HomeMy WebLinkAboutPermit Mechanical 1999-05-28SPrlTNGFIELE,
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
?fo ?25
q$,
.JOB NUIvIBER
225 Fi(th Street
Sprirrgfleld, Oregon 97477
L9QATION AF PROPOSEO WORK:
-
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ASSESSORS MAP:/7n3zz t7
LOI BLOCK:
TAX LOT 07too
SUBDIVISION:
V^.-t-,
l)a--- / |l!7. s ?qg-?L saPI{ONE:
€zrzZIP:+STATE:
OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
6iX^r/H..t r/^e I ,A, ftanl/a-DESCRIBE WORK:
ADDRESS
hmt tU/ Lcr 7/f. 4)o
EXPIFIES 1 PHONE
6 Okr^
CONTRACTOR'S NAME
MECHANICAL:
ELECTBICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
USE _
FLOOD I]LAIN
ANYlsoDAYPERIOD
ISTHISPERMTTSHALLEXPIRE
OR IS r OF UNITS:
\UTHORI-trDUNDER
BANGE:WATER HEATER:
QUAD AREA:
r OF BLDGS:
CONSTR. TYPE
HEAT SOURCE:
OCCY GROUP:
, OF STORIES:
To req ues t an n S pec il nl you m us ca 726-3 769.Thrls ls a 24 hour recordlng. All
af ter 7:00 a.m. wlll be macje
UIRED INSPECTIONS
NS #cnmr;$dq886iABB&B4/,l:oo bemadehea.msatIteworklnsdaY,ns pect lon req U es ted he fol owl n work d ay.
Temporary Electric h Mechanlcal - Prior to Flnal lrlunrbing - When allplumblng work ls complete.r.
Slte lnspectlon - To be madc
after excavatlon, but prlor tosetting forms.
Rough Electrical - Prior to nal Electrlcal - Wlren allcoverelectrical work.ls complete.
Underslab Plumblng / Electrical /
Mechanlcal - Prlor lo cover.Electrical Service - Must be
approved to obtaln permanent
electrlcal power.
Mechanical - When all
hanlcal work ls complete.
Footlng - After trenches are
excavated.
[-l Flreplace - prtor to factng
-
malerlals and framing lrrsp.
Flnal Buildlng - When ailrequlred lnspectlons have beenapproved and bullding is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
Framlng - Prior to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celling lnsulatlon - prlor to
cover.
E l'Jflii:lii,ll"ln'.'-orns - Prror [--l Drywar - prror to tapins
Underlloor Plumblng / Mechanlcal
- Prior to lnsulatlon or decklng.
MOBILE HOME INSPE TIONS
Wood Slove - Afler lnstallatlon.
Posl and Beam - Prlor to floorlnsulatlon or decklng.l-_| lnsert - After flreplace approval
-
and lnstallatlon of unlt.
Blocking and Set.Up - When allblocklng ls co,nplete.
Floor lnsulation - prlor to
decking.Curbcut & AJrprroach - After
forms are erected bul prior loplacemcnt of concrete.
Plumbing Connectlons - Whenhome has been conrrected towater and sewer.Sanilary Sewer - Prior to fllling
trench.
Slorrn Sewer - Prior to fllllng
trench.
Sidewall< & Driveway - Afterexcav.rtion ls complete, forrns
and sub.base material in place.
Eleclrical Connection - Whenblocklng, set.up, and plumbinglnspections have been approvedand the home ls connected tothe servlce panel.
Water Llne - Prlor to filling
trench.
Fence - When ccinpletecl
Street Trees - When all requlred
trees are planted.
Flnal - After all requiredlnspectlons are approved andporches, sklrtlng, decks, andventlng have been lnstalled.
Rough Plumbing - prlor to
cover.
4^
the rules by
9s2-001
rules
ATTEfrr
in OAR
--OO9C you
tl
E
tl
PL.HSE GAR ACC
N
S
E
Lot hces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lntelror
-
Corner
.- Panhandle i'
-
Cul-de-sac
-IISTORICAL OISTFTICT, OR ON
TIJE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
arrd approved by the Hlstorlcal
Coordinator prlor to permlt lssuance.
,S THE PROPOSED WORK TN THE
APPROVED:
BUILDING VALUE, PTRITI CHECK
AND BUILDING PERMIT
This pernrit is granted on the cxpress condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfleld, includlng the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions ol said ordinances.
Receipt Number:-
Plans Reviewed By Date
Plan Check Fee:
Date Paid:
Received By
VALUE
(A)
Total Value
Building Permil Fee
State Surcharge
Tolal Fee
X S/SO. FT.
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being lmproved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
aai,4tzITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
FT.
FT,
FT.
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
ln(ormatlon hereon is true and correct, and I lurther certlly
that any and all work performed shall be done in accorrJance
wlth the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structure wlthout pertnission of the Bulldlng Safety Divislon.
I further certily that only contractors and enrployees who
are In compliance with ORS 7O1.O55 wlll be used on thls
proiect.
I further agree to ensure that all requlred lnspections are
requested at the proper tlme, that each address ls roadable
from tlre street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
Slgnature
Date
on the site at all times durl ruc tlon.
Wood Stove/ lnsert/ Flreplace Unit
MISCELLANEOUS PERMITS
Total Miscellaneous Perrnits (E)
MECHANICAL PERMIT
P/{
oJ
(D)
7f
/0
No
?.o
Dryer
Mobile Home
State lssuance
State Surcharge
Sidewalk _.-- ft
Curbcut
--
ft
Demolitlon
Stale Surcharge
Furnacc
Exhaust l-loorl
Vent Fan
Mechanical Permlt
lssuance
State Surcharge
Total Permit
TOTAL AMOUNT DUE (excluding electrlcal)
(A, B, g D, and E Comblned)
VAI-IDATION:
RECEIPT NUMBER
DATE PAI[)
AMOUNT RECEIVED
l4z4o
RECEIVED BY
Lo,
,. a . .
N.
225 TTFTE STREET
SPRINGFTELD, oREGoBa
INSPECf,fON REQUEST:-
The tollowing project as submitted has the lollowing
zonrng and does not reguire specific land use
approval
Zoning t/7b
7 477 zlt h.q,
SPFIINGFIELO
ENT'lON:rf,re cl t>,uJ*qb.{,tr,ht
ELXCTRTCAI PERHIT A.PPLTCATTON
, ??tt 1L,OFpICE: 126_3759 Authonzeo Signat
1. LOCATTON O INSTALIJ,TION k otification
in OAB
bnt hBELOIJ
c:
:ng unL t
_6hc
v
927 ,8Y tr
calling the ceI,EGAI DESCRIPT
numberforthe
eenter
JOB CRTPTION
(tr
Cos t
s 8s.00
s 1s.00
$ 40.00
Sumis 'l -800-332 -29441.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereofPermits are non-transferabie and expireif vork is not started r,-irhin 190 daysof issuance or if vork is suspended ior
180 days.
Each Hanuf'd Home. or
-l{odular Dvelling
Sertice or Feeder'
2. COiIIRACTOR INSTA.LI.ATTON ONLY
Electricar contractor llHe0il uJ,;iBil i_jiyfeE
Address
Ci ty Ptrone .arh - lbSPTlCE:
Supervis License Number
Expiration Date'
Constr ConIr. Number
Expiration Dare - ob
S ture of Supe ing Electrician
l-yfui-
Ovners liam
Address €h-l:,
ci tv_pr,onQ_Eglot9._
OgNEP. TNSTALI,ATION
The installation is being macje onpropertl' i oun vhich is no t inten<iedior sale. lease or rent.
ners Signature:
DATE:.{,
B. Services or FeedersInstallation, A1 teration,c
or Relocation:
200 amps or less S 5O.OO
201 anps to 400 anps
-401 amps to 600 amDs
-oHAhh FxPt a E1 0001 ES6lRl--
s 50.00
s100.00
s130.00
s300.00s 40.00
THISPERMIT
COMMENCED FOR _
ANYl g&AypggfCISy Services or FeedersInstallation, Alteration or Relocation
200 amps"or less S 4O.OO
201 anps to 400 anps
-
S 55.00. Over 401 to 600 amps S g0.OO
Over 600 amps or 1000-Gf rs see uB, aEo-G-
D. Branch Circuits
Nev, Alteration or Extension per panel
One Circuir I S 35.00 1q ao
Eacir Aci<iirionai. r--\)-
Circui t or vi th Serviceor Feeder pernit I S 2.oo qff
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0ut1ine Lighting-
Linited Energy/Re
Linited Energa/Comm
s 40.00
s 40.00
s 20.00
s 36.00
5. SUBTOTAI OF ABOVE
5Z State Surcharge
3Z Adninistrativi Fee
T0r.lt
CAtL
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RBCEII/ED
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