HomeMy WebLinkAboutPermit Mechanical 1998-07-10RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3709
Ot(ice:726-3759
LOCATION OF PROPOSED WORI(:
:;PRIT'T(:FIELD
?gc tef
qtu,
.JOB NLJMT]Ef1
225 Fitllt Strect
Sprlngtlc:ld, Orogon 97477
uat Stn^st* DD.
oASSESSORS MAP:
SUBDIVISION
0 7 TAX LOT:
STN]'E 7-tP
PHONE: _'741e'OWNER:
ADDRESS:
CITY:
DESCRIBE WOR}(
N
N
ST.
TRADDRESS L:XPll:1E S PIJONEACTOR
D 1Zb
CO
COCONTRACTOB'S NAME
MECHANICAL:
ELECTBICAL:
GENERAL:
PLUMBING
_ OFFICE USE _
LAND U
t/ oF
FLOOD I)LAIN
WATER FIEATER:
OUAD AREA:
r OF BLOGS:ZONING CODE:
OCCY GROUP:
E OF STORIES:
To request an lnspcctlon, you must call 726-3769. Tlrls ls a 24 hour rccorcllng. nll lnspcctiorls re(luestccl bclorc 7:00 a.rn. wlll bc
made the saftle worklng day, lnspections rcqucstcd aftcr 7:00 a.,n. will bc made lhc followln0 wort( day.
OUIRED INSPECTIONS
Temporary Elcctric ugh Mcclrarrical - Prior to Fin:rl [)lurrrbi,lg - Whcn allplunrbing worl( is completc.cover.
Site lnspcction - To be maclc
a(ter excavation, but prior to
settlnO forrns.
Final Elcctlicat - VJlrerr ailclcctrical worl< is cotrtplctc.
Underslab Plumbingi Elcctrical/
Mechanlcal - Prior to covcr.Elcctrical Servlcc - Must be
al)provccl to obtailr pcrrrrancnt
clectrlcal l)owcr.
(
al Mcclrarrical - Whcn all
clranical worl< ls cornpletc.
Footlng - Af ter trenches arc
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Fin:rl [Juilcling - Wlrcn all
requircd inspectlons have been
approvcd and building is
cornplc tccl.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to covcr.
Foundatlon - A{tcr (orms are
erected but prior to concretc
placernent.
Otlrcr
Wall/ Cciling lrrsulntiorr - Prlor to
c over.
Undergrourrd Plunrbing - Prior
to fllllno trench.Drywall - Prlor to taping
MOBILE I.IOME INSPE TIONS
Underlloor Plumblng/ Mcclranical
- Prior to lnsulatlon or decl(in0.Wood Stovc - AItcr lnstallrrtion.
Post and Bcam - Prior to f loor
lnsulatlon or decl<lng.lnscrt - AItcr (lrcplacc ap1>roval
and installatlon oI unlt.
Blocliing and Set.Up - Wllcn all
blocl<1n11 is cornplcte.
Floor lnsulation - Prior to
dcc t(lnO.Curbcut & Alrgrroaclr - Altcr(orms arc croctcc, bUt f)rior lo
placcrnclrt oI corrcrctQ.
Pltrrrrbirrl; Corrrrcctiorrs - Whcn
Irolnr: h;rs been collr'tccted to
w;ttcr,1lncl scv/cr.
Sanitary Scwcr - Prior to filling
trcnch.Elcctrical Corrncctiorr - Wlrcn
t:lockirrg, sct.up, and pluntbing
lrrspcctions llivc bcon approvcd
ilnd tllc lrorno is connccted to
thr: scrvicc;ranc.l.
Storrn Scwcr - l)rior to tillin0
trench,
Sidcwalk & Drivcway - nItcr
cxcaviltior) is complctc, loilils
an(l sut).basc rnatcrial i|l f)l;lco.
Watcr Llnc - Prlor to f illinO
trench.
Ferrcc - Wl)cn cornplctod
{itroot Trccs - Wlrcn all rcqulred
trces are plantccJ.
Final - Af tcr all rcquircd
Inspcctions arc approved and
porchcs, skirting, decks, and
ventlng havc bcen installed.
Rough Plunrbing - Prior to
cover,
t_]
LOT:
-
BLOCI(:
t
lrr049
NEW
-
REMOOEL ADDITION DEMOLISI1 OTHEtl
-
UNDER THIS l&fiObrlonny HEAr
UU
FoBouonn FoornGE:
HENT
RAN
THE WffiXaDnMS:
[-l Rough Elcctrical - Prior to__ covcr. I I
t]
E
E
E
E
tl
tl
E
tl
tl
E
E
r_l
tl t:]
E
r_l
tl
E
t:]
t:]
Lot laccs
Lot sq. ltg.
Lot coveragc
Topography
Total hciglrt
BUILDING
ITEM
Main
Garage
Carport
PERMIT
SO. FT.
Lot 'tyl)c .--
-
lrltcriol
--
Cortre r
--- Panhartcllc
--- Cul-dc-sac
x s/so. r--T.
Sct acl<s
P.L.HSE GAR ACC
N
S
E
VALUE
i -r.i Tl-lE PI]OPOSEO WORI( iN Tl{E
I]ISTORICAL DISTRICT, OR ON
TIIE IIISTORICAL REGISTER?
-
ll yes, ttris application must be slgncd
arrd approvcd by thc Historlcal
Coordinator prior to pcrmit issuance.
APPROVED:
Total Valuc
Building Pcrntit Fcc
Statc Surchargc
Total Fcc (^)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pcrrlit is grarrted orr tl'tc cxl)rcss conditiotl that thc said
construction slrall, in all respccts, con[orrn to tlre Ordinance
adoptcd by thc City of Springtield, including the
Development Codc, rcgulating thc construction and use of
buildings, anrJ may bc suspcndcd or rcvol<cd at any tlrne
uporr violation o[:rny provisions oI saicJ ordinanccs.
Plans Rcvicwcd t-iy Datc
Plarr Clrccl< Fee
Datc PaicJ
Rcccipt N urnbcr:
Rcccivcd By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Dcvclopmcnt Chargc is duc on all undeveloped
propcrlics witlrin thc City linrits whiclr are bcing improved.
ADDITIONAL COMMENTS
By slgnature, I statc ancJ agrce, tlrat I havS carelully exarnlnecJ
the complctcd application and do hereby certlfy that all
lrrformation hcrcon is truc atlcl corrcct, ancl I f urther certify
that arry and all worl< pcr(ormcd shall be donc in accorrJancc
witlr tlrc Ordinarrccs of tlrr: City of Springf lcld, arrcJ ilre Laws
of thc St;rtc of Orcgon g:crlairring to thc worl< cJescribcd
hcrcin, arrd tlrat NO OCCUPAI\,CY will Uc rrracjc of any
slructurc without pcrrnissiorr o( the Buil<Jlrrg Safety Division.
I [urtlrcr ccrtify that only contractors and en.lployees who
arc in cornpliancc.with ORS 701.055 r,vill Irc used on thls
p roicc t.
I (urthcr agrec to ensurc tlrat all rcquirecl inspcctions are
rcqucstcd at thc prol)cr time, that cacl-r address is rcacJablc
thc pcrmit card ls locatcd at the front
Slgnature
7'/b-9yDate
(
s duri g construction.
frorn lhc strcct
oI tlrc proper provcd set of plans will rcmain
on ure sitc
Wood Stovc/ lnscrt / [:lrcplacc Unil
MISCELLANEOUS PERMITS
Mobilc Honre
Statc lssuancc
Statc Surchargc
Sidewalk
-
tl
Curbcut
-.-
ft
Demolitlon
Statc Surchargc
FEE
/{ ot
lAat
Total Misccllaneous [)crrni ls (E)
/>1
4 _u_
NN
ET
L z-n
PLUMBING PERMIT
Vcnt Fan
Drycr Vcnt
(D)
(c)
ITEM
Fix tu res
Rcsldcntial Batlt(s)
Sanitary Sev.rer
Watcr
Slorrn Sewcr
Moblle Holne
MECHANICAL PERMIT
Fu rnacc
Exhaust Hood
Mcchanical Pcrrnit
lssu ancc
Statc Surchar0c
Total Pcrrnll
Plumblng Pcrmit
Statc Surcharoe
Total Clrargc
TOTAL AMOUNT DU E (cxclucJino olcctrical)
(A, B, C, D, and E Corrrbirrcd)
070 7 qu
qr
Lrl
o
AJ
AMOUNT F'IECEIVED
FIE,CEIVED BY
DATE I]AID
VALIDATION:
RECEII)T NUME]EFI
t--'I.
clTY ctF,sfrPtIu'GFlELc, SnEG oN
!5Pr-...aGFrELf'
nq,
approva
\/
2?5 TIPTEAffi
SPRIISGFTELO, oREGoN 97 477
IlISPEctf0N REQ(IBST: 726-3769
OFEICE:' 726-3759
CE:
S PEBMIT EXPIRE
UNDER THIS P
PERilIT APPTICATION
Cos t
$ 8s.00
$ 1s.00
$ 40.00
TFTTSE#98[.
ERMIT IS NOT
1 LOCATION
-?"r I s
I OP INSTALI,ATTONv;t Se* De
COMMENCED OR IS ABANDOIffiPOtr Qtro KrYb Nu.uber
AITIY lRTI NAV PEBIODCOHPI,ETE FEE SCEEDTILE BELOII
A New Residential-Sing1e or
Hulti-Family per dvelling unit.
Service Included:I.EGAI, DESCRIPTION
r O€,lx-ttz-i 7 o3l,/ rt - 0(
JOB DESCRIPTION
Permits are non-transferable and expire
if work is not started vithin 180 days
of issuance or if uork is suspended for
180 days.
2. @IIIBACTOR INSTALI,,ATION OIILY
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf 'd liome. or
Hodular 'DvelIing
Sertice or Feeder
B. Services or Feeders
Installationr Alterations
c
clty t u5* **- P
Supervisor License Num
'hone b Pb-(ola r-
ber ? o Jdf(-
Sum
ee rB* a566
00
00
00
00
00
00
$ 50.
s 60.
$100
s130
$300
40.00
55.00
80.00
EIec tri cal Con t rac tor Y1.f,.t tcTO <:- ft"o 4-r*l Wo, Relocat ion :
Address P.200 amps or less
201 amps to 400 amps
401 amps to 600 amPs _
601 aruirs to 1000 amps-
Over 1000 amps/volts
Reconnect 0n1y
Exoiration Date /rt - I ^1 P
Constr Co nrr. Number gottT
Expiration Da te /z - 1o -q )
Signature of Supervising Electrician
Address FP ?s,^At ** orz
cltv ?trl€ic"a Phone -7qa.-6o{P
OSNER INSTALI.ATION
The instaLlation ls being made on
property I ovn vhich is not intended
for sale' lease or rent.
0mers Signature:
DATB:
$
Temporary Services or Feeders
fnstallation, Alteration or Relocation
40
D.
Nev, Alteration or Extension Per Panel
200 amps''or less $
201 arnps to 4OO amps
-
$
over 4b1 to 600 amps
-
S
Over 600 amps or 100081[?s s
Branch Circuits
One Circuit i
Each Additional
Circuit or vith Service
or Feeder Permit ,,?
-Each installation
Pump or irrigation _Sign/Outline Lighting-
Limited Energy/Res
Limited EnergY/Comm
$ 35.00
$ 2.00
3{
b.0)
E. HisceLlaneous (Service/feeder not included)
$ 40.00
s 40.00
$ 20.00
s 36.00
SUBTOTAL OT ABOVE
52 State Surcharge
3Z Administrative Fee
TOIALRSCEIVEDa
5 N
Ouners ltame Atz+,[ dn,.= Cnl.,.r.raJ