HomeMy WebLinkAboutPermit Mechanical 1998-07-30F.EB'-?'?YlttrcArroN
lnspections: 726'3769
Oflice: 726'3759 *fi,
JOB NUMBER
0q{?
225 Fitth Street
Spri ng(lelrJ, Oregon 97477
&f4 J trT
LOCATION OF PRO
ASSESSORS MAP;
POSED WORK:
t1 03 15 t3 TAX LOT
LOT BLOCK:SUBDIVISION: '
a q6- ees3PHONE:
?7YZIP:STATE:CITY:
ADDRESS:
OWNER:
NEW
--
REMODEL ADDITION DEMOLISH OTHER
or-_r IDESCRIBE WORK:
GtrNFRAL.
ADDRESS
,o(€t-tl <)7
EXPIRES ,;1 PHONE
(o-7Get -7t6^rcal
CONTRACTOR'S NAME
ELECTBICAL:
MECHANICAL;
PLUMBING:
CONST.
CONTRACTOR #
AfiENTIONOUAD AR LAND USE:
- OFFICE USE -
To request an inspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. will be
made the same worklng day, lnspections requested af ter 7:00 a.m. will be macte the followlng work day.
REOUIRED INSPECTIONS
l*_l Temporary Etectrlc Ro Mechanical - Prior to Flnal Plumblng - When altplumbing work is complete.
Site lnspection - To be made
after excavatlon, but prior to
setting forms.
Rough Electrical - Prior to Final Eleclrlcal - When all
electrical work ls complete.cover,
Underslab Plumbing/ Electrical /
Mechanlcal - Prlor to cover,Electrical Service - Must be
approved to obtaln permanent
electrlcal power.
Fina hanical - When all
cal work ls complete.
Footlng - After trenches are
excavated.l-l Flreptace - Prior to faclng
-
materlals and framing lnsp.
Flnal Building - When all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.I-l Framlng - Prior to cover.
Foundallon - After forms are
erected but prlor to concrete
placement.Wall/Celling lnsulation - Prlor to
cover.
Underground Plumbing - Prior
to fllling trench.[-l Drywall - Prior to taping
MOBILE HOME INSPECTIONSUnderlloor Plumblng/ Mechanical
- Prior to lnsulatlon or decking.Wood Stove - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decking.lnsert - After flreplace approval
and installation of unlt.
Blocking and Set.Up - When alt
blocklng ls complete.
Floor lnsulation - Prior to
decking.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrlcal Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the servlce panel.
Stonn Sewer - Prior to filling
trench.
Sidewall< & Drlveway - After
excavation is complete, forms
and sub-base material ln place.
Water Line - Prlor to filling
trench.[-l Fence - When coi-'1pleted.
Strc.t Troes - When all requlred
treea ara plantod,
Final - After all required
lnspectlons are approved andporchos, sklrtlng, decks, andventlng havc been lnstallAcl,
[-l Rough Plumbing - Prior tou cover.
)Tb oo
tl
E
E
tl
tl
Other
-
tl
;.-;' j;:'
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type.__
__ lnterlor
__ Corner
-- Panhandle
-
Cul-de-sac
Se
P.L.HSE GAR ACC
N
S
E
THE PROPOSED WOBK TN THE ".H ISTORICAL DISTRICI, OR ONTHE HISTORICAL REGISTER? _.-
lf yes, this applicatlon must be slgnedand approved by the Historlcal
Coordinator prior to permit issuance.
VALUE
(A)
SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
't '.'t t t
X $/SO. FT.
.t
BUILDING PERII)IIT
ITEM
Main
Garage
Carport
Thls permit is granted on the express condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, inctuding theDevelopment Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of said ordinances.
Plans Fleviewed By Date
LAN CHECK
MIT
E
D GN P
,
E R
Received By
Date Paid:
Receipt Nu
BUI LDI NG
AND BUIL
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 Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N.
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
- FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
/5,d)
t-7.o(D)
0,)
N0Vent Fan
Dryer
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhausl Hood By slgnature, I state and agree, that I have caretully examlned
the completed application and do hereby cerilfy that all
lnformation hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accorrJance
wlth the Ordinanccs of the City of Springf ield, 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 permission of the Buildirrg Safety Divislon.
I further certify that only contractors and enrployees who
are in cr:mpliance with ORS 701.055 wlll be used on lhls
proiect.
I further agree to ensure that all required inspections are
requested at the proper tlme, that each address is readable
from tlre street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
-1 tr
J a I
1-7
Slgnature
Date
on the site at times d tlon.r-L-
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrlcal)
(A, B, C, Q and E Comblned)
VALIDATION
BECEIPT NUMBER
DATE PAID
AMOUNT FIECEIVED
RECEIVED BY
0 q
APPROVED:
Plan Check Fee: --
, ,t3-133
225 FTFTB STRXET
SPRINGFIELD, oR-EGON 97477
INSPECf,ION REQIIEST: 726-3769
OFFICE z 726-3759
1 OF I
ION
Permits are .non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI-ATTON ONLY
Electrical Contractor lckr Elec+r;
lg5 Alocl r
S' {cFlELEl
. r i,F epaolf,chrd
ELECTRICAL PER.YIT APPLICATTON
City Job Nurnber
3. COHPIJTE FEE SCHEDUI^E BELOS
Nev Residential-Single orMulti-Family per dvelling unit.
Service fncluded:
I tems Cos t
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereo f
Each Manuf'd Home. or
-
Modular Dvelling
Service or Feeder
s 8s.00
s 1s.00
s 40.00
o
l.'t.nC.\
AutrlgrEed
A
B
Sum
aSove
NOTICE:
,t+, r *fu'I,iifli+,l,jE{Fffi Efun u{ffi K
AUfH0NM$SNBEH9THIS PERMIT IS NOT
Add r
Ci ty
occ coM t\4fdsFJ* pS t&AE USON ED FOR
n trrz .r 2O'1 r.ampsi0O. 400 amps
o 600
o 1OO
amps/
0n1y
60L am pst 0 amps-
1000 vo1 ts
ces or Feeders
s 50.00
s 60.00
s100. o0
s130. 00
s300.00s 40.00
tion or Relocation
pnone 43b-C9ZZ 401 amps t amps
Supervisor License Number 29-7O -S
Expirar j.on Dar"_l! - I -9t,
constr Conrr. Number +21@-
Expi::ation Date
Signature of Supervising Electrician
Owners Name
Add re
cir Phone
ALLATTON
The installation is being made on
proper ty I ovn r,,hi ch i s no t in tendedfor sale, Iease or rent.
0rners Signature:
One Circuit I
Each Additional
Circuit or vith Serviceor Feeder Permit
t
tho
$ 40.
s ss.
$ ao.
see rl
00
00
00
Brt0
D. Branch C
Nev, Alteration
'f.
b!
sion Per Panel
s 3s. o0 3{, -
$ 2.00
t^
E. Miscellaneous (Service/feeder not included)
-Each ins tallation
Pump or irrigation SSign/Outline Lighting- $Limited Energy/Res
-
SLimited Energy/Comm S
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Admini.s trative Fee
TOTAL
40. 00
40. 00
20. 00
36.00
5
DATE:
RECE
4
RECETVED BY:
5CD
14b,<pg