HomeMy WebLinkAboutPermit Mechanical 1998-02-25SPFlINGFIELO
RESIDENTIAL
PERMIT APPLICATION
lnspections:726-3769
Office: 726-3759
LOCATION OF PFIOPOSED WO
ASSESSORS MAP:ff'
LOT:
qft,
JOB NLJMBER
225 Fitttr Strcet
Sprlngfleld, Oregon 97477
TAX LOT:
BLOCK SUBDIVISION
74r/ - jz25PHONE:
q74't8STNTEztP
OWNER:
ADDRESS
CITY:
ADDITION DEMOLISI.I OTHER
DESCRIBE WORK:
NEW
-
REMODEL \./
GENERAL:
ADDRESS EXPII] ES PHONECONTBACTOFI'S NAME
ELECTRICAL:
MECHANICAL
PLUMBING:
CONSI.
CONTRACTOR ,f
a
,
NF. FOOTNGE
, OF BDNMS
WATER HEATER
ZONING CODE:
FLOOD I)LAIN
_ OFFICE USE
ZI OF UNITS:
LAND USE:
RANG E:
QUAD AREA:
# OF BLDGS
OCCY GBOUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an Inspectlon, you must call 726-3769. Tlrls ls a 24 ltour rccordlng. All ln tcd belorc 7:00 a.rn. wlll be
made the sanre worklng day, lnspections rcquested after 7:00 a.m. will be made the
REQUIRED INSPECTIONS
Temporary Eleclric Rough Meclranical - Prlor to
cover.
Final Plunrbing - When allpluml:ing worl< is complete.
Final Elcctlicat - lVlren ail
elcctrical worl( is cornplcte,
Site lnspection - To be made
alter cxcavation, but prior to
settlng lorrrrs.
Rough Elcctrical - Prior to
cover.
Underslab Plumbing/ Electrical/
Mechanlcal - Prior to cover.Electrical Servlco - Must be
at)provec, to obtain pcrrnancnt
clectrlcal l)owcr.
iral Mccharrical - When allrncchanical worl( ls cornplete.
Foollng - Af ter trenches are
excavated.Firr:rl Builcling - Whcn all
required inspectlons have been
approved and building is
c o rn ple t(J cl.Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placemen t.
O thcr
wall/ Cclling lnsulatibti.- ?rior to
cover
Underground Plumbing - Prior
to fllllng trench.'. t l''t:'1 '
MOBILE }.IOME INSPESTIONS
Drywall - Prior to.taping.. 1
Underiloor Plumblng/ Mechanical
- Prior to lnsulatlon or decking.Wood Stovc - Atter lnstallrrlion
Post and Beam - Prior to floor
lnsulation or decl<lng.
-' ' h 1''
Floor lnsulation - Prior todccklng. J t .. \.
Sanitary Sewer - Prior to tillihg
trcnch.
lnsert - AItcr f lrel.)lacc approval
and installatlon oI unlt.
Blockirrg and Set.Up - When allblockinll is cornplete.
"\Plr.rrnbing Corrnections - Whcn
Irornc lras bcen con(tccted to
w;ttcr itnci sewor.
Curbcut & Alrg.rroaclr - After
forms arc crectcd tlut prior to
placerncnt oI corrcrctQ.
Storrn Scwcr - l)rior to tilling
t rcnc h.
Walcr Llne - Prlor to filling,
t rench.
Rough Plurnbing ;- Prior {o
covcr.
Sidcwalk & Drivcway, - Af tcr
cxcavation is completc, [orr]1s
ancl sutl.base malcrial in placc.
Elcctrical Corrrrcction - When
blocking, sL-t.up, and plrrnrbing
lnspoctions ltavc bcon approvcd
iil1d thc trornc is connected to
tl'rc scrvice;tarrcl.
Ferrce - Wl)en cornpleted.
Final - Aftcr all required
inspcctions arc approved and
porclrcs, skirting, decks, and
ventln0 havc bcen lnstallecl.
.T-l {;treot Trccs - Whcq all rcqulrcd.J trccs are plantcc.l. r
ER
SECONDAf.IY HEAf: _.
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l--l Fircplacc - Prior to faclngtJ materlals ancl lraminO lnsp.
[--l Framlng - Prior to cover.
':.
',r
Lot" facesl .''
+-" rl
Lot sq. (,t6. )
Lot coverage
Topography
Total hclght
Lot 'l-ype
-
lnterior'
--
Corner
-
Panhandlc
--- Cul-cie-sac
acl(s IS THE PFIOPOSED WOtil( iN T}1E .
HISTORICAL DISTRICT, OR ON
TI]E HISTORICAL REGISTEFI?
-
ll yes, tl.ris application must be slgned
arrd approved bY the Historlcal
Coordinator prior to permit issuance.
', lt ;r,trndnbveo:r^I
GAR ACCP.L.HSE
N
S
E --',
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
'f lris permit is granted on the cxpress conditlon that thc said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development CocJe, regulating the construction and use ol
buildings, ancl may be suspended or revokcd at any time
upon violation of atry provisions of said ordinances.
Rcceipt N urnbcr:*_-
Plans Rcviewcd 13y Date
Plan Chcck Fee
Datc Paid
Reccived By:
VALUE
(A)
x s/so. r--T,
_r--_ I
Total Value
Building Pcrmit Fee
Statc Surclrarge
Tolal Fcc
BUILDING PERMIT
ITEM SO. FT.
Main
Garagc
Carport
Systems Developmcnt Chargc is due on all undeveloped
propcrties within tlrc City linrits which are being improvcd,
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
Flcsidcntial Batlr(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PERMIT
FEE
FT.
NO
FT.
(t,)
Plumblng Pormit
Statc Surcharge
Total Charge
PLUMBING
ITEM
Fix t u res
Wood Stove/lnscrt/Flrcplace UrliI
Drycr Vont
on
-frPb
(D)
.\
No
Mccl'ranical Pelnit
Vcnt Fan
lssuance
State Surcharoe
Total Permlt
MECHANICAL PERMIT
Furnacc
Exhaust Hood
/
By slgnature, I state and agree, that I hqve carefully examined
tl're completed application and do hereby certify that all
irr(ormation hcreon is true and correct, and I f urther certiIy
that any and all work per(ormed shall be done in accordance
with thc Ordinanccs oI thr: Ci ty ot Springflcld, and the Laws
of tlre Statc of Orcgon pertaining to thc work described
hercin, and tlrat NO OCCUPAITICY will be rnade of any
structure withoul pcrrnission of the BuilcJitrg Safety Division.
I [urthcr certi[y that only contractors and employees who
are in cornpliance witlr ORS 701.055 wlll be used on this
pro jec t.
I f urther agree to ensule that all required inspections are
rcquested at thc proper time, that cach address ls readable
from tlrc strect, that the pcrmil, card is locatcd at the front
property, and tl.re approved set oI plans will remain
lure
Date
a
a
of the
on e site at all ti uring construction
MISCELLANEOUS PERMITS
Mobile Honrc
State lssuancc
State Surchargc
Sidewalk
-
ft
Curbcut
-.-
lt
Demolition
State Surchargc
Total Miscellaneous Pertnils (E)
TOTAL AMOUNT OUE (cxclucling clectrical)
(A, B, C, D, and E Cotnbitrcd)
VALIDATION:
BECEIT'T NUMB
DATE PAID
AMOUNT R
FTECEIVED BY
F'r.
(
&b,N
CITY OF OFEGOA'
SPF| FIELI,
:::;,#"pxgym,*:ffi g#ffi Ho*,ks
t${p
225 FIFTE STREET
SPRINGFIEI,D, OREGON
INSPECTION REQTIEST:
OFPICE: 726-3759
726-3
1. LOCATION OP INSTALLATION
-{
I..EGAL ia o)3t 2
//
JOB DESCRIFTION (L L/e,- OtetL
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days
2. COMRACTOR INSTALI..ATION ONLY
Electrical Contractor
Address 0.r-,,rtt )rE 33
Phone bto'6)36
rNY 180n1\'r:1t:
:iri 3. cot{PLETE FBE SCEEDULE BELov
IF THE WORK
pErrMlr i$
FO
Nev Residential-Single or
MuIti-Family per dtelling unit.
Service Included:Items Cost
'i'i I
A
Sum
1000 sq.ft. or fess
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home- or
Modular Dvelling
Sertice or Feeder
Services or Feeders
InstalIation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amps
-
601 amps to 1000 amPs-
0ver 1000 amps/volts
-
Reconnect OnlYSupervisor License Number fu<'ifi S
Expiration oate /C - t - ''i P
Constr Contr. Number 2 o?t8?
Expiration Date
Signature of Supervising Electrician
* /-L(-
B.
$ 8s.00
$ 1s.00
$ 40.00
$ s0.00
s 50.00
s100.00
s130.00
$300.00
$ 40.00
Ci ty
0vners Name
Address
+^c
c
E
Ci
OITNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Orners Signature:
DATE:
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or less $ 40.00
over 4b1 to 600 amps
-
S 80.00
0ver 600 amps or fbOO vofts see rrgr
"ffi!'-f
Branch Ci rcui ts ; .-
Nev, Alteration or Extension Per Panel
onecircuit I $35'oo
Each Additional
Circuit or vith Service
or Feeder permit .r S 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Out1ine Lighting-
Limited Energy/Res
Limited nner[y/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
D5
J Lt4)
Phone )q7'3 )f,J
$ 40.00
$ 40.00
$ 20.00
$ 36.00
RBCEIVED
5
ou
ty Job Nunber YU )40
f tt--t,,trl-