HomeMy WebLinkAboutPermit Mechanical 1998-11-02Fffi,lii,ift
ln.spections: 726-3769
ufiice:726.3759
LD
,CATION
.JOB NUMAER /,L7
LOCATION OF PROPOSED WOBK:I
ASSESSORS MAP:/7 03 )'/tr
LOT BLOCK:
TAX LOI.
225 Fifrh Street
Spring fietrJ, Oregon 97 417
OGto o
SUBDIVISION
CC'
Pl-lor.,lE:
-7qZIP:
-7 ,..>5 3
STATE:
OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
'h1 r>DESCRIBE WORK:
ADDRESS
6<7c/66
EXPTRES 3 PHONE
ELECTRICAL:
CONTRACTOR'S NAME
GENERAL:
PLUMBING
MECHANICAL:
CONST-
CONTRACTOR #
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callin! the cenler. (Notellhe telephone .'
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----
SOUAR[-. FOOTAGE;
_ OFFICE USE -
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o uA DAfryeN@i res youlr$ N FLOOD I)LAIN:NUTICM# oFfgllg6grles adopted by the Oregon UtiJlUF UNrrS:
Notlfication Center. Those rule6 are set fo-rth ZONING CODE:
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AUTHOHIZED UNDER
SoURCE: --eotvnrrtervero on ts fiE8B$8fiEb t6flr: --
To request an lnspectlon, you must call 726-3769. This is a 24 hour recordlng. All inspections requested before 7:00 a.m. will bemade the same working day, lnspections requested after 7:00 a.m. will be macle the following work day.
REQUIRED INSPECTIONS
n Temporary Etectric Rough Mechanical - Prior to
cover.
Final Plunrbing - When allplumbing worl( ls complete.
Site lnspection - To lre made
after excavation, but prior to
setting forms.
Final Electrical - When all
electrical work is complete.
Underslab Plumbing / Electrical /
Mechanlcal - Prior to cover.Electrical Service - Must be
approved to <lbtalrr permanent
electrical power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated,Flreplace - Prlor to faclng
materlals and framing lrrsp.
Flnal Building - Mihen all
required lnspectlons have been
approved and buildlng is
completed.Masonry - Steel locatlon, boncl
beams, groutlng,Framlng - Prior to cover,
E Foundatlon - After forms are
erected but prior to concrete
placement.
Other
Wall/Celling lnsutation - Prlor to
cover.
Underground Plumbing - Prior
to fllllng trench.l-_l orywall - Prior to taping.
MOBILE HOME INSPE TIONSUnderlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decking.Wood Stove - After lnstallation.
Post and Beam - Prior to floor
lnsulation or decklng.lnserl - After firei:lace approvql
and installation of unlt.
Blocking and Set.Up - When alt
blocklng ls cornplete.
Floor lnsulation - Prlor to
decking.Curbcut & Altprroach - After
forms are erected but prior to
placemcn t of concretc-r.
Plumbing Connections - When
home lras been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set.up, and plumbing
inspections lrave been approved
and the home is connected to
the service panel.
Slorln Sewer - Prior to filling
trench.
Sidewalk & Drivewily - After
excavation is complete, forms
and sub-base malerial in place.
Waler Llne - Prlor to filling
trench.l-l Fence - When ccnrpleted
Rough Plumbing - Prior to
cover.
fitreet Trees - When all required
trees are planted.
Final - Atter all required
inspections are approved and
porches, skirtlng, decks, and
ventlng have been lnstalled.
E l-l Rough Electrical - Prior tot----J cover. I I
E
tl
tl
tl
tl
tl
E
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
Lot Typ.-
-
lnterior
--
Corner
-
Panhandle
-
Cul-de-sac
P.L.}JSF-GAR ACC
N
S
E
IS THE PROPOSED WORK TN TH E.
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTE-R?
-
l{ yes, this applicatlon must be slgned
and aPProved bY the Historlcal
Coordinator prior to permit issuance'
APPROVED:
k
BUTLDING PERMIT
VALUE
(A)
SO. FT. X $/SO. FT,ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
This pernrit is grante<1 on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development 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.
Receipt Number:-
Plans Rcviewed By Date
BUILDING
AND BUIL
KECcHLAN
P MR TLrND
Plan Check Fee
Date Paid
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sgwer
Water
Storm Sewer
Mobile Home
FEE
(c)
N.
FT.
FT
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examlned
tlre completed application and do hereby certlfy that all
information hereon is true aqd correct, and I f urther certify
that any and all work performed shall be done in accorrJance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Bulldlng Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
permlt card ls located at the front
the approved set of plans will remain
Signature
Date
that the
times during con ru cton the site at
from the street,
of the property,
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
----
ft
Demolition
State Surcharge
/{.oo
,/c' o c
q5'. ? t-
24.t"
Total Miscellaneous perrnif s (E)
No
lA
Vent Fan
(D)
MECHANICAL PERMIT
Fu rnace
Exhaust lJood
Mechanical Permit
lssuance
State Surcharge
Total Permit
TOTAL AMOUNT DUE (excluding electricat)(A, B, C, Q and E Combined)
L
Zo
VAI-IDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
CITY OF
225 FIWE STREET
SPRTNGFTELD, OREGON 974
INSPECTr0N REQI EST z 72'
0FFICE: 726-3759
1. LOCATION OF
P
o
J6SrSggEffiQEtiS ltri'A fi nft r'i|: i"r iiotr
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
1.80 days.
2. COIITRACTOR INSTALI,,ATION ONLY
Electrical Contractor
Ci ty Ph
Supervisor Li cen ber
Expiration
Cons tr tr. Number
Ex ation Date
ture of SuPervising Electrician
0vners Name
Address L/76 //)//ac -r
cit Phone 7 ld 7{7t
!SPF,.{€:F'ELO
L000 sq.ft. or less
Each additionat 500
sq. ft or portion
thereof
Each Manuf'd Home or
-Modular Dvelling
Service or Feeder
$ 8s.00
s 1s.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps
201 amps
40L amps
601 amps
amps _r.00
00 amps_
Over L000 amps/volts
Reconnect 0n1y
Temporary Services or Feeders
Installation, ALteration or Relocation
200 amps"or less * $ 1q.99
20L amps to 400 amps
-
q :?.9qover 4b1 to 600 amps
-
$ Bo.0o
Over 600 amps or 1000 voTIs see I'B" above
Nev, Alteration or Extension Per Panel
e
,
B
c
D
1e
40
60
10
or
to
to
to
ss
0
0
amps
50.
60.
300
40
s
s
$
$
$
s
00
00
00
00
00
00
130.
/ $ 3s.oo ,5 *
One Circuit
Each Additional
Circuit or vith Serv
or Feeder Permit
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
n 6e
OIINER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent'
$ 2.00
E. MisceLlaneous (Service/feeder not included)
W
-Each installation
Pump or irrigation
-
$
iignzoutrine Lighting- q
Limited EnergY/Res $0vners Signature:
40.00
40.00
20.00
36.00
DATE:
P&CEIVED
5 3 67)
eS
3
you
952-001
SumCenter
APPLICATIONPERHTTELE TRTCAT
OAR\N
i,1,,
NOT
rules
952-00'l
WORKTHEIF
r$
Oregon
$ 40.00