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Home My WebLink AboutPermit Mechanical 1996-08-014o tosgRESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 ae 5 xRd JOB NUMBER 225 Fifth Street Spri ngf letd, Oregon 97 477 TAX LOT: LOCATIO N OF PROPOSED l-7 WORI o3ASSESSORS MAP: LOT: BLOCK:SUBDIVISION 7 F7- 5( ^tPHONE: ZIP: o a, STATE:?7 V7{'€H ( 7Z YS lA 3 CITY: E(L J-fn€ETADDRESS: OWNER: NEW -- REMODEL ADDITION DEMOLISH OTHEB 0 5Lf()Rrl/ 4( €ly -tDESCRIBE WORK: EXPIRES PHONEADDFIESS 00077 to'7*? L a v6^(6? I CONTRACTOR'S NAME MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # G EN ERAL: PLUMBING * OF BDBMS: - OFFICE USE - LAND USE: ZONING CODE: FLOOD PLAIN: WATER HEATER * OF UNITS: RANGE: SECONDARY HEAT: SQUARE FOOTAGE: OUAD AREA: * OF BLDGS: OCCY GROUP: # OF STORIES CONSTR. TYPE: HEAT SOUFICE: To request an inspection, you must call 726-3769. Thls ls a24hour recording. All lnspectlons requested before 7:oo a.m. wlll be made the same working day, lnspections requested after 7:00 a.m. will be made the following work day' REQUIRED INSPECTIONS Temporary Electric Rough Mechanleal - Prlor to cover. Final Plumbing - When all plumbing work is complete. Rough Etectrical - Prlor to fMftn"t Electrlcal - When all FA{ electrlcal work ls complete. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. Footing - After trenches are excavated.Fireplace - Prior to facing materlals and framing lnsp. Final Building - When all required inspectlons have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framlng - Prior to cover, E Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulalion - Prior to cover. Underground Plumbing - Prior to filling trench.I_-l Drywall - Prior to taping. MOBILE HOME INSPECTIONS Underlloor Plumbing / Mechanical - Prior to insulation or decking.Wood Stove - After lnstallation. Post and Beam - Prlor to floor insulation or decking.tnsert - After flreplace approval and lnstallation of unit. Blocking and Set.Up - When all blocking is complete. Floor lnsulation - Prior to decking.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connectiqns - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.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 ln place. Water Line - Prior to filling trench. Fence - When completed. Rough Plumbing - Prior to cover, Slreet Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. I d C l-_] Site lnspection - To be madelJ after excavation, but Prior to setting forms. E E tl E E E E E E E tl tl E E E Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks PL.HSE GAR ACC N S E - 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: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said constructlon shall, in all respects, conform to the Ordinance adopted by the City of Spri ngfield, including the Development Code, regulating the construction and use of bulldings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Recelpt Number:- Plans Reviewed By Date Plan Check Fee: Date Paid: Received By: VALUE (A) X $/SQ. FT. Total Value Bullding Permlt Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport Systems Development Charge ls due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Flxtures Resldentlal Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) No FT. FT. FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit stare surchars.t 3^/o Ci\ AA,,tti n tv{t,^d t5"DOY\A"i \ l0,EO Total Permit (D) No r Vent Vent Fan Mechanlcal Permlt lssuance MECHANICAL PERMIT Fu rnace Exhaust Hood By slgnature, I state and agree, that I have carefully examined the completed application and do hereby certlfy that all lnformation hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance wlth the Ordinances of the City of Springf ield, and the Laws of the State of Oregon pertaining to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are ln compliance with ORS 701.055 will be used on this prolect. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain rlngr 5-z e imes du ructionon the site at Signature Date MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolltlon State Surcharge Total Mlscellaneous Permlts (E) 1.2737-€ -q w_--AMOUNT RECEIVED RECEIVED BY DATE PAID VALIDATION: BECEIPT NUMBER TOTAL AMOUNT DUE (excludlng electrical) (A, B, C, Q and E Comblned) tzo eb 20 z7 ?47, SPRthJFIELO zoning, end doee not roquiro 8p€cific land ueo m 225 PTYrg SI?EBI sPRtNGPrElD, oREGoN 97 477 INSPECTION RE0tBSTT 726- OFPICB: 726-3759 Addr"r" crw ?P32r7- 1. LOCATION OP INST ON IJGAL DESCRTPTION DESCRIPTION permits are non-transferable and expire if vork ls not started vithin 180 days of lssuance or lf vork ls suspended for 180 days., 2. COI{TBACTOR INSTALI.ATION OI{LY EIecLrlcal Contractor BUILDERS Address 293 MONROE Ci ty EUGENE Phone 485-0922 Supervisor Llcense Number 2970s Explration Date L0/t/e5 constr contr. Number' 04296'it Explratlon'Date 12/ to/ % Slgnature of Superv EIec trician Ovners Name (- approval. ELECTRTCAL PERXIT APPLTCATIONfn$tL Ci ty Job Nunbe r %/A iruthorlzed 3. COHPLETE FEE SCEEDT"ILE BELOV A. Nev Resldential-Single or HuIti-FamiIy per dvelling unit. Service fncluded: I tems Cos t s 8s.001000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or -Hodular Dvelling Servlce or Feeder Sum C. Temporary Services or'FeedersInstallatlon, Alteratlon or Relocation B. Services or Feedersfnstallation, Alterationsor Relocation: D. Branch Circuits E SIJBTOTAL OP AI}OVB 5Z State Surcharge TOTAL 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- Over 1000 amps/volts -Reconnect 0nIy 200 amps or less $ 40.00 201 amps to 400 amps - S 55.00 Over 401 to 600 amps - $ 80.00 0ver 600 amps or 1000 voTis see ,8" affi $ 1s.00 s 40.00 s s0.00 s 60.00 s100.00 $130.00 s300.00 s 40.00 Phone OgNER INSTALI,ATION The. installatioir is beirig made onproperty I ovn vhich is not intendedfor sale, lease or rent. Onners Slgnature: DATE: Nev, Alteration or Extension Per Panel One Ci rcui g I S 35. OO Vf,-nEach Additional Circuit or uith Serviceor Feeder Permit _ g 2.00 Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation SSign/0utline Lighting- SLimited Energy/Res - S Limi ted Energy/Comm $ 40.00 40.00 20.00 36.00 G,5 RECEItTED a t7 7".4a I/t.AtVt^ZZ<= -, A2?/& al