HomeMy WebLinkAboutPermit Mechanical 1993-05-10SPRINGFIELD
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BLOCK:
LOCATION OF PROPOSED WORK:67'< e/?&P a Z
ASSESSOFIS MAP:
LOT:
TAX LOT:
SU BDIVISION:
JOB NUMBER
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
225 Fifth Street
Springf ield, Oregon 97 477
PHONE
Or-STATE:
E
CITY:szzrl
OWNER
ADDRESS:
' 6 zzs o?lrta1pDf.
NEW
-
REMODEL ADDITION DEMOLISH OTHER
2a.111frt I Aze.aqzDESCRIBE WORK:
EXPIRES I)HONEADDRESS
( Sam 8'
e
CONTRACTOR'S NAME
J!t_?aL
7lLzazMECHANICAL:
ELECTRICAL:
CONST.
CONTFIACTOR #
G EN ERAL:
PLUMBING
RANGE:
FLOOD PLAIN:
_ OFFICE USE _
WATER HEATER SQUARE FOOTAGE: --
SECONDARY HEAT: -
ZONING CODE:
, OF BDRMS:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
'f OF UNITS
OCCY GROUP:
r OF STORIES:
To request an inspection, you must call 726-3769. This is a24hour recording. AII 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.
REOUIRED INSPECTIONS
Temporary Electric tr-z{ Rouoh Mechanical - Prior to
.)ALqor"i.
[7nough Electrical - Prior to
,Aqover.
Final Plumbing - When all
plurnbing work is comIrlete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
,'L./l Final Electrical - When all
lA(qtu"trical work rs complete.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - Wiren all
echanical work is cornplete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsp.
Final Building - When all
required inspections have been
approved and building rs
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover.6ftt /-zzse
Foundation - After forms are
erected but prior to concrete
placement.
ffi otn"t
Wall/Ceiling lnsulalion - Prior to
cover,
Underground Plumbing - Prior
to f illing trench.Drywall - Prior to taping.
MOBILE HOME INSPE TIOI{S
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After installation
Post and Beam - Prior to floor
insulation or decking.lnserl - After fireplace approval
and instaliation of unit.
Blocking and Set.Up - When all
blocki ng is complete.'
Floor lnsulation - Prior to
decki ng.Curbcut & Approach - After
forms are erected but prior to
placernent of concrete.
Plumbing Connections - When
home has been connected to
water and sevJer.
Sanitary Sewer - Prior to filling
trench.Electrical Conneclion - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, iorms
and sub-base material in Place.
Waler Line - Prior to filling
trench.
Rough Plumbing - Prior to
cover.
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting havc been installecl.
-?sem
Eo'&'-.€.tatUE /__
tl
E
tl
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r
fl
tlr
E Fence - When completed.
E
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r
[-r)t fa:r'r:;
t..ot sq ftg
Lot coverale
TopograPh 7
Toti:l h,lrglrt
t-ot Tyt e
--.-
lnterior
- - - Corner
--
Panhandle
-- - Cul-de-silc
Setbacks
PL.HSE
N
S
E
GAB ACC
I
i
IS E PROPOSED WORK IN THE
III* JRICAL DISTRICT, OR ON
THE HISTOFIICAL REGISTER? .=-.-
lf yes, this application must be signed
and approved bY the Historical
Coordinator prior to permit issuance.
APPROVED:
BUILDING PERMIT
ITEM
Main
Garage
Carfiort
SO. FT. X $/SQ. FT.VALUE
--r---
Total Valuc
Buiicling PerrYtit Fee
State Strrcharge
Total Fee (A)
Plan Check Fee: --l--:
Date Paid
Receipt Number: --.- -
Received BY:
Plans Reviewed l3Y Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved'
PLUMBING PERMIT
ITEM
Fixt u res
Residenti;,1 Aath(s)
Santtary Sewer
Water
Storm Sev/er
Mol)ile Hc,me
FEE
FT,
FT.
Plumbing Permit
state surcharge
Total Charge (c)
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
-Z/z)-
N0
Wood Stove/ lnsert/Fireplace Unit
Dryer Venl
Mei; ha n t c;'l Pt--rntt t
lssrrancr:
Stale SLlr( har!Je
Tot;rl Pernrit
JSto-
LA9_-7{
(D)25,7
By signature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
o{ the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without pernrission of the Building Safety Division.
I further certify that ortly contractors and employees who
are in compliance with ORS 701.O55 will be used on this
proiect.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
f rom the st that the permit card is located at the front
and the approved set of plans will remainof the proper
cn the site all times duri construction
Signatu re
Date
MISCELLANEOUS PERMITS
Molrile Hc,me
State lssu ance
State Surc harge
Stdewalk --
--.
f t
Curbcut
- --.-
ft
Dernolitlorl
State Su rc harge
Total Miscellaneous Permits (E)
VALIDATION:
RECEIPT NUMBER 442o
DATE PAID ,f -zu -f 3
AMOUNT RECEIVED
RECEIVED B\'-., _
?r
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, ar.rd E Combined)
25_?t_
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granteC on the express condition that the said
consiructlon 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 provisions of said ordinances'
Ni--__
ff__
OREGO'UC'TY OF
225 PTYII STREBT
SPRTNGPTBID, ORBGoN 9
INSPBCTION REOTIEST:
OPPICB: 726-3759
1. LOCATION OP
I,EGAL DESCRIPTION
JOB
Permits are non-trans ferable and expireif work is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COITIRACTOR INSTALI.ATION OIILY
Electrical Contractor C tS fl 0o$r.Un ,,r1n0,
Address
Phone 1+t-A lL
SPRINGFIELE,
EIJCIRICAL PERI{IT APPLICATION
Ci ty Job Nurnbe, %eaZa:
COI{PLETE PBE SCEEDIILB BBLOS
New Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
I tems Cos t
$ 8s.001000 sq.ft. or }ess
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
-Hodular DveIling
Service or Feeder
$ 1s.00
s 40.00
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 0nIy
Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps
-
$ 55.00
over 401 to 600 amps
-
$ 80.00
Over 600 amps or 1000 voTts see ttgtt "ffir[-
D. Branch Circuits
Nev, Alteration or Extension Per Pane1
B
c
One Circuit I $
Each Addi tionalCircuit or vith Serviceor Feeder Permi t I $
B. Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $Sign/0utIine Lighting- S
Limi ted Energy/Res
Limi ted Energy/Comm
STIBTOTAL OP ABOVB
5Z State Surcharge
TOTAL
7477 .fpR
726_376s rl>rNT
h
A
$ s0.00
s 60.00
$100.00
$130.00
s300.00
$ 40.00
Sum
3s.00 35. oo
2.oo (,oo
not included)
40.00
40.00
ci
Supervisor cense Number It 3,h.,S
Expiration Date lD -_ I -9 S ,,
Constr Contr. Number 038+q
Expiration Date q-l-.13
Signa ture of Supervising Blectrician
Ovners Name
Add
cit
ress
Phone I+b-'l8il
OgNBR
The installation is being made on
property I own vhich is not intended
for sa1e, Iease or rent.
0vners Signature:
DATE:
ON
s 20.00
$ 36.00
3'7. oo
t. fl538.85
RECBIVED
:
5