATE: E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/OutIine Lighting- Limited Energy/Res Limited Energy/Comm 5. STIBTOTAL OP ABOVE 5Z State Surcharge TOTAL $ 3s.oo 35ab $ 2.oo l.,oo 00 00 00 00 40 40 20 $ $ $ $ RBCBIVBD 36 _ ?'1. ao l.g5 3e. 85