HomeMy WebLinkAboutPermit Mechanical 1998-03-31qfr,
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SUBDIVISION:
TAX LOT
LOCATION OF PROPOSED WORK:-74
ASSESSORS MAP:
LOT
EERtffFt.I$t rcA,oN
lnspections: 726'3769
Of(lce: 726'3759
225 Fitth Street
Sprlngtleld, Oregon 974?7
JoB NuMBE R aac)z ?2
ir 1)
BLOCK:
owNEB: S-e:vr S?-t4 PHONE;
OR y1p; At q- RSTATE:
OB1Ll lo
CITY:
ADD
NEW- REMODEL ADDITION DEMOLISH OTHEB
t
DESCRIBE WORK:
CONTRACTOR'S
E4 I
-zs3BPLUMB!NG:
ECHANICAL:
ELECTRICAL:
oa
ADDRESS
CONST.
CONTRA TOR ''EXPIRES ap PHONE
- OFFICE USE -
WATER HEATER:
ZONING CODE:
FLOOD PLAIN
BANGE:
QUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE:
, OF BDRMS:
-
LAND USE:
OCO/ GROUP:
I OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
-
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All Inspectlons requested before 7:OO a.m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED TNSPECTIONS
w Rough Mechanlcal - Prlor to
Underslab Plumblngl Eleclrical /
Mechanlcal - Prlor to cover.
Foollng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Underground Plumblng - Prlor
to fllllng trench.
Post and Beam - Prlor to tloor
lnsulatlon or decklng.
Floor Insulatlon - Prlor to
decklng.
Sanltary Sewer - Prlor to fllllng
trench.
Storm Sewer - Prlor to fl'lllng
trench.
rlcal - Prlor to
cover.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
f/ fmal Mechanlcat - When ail4 mechanlcal wgrk ls complete.
Flnal Plumblng - When altplumblng work ls complete.
Flnal Electrlcal - When all
electrlcal work ls complete.
Flnal Bulldlng - When all
regulred lnspectlons have been
approved and bulldlng ls
completed.
cgqr./?4Rough Elect
4*zl-] Site lnspectlon - To be madolJ after excavatlon, but prlor to
settlng forms.
tl
tl
E
E
E
l-l Flreplace - Prtor to factng
-
materlals and framlng lnsp.
n Framlng - Prlor to cover.
n WaltrCelllng tnsutatlon - prtor to
-
cover-
lfro"., {zz, 5*fr.*-
l-l water Llne - Prlor to lliltngu tranch.
l-l Rougn Ptumbtng - Prlor to|J cover.
Underlloor Plumblngl Mechanlcal
- Prlor to lnsulatlon or decklng.
Drywall - Prlor to taplng
Wood Stovo - Afler lnstallatlon
lnsert - After flreplace approval
and lnstallatlon of unlt.
Curbcut & Approach - After
forms are erected but prlor to
placemont of concrete.
Sldewalk & Drlvewav - After
excavatlon ls complete, forms
and sub-base materlal ln place.
Fence - When coinpleted
Str€el Trees - When all requlred
trees are planted.
MOBILE HOME INSPE TTONS
Blocklng and Set.Up - When all
blocklng ls complete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Electrlcal Connectlon - When
blocklng, set-up, and plumblng
lnspectlons have been approved
and the home ls connected to
the servlce panel.
Flnal - After all requlred
lnspectlons are approved andporchos, sklrtlng, decks, and
ventlng have been lnstalled,
(
[_l Temporary Electrlc
n
tl
fl
tl
E
tl
ih t ,, \:,. ,',.1 i
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot TyF,_
-
lnterlor
-
Corner
-
Panhandle I
-
Cul-de-sac
PL.HSE GAB ACC
N
S
E
IS THE PBOPOSED WOFK TN THE,' HrsToRlcAL DtsTRtCf,, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved by the Hlstorlcal
Coordinator prlor to permit issuance.
APPROVED:
BUTLDTNG prnffirr !i :i t
VALUE
_G__
(A)
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
X $/SQ, FT.ITEM
Main
Garage
Carport
SQ. FT.
Thls permit is granted on lhe oxpress condiilon that the sald
constructlon shall, ln all respects, conform to the Ordlnance
adopted by the City . of Sprlngfleld, includlng the
Development Code, regulatlng the constructlon and use of
bulldlngs, and may be suspended or revoked at any tlme
upon violatlon of any provislons of sald ordlnances.
Plans Reviewed By Date
Receipt Numbe
Date Paid:
Received By:
Plan Check Fee:
BUILDING rAItJE, i5
AND BUILDING PER
LAN CHECK
IMIT
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties withln the City limlts whlch are belng lmproved.
ITEM
Flxtures
Resldential Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
N'
FT.
FT.
(c)
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fl replace Unit
Dryer Vent
);:t &r?.-
*?#.",{!{fi12r=z ts,H//y Ja-?re-:E
2Z.za(D)
No
/ao
Vent Fan
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed applicatlon and do hereby certlfy that all
lnformatlon hereon ls true ancl correct, and I f urther 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 pertainlng to the work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structure wlthout perrnission of the Bulldlng Safety Divislon.
I further certify that only contractors and employees who
are In compllance wlth ORS 701.055 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 readable
street, that the permlt card ls located at the front
perty, and the approved set of plans wlll remaln
at all times durlng constructlon.on the s
Slgnat
Date
of the
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excludlng electrical)
(A, B, C, Q and E Comblned)
v-v/-?g
-72 ?2
DATE PAII)
AMOUNT BECEIVED
BECEIVED BY
VALIDATION:
BECEIPT NUMBER
FT,
?9
OREGONCITY OF
aszoning,and does not requlre
sP;.IELD
BI.^E TRICAL PERHIT APPLICATION225 FIPTE STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUESTz 726-3
OFPICE: 726-3759
1. LOCATION ALI.,A
"JOB
Permi ts are non-trans ferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI..ATION ONLY B.
Elec trical con t'." to.Cf S 8-\ontru L,,fllnn-,
Address
Ci ty Phone 141-AA3b
Supervisor License Number It I {,s
Expiration Date to--/-q8
constr contr. Number ffi,flq
C
Expi r:a t i on Da te q-t -19
Signa of Supervising Electrician
0vners Name
Address
Ci ty pnone r/46-5908
OVNER
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
0vners Signature:
E
DATE:
tr
sq. ft or portion
thereof
Each Manuf'd Home, or
-Modular Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
,+,
769 3 )-
Cos t Sum
LEGAL DESCRTPTION
l-7 o)- 33 r r oollb
8s.00
$ 1s.00
$ 40.00
$ s0.00
s 60.00
s100.00
s130.00
s300.00s 40.00
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps_
Over 1000 amps/voIts
Reconnect OnIy
Temporary Services or Feeders
Installation, Alteration or Relocation
00
.00
.00
ee rrBrr aEove
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one Circuit I $ 35.00 6.OOEach Additional
Circuit or vith Service
or Feeder Permit I $ 2.00 X,.OO
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/outline-Lighting S 40.00
t imited Energy/Res -- $ 20.00
Limited nnergy/Comm $ 36.00
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
200 amps''or less
20L amps to 400 amps
-over 401 to 600 amps
-Over 600 amps or 10001o[s
$
$
$
s
40
55
80
5
RECETVED B
-qq
In
Number
T'EE SCEEDTILE BELOV
Residential-Single or
-Fami Iy per dvelling unit.
cluded:
I tems
t. or less
i tional 500
I
34. oo
l. 15
Jn t$.{
f . ll
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