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Home My WebLink AboutPermit Mechanical 2001-8-30 . RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ASSESSORS MAP' LOT: 17. . BLOCK: OWNER: I1M~p f) ADDRF"'" '~}-f(PI.fOl()lI~..jL CITY' ~~ f2Al .;'j-13 . DESCR~RK: ~ ~ NEW REMODEL ADDITION . 0(- crogbS- Vj JOB N8't-l\eJl 2001/1:58 PM/$ 10.() -'ALLI~:lUU-UUUUU-4~86C~ RCPT#~~Ifd~~~j~/COME9Q~rtFLOW HEATI~] ",~I ngHlJkl'. 'oregon ~Uel!: 01-00865-( l TAX LOT: SUBDIVISION: Or,J,oiJ PHONF' STATE:4~ ZIP: Chlrr1 I IMJ:f- ~ \A)~ l~ DEMOLISH OTHER ADDRESS CONST. CONTRACTOR . PHONE CONTRACTOR'S NAME GENERA' . PLUMBING: (~' tl.-li- I ,I. MECHANICA~""" ::jj(}l.0 \U( n-:f'~fJf71 ELECTRICAl' t' JJvnS'tit;1) EXPIRES 4,kO fp~ "1lJ, '1JI rD - OFFICE USE - QUAD AREA' LAND USF' FLOOD PLAIN: . OF BLDGS: · OF UNITS: ZONING CODE: OCCY GROUP: CONSTR. TYPE: . OF BDRMS' . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGF' SQUARE 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 re~quested after 7:00 a.m. will be made the following work day. R UIRED INSPECTIONS . D Temporary Electric Rough Mochanlcal - Prior to D Final Plumbing - When all cover. plumbing worl< Is complete. D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumblng/Electrlcall Mechanical - Prior to cover. D Footing - After trenches are excavated. . o Masonry - Steel location, bond beams, grouting. D Foundation - After forms are erected but prior to concrete placement. D Undorground Plumbing - Prior to filling trench, D Underfloor Plumbing/Mechanical - PrIor to Insulation or decking. D Post and Beam - Prior to floor Insulallon or decking. D Floor Insulation - Prior to decking, D Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. D Water Line - Prior to IlIlIng trench. D Rough Plumbing - Prior to cover. , , D RoughEleclrlcnJ - Prior to cover. o 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 cover. o Drywall - Prior to taping. D Wood Stovo - After Installation. D Insert - After fireplace approvel and Installation of unit. D Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - Alter excavation Is complete. forms and sub.base material In place. D F~nce - When ccri1pleted. D Street Trees - Whon all roqulred trees are planted. D Flna, Electrical - When all ele rlcal work Is complete. Final Mechanical - When all mechanical work Is complete. D Final BUilding - When all required Inspections have been approved and building Is completed. DOlher MOBILE HOME INSPECTIONS D BlockIng and S~t.Up - When all blocking Is complete. D Plumbing Connoctlons - When home has been connected to water and sewer. D Electrical Connection - When blocking, set.up, and plumbing Inspecllons have been approvod and the home Is connected to the service panel. D Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. Lot faces Lot SQ, fig. Lot coverage Topography Total height BUILDING PERMIT ITEM SO. FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee '. Lot Type Inlerlor Corner Panhandle 'f Cul-de-sac ., ( . . ~;, i:'.,,_ ",'~" t~~,;~~k~"tt,\~:; .-. .-. I I_.J ~ THE PROPOSED WORK IN THE _ HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, Ihls application must be signed and approved by the Historical Coordinator prior to permit Issuance, X $/SO, FT, ~ (A) Setbacks PL. HSE GAR ACC 1L-_ S w ~...I....--' VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary S~wer Water Slorm Sewer Mobile Home Plumbing Permit Stalo Surcharge Total Charge MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan (B) N' FT. FT., FT. (C) Dryor Vent Wood Stovellnsert/Flreplace Unit N' Mechanical Permit Issuance Slate Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk fI Curbcut II Demolition State Surcharge Total Miscellaneous PermHs (E) TOTAL AMOUNT DUE (excluding electrical) IA. B, C, 0, and E Combined) FEE APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that Ihe said construction shall, In all respects, conform to the Ordinance adopted by the City of Springfield, Including the Dovelopment Code, regulating the construction and use of oulldlngs, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee' Date Paid: Receipt Number" Received By: . Plans Reviewed By Date Systems Development Charge Is due on all undeveloped properties wlthfn the City limits which are being Improved. ADDITIONAL COMMENTS By signature, I stale and agree, that I have carofully examined the compleled application and do here~y certify that all Information hereon is true and correct, and I further certify that any and all work performed shall be donG in accordance with the Ordinances of Iho City of Sprlnglleld, and Ihe Laws of the State of Oregon perlalnlng to tho 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. I further agree 10 ensuro that all required Inspections are requested at the proper time, that each address Is readable rrom the street, that the permit caret Is located at the front of the prope and the ap r ved set 01 plans will remain on the site a Imes du n nstructlo Slgnaturp Date Cll~lnl VALIDATION: RECEIPT NUMBER DATE PAIr> AMOUNT RECEIVED RECEIVED BY 4f following project 8S submitted has the fOIlOWin:t lng, and doas not raqulre specific iand use 225 FIFTH STREET prova!. L..o f. ELEC AL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zo.)!.i.!J~ . . _r-'\ ( INSPECTION REQUEST: 7260'a189 ~ II~/OI Ci~qbNUmber O(-60t3'"({,),---.......J OFFICE: 726-3759 ' Authorized Signature -::. :J;.;r;,,~.~. ~~DULE BELOW I. LOCATIONOFIN~TALL~DON /i/&y' Q u,.Ao~1 A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 1- LEGAL DESCRlPTION 1703, 2'5"3 Z 0/2.00 J9fl DESCR]~'JON II If) ~ +I.{.'~-'J_ / i-I'.A4L:_r<<-tr ( 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 Ir (" f(~~ic.. AdcJress (Y. 0 .11 cJ'y:. 2.l/~ J 3 City' 9 I..u:..~ Phone..6.1J/J -~2 J~ , Supervisor License Number .J..!Ll7 S Expiration Date 10,1/ / () / Constr Contr. Number ? /J.f- K '7 Expiration Date /~/.!>t'i/oV Signature of Supervising Electrician y. ) I / 'f ,P,.... / W AI CxJ.- v'l Owners Name I y~ Pv~ C> 1..lL" ,.11- Address / c.; b c.; City ~t.-t4 Phone 7l/7-O<f7JY o RINSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 190:mIHS~8 ~~H8 ~g $ G:a83~ lW~ 100G ~1 9n~:31~a gGV9000-10:#SN~~1 ltems Cost Sum 1000 sq. ft. or less Each additional 500 sq, ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder $106,00 $ 19.00 $ 50.00 B, Services or Feeders Insta1lation, Alterations or Relocation: 200 amps or less 20] amps to 400 amps 40 I amps to 600 amps 60 I amps to 1000 amps Over 1000 ampslvolts Reconnect Only $ 63,00 $ 75.00 $125.00 $163,00 $375.00 $ 50,00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 40 I to 600 amps Over 600 amps or 1000 volts see liB" above $50.00 $69,00 $100,00 D. Branch Circuits New Alteration or E"'Iension Per Panel One Circuit --L $43.00 _ Each Additional Circuit or with Service or Feeder Permit L $ 3.00 _ E, Miscellaneous (Service/feeder not included) .Each installation Pump or irrigation SignlOutlineLighting Limited EnergylRes Limited Energy/Comm $50.00 $50.00 $25.00 $45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 5. SUBTOTAL OF ABOVE / L(b 7% State Surcharge :/; 'J 8% Administrative Fee 1.00... TOTAL <; Z !!!-