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Home My WebLink AboutPermit Mechanical 1997-05-27:iPrlIN IELI) B ESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WOFK: ASSESSORS MAP:t10 LOT: JOB NUMBER q efr, >;t0 225 Fif th Slreet Sprlngfleld, Oregon 97477 TAX LOT:501 BLOCK: 7(/- 6atzPobr<t + .fnudie {tu{(e PHONE: /d STATE:ztP J ?zv7t5T? A./ - 7st? OWNEB: ADDRESS CITY: NEW - REMODEL ADDITION DEMOLISH OTHER +-t ",L)DESCRIBE WORK: ADDRESS EXPIRES PHONE yP,<,1e 6.7Y6 -/6ala000077 ( o-)tq CONTRACTOR'S NAME MECHANICAL: ELECTBICAL: CONST. CONTRACTOR ' GENERAL: PLUMBING RANGF.: - OFFICE USE - LAND USE: ZONING CODE: FLOOD PLAIN:OUAD AREA: r OF BLDGS: SECONDABY HEAT: SOUARE FOOTAGE: , OF BDRMS: -.---OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: # OF UNITS: - To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recording. All lnspectlons requested before 7:00 a.m. wlll be made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day. UIRED INSPECTIONS Temporary Electrlc Rough Mechanlcal - Prior to Flnal Plumblng - When all plumblng work ls complete. Slte lnspectlon - To be mado after excavatlon, but prlor to settlng forms. Rough Electrlcal - Prior to Flnal Electrlcal - When all electrlcal work is complete,cover. Underslab Plumbing/ Electrical / Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. nal Mechanlcal - When all anlcal work ls complete. tl Footlng - After trenches are excavated.Flnal Bulldlng - When all requlred lnspectlons have been approved and bullding ls completed. Flreplace - Prlor to faclng materlals and framlng lnsp.Masonry - Steel locatlon, bond beams, groutlng,Framlng - Prlor to cover. E Foundatlon - After forms are erected but prlor to concrete placemont.Wall/Celling lnsulallon - Prlor to cover. Underground Plumblng - Prior to fllllng trench.[-l Drywatl - Prlor to taptng Underlloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or decklng. MOBILE HOME INSPECTIONS Wood Stovo - After lnstallatlon Post and Beam - Prior to floor lnsulatlon or decklng.lnserl - After flreplace approval and lnstallatlon of unlt. [-_l Blocking and Set.Up - When ail 'J blocklng ls complete. Floor lnsulallon - Prlor to decklng.Curbcut & Alrproach - After forms are erected but prlor to placomont Of concrete. Plumblng Connectlons - When home has been connected to water and sewer. Sanltary Sewer - Prior to fllling trench.Electrlcal Connection - When blocking, set-up, and plumblng lnspectlons have been approved and the home is connected to the servlce panel. Storm Sew€r - Prlor to tllllngtrench. r Sldewalk & Drlveway - After excavation ls complete, forms and sub-base materlal in place. Water Llne - Prlor to filllng trench.l-_l Fence - When completed. Street Treos - When all requlred trees are planted. Flnal - After all required inspectlons are approved andporches, sklrtlng, decks, and ventlng have been lnstalled. Rough Plumbing - Prlor to cover. SUBDIVISION: ' 'i: dQ, WATER HEATER: E l-l othert_J tl E Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterior - Corner - Panhandle - Cul-de-sac , -rS THE PROPOSED WORK lN THE HISTORICAL DISTBICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls applicatlon must be slgned and approved by the Hlstorlcal Coordlnator prior to permit issuance. APPROVED: P.L.HSE GAR ACC N S E VALUE (A) x $/so. FT. Garage Carport Total Value Bullding Permit Fee State Surcharge Total Feo BUILDING PERMIT ITEM SO. FT. Main BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permit is granted on the express condition that the sald construction shall, ln all respects, conform to the Ordlnance adopted by the City of Springfleld, includlng the Development Code, regulatlng the constructlon and use of buildings, and may be suspended or revoked at any tlme upon violation of any provisions of said ordinances. Receipt Number:_. Plans Rcvlewed !3y Date Plan Check Fee: Date Paid Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge ls due on all undeveloped properties within tlre City linrlts which are being lmproved. ITEM Flxtures Flesidential Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home FEE (c) N0 FT. FT, PLUMBING PERMIT Plumblng Permlt Stato Surcharge Total Charge . FT. ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unlt Dryer Vent State Surcha rg"* j7"G Mv*)w Total Permit t L. (D)ah,L0 lr-\ Vent Fan Mechanical Permlt lssuance MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have carelully examlned the completed application and do hereby cerilfy that all lnformatlon hereon is true and correct, and I f urther cerilfy that any and all work performed shall be done in accordance wlth the Ordinanccs of the City of Sprlngf leld, and the Laws of the State of Orcgon pertainlng to the work descrlbed hereln, and that NO OCCUPANCy will be made of any structure wlthout permission of the Buildltrg Safety Dlvislon. I further certify that only contractors and employees who are ln compllance wtth ORS 701.055 wlll be used on thls project. I further agree to ensure that all required lnspections are requested at the proper time, thal each address ls readable from the street, that the permlt card ls located at the front Date of the pro on the sit, Slg natu re perty, and the eat times r-->7 MISCELLANEOUS PERMITS Moblle Home State lssuance Stato Surcharge Sldewalk - ft Curbcut - ft Demolltlon State Surchargp Total Mlscellaneous Pennits (E) TOTAL AMOUNT DUE (excluding clectrtcat) (A, B, C, D, and E Comblned)W 2 q 5- RECEIVED BY AMOUNT RECEIVED DATE PAID VALIDATION: BECEIPT NUMBER N0 approved set of plans will 4, OREGO'U SP ,GFIELO m 225 Fl,rry,r STREET 4e TNSPECTION REQUEST: 7 OREGON 97 477 2'6-37 69;, , SPRTNGPIEI^D OPPICB: 726-3759 1 OP TION JOB ON permits are non-transferable and expireif vork is not started vithln 180 daysof lssuance or lf vork is suspended ior 180 days. ,!,,2. CO}ITRACTOR INSTALINTION O}ILI EIectilcal Contractor BUILDERS Address 293 MONROE Ci ty EUGENE Phone465.O9ZZ Supervisor License Number 2q7ns Explration Date t0/tle5 constr contr. Number 04296'it Exp lratlon'Date t2/t0/w Slgnature of !upe rvl.sjnrr Elect ELECTRTCAL PERHIT APPLICATION City Job Number ?2OB * B-PEE SCEEDTILE BELOV Nev Residentlal-Single orHuIti-Family per dvelling unir. Service Included: f tems Cos t r.ls A B c D Sum 1000 Each sq. the Each sq.ft. or less additional 500ft or portion reof Hanuf'd Home orIar DveIIing lce or Feeder $ 8s.00 $ 1s.00 $ 40.00 s s0.00 $ 60.00 $100.00 ' $130.00 s300.00'$ 40.00 .00 .00 .00 rB,| 00 00 00 00 aFve- Hodu Serv address f?? ? J# ?x ^ citv 5,#LD . vhone ?//iV= OVNER INSTALT.ATTON The. installatioir is beirig made onproperty I ovn vhich is not intendedfor sale, lease or rent. Osners Slgnature: DATE: Services or FeedersInstallation, Alterationsor Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- 0ver 1000 amps/volts -Reeonnect 0nIy SIIBTOTAL OP AIIOVE5f State Surcharge TOTAL Nev, Alteration or Extension per panel One Ci rcui ( / 5 35.00 7* a a Each Additional '/' -' Circuit or vith Serviceor Feeder Permir 1 S 2.oo z "no Hiscellaneous (Service/feeder not in"fuaual -Each installation Temporary Services or'FeedersInstallation, Alteratlon or Relocation FI4-t!-r1 200 amps or less 201 amps to 400 amps -Over 401 to 600 amps -0ver 600 amps or 1000-6-fis D. Branch Circuits s40 $5s $80 see Ovners Name Pump or irrigation SqoSign/Outline Lighting- $ 40Limited Energy/Res - S 20Limited Energy/Comm $ l0 2 e- BRECEIVED 5 72,76 IJGAL DESCRIPTION/^ _.7 ?{,/: f