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Home My WebLink AboutPermit Mechanical 1997-05-28RESIDENTIAL PERMIT APPLICATION lnspections:726-3769 Office: 726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: SPFlINGFIELD QiE, JOB NUMBER 225 Fi ttlr Strcet Spring f lt:1cl, Orcgorr 97477 t,4t{ TAX LOT:,ao M LoT; BLoCK: _SUBDIVISION creSTAI'E:ZIP: PHON E: _,|Lll - b 7 ao q 7 47r ace_ CITY; tN6 L/ IADDRESS: OWNER: P& NGErtrtA SqL S, ,4tar funF/tutsrfrpt-DESCRIBE WORK: ADDRESS L:XPIRES PHON E SpLtd 0 R qr (77 ooqao 19b4/0a ELECTRICAL: MECHANICAL:Lomlr,"r trloat l/ebt?5't Dr /V .t'/ . CONTFIACTOR'S NAME CONST. CONTRACTOR # GEN ERAL: PLUMBING , OF STORIES: ___ HEAT SOURCE: -_ , OF BDRMS: - SECONDARY HEAT: _- SOUANF. FOOTAGE: _ OFFICE USE _ CONSTR. TYPE ZONING CODE: RANG F.:WATER HEATER LAND USE: I/ OF UNITS OUAD AREA: I OF BLDGS: OCCY GROUP: - FLOOD I)LAIN: To request an lnspectlon, made the sarne worklng , you must call 726'3769. Thls ls a 24 hour rccorcling. All inspections re(luestccJ before 7:00 a.m. wlil beday, lnspections rcquested after 7:00 a.m. wlil be macre the foilowrng worl( day. REQUIRED INSPECTIONS Temporary Electric Rough Mechanical - prlor to cover.Final Plurnbing - When allplumbing worl( is complete. Site lnspeclion - To be madc af ter excavation, but prior tosetting forms. Rough Elcctrical - prior to Final Electrical - When allelectrical worl( is complete.c ove r. Underslab Plumbing/ Electrical /Mechanlcal - Prior to cover.Electrical Service - Mr.rst be approved to obtain perrr)anent clectrlcal powcr, Firral Mecharrical - When allechanical worl< Is cornplete. Footlng - Af ter trenches are excavated.Fireplace - Prlor to faclng materlals and framing Insp. Final Builcling - When allrequired inspectlons have beenapproved and building ls com pletcd.Masonry - Steel locatlon, boncl beams, groutlng,Framing - Prlor to cover, Foundatlon - After forms are erected bu t prior to concrete placement. Othcr Wall/Cciling lnsulation - prlor to cover Underground Plumbing - Prior to fllllng trench.l--l Drywall - Prior to tapi ng Underlloor Plumbing/ Mechanical - Prlor to lnsulatlon or decking. MOBILE I-IOME INSPESTIONS Wood Stovc - Af tcr lnstallation Post and Beam - Prior to floor lnsulation or decl(lng.lnsert - Af ter f ireplace approval and installatlon of unlt. Blocking and Set.Up - When ail blocl<ln1; is cornplete. Floor lnsulation - Prior to deckl ng.Curbcut & /\lrproach - After forms are erected bUt prior to placemcnt of concrctcl. Plumbing Conrrections - When horne has been connected to watcr ancl sewer. Sanitary Sewer - Prior to f llling trench.Electrical Conneclion - When blockin(t, sct"up, and plumbing inspcclions lravc l:ccn approvcd and tlle trornc is connected to the service panel. Slorm Sewer - l)rior to Iilling trenc h. Sidewalk & Driveway - Af ter excavation is complete, forrIs and su[)-base malerial in placc. Water Llne - Prlor to filling trench. Fence - When completed litreol Trces - When all requircd trees are planted. Final - A(ter all required inspections are approved and porclrcs, skirting, clecks, and vcntln0 travc bc.cn lnstallecl. Rough Plumbing - Prior to cover. 72_ NEW - REMODEL ADDlrloN DEMoLtsFt orHFR - t_lE tl I:] E tl tl E E E E r E E E GAR ACCP.L.HSE N S E Lot faces Lot sq. ftg. Lot coverage TopographY Total height Lot -l-ypc - lnterior -- Corner - Panhandle - Cul-de-sac Setbac , HE PROPOSED WORK iN THE HISTORICAL DISTRICT, OR ON TI]E HISTORICAL REGISTER? - lf yes, this application must be signed and approved bY the H istorlcal Coordinator prior to permit issuance. APPROVED BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Ttris pcrrnit is granted on the cxpress condition that the said construction shall, in all respccts, con[orm to the Ordinance adoptecJ by the City of Springfield, including the Development Cocie, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances' DatePlans Rcviewcd t3Y Rcceipt N utnbc Plan Check Fee Datc Paid Received By BUILDING PERMIT VALU E (A) SO. FT. X $/SO. I:T.ITEM Main Garage Carport Total Valuc Building Permit Fee State Surcharge Total Fcc Systems Development Charge is due on all undeveloped properties within thc City linrits whiclr are being improved.SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS Residential Batlr(s) Sanitary Sewer Water Storm Sewer Mobile Home PERMIT FEE NO FI, trT FT, (c) Plumbing Permit State Surcharge Total Charge PLUMBING ITEM Fix tu res By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby certify that all irrformation hereon is true at'ld correct, and I Iurther certify that any and all work performed shall be done in accordance with the Ordinanccs of thc City of Springf ield, and the Laws of the State of Orcgon pertaining to thc work described herein, and that NO OCCUPANCY will be made of any structure without pertnission of the Builditrg Safety Division. I furthcr certi[y tlrat only contractors and employees who are in cornpliance with ORS 701.055 will be used on this p ro jec t. I {urther agree to ensule that all required inspections are requested at the propcr time, that each address is readable f rom the street, that the permlt card ls located at the f ront of the property, and the approved set of plans will remain on tlre site at all times during construction. Slgnature len bnDateT Qt*rtu &tac Y)t/ru- Wood Stove/ lnsert/ Fireplace Unit Dryer Vent Mechanical Permit lssuance srate surcharge ,? f * ,/f Total Permil (D) MISCELLANEOUS PERMITS Mobile Home State lssuance Statc Surcharge Sidewalk -- {t Curbcut -_- ft Demolition State Surcharge h>+Zrnuf ru4) N0 /f,e Total Misccll:tneous Pertrtils (E) MECHANICAL PERMIT 1?-:"_ /20 Fu rnacc Exhaust Hood Vcnt Fan 2-5? 72oAMOUNT RECEIVED RECEIVED BY DAI'E I]AID VALI DATION: FIECEIPT NUMBER TOTAL AMOUNT DUE (excluding clectrical) (A, B, C, D, and E Cornbincd) 2b4 4 ./ 2.OtL{-e, .- 22.5 FTTTE STREET SPRTNGPIELD, oREGoN 97477 INSPECf,TON REQI.IEST.. 726_3 0PPTCB: 726-3759 1. LOCATTON OP INSTI LEGAI DESCRIPTTON - ?2->r7-eSEr>./ JOB DBSCRI Elect'rlcal Contractor BUILDERS Address 293 MONROE Ci ty EUGENE Phone 495 -O9Zz Supervisor Llcens e Number 2q70S Expiration Date 10/t/ez constr contr. Number 0429di!' Explratlon'Date t?/n/|fi?. Slgnature of lup ervlsi nc flp6f7ri.,-?rr \ B. Services or FeedersInstaIIation, Alterationsor Relocation: m ELECTRTCAL PERHIT APPLICATION 'City Job Numbe, ?)A=2 > COHPLETE PEE SCEEDLILE BELOS Nev Residential-Single orHuIti-FamiIy per dwelling unir. Service fncluded: f tems Cos t 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Hanuf,d Home or -Hodular Dwelling Servlce or Feeder $ 8s.00 s 1s.00 s 40.00 SP. TGFIELO ST,BTOTAL OP ABOVE 5Z State Surcharge TOTAL & DU n1i4 A Sum Permits are non-transferable and expireif \rork is not started vithin 180 daysof lssuance or lf vork ls suspended for 180 days., 2. COlrtRA TOR INSTALI.ATION O}ILY 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- over 1000 amps/volts -Reconnect 0nly s s0.00 s 60.00 s100.00 $130.00 city G(,D phone 2/,r^{2/2 OVNER INSTALI..ATTON The. installatioir is beirig nade onproperty I ovn vhich is not intendedfor sa1e, lease or rent. Osners Signature: DATE: C. Temporary Services or'FeedersInstallation, Alteratlon or Relocation 200 amps or less S 40.00 201 amps to 400 amps - $ 55.00over 401 to 600 amps - g Bo.oo Over 600 amps or 1000 voTts see ,rgrr "[frf- D. Branch Circui ts Nev, Alteration or Extension per panel one Ci rcui q n$ 35. oo ? g' Each Addl tional *z^ Circuit or vith Serviceor Feeder Permit $ 2.00 D Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/OutIine Lighti Limi ted Energy/Res Llmi ted Energy/Comm ng- $300.00 s 40.00 \, a>7 Oyners Name Address 2{I ea s s s $ 00 00 00 00 40. 40. 20. 36. 5 RECEIVED rQ 7 7,?a i 76?^,, rt a