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Home My WebLink AboutPermit Mechanical 1993-8-16 ,. RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' XASSESSORS MAP' LOT: ;,:;;; , JI. faJJ ~ ADDRESS: 'iS44 fnl/fb/..';IN c1. CITY: sfR:rtJr:: r?I-ELf) . OWNER: 'S' fltn t ~ DESCRIBE WORI<" Ar-r:r:c >f~c[ ADDITION -X- DEMOLISH OTHER NEW REMODEL CONTRACTOR'S NAME OWIJ6C GENERAl' PLUMBING: J. I I MECHANICAl' ELECTRICAl. (J\.A. AJEt<. 1'1) A'vJ QUAD AREA:~_ . OF BLDGS: OCCY CROUP: ...., '4<~ . OF STORIES: WATER HEATER: . SPRINGFIELD .~ JOB NUMBER 93rf3'~/ R'11 m4?:J.LvN Co \J e'1 225 Filth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION: ..f'Az-.;t,/~? w.e" ""'I'I'1f~15 PHONE: )/,,,,E 741-k'~7 ~.~ ~ BLOCK: STAT~' tJIC ZIP: 974?..7 , A/J/J:J1'7DN ADDRESS CONST, CONTRACTOR' .\ EXPIRES PHONE - OFFICE USE - LAND USE: III I \ VII/ FLOOD PLAIN' ZONING CODE: /-DR.. .. OF UNITS: CONSTR. TYPE: , , "HEAT SOURCE: RANG~' . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: ~D To requ~st an insp~ction. you must call 726.3769. This Is a 24 hour recording. Alllnspectlons 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. o Temporary Electric D Site Inspection - To be made after excavntion. but prior to setting forms. o Underslab Plumbing/Electricall . Mechanical - Prior io cover. . o Fooling - After trenches are excavated. o Masonry - Stoel location, bond beams, grouting. . o Foundation - After forms are erectod but prior to concrete placement. . o Underground Plumbing - Prior to fitling trench. [J Underlloor PIt.mbing/ Mechanical _ Prior to insulation or decking. D Post and Oeam - Prior to floor insulation or <Jccking. o Floor Insulation - Prior to dl1cl~ino. . o Sanitary Sewer - Prior .to tilling . trench. . I 1 Stor~l Sewer -- Pdor to filling t1en....h. -' o Water Lille -. Prior h> fillinG trench. . . o rtough P1Uf~bing.- Prior t:l COV{.:f. .r REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to ~ cover. ~ Rough Electrical ~ Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to CO'/~j'. '. ~ Wall/Ceiling Insulation - Prior to ;o..L cover. . ~ Dlywall - Prior to taping. o Wood Stove - Af~cr InR~adatlon. rlln5e:-t - After fireplace ilpprO'lat an~l instal:ation of una. o ~l.I:,bCllt & Approach - A~tcr forms ale erected but prier t.=, placA'men~ oj conr;reto. o Sidewalk & Driveway - .~I!Cr (;;J<'C'3vation is complete, (nrms ar.:J SUtJ-b2.5U material 1.1 r>lace. I - i F(~llcc; - Vv'h~1', C'olnl~!,~-t:i(~ . ,-I Sil'cct Ti'cc~ - W!"IEn ;lil....::Q....dlcd l.-.J tme:; are pli:'liltfld. ~:~..;..:""t- -----,-..--.-.-.... o Final Plumbing - When all plumbing work is complet.e. ~ Final Electrical .,- When all ~electrical work is complete. ~ Final Mechanical - When all ~mechanical work Is complete. "K7f Final Building - When all ~ required inspections have been approved and bLdlding is completed. o Other " . .', MOBILE HOME INSPECTIONS CJ Blocking and Set-Up - When all blocking is complete. o Plumbing Conn('ctions - When home has been connected to water nnd :~~Wcr. l-J Electrical Connection - When - Iiiocking, =.~e:'up, and plumbing l!1spec;,jon~ have been approved ar.d the home is connected to the service p~nel. ,. , '-,- '. [J Final - After all rerjuired inspections are approved and porches, skirling, decks, and venting have been installed. Lot faces Lot sq. ftg. Lot coverage Topography Total height BUILDING PERMIT ITEM sa. FT. ~ Main . Garage Carport Total Val ue Building Permit Fee State Surcharge Total Fee PLUMBING PERMIT ITEM ' Fixtures Residential Bath(s) , Sanitary Sewer Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan ,. Lot Type Interior Corner Panhandle Cul-de.sac X $/sa. FT. Z8 I:';) (A) N' . Setbacks HSE GARIACCI j I I PL. IN Is !w IE VALUE _22.~~ FEE / / FT. FT. FT. (C) Dryer Vent Wood Stoveflnsert/Fireplace Unit N' 3$F&J /.f3 ~~3 SYSTEMS DEV~LOPMENT CHARGE (SDe)-;Is - (B)-e- ~/J ])JIqr , Mechanical Permi t Issuance State Surcharge Total Permit (D) Mobile Home MISCELLANEOUS PERMITS I State Issuance State Surcharge Sidewalk ft Curbcut It Demolition State Surcharge /IIVBSTl4^1?V fTE Total Miscellaneous Permits (E) TOTAL AMOUNT .DUE (excluding electrical) (A, B, C, D, and E Combined) MIll. 15.00 / D. CO ;75 2575" -:2t".dO ' _e6!e. IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT. OR ON THE HISTORICAL REGISTER? If yes, this applicalion must be signed and approved by the -Historical Coordinator prior to permit issuance. APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT '--- This permi,t is granted on the express condition Itlat the saieJ construction shall, in all respects, conform 10 the Ordinance adopted by the Cily of Springfield, including the Development Code, reuulatlng the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. ::2. S. t:;S Date Paid: '7-9', -$' 3 Receipt Number; t:}d2.. q . --~~~- Plan Check Fee: ~$h~ 7 ~ate Systems Development Charge is due' on all undeveloped, properties within the City limits whictl are being improved. ADDITIONAL COMMENTS 1h.TH_~ ~N~ ,~t.!rl' ,~~~- /S .-f~/,#O) . . By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all !nformation hereon Is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordjnances of the City of Springfield, and the Laws of the Stale of Oregon pertaining to. the work described herein~ and that NO OCCUPANCY will be made 01 any structure without permission of the Building S<?fety Division. I further certify that,only cof"ractors and employees who arc in cO":lpli~nce with ORS 701.055 will be used on this project. Date ...r- -/ ',~'/ , VAliDATION: 99 S"D RECEIPT NUMBER DATe PAID ;:S#b~5'J AOJ\OU~~~ '1ECEIVW ~.~ RECF..I"ED BY .... n ., . \. -- S.-IIINt;.t:'It::LU T~e fOllowln tlli ~<'l:"/i"lg g project as sub ftt ." 225 FIITO STREET approv~rnd does not req . m ~,~llG'heEJ:;~ICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 '. P ClflC/SOdUse " INSPECTION REQUEST: 726-376 Zoning Ci ty Job Number 9.'<._{)CJt;J, c::; OFFICE: 726-3759 / Act;"".".. ~. COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION lZ~d Slgnatur. ~~ m~/L.r,() er. . Nev-Residential-Single or . Multi-Family per dvelling unit. LEGAL DESCRIPTION Service Included: ~r t=:' -1'.4-/.,( )80'.1": r'V~)j, Items Cost Sum JOB DESCRIPTION J~/CiIl A'!F~ Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number Expiration Date 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: $ 85,00 $ 15.00 ~ $ 4o'OOT $ 50.00 $ 60,00 $100,00 $130.00 $300,00 $ 40.00 Constr Contr. Number C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date Signature of Supervising Electrician Ovners Name Address fP>44 mNI'1''' j r.r. CitY--1\..,c:;1~ Phone 7#--f$/S OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent, DAT , RECEIPT If: RECEIVED DY: - _M;_L_':..- '5--~----- i ~~r?V '/Y/~ 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 ampslvolts Reconnect Only 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40,00 $ 55,00 $ 80,00 see "B" above Nev, Alteration or Extension Per Panel One Circui t ...--- $ 35.00 ,'<5"."C Each Additional Circuit or vith Service or Feeder Permit --t-- $ 2,00 ~~ not included) E, Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ADOVE 5% State Surcharge TOTAL $ 40,00 $ 40.00 $ 20,00 $ 36,00 .'? 7. CO I.~~ 3~~