HomeMy WebLinkAboutPermit Mechanical 1999-08-31SPFlINGFIELO q? nWJOB NL'MBEN
225 Fi(rlr Srrccr
Springtlcld, Orcgorr 97477
V,D
0
38 z.o
ASSESSOBS MAP:
LOCATION OF PROPO Rl(:3
TAX LOT:o
LOT;- BLOCI(;SUBDIVISION: ---
STA1'E:ztP
I
DALL L ALI LE PCCRE PI-ION E,:
,lzb-91 @
q +1{
N DDITION DEMOLISI.I OTI.IE'I
OWNER:
ADDRESS:
CITY:
DE,SCFIIBE WORI(:
NEW- REMOOEL
N DDRESS EXPII:IE S P}.IONE,
0
CONTBACTOB'S NAME
MECHANICAL:
CONST,
CONTRACTOR ,
GENERAL:
PLUMBING
I-rtfice;
OUAD AR rLooD t)LnlN
i
)
R
952-Cr0OoNSTn. TypE:
RIES:
-,
lNYl8oDAtb,lun, souRcE/ OF STO
rly IVoiification Rn NGf--: _soun nti FooTnoE
- oFFlCt:
LAND USE:
OCCY GBOUP:
WATEB I.IEATEN
heOr.en
II oF UNITS:
To rcquest an lnspcctlon
made thc sanre worl<lng ' you rnust c;tll 726'3769' Tlrls ls a 24 l)our rccordlno. nll lnspcctiorls ro(rucstccJ bcrorc 7:00;r.rnday. ln:;pcctions rcqucsrcd artcr 7:00 a.m. wiil bc madc the folrowr,g worr( c.,ay.
REQUIRED INSPECI'IONS
wlll bc
[-l Temporary Eteclric
Sitc lnspcction - To bc macJca(lcr cxcavation, but l)rior toscttln0 lornrs.
Undcrslab plunrbing / Electrical/Mcclranlcal - prior to covcr.
[_l fUasonry - Stccl locatlon, bonct
-
beams, groutln0.
Foollng - A(tcr trenchcs arccxcavatcd.
Foundatlon - n ltcr forrns arcerccted but prior to concrctcplacerncn t,
Floor lnsulation - prior todccl<lng.
Wall/Cclling lnsulatiorr - prlor to
Rouglr Mcclrarrical - prlor tocovcr.
Rouglr Elcctrical - prior to
covcr'_
covcr,
Wood Stovc - n ltcr ln:;tallirlion
Sidcwalk & Drivcwrrl' - n,tcrcxcavalion is complctc, Iorrrtsan(l sul).base lnalcriill i11 plilcc.
Fcrrcc - Wttcn co,nplctcd.
/
ral Mcclranical - Whcn allcclrunical worl< ls cornplctc.
Final Uuilclirrg - Wlrcn allrcquired inspcctlons havc bccnapprovcd ancl builcling is
cornplct(,ld.
[l Unclcrgrounc,l plunrbinq _ prior
Undcrlloor Plulntrlng / Mcclranical
- Prlor to lnsulatlon or dcckin0.
Post and Boam - prlor to lloorlnsulation or clccklng.
MOBILE I.IOME INSPESTIONS
Plrrrrrtrirrg Conncctiorrs - Whcnlloln(.! ltas tfccn cor.lnccled towatcr,ltn(l scvJcr.
lnscrt - Altcr llrcplacc approvoland lnstallatlon ol unlt.
[l Otochirrg arrct Scr.Up - Wtrcn ail* blocl<in() is cornplcte.
Curbcut & Alrt.rroaclr - n,tcrforms arc crcclcd tlut r)rior toplacclncltt oI corlcrct(:.
Elcctric;rl Cortrrcctiorr - Whcnblockirrg, sol.up, arrd plunrbingIrrr.;pccllons lr;rvc bccn approvcdiiltd tlte ltorrrc is Conncctod to
t l-rr: scrvicc ;.r:rnc.l.
Firral - Altcr all rcquircd
llrspcctions arc appiovcd andporchcs, $kirting, decl(s, andvcntln0 lravc bccn lnstalled,
{ilrool Trccs - Wl.le n all rcqulrccl
trccs are plantcd.
t:]
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
OIIice:726.3759
fl Final l)ltrnrbirrg - Whcn all
,l\Oluntt>ing worl< is complctc.
/_) ,( I )tT-inat Etccrlicat _ Vr'trcrr ail\_7 clcctricat worl< is corrrplclc.
[l Etccrricat Scrvlcc - Musl bc
-
at)provc(l [o obtain pcrrrrancnt
clectrlcol l)owcr.
[-l Fircptacc - prtor ro (actng.J materlals ancl lraming lnspl
l-l Franring - prlor ro covcr.
t]O tlrcr
[-l Sanirar.y Scwcr - prior ro Iiiling.J lrcnch.
[-_l Stonlr Scwcr - lrrior ro lillingu trcnclt.
n Watcr Llnc - prlor ro liltingtJ lrcnch.
[l Rouglr Plunrlling - prior ro.J covcr.
ELECTRICAL:
Lot faccs
Lot sq. (tg.
Lot coveraoo
Topo0raplry
Total holgltt
Lot '1y11,
-
lntcflor'
---
Corncr
-
Panlrancllc
--_ Cul-r.lc-sac
Sc tl:ac lt
ot HSE GAR ACC
N
J
E,
IS TIIE, PI]OI'OSED WORI( iN TIlE .
I.IISTORICAL OISTRICT, OR ON
TI]E I{ISTORICAL REGISTER?
-
It yes, this applicalion must be slgned
arrd approvcd by thc Hlstorlcal
Coordinator prior to pcrmit issuancc.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Tlris pcrnrit is granled on tlrc cxprcss condiIiorr that tlrc said
construction shall, in all respects, conform to tlre Ordinance
adoptcd by thc City ot Springticld, including thc
Developmcnt Codc, rcgulating thc construction and use of
buildings, and may bc suspcndcd or rcvol<cd at any tlrnc
upon violation o[;rny provisions oI said ordinances.
Datc t)aid
Rcceipt Nurrtbcr:--..
Rcccived By
Plans Rovicwcd By Datc
Systcrns Dovclopmcnt Clrargc is duc on all undevclopcd
propcrtics within tlrc Cily lirnits whicl.l arc bcing lmprovcd.
ADDITIONAL COMMENTS
EszTtc,
/
8y slgnaturc, I statc and agrce, tlrat I havc carcfully examlned
tlre complctcd application and do hcreby certlfy that all
lrrformatlon hcrcorr is truc ancl corrcct, and I Iurther certiIy
that any and all worl< pcr(ormcd shall bc done in accorrJance
with tlrc Ordinarrccs of tlrr: City olSpringflcld, arrcl tl'rc Lavrs
of tlre Statc oI Orcgon 1)crtair]lng to thc worl( described
hcrcin. and llrat NO OCCUPT\I{CY will bc rrraclc of any
structurc witl'lout pcnnissiolr of lltc Buildlrtg Satety Division.
I turthcr ccrtily that only contractors and enrployecs who
arc in cornpliancc'witlr ORS 701.055 wlll bo used on thls
proicc t.
lfurther agrcc to cnsui'c tlrat;rll rcquircd inspcctions arc
rcqucstcd at thc propcr Iinrc. tllat cach addrcss is rcadable
lrorn tlrc strcct thc pcrrlt card ls locatcd at thc lront
of tlrc Jrropc a1:;>rovcd sct ol plans will remain
on thc site sdu g corlstru tlon
^/
c
Slgnatu
Datc
VALIDATION:
RECEII)T NUME]Et.I
DATE, PAID
AIVIOUNT RECEIVED
T.IE,CEIVED BY _--
€3 81
7
VALUE
(^)
x $/so. l:T,
Garagc
Carporl
Total Valuc
Building Pcrnrit Fcc
State Surcltargc
Total Fcc
BUILDING PERMIT
ITEM SO. FT,
Main
SYSTEMS DEVELOPMENT CHARGE (SDC)
(R)
Woocj Stovc/ lnscrt / t:l replacc' Uni I
MISCELLANEOUS PERMITS
Mobile Honte
Statc lssuancc
Stato Surchargc
Sidcwallr
-
tt
Curlrcut
-.-
lt
Ocmollllon
Stata Surchargc
Totol Misccllancous Pcrtnits (E)
FEE
I:T
'C/t--
/M)
/.rz
2l-tz
D
No
l:'l:
PLUMBING PERMIT
Vcn t [:an
(D)
(r,)
ITEM
Fix t u rcs
Sanllary Scwer
Watcr
Stoiln Scwcr
Moblle Hornc
Rcsl<Jcntial Batlr(s) l!'
MECHANICAL PERMIT
Furnacc
Exhaust Hood
Mcclranlcal Pcrrnit
I ssuancc
Slatc Surclrlttl;c
Total Pcrrnlt
Plurnblng Pcrmit
Statc Surcllaroc
Total Chargc
TOTAL AMOUNT OUE (cxclutling olcctrical)
(n, B, C, D, and E Corttbirrccl)
:) 11
t all
Z6 s?,
Plan Clrccl< Fcc: ---
l:T.
C,ITY OF ONEGON
225 FTFTE STREET
spRrNGFrELD, 0REG0 ff"WrrTf sisnature
INSPECTI0N REQ{rEST: 72G-3169OFPICE: 726-3759
Date t-ar t
1. LOCATTON OF INST
I,EGAL DESCRIPTIdN oAFt952-00
ET,ECTRICAL PERHTT APPLICATTON
City Job Nunber TrtJz
3. COHPLETE FEE SCEEDTILE BELOS
approval.
Zoning
0090
LD{L
The following proiect as e
zoning, and does not require specific land use
sPI ;FIELD
f tems
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereo f
Each Manufrd Home or
-
Modular Dvelling
Sertice or Feeder
Services or Feeders
fns ta1 Ia t i 10ns
adopted bvth€
1-0010 througr
obtain copes
Nev Residential-Single orMulti-Family per dvelling unit.Service Included:zSlq
Permj.ts are non-transferable and expireif vork is not started vithin lBO daysof issuance or if vork is suspended forL80 days.
JOB oN numbei forthe
Center
2. COiTTRACTOR INSTALI,ATION ONLY
Electrical Contractor S
Address 33
Ci ty Phone
Supervisor License Number
Exp iration Dare 10 -o1-C
Constr Contr. Number
Expir:ation Date /S -30-od
Signature of Supervi sing Electrician
Ovners Name
Address
ciry *tQt+afr"lA Phone 1dG 461-\r ---t-
OVNER TNSTALLATION
I 0 ampsto 1000 amps5180DAY0 amps/vo1ts
-
Reconnect Only
20L amps to 400 amps
-
Over 401 to 600 amps
-
E
C. Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or Less $ 4O.OO
Cost Sum
s 8s.00
$ is.00
$ 40.00
s s0.00
s 60.00
$100. 00
s130. 00
$300.00s 40.00
$ ss.00
$ 80.00
B.
CE:
PERMIT
Over 600 amps or 1000-v-oTts see ,rBil aEG-
D. Branch Circuits
Nev, Alteration or Extension per panel
OneCircuit I $35.00Each Addi tionalCircuit or vith Serviceor Feeder Permit _ $ 2.00
Miscellaneous (Service/feeder not included)
-Each installation
The installation is being made onproperty I ovn vhich is not intendedfor saIe, lease or rent.
Oyners Signature:
Pump or irrigation g
Sign/Out1ine Lightirg- $Limited Energy/Res
-
$Limi ted Energy/Comm $
40.00
40. 00
20.00
36.00
5 SUBTOTAL OF ABOVE
7Z State Surcharge
32 Admini.strative Fee
TOTAL
$.oo
DATE:7 ?.4 5
RECEIVED --#T-
TT{IS
7
)
NOT