HomeMy WebLinkAboutPermit Mechanical 1999-06-04SPrlINGFIELE,
RES!DENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOS
ASSESSORS MAP:
LOI
q?6 q
efr,
225 Fif th Street
Sprlng(leld, Ore[on 97477
TAX LOT
SUBDIVISION:BLOCK:
PIlONE:
7).t u<)
STATE:( -./r
<_
Zr
ztp: 7>t:77CITY:
ADDRESS:
OWNER:
?tq K,n.ho,.t
NEW
-
REMODEL ADDITION DEMOLISH OTHER
D7r*or//nn,aDESCRIBE WORK
ADDBESS
?4 4c*-z/1/
ELECTRICAL:
MECHANICAL:,/lrn, 2nAt-lr/?2
EXPIRES 1 PHONECONTRACTOR'S NAME
PLUMBING:
GENERAL:
CONST,
CONTFIACTOR #
QUAD AREA:LAND USE:
NOTTCE:* OF BLDGS:
OCCY GROUP:
* OF STORIES:
wArER H EATEB'ANY+80 DAY PEBI-OD.RANGF-:
_ OFFICE USE _
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour rccordlng. All lnspectlons requested before 7:00 a.m. wlll bemade the safire worklng day, lnspections requested af ter 7:oO a.m. wlll be macle the followlng work day.
REOUIRED INSPECTIONS
Temporary Eleclrlc Rough Mechanlcal - Prior to
cover.
Flnal lrlunrblng - When all
mblng worl( ls complete.
Slte lnspecllon - To lre made
after excavatlon, but prior to
setting forms.
Rough Electrical - Prior to Eleclrlcal - When allcover.lectrlcal work.ls complete.
Underslab Plumblngl Electrical /
Mechanlcal - Prlor to cover.Electrical Servlce - Must be
approved to <lbtalrr permanent
electrlcal power.
Final Mechanical - When all
lcal work ls complele.
Foollng - After trenches are
excavated.Flreptace - Prlor to faclng
materlals and framlng lnsp.
I Buildlng - Vlihen ail
uired lnspectlons have been
Masonry - Steel locatlon, boncl
beams, groutlng.
approved and bullding is
completed.
Framlng - Prior to cover.
Foundallon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celling lnsulatlon - Prlor to
cover.
Underground Plumblng - prior
to fllllng trench.Drywall - Prlor to taplng.
Underlloor Plumblng / Mechanlcal
- Prior to lnsulatlon or decklng.
IVIOBILE HOME INSPECTIONS
I-l Wood Stove - After lnstailarton
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approvgl
and lnstallatlon ol unlt.
[-_l elocking and Ser.Up - When ail
-
blockln0 ls cornplete.
Floor lnsulalion - Prior to
decklng.Curbcul & Alrfrroach - After
forms are ert:cted bUt prior toplacemcnt of concrete.
Plumbing Connectlons - When
Jrome has been connected to
water and sewer.
Sanllary Sewer - Prlor to fllllng
trench.
Slonn Sewer - PIior to fllllng
trench.
Sidewalk & Driveway - Alter
excav:rtion ls complete, [orrns
and sub.base material in place.
Electrlcal Conneclion - Whenblocklng, sel-up, and plumbing
lnspections have been approved
and the home is connected tothe servlce panel.
Waler Llne - Prlor to filling
trench.
Fence - Wtren cciitplete<j
Slreel Trees - When all rcqulred
trees are planted.
Flnal - After all required
lnspectlons are approved andporches, sklrting, decks, and
ventlng have been lnstalled.
Rough Plumbing - Prlor to
cover.
.,OB NUMBER
S.onr< 4-/4-
7az- Zz+tr
E
E
E
E
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lntertdr
-- Corner
-- Panhandle i'
-
Cul-de-sac
Setbacks
P.L.}]SE GAR ACC
N
S
E
IS THE PROPOSED WORK iN THE.
,r-IISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
It yes, thls appllcatlon must be slgned
arrd approved by the H lstorlcal
Coordlnator prlor to permlt lssuance.
APPROVED:
BUILDING PERMIT
ITEM SO. FT.
,t
x $/so. FT.VALUE
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fec (A)
BUTLDING VALUE, i5LRru CHECK
AN D BUILDING PERMIT
This pernrit is granted on the express conditlon that the 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
buildings, 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 Fleviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tl-re City lirnits which are being improved.
PLUMBING PERMIT
ITEM
Flxtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
N.
FT.
FT.
FT.
Plumblng Permlt
State Surcharoe
Total Charge ((.)
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Fu rnace
Exhaust l{oorj
Vent Fan No
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit
15.oo
/0'oo
4r, ?f
z(.za(D)
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true and correct, and I further certlfy
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
herein, and that NO OCCUPANCY wlll be made of any
structure wlthout perrnission of the Bulldlrrg Safety Divislon.
I further certily lhat only contractors and employees who
are In compliance wlth OBS 701.055 wlll be used on thls
proiect.
I further agree lo ensure that all requlred lnspections are
requested at the proper tlme, that each address ls readable
from tlre street, that the permlt card ls located at the front
of the property, and the approved set of plans wlll remaln
on the slte at all ti
Slgnature
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
state surcharge
Sldewalk .- ft
Curbcut
--_
ft
Demolitlon
State Surcharge
Total Miscellaneous Perlnits (E)
VAI-IDATION
03{33RECEIPT NUMBER
DATE PAII-)
AMOUNT RECEIVED
RECEIVED BY
TOTAL AMOUNT DUE (excluding electrlcal)
(A, B, C, D, and E Comblned)
SPlr.}\ iFtELg
li,";:':#l%::,1""":it,11ffi:ff;the
,and use
ge
PERHTT APPLICATTON225 FTFTE STREET
SPRINGFIEI^D, OREGON
INSPECTTON REQUEST:
oFPrCf,:'' " 726-3759
Zoning
Date
9 7 fytf orize d Signature
726-37 69 Job Nunber 7[f
1. L0 OF INSTAILATION
3. COI{PLETE FEE SCEEDULE BELOS
A New Resiciential-Singre o:
MuI t i-Fam: iy per riveJ.i:ng uni t .
Service included:DESCRTPTIOIil7jtrU Ot>oo
E:
1000 sq.ft. or less
Each addirional 500sq. ft or portionPermits are non-transferableif vork is not starred withinof issuance or if voril is sus
180 days.
z. cor,rrRAcr,R rNsrAr,r.a,,,N ,NLfNY18ODAY BFR'9&"ices or Feeders
?ahe Cos t
s 8s.00
Sum
Ci ty
Consrr Contr.
Expiratj.on Da
Number =S ?oo t
sHAb{
SUBTOTAT OF ASOVE5f State Surcharge
3Z AduinistrativE Feeur;lt
Installation, Alterations
or Relocation:
Circuit or vith Serviceor Fee<ier pernit
s 15.00
s 40.00
.00
00uB' a6ffi-
PaneL
oo 3sl9
s 2.00
a1{ldMERMrrr
,rffiffizso.
COMMENCED
Erectricaf contrac.o. k** uEfirru[ slii;ui
Addres-c Po A-r
rrone 3.*l-f67
200 amps or less
201 arnps to 400 anps
-401 amps to 600 amps
-501 aops to 1000 amps-
over 1000 anps/volts
-Reconnect 0n1y
Temporary Services or FeedersInstallation, Alteration or Relocation
Superviso License Number /.14 2t.S
Expi ra t i on Da te [tg -/-o
s 50.00
s 50.00
s100.00
s130.00
s300.00
s 40.00I
C.
te
Si ture of Su
Ltrufl^a-,
Ovners liame
Address
Ci ty e,
DATE: 6
Pump or irrigation s
_siqzou tline Ligh ting- aLinited Energy./ies e- I
OSNEN. INSTALIATION
The installation is being marje onpropert-\.i ovn vhich i-. not inten<iedfor sa1e. lease or rent.
ners Signature:
Hiscellaneous (Service/feeder not included)-Each installation
40. 00
40.00
20. 00
36.00
RECETT/ED
5 t <'c\)aE-__
-+ar-T-_
less s 40.00
I D{L
-h ^, .:,
Pno,"1616 -&9{cl Each Addi tional
One Circui t
(