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Home My WebLink AboutPermit Mechanical 1994-7-15 RESIDENTIAL PERMIT APPLICATION . Inspections: 726.3769 Office: 726.3759 SPRINGFIELD LOCATION OF PROPOSEAWO':i,\ / &-30 ASSESSORS MAP' \. I ();:")%-J,A{) . fV\:gj Lo LOT' BLOCI<" plAU tz..' OWNER: ADORES'" G,Q../lN+ g.- SU-z...A-NNC I ~J () IYle-N Lo .<( tP~';'NG F/lE-td ''; CITY' STAT'" DESCRIBE WORK' 7 /V S7l4-'UA- {..!b.J d--iV,J NEW REMODEL ADDITION CONTRACTOR'S NAME GENERAL' PLUMBING' eF DEMOLISH OTHER · . I1A1rnn JOB NUMBER~ 225 Fifth Street Springfield, Oregon 97477 TAX LOT: - G1lcQ -') SUBDIVISION' PHON'" WOfd< 7<{./-/~61 o e.. j, oy-f ZIP' c;7'f77 rPU /11.10 , r 1 cf&w1. ADDRESS CONST. CONTRACTOR' PHONE MECHANICAl' ELECTRICA' . I.f-11:JeVo/ (2: fJ;q,"'C€~. See; Ff'<:E-ld E'(eC. t7:O I ~ N II(}--Ocr '</""1 &:. (/tJ c5\I E. t:; 7irWJ.~ aUAD AREA:-~ . OF BLDGS' OCCY GROUP: . OF STORIES: WATER HEATER: - OFFICE USE - LAND USE: . OF UNITS' CONSTR. TYP'" HEAT SOURCE: RANG'" EXPIRES 000 7 7 . (o-3/~'ifl- 7'fb-{.6()../ FLOOD PLAIN' ZONING CODE: ~ . I~'- " . "'~ /: , . OF BDRMS: SECONDARY HEAT' saUARE FOOTAGE: To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be made the same working day. Inspections requested after 7:00 a.m. will be made the following work day. D Temporary Electric O Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Electrical/ Mechanical - Prior to cover. D Footing - After trenches are excavated. D Masonry - Steel location, bond beams, grouting. D Foundation - After forms are . erected but prior to concrete placeme~t. D Underground Plumbing - Prior to filling trench. D Underfloor Plumbing/Mechanical - PrIor to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. D Floor Insulation - Prior to decking. , . o Sanitary Sewer - Prior to fl/llng trench. D Storm Sewer - Prior to filling trench. . D Water Line - Prior to filling trench. . D Rough Plumbing - Prior to cover. EQUIRED INSPECTIONS Rough Mechanical - Prior to cover. Rough Electrical - Prior to cover. D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. D Framing. - Prior to cover. D Wail/Ceiling Insulation - Prior to cove~ ' D Drywall - Prior to taping. D Wood Stove - After l~stallat'lon. D Insert - After fireplace approval and Installation of unit. D Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After . excavation Is complete, forms and s.ub.ba~e material In place. D' Fence - When completed. . D Street Trees - When 'all reQulied" trees are planted. . D Final Plumbing - When all plumbing work Is complet.e. ~Final Electrical -,"When all ~ electrical. work Is ~omplete. rA Final Mechanical - When all ~ mechanical work Is complete. tlnal BUilding - When all required Inspections have been approved and building Is completed. I DOlher MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. D Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, set.up, and plumbing Inspections have been approved and the home Is connected to the service panel. D Final - After all required Inspections are .approved and .' porches, sklrtln'g, decks, ,ind venting have been.lnstalled. Th.loilowlng proJocI .. .ubm:,~~ ~~~ ~~oWlnp tl~ 225 1'.lr ln STREET lOnif1~.~nd doe> not '?Jr... P ELECTRICAL PERIlIT APPLICATION SPRINGFIELD, OREGON 974fjP'o. \ f)\,-", 1'Jl"\\{.......f\ r\ INSPECTION REQUEST: 726_376~onln~- ,'1iA..CitY Job Number ~ J I' I OFFICE:. 726-3759 Dote_ "'. \SL{ \ ~~. V~3 COHPLETE PEE SCHEDULE BELOV 1. 1~~~ ~~~Signatur. A. Cr~ O~~ ~MES~rAI~~ . L Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for '180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Scofield Electric Address PO Box 2765 Ci ty Eugene, Or 97402 Phone686-8612 Supervisor License Number ~s Expiration Date InlOI/q,,' Constr Contr. Number 38702 Expiration Date 1?l1b/QI.' S~1?7fl,E~0cian o:ers ;anie .D\f\ -l i5~~h Address lR?[) \ ~) Ci ty ~ .' - Phone!i1/ . //1(0./ OIINER \IN\JALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT t: RECEIVED BY: f) . \ S '~-:l."'l''"\ ~ rl\J d,-Yl. 'W. .-- Items << Cost r Sum New Residential-Single or Hulti-Family per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see liB" above or Extension Per Panel crY $ 35.00 ~. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm New, Alteration One Ci.rcui t Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 !J..S q2 ~1. '-d- I ~ (.1") ~I) .gO Lot sQ. ftg. Interior I P.L. IN Is Setbacks HSE GAR Accl I ~_E PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical . Coordinator prior to permit Issuance. Lot faces Lot Type . Lot coverage Corner Topography Total height Panhandle Cul.de-sac W E APPROVED: ITEM sa. FT. X $/sa. FT. = VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT BUILDING PERMIT Main' This permit Is granted on the expre~s 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 buildings, and may be suspended or revoked at any time upon violation of any provlslo'ns of said ordinances. Garage Carport. Plan Check Fee: \ :. Date Paid: Total Value Receipt Number' Building Permit Fee State Surcharge Total Fee Received By: (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE(~DC) (B) '. Systems Developme~t Charge is'due on all undeveloped properties within the City limits whlc'ti are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residential Bath(s) N' Sanitary Sewer . FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Mechanical Permit \S~'"' {D. L..A../ .4~-\ ./lS By signature, 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 further certify that any and all work performed shall be done In accordance with the Ordinances of the City of Springfield, 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 permission of the Building Safety Division. I further certify that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. Exhaust Hood . Vent Fan N' Wood Stove/lnsert/Flreplace Unit Dryer Vent Issuance State Surcharge Total Permit (D) I further agree to ensure that all required Inspections are requested at the proper t1me~ 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 on. the site at all mes durlndt:~p~~t~~r;r.. -..:>....... h Signature . Ii Jl... /ZJ ~ Le;, 7-{r:;-9Y- DatA MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) VALIDATION: ~'r\ RECEIPT NUMBEfl~ '\. ,J-::-!- DATE PAin \. \~. () AMOUNT REC!i.'V P \!14 . RECEIVED BY \" '-~ State Surcharge Total Miscellaneous Permits (E)