HomeMy WebLinkAboutPermit Mechanical 1996-06-24'F 7osl'
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726-3759
LOCATION OF PROPO
ASSESSOBS MAP:
PR
1421 YOLANDA
IELt)
Zfr,
JOB NUMBER
225 Fif th Street
Springfleld, Oregon g7 4lZ
TAX LOT:
LOT:- BLOCK:SUBDIVISION
741,-1355PHONE:
STATE ZIP:
Jim & Carol yn Gent
t42t Yolanda
CITY:lpringfield
OWNEB:
ADDRES
NEW ---- REMODEL ADDITION DEMOLISH OTHER
systemfnstall- he at pumpDESCRIBE WORK
ADDRESS EXPIRES PHONE
ELECTRICAL
MECHANICAL:Comfort FIow Heat 1951 Don St Ste D 6 27ttd 97477 00460 97 726-0700
CONTRACTOR'S NAME CONST.
CONTBACTOR ,
GEN ERAL:
PLUMBING
- OFFICE USE _
WATER FIEATER
ZONING CODE:
OUAO AREA:
, OF BLDGS: -.-- _
SECONDARY HEAT:
SOUARE FOOTAGE:
, OF BDFIMS:
-_
OCCY GROUP:
g OF STOBIES:
RANGE:
CONSTR. TYPE
HEAT SOURCE:
LAND USE;FLOOO PLAIN:
# OF UNITS:
To request an inspection, you must call 726-376g.
made the sante working day, lnspections reques,
Thrs ls a 24 hour recordrng. Ail rnspections requested before 7:00 a.mted after 7:00 a.m. wlll be made the foilowing work day.
wlll be
l--l Temporary Elecrric
REQUIRED INSPECTIONS
lffaouen Mechanlcal - prtor to.__ cover.
Site lnspection - To be made
af ter excavation, but prior tosetting forrns.
Rough Electrical - prlor to
cover.
Electrlcal Servlce - Must beapproved to obtain permanent
olectrlcal power.Footlng - Af ter trenches are
excavated,
Masonry - Steel locatlon, boncl
beams, grouting.
Flreplaco - Prlor to faclng
materlals and framlng lnsp.
Framlng - Prlor to cover.
Foundatlon - After forms areerected but prior to concrete
placement,Wall/Celllng lnsulatlon - prlor to
cover.
[-l Underground ptumbinq - prioru to fitttig trencrr.-"-"'r l--l orywall - Prlor to taptng.
Underlloor Plumbing / Mechanical
- Prior to insulation or decklng.
MOBILE HOME INSPECTIONS
Wood Slovo - After lnstallatlo'n.
Post and Bearry.- prlor to floorinsulation or decking.l-_l lnsert - After fireptace approval
-
and installatlon of unlt. .
[-_] Alocking and Ser.Up - When ail.+ blocklng ls complete.
Floor lnsulation - prior to
dec ki n g.Curbcut & Approaclr - Afterforms are erected but prior toplacement of concrete.
Plumbing Connectlons - Whenhome has been connected towater and sewer.I---l Sanitary Sewer - prior ro f ilting
-
trench.
[-l Storm Sewer - prior to fiiling
-
Irench.
Sidswalk & Drivewav - Afterexcavation ls completc, forms
and sub.base material ln place,
Fence - When completed.
Electrical Connection - Whenblocking, set.up, and plumblng
lnspections have been approvedand the home ls connected tothe service panel.
[--l Water Lino - prior to f iltinglJ trench.
Rough Plumbing - prior to
cover.[-_l Street Trees - When ail requtred
-
trees are planted.
Final - After all requiredinspectlons are approved andporches, sklrtlng, decks, andventlng have been lnstalled.
97 A77
[--l Understab plumbing / Etectrical/
-
Mechanical - prior to cover. I I
I
E
E
E
I-_l Finat ptumbing - When ail.- plumblng work ls complete.
[-_l Flnal Etectricat - When ail.+ electrical work ls complete.
I yzl Final Mechanlcal - When all
-
mechanical work ls complete.
[-_] finat Building - When alta requlred lnspectlons have beenapproved and bulldlng iscompleted.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type v
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
'-ri THE PFIOPOSED WORK lN THE
HISTORICAL DISTFICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be slgned
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED
P.L.HSE GAR ACC
N
S
E
VALUE
(A)
x s/so. FT.
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permlt is grantecJ on the cxpress cor.rcJition that the saidconstruction shall, in all respects, conform to il.re Ordinanceadopted by thc City of Springfield, includlng the
Development Code, regulating the coostruction and use ofbulldings, and may t)e suspended or revokcd at any time
upon violation of any provisions of saicj ordinances.
Plans Reviewecl By Date
Date Paid
Receipt Numbcr:_-_.
Received By;
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developmcnt Charge is clue on all undeveloped
properties wlthin tlre City limits which are being improved.
ITEM
Fixtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N0
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unlt
(D)
N0Vent Fan
r Vent
Mechanical Permit
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Fu rn ace
Exhaust Hood By slgnature, I slate and agree, that I have carcf ully examlned
the completed application and do hereby cerilfy that all
lnformation hereon is true ancl correct, ancJ I f urther certify
that any and all work performed shall bc done in accordance
wlth the Ordinances of the City of Sprlngf ield, and the Laws
of the State of Oregon pertainlng to thc work descrlbed
hereln, and that NO OCCUPANCy wiil be made of any
structure wlthout perrnission of the Bultdirrg Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 7O1.OS5 wllt be used on thls
prolect.
I f urther agree to ensure that all requirecl inspections are
requested at the proper tlme, that each adcJress is readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
on the slte at all tlmes durlng constructlon.
/ E?bDate
.7\
Slg natu re
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut ' f t
Demolitlon
State Surcharge
Total Mlscellaneous Permlts (E)
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, D, and E Comblned)
1
{r*
D
BECEIVED BY
AMOUNT RE
DATE PAID
VALIDATION:
RECEIPT NUMB
FT.
FT.
FT.
ST'FtIhlGFtELO
. lild coes
r il1"afr,L
.Le'!F4tt
225 FIFTE STREET ; , '.',i.'.:i !r::t
SPRINGFIELD, OREGON 97 477
INSPECTION REQIIEST: 726-3769
OFPICE: 726-3759
1. LOCATION OF INSTALLATION
T^EGAL DESCRTPTION
JOB DESCRI
PERHTT APPLICATION
City Job Number %
COHPLETE FEE SCEEDTILE BEtOIi
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof S 15.00
Each Manuf'd Home. or
-Modular Dvelling
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 amPs
-
401 amps to 600 amps
-
601 amps to 1000 amPs-
Over 1000 amps/vo1ts
-
Reconnect 0n1Y
Temporary Services or Feeders
Installation, Alteration or Relocation
g
3
B
C
A
rJ KtV
Sum
50.oo
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. CONTRACTOR INSTALI.A:IION ONI,Y
Electri
Address
cal Contractor
p
ci vnonel4l - AA3b
Supervisor Number l68bS
Expiration Date l0 -l - 98
Constr Contr. Number o 3e+q
Expiration oate 9-l -i{e
S of Supe rvising Electrician
0vners Name
Address
cit Phone l4l- i 3s5
OIJNER INSTALI.-ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
DATE:
200 amps''or less S
201 amps to 400 amps
-
$
over 4b1 to 600 amps
-
$
0ver 600 amps or 1000-vo-fts se
s130.00
$300.00s 40.00
$ s0.00
s 60.00
$100.00
40
55
BO
r€
.00
.oo
.00uB', aETE-
D. Branch Circuits
E
Nev, Alteration or Extension Per Panel
One Ci.rcuit S 35.00
Each Additional
Circuit or vith Servic€ ;or Feeder Permi t k S 2.00 +'CO
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/Outline Light i.g-
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
OO
s 40.00
s 40.00
$ 20.00
s 36.00
5
l"4-
RECEIVED B 59.')-
/ ^ -e?^27'? V= a/,/aa