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Home My WebLink AboutPermit Mechanical 1999-03-04RESIDENTIAL PERMTT APPLICATION rl o lnspect Office: ions: 726-3769 726.3759 JOB NUMBER ffo L?2 225 Fifth Street SprlngflelrJ, Oregon 97477 LOCATION OF PROPOSED WORK://L7 *l ASSESSOBS MAP;t7 0, L'{'l)oTAX LOl: LOT:BLOCK:SUBDIVtStON: ---.- PHONE: ZIP: / 7 STATE: OWNER: ADDRESS: CITY: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WOFIK: ADDRESS EXPIBES ;1 PHONE CONTRACTOR'S NAME ELECTRICAL: MECHANICAL: CONST. CONTRACTOR # GENERAL: PLUMBING - OFFICE USE - To requ made tl lest an inspectlon, you must call 726-3769. Thls is a24 hour recording. All lnspectlons requested before 7:00 a.m. will behe same worklng day, lnspections requested af ter 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS Temporary Electrlc Rough Mechanical - prior to cover. Final Plumbing - When allplumbing worl< is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - prior to Final Electrical - When allelectrical work is complete.cover, Underslab Plumblngt Electrical / Mechanlcal - Prior to cover.Electrical Servlce - Must be approved to obtaln permanent electrical power. Mechanical - When allanical work ls complete. Footlng - After trenches are excavated.Flreptace - Prlor to faclng materlals and framing lnsp. Flnal Buildlng - When allreguired lnspectlons have been approved and building is completed,Masonry - Steel locatlon, boncl beams, groutlng.Framlng - Prior to cover. Foundatlon - After forms are erected but prlor to concrete placement. Other - Wall/Celling lnsutatlon - Prlor to cover. Underground Plumblng - Prior to fllllng trench.f] DrVwall - Prior to taping. Underlloor Plumblng/ Mechanlcal - Prior to lnsulatlon or decklng. MOBILE HOME INSPE TIONS Wood Stove - After lnstallation. Post and Beam - Prlor to floor insulatlen or decklng.. Floor lnsulation - Prior todecking. . -'. Sanitary Sewer - Prior to tif f ing trench. lnsert - After fireplace approval and lnstallatlon of unit. Blocking and Set.Up - When ail blocking is complete. Curbcut & Approaclr - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Stonn Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material ln place. Eleclrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Water Llne - Prlor to filling trench.I-_l Fence - When cci''ipleted. Street Trees - When all requlred trees are planted. Final - After all required inspectlons are approved andporches, sklrting, decks, and ventlng have been lnstalled. Rough Plumbing - Prlor to cover. QUAD AREA:ffi @ALL EXdiSEoccYGFIOUP:__ftrrHORfZED-UNDEB r OF BLDGS: LAND USE:you to-.._-____Jolbw+u{es fl E fl tl tl fl fl E 'fl tl tl Lot faces Lot sq. ftg. Lot coverage TopograPhY Total height Lot Typ _ - lnterior -- Corner ! - Panhandle - Cul-de'sac P.L.}JSF.GAR ACC N S E IS THE PROPOSED WOBK TN THE . HrsroFilcAL DlsrFllcl, oR oN THE HISTORTCAL REGISTER? .-- lf yes, this applioation must be slgned arrd aPProved bY the H istorlcal Coordinator prior to permit issuance' APPFIOVED: AND BUILDING PERMIT This pernrit is granle<J 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 ouildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances' Receipt Number:- DatePlans Reviewed BY BUI LDI N G LUE,LAN CHECK Plan Check Fee: Date Paid: Received By: VALUE Total Value Building Permit Fee State Surcharge Total Fee :2 X $/SQ. FT. .' t :', BUILDING PERMIT ITEM SQ. FT. Main Garage Carport Systems Development Charge is due on all undeveloped properties within tlre City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS AraITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) NT FT. FT. PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge - FT. Wood Stove/lnsert/Flreplace Unit tSou Drver Vet^l $/ir2t.l/)(D) nt N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhausl Hood By slgnature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without perrnission of the Building Safety Division. I further certify that only contractors and entployees who are in compliance with ORS 701.055 will be used on this proiect. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permlt card ls located at the front a Signature Date of the property, and the on the site at all times set of plans will remain nstrudtion. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Perrnits (E) TOTAL AMOUNT DUE (excluding etectricat) (A, B, C, Q and E Comblned) VAI-IDATION RECEIPT NUMBER DATE PAI[) AMOUNT RECEIVED FIECEIVED BY 7 (A) /0,(r) JOB I)ESCRIPTIZZr ON /s IrA$tAF 5;T'FII IELO I tems 1000 sq.ft. or less Each additionaL 500 . sq. ft or portion Servi.ces or Feeders lns tallation, Alterations or Relocation: 200 amps or less zOi "*i= to 4OO amPs -40L amps to 600 amPs - 601 amps to 1000 amPs- 0ver 1000 amPs/volts - Reconnect 0n1Y has the tu,,owing D Zoning v- c1 Date Authorized Signature 225 FIFTII STREET SPRINGFI.ILD, OREGON 97 477 INSPECTfT)N REQLTST z 726-3 0FFICE: 726-3759 1 LOCA'TION OF INSTALLATI 2 I.EGA,. DESCRIPTION03 ON Cos t s 8s.00 s 1s.00 $ 40.00 60.00 100.00 130. 00 300.00 40.00 Sum L I;'H:i :ll""l?";i:??:5";?ili."l3o"xlir'''-t -''''r'Hf'T?Hrd,rsrilKHome or of issuarrce or if work is suspended ior r"' lshrdill&r Dr*elling 180 days. ' wvlN 4s ,,-,i,-::.t5ib;oyFeeder cOm:]AcTOR INSTALT.ATIO$IIII/$(I NA V PERIOB. 2 EIectric.r1 Con tractor JB Electric, fnc. Add res s 4065 W. 1lth, #18 Ci ty Eugene Phone 687-770 Supervis,rr License Number 38725 S s $ s s s 0050 Expirati tn Date 1 0 Constr C:ntr. Number 104929 Date 3l14loo sing EIe trlclan 2€H 23 Temoorary Services or Feeders in.["ii.iion' Alteration or Relocation 200 amps''or less;oi ;;; io +oo a,ps -Over 401 to 600 amps _ Over 600 amPS or 1000 volt 1 C Expi r Signa at s $ ssse .?- 40.00 s5.00 80.00 ,g llBll a56vil Branch Circuits Nev, A1 teration or E':tension Per Panel?s* one Circuit ( S 35:00 '- Each Additional ;;'F;;i";Permit ( s: Miscellaneous (Service/feeder not included)OVNER INSTALLATION The installation is being made on property I ovn vhich is iot intended ior- sale , Iease or ren [ ' 0vners Signature: D 0vners N, Address Ci ty ''lrt?-'l{ AqPhone -Each installation Pump or irrigation sish/outline Lighting- l:.ili ted EnergY/Res - Limi. ted EnergY/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL L 7 s s s s 7 40.00 40.00 20.00 36.00 DATE: RECEIYED B L 5 ? -4%