HomeMy WebLinkAboutPermit Mechanical 1992-06-19:iTDR!D'GFIELr,
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
O[lrce: 726'1171.,9
LOCA1ION Of. PI1OPOSED WORK;
LOT:
ASS ESSoRS t,t P,P, - /.7O-3.3 { - /3
JOB NUMBE ".?%fr
225 Fifth Stre(:t
Springf rulcl, Oregrrrr 97477
rAx Lor:
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BLOCK SUBDIVISION:
V,
OWNER: - --
ADDRESS: -
CITY: --- -
t- 6eYh/w PHONE
.,r, ?7Y77-- -
r--Jo
STATE: -
h"dl o /
oB-Fi€
fta6-
NEW.,_ V nevoDEL
-
ADDITIoN DEMoLISH oTHER
ha1_fuN(?tt 3"4lsmDESCRIBE W0RK: -
EXPI RES PI-IONE
lo-:Vl-?2 7Vo'loa1
ADDNESS
0 aJ7-(
&0Q4
/fitr
,)
CONIT]A()IOIiSNAMI:
CONST.
CON TRACTOR /
17 a{tafce (s, ?.g#o*tf,{
MECI IANIC)A
Et-L.c'rnlcn L
GEN I', tiAt,:
Pt tJMl:|lNCi
OUAD ARFA:
# OF I]LDCS.
OCCY GIl()UI,
/, OF STORIE,I'
WATER HEATi
LAND USE;
r/ OF UNITS: -. - -
CONSTR. TYPE: ---
HEAT SOURCE: - -
RANGE:
FLOOD PLAIN:
ZONING CODE:
# OF BDRMS: -.-
SECONDARY HEAT: -
SQUARE FOOTAGE: -. -ll:
-
- OFFICE USE *
-[empor;rry Electric
Site lnl;pection - To be tttade
irf tcr ei r;avatiotl, Lut prior tt-r
settirrg lot tns.
Undcrsl;rb Plurrrtrirrg/ Electrical /
Meclrarrical - l'tlol to oover.
Footin0 - After ttenches are
()XCZVS l, rd.
Masonry - Stccl location, bond
bearrrs, groutitrg.
Foundalion - After fornls are
erecle(l lrut prior to conorete
placcnrent.
Underground Plunrbing - Prior
to filling trenclr.
Underlloor Plunrbing/ Mechanical
- l)rior to insulation or deckittg.
Posl arrd Beam - Prior to floor
insulatron or decl<ing.
Floor lrrsulation - Prlor to
decki ng.
Sanitary Sewer - Prior to filllng
trench.
Storrn Sewer - l'rior to lilling
t rerr r:tt
Watcr Lino - f'rlor to filling
t ren r; h.
Rourlh Plumbing - Prior to
COVCT.
Electrical Service - Must be
aplrroved to ol)tain perrnanent
electrlcal p()wer.
Fireplace - Prior to facing
nraterlals alrrl frtrtttlng lnsp.
[---l Framing - Prior lo cover.
Wall/Ceilirrg lnsttlatiotr - Prior to
cover,
VGougft Mechanical - Prior to
,r!,ftover.
T\TRough Electrical - Prior to
lAl cover.
LI
filfinat Electrical - Wlren all
,,lA\etectrical wo, I is cottrlrlute.
'lVfinal Mechanical - Wltert allj,Arecnanical work is t;otnlilete.
Final Plumbing - When all
plunrbing worl( is cotttplcte.
Final Building - Wlten all
requirecl inspections havt: bt:t:tt
arpprovecl and buildirtg is
conrl)leted.
To recluest arr rnspection, you ntust call 726-3769. This ls a24hour recording. All inspections requested before 7:oo;r.m. will l-re
made the sarrrc working clay, inspections rc:questecl atter 7:OO a.nt. will be macle the following work day.
REOUIRED INSPECTIONS
fl
Other
-
l--l DrVwall - Prior to taping
lnserl - After fireplace approval
and installation of unit.
Curbcut & Approach - After
forrns are erected but prior to
placement of concrete.
Sidewalk & Driveway - After
exr;avation ts <:onrplete, forrrr:;
arttl sub-birso ntiltcrial in place.
Fence - Wlten r:ompleted
Streel Trees - When all reqttired
trees are planted.
MOBILE HOME INSPECTIONS
Blocking and Set-Up - Wherr all
blocking is cornplete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrical Connection - Wherr
blocking, set-up, an<l plurnbinll
inspections ltave bccn al)l)r()v{r(i
and tlle lrornc is conr)0(;ted to
the service panel.
Final - Af ter all rerlrircd
inspections are approved and
porches, skirting, der:ks, and
venting h.rve been installecl.
"'
fl
tl
fl
t_l
r
L_t
tl
Wood Slove - Af ter installation.
Lot laces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
Lot Tvoe €
-
lnterior
-
Corner
_- Panhandle
_-- Cul-de'sac
Setb S THE PFIOPOSED WORK IN THE
-HtsroRlcAL DlsrFllcl oR oN
THE HISTORICAL FIEGISTER?
---lf yes, this application must bc signed
and approved bY the Historical
Coordinator prior to permit issuance.
APPROVED:
HSE GAR ACCP.L.
N
S
E
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is grantecJ on the express condition th;rt tl're said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction ancl use of
bulldlngs, and may be suspended or revoked at any tilne
upon violation of any provisions of said ordinances'
Plans Reviewed BY Date
Receipt Numbe
Plan Check Fee:
Date Paid
Received BY:
VALUE
(A)
BUTLDING PERMIT
Total Value
Building Permit Fee
State Surcharge
Total Fee
SO. FT. X $/SO. FT.
Systems Development Charge is due on all undcveloped
properties within the City limits which are beir.rg improvecl'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
SanitarY Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
No
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
MECHANICAL PERMIT
Furnace retr /Ar27
Exhaust Hood
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
/5.@
/5 a€
/Doo
25.7f
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
By slgnature, I state and agree, that I have caref ully examined
the completecl application and do hereby certify that all
informationhereonistrueandcorrect,andlfurt[rercertify
that any and all work performed shall be done in accordance
with the Or<Jinances of the City of Spring{ield, and the [-aws
of the State of Oregon pertaining to the worl< describcd
herein, and that NO OCCUPANCY will be nradc of arry
structure without permission of the Building Safety Divi:;ion'
I further certi{y that only contractors and enrployees who
are ln cotnpliance with ORS 701'055 will bc usc(l on this
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card ls located at the front
and the approved set of plans will remain
Date
e2#?
of the proPertY,
struction."w9he site I times
natu re
- t1- ?*
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk --._.-- ft
Curbcut -.-- ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)7-r
52
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBEFI
TOTAL AMOUNT DUE (exclucling electrical)
(A, B, C, D, and E Combined)
7Z
G
ITEM
Main
Garage
Carport
54ffi z/'1 &
/& :-zs ,4@zaO
J
ST'TIINGFII:LO
C'TY OF
lna l.rllov.,lng projec{ ao $ULmitteO hat the toilowing
:oning, and doss nol roquiro speoilic land use
225 FITTE STREET
SPRINGFTELD, ORBGON
INSPBCTION REQTIEST:
OFFICE: 726-3759
approva!.
97477 zon
726
1 TNSTALLATION
Li m rl-C nosY A.
LEGAL DBscRrprro* 's P-{+l
JOB DESCRTPTTON^ .- (, = ,- / ,? e, ,r,f,
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuanee or if vork is suspended for
180 days.
2. COMRACTOR INSTALI^ATION ONLY
Electrical Contractor
Address !9Y fvlontt fla e
City {^cr De
-
phone /tS-o2tL
Supervisor License Number S
Expiration Date /O - / * 7P-
Constr Contr. Number O y e ?c
Expiration Date ?L
Signature of Supervising Electrician
City Job Number
Authorized signature@ SCEEDUTB BBL0Y
BI^ECTRICAL PERI{IT APPLICATION
Nev Residential-Single or
MuIti-FamiIy per dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 8s.00
s 1s.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocat ion:
200 amps or less / ,
201 amps to 400 amps
-401 amps to 600 amps
601 amps to 1000 amps-
0ver 1000 amps/volts
Reconnect 0nly
C. Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps or less $ 40.00
0ver 401 to 600 amps _ $ 80.00
0ver 600 amps or 1000 volts see rrBrr above
D. Braneh Circuits
Nev, Alteration or Extension Per Panel
Sum
B
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
,,,
Owners
Address
Ci ty Phone
OIINER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT
One Ci.rcui t
Each Additional
Circuit or vith Service
or Feeder Permi t 2
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/outline Lighting- $
Limited Energy/Res $
Limited Energy/Comm S
SUBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
$ 3s.00
$ 2.00 TE
E not included)
40.00
40.00
20.00
36.00
5
RECEIVED BY: