HomeMy WebLinkAboutPermit Mechanical 1999-03-05RESIDENTI.AL
PERMIT APPLICATION
lnspections: 726.3769
Oftice:726.3759
SPFIINGFTELD
JOB NLJMi]E[I 0
225 Fittlr Srrcct
Springilclcl, Orcgon 97477
LOCATION OF PROPOSED WOFII(:t1t + ^) i rth
ASSESSOBS MAP:lt bZ Rt^+L TAX LOl:o 6€0z
LOT:- BLoCI(;
uest an lnspcctlon, you tnust cerll 726'3769. Tllls ls a 24 lrour rccor<Jlng. nll lnspcctions rc(l.estcd bcl.rc 7:00 a.rn. wlll bclhc sanle worl<lng day, lr1:ipcctions rcqucstcd a[tcr 7:00 a.rn. will bc madc thc lollowlr-rg wort( cJay.
REQUIRED INSPECI'IONS
f fcmnorary Etccrric Finll [)lunrbirrg - When allplunrl:ing worl< is contplct,c.
To rcq
mac,e
Sita lnspcction - To bc maclca(ter cxcavation, bul ltrior tosettirl0 (orrrrs.
Undcrslab Pluntbing / Elcc trical /Mcclranlcal - Prior to covcr,
Footlng - A(tcr trenches arc
cxcavatcd.
Fourrdatlon - A(tcr lorms arc
crccted bu t prlor to concretc
placcrncn t,
Undcrgrourtd Pluntbing - prior
to flllln$ trench.
Undcriloor Plurnbing/ Mcchanical
- Prior to lnsulallon or cJecking.
Post flnd Bcam - Prior to fioor
lnsulation or dccl<lng.
Floor lnsulation - Prior to
dccl<ing.
Sanitary Scyrcr - Prior to filling
trcnc lr.
Storrrr Scwcr - l)r'ior to lilling
trcnch,
Water Linc - Prlor ro tilling
trcnch,
Rough Plurrrbing - Prior to
cover.
Rouglt lvlcclrarrical - prlor to
cover,
Rouglr Elcctrical - prior to
covct.
Elcctrical Scrvlcc - Musl bcal)provc(l to obtait.l l)cilnancnIclectrlcol l)owcr.
Franrlng - Prlor to covcr.
Wall/Ccllin0 lrrsulation - prlor to
c ove r.
f:irrll ulcctr(icnl - Vr'hcn allclcctrical worl( is corrrplctc.
[-l fvtasonry - Stccl locatlon, boncl
-
beams, groullng.
Firral Mcclr;rrrical - Whcn allrrrcclranical worl< ls cornplctc.
Final Ll uilclirrg - Whcn allrcquircd inspcctlons have bccn;rpprovcd and builcling is
corn plc tcd.
MOBILE I.IOME INSPECTIONS
T-l Cryvrall - Prior to ratrirl0
Wood Stovo - nftcr lnstalla:ion.
lrlscrt - Altcr flrcl:lacc approval
ancl installatlon ol unlt.
Crrrbcut ti Attl.rroirclr - nrtcrlorrns arc croctcd but prior lo
I)lacctncl)l o( cottcr(.]lc,
Siclcwalk & Drivcw;ry - nltcr
cxcav;rtiorr is cornplctc. Ionns
an(l sul).base lnalcriill in pl;rcc.
{itroot Trccs - Wlrcn all rcqulrccJ
trecs arc plantcd.
[-l Blocf ing arrcl Scr.Up - Wtlcn ail.J blocl(in,.l is cornplctc.
Pltrrrrbirrg Connccliorrs - WhcrlItotnrj lr;rs bccn conrtccted to
w;ltcr .'.ln(l scvJ(:r.
Elcctric:rl Colrncctiorr - Wlrcn
L>lockinl;, sot.up, ancJ plunrbing
inr;pcc liclns ltilvc bcotl approvcclilnd tltc lrornc is connccted to
tlrr: scrvico;tancl.
PI.IONE:
STN]'E:1+1-7ztP
1
CIR
OWNER .fuut K., A,T4 SLo-l+
ADDRESS:
CITY:
x N DDITION DEMOLISI1 OTI.IEI]
DESCBIBE WORI(:
NEW
-
FIEMODEL
CONTRACTOR'S NAME N DDRESS
GENEBAL:
EXPII:]ES PI-IONE
ELECTRICAL
MECHANICAL:
PLUMBING:
CONST.
CONTI]ACTOR ,
irtrtrtnWNTER I.IENTEN
QUAD AFIEA:
, OF BLOGS
OCCY GROUP:
A OF STORIES:
t_l
f-l Fircplacc - prtor ro faclng
-
matcrlals ancj lrarning lnsp.
tl
D flo,,n", h= *r^w.e-.-
E
E
E
tr
t_t
Fcncc - Wtlcn colnplctcd.
[-l Final - Atrcr ail rcclulred.J lltrpcctions arc approvcd ancl
porchcs, skirting, cJcclrs, and
vcntln0 havc bccn lnstallect.
i.ALfi
SOUNNE FOOTNCE:RN NGE:
tl
P.L,GAR ACC
N
J
Lot faccs
Lot sq. (tg.
Lol covcragc
Topography
Total lrclgltt
BUILDING PERMIT
ITEM SO. FT.
Main
Lot 'lyl)r
-
lnrt=roi
--- Cornor
-
Panharrcllc
-
Cul-dc'sac
x $/so. t:T.
Sc t l)acl(:;
HSE
VALUE
IS TIIE, PI]OPOSE,O WORK iN -I'Iif
.
I.IISTORICAL OISTRICT, OR ON
TI{E I{ISTORICAL REGISTER?
-
It yes, tlris application must be slgncd
arrd approvcd by thc Hlstorlcal
Coordinator prior to pcrrnit issuance.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
1'lris pcrrlitis granted orr llrc cxprcss condition llrat tlre said
construction shall, in all respects, conform to tlrc Ordinance
atioptcd by thc City of Springticld, including thc
Dcvclopnrcnt Coclc, rcgulating thc construction and usc of
buildings;, and may bc suspcndcd or rcvokcc.l at any tltne
upon violation of any provisions ol said ordinanccs.
Plan Chcck Fec
Datc l)aicJ:
Garage
Car;:or t
Total Valuc
Building Pcrnrit Fcc
Statc Surclrargc
Tolal Fcc
TOT L AMOUNT OUE (cxcluding clcclric:.rl)
(4, B, C, D, and E Corrtt>irrcd)
Rcceipt Ntrntbcr:--..
(^)
Rcccivccl By:
Plans flcvicwcd [Jy Datc
ADDITIONAL COMMENTS
By slgnaturc, I statc an<.1 agree, that I hav5 carcf ully examlnecl
tlrc complclcd appllcation and do hereby certlfy lhat all
ltl formatlorl hcrcorr is truc anrl corrcct, and I turthcr ccrtity
that any and all worl< pcrlormcd shall be done in accorcJance
witlr tlrc Ordinarrccs oI tlrr: Cily of Springflclcl, arrcJ tl.rc Laws
oI tlrc St;rtc oI Orcgorr perlaitring to ilrc worl< rJescrlbccl
hcrcin, arrd tlrat NO OCCUPT\IIJCY will bc rrracic o( any
struclurc willrout ltcrrnissiorr ol tlrc Buildlrrg Salcty Division.
I furthcr certify tl'rat only contractors ancJ enrployees who
aro in cornpliancc.wilh OHS 701.055 will bc used on thls
proicc l.
lfurtlrcr agrec to cn:iuic that:rll rcquirccl inspcctions arc
rcqucstcd at thc prol)cr titnc, tlrat cacl'r acldrcss ls rcadablc
Irorn tlrc strcct, t c pcnlli card ls locatcd at thc front
of ilrc propert aJrl>rovcd sct oI plans vrill remaln
on thc sitc J dur'in ol't s t tl
Slgnature
Date
(
VALIDATION:
RECEIT'T NUM8Et.l
DATE PAID 5-6-51 frAIvIOUNT RECEIVED
4 eo5{
SYSTEMS DEVELOPMENT CHARGE (SDC)
(o)
Rcsldcntial Bath(s)
Sanltary Scv.rer
Watcr
Storrn Scwcr
Mobllc Homc
PERMIT
FEE
NO
t--1:
l:l"
FT.
(c)
Plumblng Pcrmit
State Surclrar0c
Total Cltargc
PLUMBING
ITEM
Fix tu res
Wood Stovc/ lnscrt / [:lrcplacr: Urri I
Drycr Vcnt
MISCELLANEOUS PERMITS
Mobilc Honrc
Statc lssuancc
Statc Surclrargc
Sidcwall<
-
lt
Curbcut
-.-
ft
Ocmolltlon
Stalc Surchargc
tts,
L* to.
?5. +,+(
Total Mlsccllancous Pcrrnits (E)
4:u,4
Vcnt [:arr
(D)
MECHANICAL PERMIT
Fu rnacc
Exhaust lJood
No
Mcclranical Pcrrrril
ls suancc
Slatc Surclrarl.;c
Total Pcnrllt
rrd t
ll ri
nECETVED av --#A-/-
E APPROVED:
Systcms Dcvelopmcnt Chargc is duc on all undevelopcd
propcrtics v;itlrin tlrc City lirnits rvhiclt are bcing lmproved.
ATTENI-ION:Oregon law requires you to
follow rules adopted-- -'he Oregon Utility
SPI ,iFIELE,
zoning, and does
approval.
Date
calling the center. (Note: the teleph onci
Zoning Uti lity Notif ication, --
'2344)
SPRINGFIELD, oREGON 97477
INSPECTfON REQUEST: 726-3769OFFICE: 726-3759
].. LOCATION OF
LEGAL DESCRTPTION
11 _q2 a +Io €soz
JOB DE
. A-e-
Address ?"
Ciry X.^e, ,, __Phone 6IP- l6r r-{
umber 7.491 <
Expiration Date
Constr Contr. Number
Expiration Date i I-3r-- oO
Signature of Supervising Electrician
Ovners Name
AdCress l') t ,t nI rrsG
city g?k4yfi4n phone Vl L - 6a Vz_
OVNER INSTALLATION
The installation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent.
0vners Signature:
E
DATE:
3. COHPIJTE FBE SCEEDTILE BELOS
A
qL, ll, ILL =:'Tl:ff,lcBK
ELECIREd{OIPERHIT-;"iti_v,;lqp i()eCity Job Nunber
APPLICATION
1,PEB,OD q q 6 36\-
Nev Residential-Single orMulti-Family per dvelling unit.Service fncluded:
I tems
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Manuf,d Home. or
-
Modular Dvelling
SerVice or Feeder
200 amps or less
20L amps to 400 amps
-
401,amps to 600 amps
-
601 amps to 1000 amps-
Over 1000 amps/volts
-
Reconnect 0n1y
Cos t
$ 8s.00
$ 1s.00
$ 40.00
s s0.00
s 60.00
s100. 00
s130.00
s300.00s 40.00
Sum
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
1B0 days.
2- CONTRACTOR rNSTALL.arroN ONLY B. services or Feeders
i^.LIns tallation, AlterationsElectrical Con tractor L.SLI *liitr.tC A*torc.*[ffi, Relocation:
t-
Supervisor License N
C. Temporary Services or FeedersInstallation, Alteration or Re
Pump or irrigation
Sign/Outline Lighting-
Limited Energy/Res
-
Limited Energy/Comm
loca t ion
200 amps"or less $ 4O.OO201 amps to 400 amps
-
$ 55.000ver 401 to 600 amps
-
$ 80.00
Over 600 amps or 1000-vofTs see rrgrr u[ffi-
D. Branch Circuits
Nev, Alteration or Extension per panel
OneCircuit I $35.00Each Additional
Circuit or vith Serviceor Feeder permi, _J_ S 2.00
Miscellaneous (Service/feeder not included)
-Each installation
00
00
00
00
$ao
$+o
$zo
$36
RECETYED B
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Admini.s trative Fee
TOTAL
fi3'1.-
t. g{
/ ./ I.r 4.n,
5
1tV n., /
L (L<P^t )+
rr{ }-YQrr
ln-, - r\l