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Home My WebLink AboutPermit Mechanical 1994-02-25(s PrlINGFIELD JOB NUMBEB 225 Fifth Street Spri ngf ield, Oregon 97 477 ?7az* - RESID ENTIAL PERMIT APPLICATION lnspections: 726'3769 Off ice: 726'3759 LOCATION OF PROPOSED WOFIK: TAX LOT:ASSESSORS MAP: LOT:BLOCK SUBDIVISION: To request an inspection, you must call 726-376g. This is a24hour recording. All inspections requested before 7:00 a.m. will be mac,e the same working day, inspections requestecl after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS [-l Temporary Eleclric ll Site lnspection - To be made af ter excavation, but Prior to setting lornts. Underslab Plumbirrg/ Electrical / Mechanical - Prior to cover. Footing - Af ter trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundalion - After forms are erected but prior to concrete placement. Underground Plumbing - Prior to filling trench. Underf loor Plumbing/ Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking. Rough Mechanical - Prior to cover. Rough Electrical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power. Fireplace - Prior to facing materials and framing lnsp. Framing - Prior to cover, Wall/Ceiling lnsulation - Prlor to cover. Final Plumbing - When all plumbing work is complete. Final Electrical - When all electrical work is complete. I-l Wooa Stove - After installation Sidewalk & Drivcway - Afterexcavation is compiete. forms ai-rd sub-base rnaterial ,n place. Fence - Wherl con:pletear. Final Mechanical - When all mechanical work is complete. Final Building - When all required inspections have been approved and building is completed. Other MOBILE HOME INSPE TIONS Blocking and Set.Up - When all blocki ng is complete. Plumbing Connections - When home has been connected to water and sewer. w lnsert - Af ter f ireplace approval and installation of unit. Floor lnsulation - Prior to decki ng.Ctrrbcul & Approach - After forms are erected but prior toplacement of concrste.[-l Sanitary Sewer - prior to filting - trench. [-l Storm Sewer - prior to frrtinga trench. fl Water Line - prior to filtinn f----1 -trench. " L I Electrical Connection _ When .b_l9cXing, set-up, anO plumbing tnspections nave been approvedand the home is connected tothe service panel. 726-8275PHON E:TRACY EDBLOM 38th Street 97478ORZIP:STATE:Sprinqfield 910 S CITY: ADDRESS: OWNER rlEW --- REMODEL X - ADDITION DEMOLISH OTHER Install heat pump s Vstem with ductwork.DESCBIBE WORK PHON EEXPIRESADDNESS First EugenComfort FIow Heatinq 855 tltl.6127194 342-8101.e 97402 #00460 CONTRACTOR'S NAME MECHANICAL: CONST. CONTRACTOR # CENERAL: PLUMBING RANGE: g OF BDRMS: - OFFICE USE _ ZONING CODE: FLOOD PLAIN WATER HEATER: SECONDARY HEAT: SQUARE FOOTAGE: OUAD AREA: r OF BLDGS: CONSTR. TYPEI HEAT SOURCE: LAND USE: / OF UNITS OCCY GROUP: I OF STORIES: J Roueh plumbing _ prior to=_- cover.i j Strecr Tiees -- ,"Vhe,.i cli ,.:guired- - lrees are Dlanterj. ,a-illl - After all required [;iird]",HflT#f,i;r N q ?RTH qT qDATl\letrTtrl n 12SGaE fl fl tl r tl tl E r E [-l Orywall - Prior to taping. tl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Ty1, - lnterior -- Corner - Panhandle - Cul-de-sac ScIL..rr;hr,; PL.H GARE NCC IS IHE PROPOSED WORK IN THE I-iISTORICAL DISTRICI, OFI ON THE HISTORICAL FIEGISTER? -- lf yes, this application must be signecland approved by the Historical Coordinator prior to permit issuance. API'ROVEDE VALUE (A) X $/SQ, FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This pernrit is gr;.lnted on the express condition that the said construction shall, in all respects, conform to the Ordinance ;rcjopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, ancJ may be suspended or revoked at any time upon violation of any provisions of said ordinances. etinJnevrcwcd tly Date Plan Check Fee: Date Paid Receipt Number:.-. -_ Reccived By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge MECHANICAL PERM!T Furnace 2V e,4 Exhaust Hood Wood Stove/ lnsert/ Fi replace Unit Dryer Vent (D) Zry 2 N0Vent Fan _/5-J-e-:' -,-a?? Mechanical Permit lssuance State Surcharge Total Permit 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 with the Ordrnances of the City of Springfield, and the Laws r.rf thc State of Oregon pertaining to the work described herein, arrd tlrat NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I f urther certify that only contractors ancJ employees who are in compliancc witlr ORS 701.055 will be used on this prolect. I further agree to ensure ttlat all required inspections are requestecl at the proper tinre, that each address is readable {rom the street, that the permit card is located at the f ront ancl the approved set of plans will remain Signatu re Date of the property, uling construc on.on the site at all ti S MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -- ft Demolition State Surcharge Total Miscellaneous Permits (E) 2>-?/DATE PAID -? VALIDATION: RECEIPT NUI\4RER AI\4OUNT RECEIVED RECEIVED BY -OUNT DUE (excluding electrical) and E Combined)TOTAL AMI (A, B, C, D, N .) Systenrs Deve'lopment Charge is due on all undeveloped propertir:s within the City limits which are being improved. ! CITY OF The following projecl as submltted has the zoning, and cjoss not require specific land approval. sPRlNGFrFiLo City Job Number PERHIT APPLICATION 225 PIFTE STREEf,r, ORBG0N RBOTIEST: SPRINGFIEI.D 726-3769 L INSPBCTION OFPICB: 7 26-3159 c,', 3Lt)9-L CONPI.ETE PEE SCEEDTII'B BBLOV 1.LOCATION OP INSTALI,ATION 'a1-SingI 97477 ql *)3 3t MuIti-FamilY Service IncI eor Iing I tems dvel unit.per uded: lacAL DESCRIPTION JOB DESCRIPTION 1000 sq.ft. or Iess nach additional 500 sq. ft or Portion thereof Each Hanuf 'd [lome or Modular Dvelling Servlce or Feeder Services or Feeders installation, Alterations or Relocation: Cos t $ Bs.oo s 1s.00 $ 40.00 Sum Permits are non-transferable it-votf. is not started vithin "i ittu"nce or if vork Is sus and exPire 180 daYs pended for Phor.erl4l -aaab 200 amps or less 201 amPs to 400 amPs - 401 amPs to 600 amPs - 601 amPs to 1000 amPS- 0ver 1000 amPs/volts - Reconnect 0nIY 180 daYs. 2. . CO$TRACTOR INSTALI'ATION ONLY slectricar contract"' C+S gltl oE'trr'',*lnL B Address ci p.s s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 ct Supervisor cense Number lbgb S Bxpiration Date lo -l -95 Constr Contr. Humber 0384{ Expi ration Date g -t -q 4 Slgna of Supervlsing Electrician Owners Name, Address Temoorary Services or Feeders in"["ri"iio"' A]teration or Relocation 200 amps or less $ 40'00 or"r abr to 600 am-ps - $ 8o'oo Over 600 amps or fbOO-frTIs see rrBrr aEIE Branch Circuits Nev, Alteration or Extension Per Panel c. D. E Phone'/f,-s^"/5 one Circuit | $ Each Additional Circuit or vith Service or Feeder Permi t | $ Hiscellaneous (Service/feeder -Each installation Pump or irrigation $ sign/outline Lighting- $Li;i ted Energy/Res - $ Limited Energy/Comm $ 3s.00 35^qo 2 .00 L.oo not included) 40.00 40.00 20.00 OgNER The installation is belng made on property I ovn which is not intended for sale, lease or rent. Omers Slgnature: DATE: 5. ST'BTOTAL OP ABOVE 5Z State Surcharge TOTAL RBCBIVBD