HomeMy WebLinkAboutPermit Mechanical 1996-07-16LOT BLOCK:
I\lGFI
Kl
B
P
TAX LOT:
SUBDIVISION
JOB NUMBER
ASSESSOBS MAP:
LOCATION OF
ESIDENTIAL
EBMIT APPLICATION
lnspectlons: 726.3769
Offlce: 726.3759 225 Flfth Streot
Sprlngfleld, Oregon 9Z 4ZT
OWNER:
ADDRESS:
CITY:
PHONE:
STATE:ZlPi
NEW-- REMODEL ADDITION DEMoLISH OTHER
DESCBIBE WOFK:
\hrsl^A,l,tb I t0(
ADDRESS EXPIRES PHONE
CONTRACTOR'S NAME
ELECTBICAL:
MECHANICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACTOB #
- OFFICE USE -
LAND USE:
, OT UNITS: .--
I OF BDRMS:
QUAD AREA:
r OF BLDGS:
OCCY GROUPT
r OF STOBIES:SECONDARY HEAT:
SOUARE FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE;
FLOOD PLAIN:
ZONING CODE:
WATER HEATEB:RANGE:
To reques
made the
t an lnspectlon, you must call 726'3769. Thls ls a 24 hour recordlng. All lnspdcilons requested before 7;00 a.m. wlll besame worklng day, lnspectlons requested after 7:00 a.m. wlll be made the lollowlng work day.
REOUIRED INSPECTIONS
n femporary Etecrrlc
l-l Slte lnapectlon - To bo madou after excavatlon, but prlor tosettlng lgrms.
/l-l Undero!ab Plumblng/ Electrlcal/H Mechanlcal - Prlor to cover.
l-l Footlng - After trenches are|J excavaied.
tl
n
E
tI
E
E
E
Maaonry - Stoel locatlon , bond
beanls, groullng.
Foundallon - Altdr lorma are
erected but prlor to concrete
placement.
Underground Plumblng - Prlor
to fllllng tiench.
Underlloor Plumblng I Mechanlcal
- Prlor to lnsulatlon or decklng.
Poet and Beam - Prlor lo floor
lnsulallon or decklng,
Floor lneulallon - Prlor lo
decklng,
Sanltary Sewer - Prlor lo fllllng
trench.
- Prlor to
l-l Rough Electrlcal - prlor roIJ cover.
Eleclrlcat Servlce - Must tre
approved to obtaln permanent
olectrlcal power.
Sldewalk & Drlveway - After
excavatlon ls comploto, lorms
and sub.base malerlal ln place.
l--l Fence - When completed.
Street Trees - When all requlred
trees aro planled.
[l Flreplace - Prtor to faclng
-
matertals and lramlng lnsp.
l-l Framlng - Prlor to cover.
n waltrcbtttns tnsJtatton - Frtor to|J cover.
l--l Drywall - Prlor to taptng.
[--l Wooa Stove - Afror tnsrailatlon.
l-l lnsert - Alter flreplace approvalH and lnstallatlon of unlt.
l-] Curbcul & Approaclr - After|J forms aro orecled but prlor to
placoment of concrete.
tl
Flnal Electrlcal - \Allten all
electrlcal work ls complele.s
Flnal Mechanlcal - When all
mechanlcal work ls complete.
Flnal Bulldlng - Whon all
requlred lnspectlons have been
approved and bulldlng ls
completed.
[f other
MOBILE HOME INSPECTIONS
ErusJf,iqw,Flnal Ptumblng - Whon allplumblng work ls cornplel€.
l-l Blocklng and Ser.Up - Whep ail
'J blocklng ls complele.
E
Plumblng Connectlong - When
homo l-ras been connected to
water and sewer.
Electrlcal Connecllon - When
blocklng, sel.up, and plurpblng
lnspoctlons havo been approved
anrl the homs ls conneoled to
the servlce panel.
Flnal - Afler all requlred
lnspectlons are approved and
porchos, sklrllng, decks, and
ventlng have been lnslalled,
n Slorm Sewsr - Prlor to lllllng
'J lrench.
I-l Water Llne - Prlor to lllllngH lrench,
[-] Fough Plumbtng - Prlor to|J cover.
tl
E
I\|,i lttt
Lot lacee
Lot sq. ftg.
Lol coverago
Topography
Total [elght
Lol Typo
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de.sac
IS THE PBOPOSED WORK IN THE. .
- HrsToBtcAL otsTRtcr, oR oN,.THE HISTORICAL REGISTER?
lf yes, thls appllcatlon muet be slgned
and approved by the Hlstorlcal
Coordlnator prlor to permlt lssuancE,
APPROVEDI
VALUE
(A)
x $/so. FT.
tv.,laln
Carporl
Galage
Total Value
Bulldlng Permlt Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
BUILD|NG VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permlt ls granted on the €xpress condltlon that the sald
constructlon shall, ln all respects, conform to the Ordlnance
adopted by the Clty of Sprlngfleld, tnctudlng the
Development Code, regulatlng the constructlon and use ol
bulldlngs, and mey be suspended or revoked at any tlme
upon vlolatlon ol any provlslons ol sald ordlnances.
Plans Rovlewed By Date
Plan Gheck Fee:
Recelved By:
Date Pald:
Becelpt Nu
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developmont Charge ls due on all undeveloped
propertles wlthln tho Clty llmlts which are belng lmproved.
ITEM
Flxturest
Flesldentlai Bath(s)
Sanltary Sbwer
Water
Storm Sewer
Moblle Home
FEE
No
FT.
FT.
(c)
PLUMBING PERMIT
Plumblng Permlt
State. Surcharge
Tolal Charge
ADDITIONAL COMMENTS
MECHANICAL PERMIT
I Furnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/Flreplace Unlt
Dryer Vent
Mechanlcal Permll
lssuahcei
srare.surcharse +&O
Total Permlt (D)
By slgnature, I state and agroe, that I have caretully examlned
the completed appllcatlon and do hereby cerilly that all
lnformatlon hereon ls true and correct, and I turther certlly
that any and all work performed shail be done ln accordance
wlth the Ordlnances of tho Clty of Sprlngfleld, and the Lawsof the State ol Orogon perlalnlng to tho work descrlbed
heroln, and that NO OCCUPANCy wlll be made ol any
struclure wlthout permlsslon ot the Bulldlng Safety Dlvlslon.I further certlfy that only contractors and employees who
are ln compllance wlth ORS 7O1.OSS wlll be used on lhlsprolect.
I furthor agree to ensure that all requlred lnspecilons are
requested at the proper ilme, that each address ls readable
from the street, that the pormlt card ls located at lhe frontof the property, and the approved set ol plans wlll remaln
Date
ng
Slgnature
on the slte at all ilm structlon.
MISCELLANEOUS PERMITS
Mobllo Home
Stato lssuance
Slate Surcharge
Sldewalk
-
ft
Curbcul _- ft
Demolltlon
Slate Surcharge
Tolal Mlscollanoous Pornrlts (E)
TOTAL AMOUNT DUE (excludtng etectrtc
(A, B, C, Q and E Comblned)
RECEIPT NU
DATE PAID
AMOUNT RECE
RECEIVED BY
P.L.HSE GAR ACC
N
S
W
E
a
FT,
VALIDATION:
CITY OF OBEGO'U
SPrlIttlcFIELE,
The foffowin as eubmittad haszoning, and
S projoct
does not
L ETE TRICAL PERHIT APP
q '4.v City Job Nunber
BELOg
require s1>ecific
Nev Residential-Single or
Multi-Famity Per dvelling unit.
Service Included:
I tems Cos t
OFFICE: 726-3159 Auiirorized Signat ure
1. LOCATION INSTALLATION
JOB DESCRIPTION
Permits are non-transferable and expire
if work ls not started vithin 180 days
of issuance or if vork is suspended for
180 days '
2. CONTRACTOR INSTALI.A'TION ONLY
Electrical. Contractor $on i trol Secur i ty
Address P . O Box 21 009
Ci ty Eu Phone 461 -5678
Supervisor License Number /687 Rgf
Expiration Date -t-gb
Constr Co ntr. Number 65 1 49
approval.
225 FIYTE STREET
SPRINGFIELD, OREGON 97477
INSPECTI0N REOUESTz 726-3769 '1'
B
A
c
D
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
Services or Feeders
Installation, Al-terations
or Refocation:
200 amps or l-ess
201 amps to 400 amPs
-401 amps to 600 amps
-
60L amps to 1000 amPs-
Over 1000 amPs/vo1ts
Reconnect 0n1y
200 amps or less
201, amps to 4OO amps
-Over 401 to 600 amPs
Over 600 amps or 1000 voTTs
One Ci rcui t
Each Additional
Circuit or vith Service
or Feeder Permi t
Temporary Services or Feeders
Insiallation, Alteration or Relocation
$ 8s.00
s 1s.00
s 40.00
$300.00s 40.00
Sum
6ove
@
Expiration Date
Signature of Su
6-28-96 0.00
s.00
0.00ilBlr a
$ s0.00
s 60.00
s100.00
s13o.o0
$4ss$e
seesing Electrician
Ovners Nane
Address So*e
ci ty Phone 7 +7- 787 /
OIINER INSTALT,ATION
The installation is being made on
property I ovn vhich is not intended
for saIe. lease or rent.
Branch Circuits
Nev, Alteration or Extension Per Panel
$ 3s.00
$ 2.00
$ 40.00
$ 40.00
s 20.00
s 36.00
E. MiscelLaneous (Service/feeder not included)
-Each instaflation
Pump or irrigation
Sign/OutIine Lightir
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE 2DD
5Z State Surcharge I ao
32 Administrative Fee bo€
Orrners Signa ture:
TOTAL 2/.
\_
ene
DATE:
RECEIVED