HomeMy WebLinkAboutPermit Mechanical 1999-05-17STn]'E 7-tP:
&
DR
PI-IONE,:
OWNER:
ADDRESS:
CITY:
AODITION DEMOLISpI OTt.IE':t
DESCRIBE WORI(:
NEW-- REMODEL
ADDRESS EXPII:IE,S PI.'ONE
CONIRACTOB,S NAME
MECHANICAL:
ELECTRICAL:
CONSI.
CONTII^CToR /
GENERAL:
PLUMBING
_ OFFICE USE -
d OF STORTES:
-___
rLOOD I)LAIN
QUAO AREA
/ OF BLOGS
OCCY GROUp: -_-.-
WATER FIENTER:
LAND USE:
RESIDENTIAL
PEBMIT APPLICATION
lnspections:726.37G9
OIfice:726.3759
sPnlivC:FtELp
ffoe4
efr,
JOB NLJMBEf:I
225 Filtlr Srrccr
Spring f lclcJ, Orcgorr 97477
LOCATION OF PFIOPOSED WORI(:35b tb*!
ASSESSOHS MAP:6 E az v
LOT:
-
BLoCI(;
TAX LOI:3oo
SUBDIVISION:----
Tlrls ls a 24 ltour {:Md1g.1 /s0a}q8't.8$44 yo(tucslccJ bclorc 7:00 a.rn. wlll bcted aftcr 7:OO a.m.will bc m adc thc followl ,rg worl( day.
EQUIRED INSPECI'IONS
Rough Mccirarrical _ prior tocovcr.[l Finaf [)lurrrbirrg _ Wlrcn all..-- ptuntl)ing worl< is cornplctc.
[l Aouglr Etccrrical _ prior to'J COVet..f-l Firr:rl Etcc
'r clcclrical
t,(i"nt - u/hcn allworl( is co,l.tplctc.
To rcquest an lnspccilon, you must c:rll 726-3769.rnadc thc sanre worl<ing cJay, ln:;pcctions rcque:;
R
[-l Temporary Etccrric
I Silo lnspcction - To bc macjcatt.cr excavation, bul lrrior tosctiln0 lorrr,ls.
U.ndcrslab plunrbing/ Elcc trical /Mechanlcal _ prior to covcr,
Footlng - Af tcr lrenchcs arccxcavatcd.
I_o-.onry - Stccl locatlon, bondoearns, groutlng.
Fourrdatlon - Altcr forms arccrccted but prior to concrctcpracetncn t.
Undcrgrouncl plunrbirrg _ priorto flllln0 trcnch.
Undcrlloor plurnbing/ M cchanical
- rflor to Insulatlon or dccl(in0,
P_ost. and Bcam _ prior to ,loorInsulation or dccl(lng.
Floor lnsulation _ prior todccl(lnO.
ElcctricaJ Scrvlcc _ MUst f.leapprovc(J to oblait.t l)crrnar.lcntctcctrlcai I)OWCr.
Fircplacc - prior to facingn']aterlals anc,l frarning lnspl
i:ranring - prlor lo covcr.
W_all/Ccllirrg lnsulation _ prlor toc ovc r.
[-l Dryr^jail * prlor to ral]ir.rg
[--l Wood Stovo - n,rcr lnstallirlion
lr)scrt - .\lter flrcy.llacc approvaland insta,iation oI unlt.
C_urbcrrt & Alrl.rroaclr _ nltqrlorms arc urcClCd brrf prior lO,)lacclnclt i ol co11crr., Itr.
!i!cwalt< c. Drivcw..r1, - nfrcrcxcavaliorr js cornplclc. Iorrrt$dn(l srrt),Dat5c lnalcriill irl pl;lcc.
FcDcc - Wltcn co,nplclod.
i Mcch;rnical - Whcn allrlarltcal worl< ls cornplctc.
f:in:rl [l uilcling - Wl]cr) allrcquircd inspcctions havc bccn;rp1:rovcd antJ builclinq is
c orn plo t(.ld.
cc
O t.h cr
MOBILE I.IOME INSPECTIONS
[-l S,tocli.irrg arrd Scr.Up _ Wtrcn all
-
blocl(ino is cornplcte.
Plrrrrrbirrg Corrrrccliorrs _ Whcnltorin(.) ll;t:i bccn col.u.tcctcd tow;ttcr alltcl scv/or.
l]l Elcc.rrir;,;rt Corrrrection _ Wltcn
- l]]::ll1tl, st:r'up, ancr prunruirie'r)$pc.cli()ns lr;rvc l:ccri rppiorialilr.ld lltc lrorrro is connccled lollrr: scrvicc g.rancl,
F
{ilr-oot Trccs _ Whun ail rcclulrcc)(rccs arc planlccJ.[tffi#*tt-,*m,i
-_
o
[l Sanitar.y Scwcr _ prior ro tiilirrglJ lrcnclr.
[l Slorrrr Scwcru trcncl.r. - l)tior lo (illing
[l Warcr Linc _..._, Ircnch. Pllor lo tilling
f] 1-ouoh plunrbins - prior lo
- covcr.
GAR NCCPL.
N
c
E
HSE, I
Lot (accs
Lot sq. ftg.
Lot coverago
To pog ra plrY
Total l'rclght
BUILDING
ITEM
Main
Garagc
Cart)ort
Lot 'lYpc'+
-
lntc,'ol'
_-- Corrrcr
-- Panlrarrcllc
-- Cul.dc'sac
x $/so. l:T,
Slc t l(:;
PERMIT
SO. FT.VNLUE
IS TI-I E, PROI'OSED WORI( iN TI{E .
I.IISTORICAL OISTFIICT, OR ON
TI]E IIISTORICAL REGISTER?
-
l{ yes, this application must be slgncd
arrd approvcd bY the Hlstorlcal
Coordinator prior to pcrlnit issuance.
APPROVE D:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Tl'ris pcrnrit is grarlted orr tllc cxprcss collditiorl tlrat tlre said
construction shall, in all respects, conlortn to thc Ordinancc
arloptccJ by thc City ol Springticld, including the
Dcvclopnrcnt Coclc, rcgulating thc construction and usc ol
builcJings, ancJ may bc suspcndcd or rcvol<ed at any tlrne
uJron viol;rtion oI any llrovisions oI said ordinances.
[)larr Clrecl< Fcc:
Datc [)aid
Total Valuc
Building Pcrntit Fcc
Statc Surcltargc
Total [:cc
Rcccipt Nurrtbcr:--..
(^)
Rcccivctl 8y
Plans Rcviewc<J By Datc
Systcrns Dcvclopmcnt Charge is duc on all undevcloped
properties vritl-rin thc City lirrrits whicll arc being improvcd.
ADDITIONAL COMMENTS
/
By slgnature, I slatc ancl agree, tlrat I havc carcf ully examlned
thc complcted application and do hereby certlfy that all
lrrformatlon lrcreort is truc all(l corrcct, and I Iurthcr ccrtity
that any ancl all worl( pcr[ormccl shall be done in accordance
v.rith tlrc Orcjirrartccs of tlrr: City o( Sprin0flcld, arrd thc Laws
oI tlrc St:rtc oI Oregon pcrtairring to thc worl< described
hcrcin, and tlrat NO OCCUPT\l'JCY will bc trraclc o( any
structurc witlrout l)crlni{;siorl ot tlre Buildlrrg Safety Division'
I turthcr ccrtily that orlly contractors and enrployees who
aro in cotnpliancc'witlr OnS 701.055 wlll bc uscd on thls
pro jcc t.
I turthcr aqrec to on:luic tlrat irll rcquirccl inspections are
rcqucstccl at thc prollcr timc, tlrat cach address is rcadablc
(rorn thc strcct,ti c pcrrnlt carcl ls locatcd at the front
of lltc JtroPcrtY,arrcl o aJ:lrrovcd sct oI ans will remain
s duri cotlon thc sitc ;:C
Sl0naturc
Date
VALIDATION:
RECEII)T N
DATE, PAID
UMBEI.I
_5
AIvIOUNT RECEIVF.D
o.
03 ?oS \
TOTAL AMOUNT DUE (cxcluding clcctrical)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Rcsldcntial Batlr(s)
Sanltary Scvrer
Watcr
Storrn Scwcr
Mobllc Hotnc
PERMIT
FEE,
FT.
N
t- t.
l:1"
(c)
Plurnblng Pormit
Statc Surclrarge
Total Chargc
PLUMBING
ITEM
Fix tu res
Wood Stovc/ lnscrt / t:lrcplace'Urtil
Drycr Vcnt
MISCELLANEOUS PERMITS
Total Mlsccllancous Pcrtnits (E)
MECHANICAI. PERMIT /.oo
\-ra--
a2
/l_ - _--rC.t{-
ia-zu(D)
N0
Mcclranical Pcrrllit
lssuancc
Statc Surclrarl.;c
Total Pcilnlr
Mobilc Honrc
State lssuancc
Stato Surclratgc
Sitjewalk
-
tt
Curbcut __-_ ft
Dcmolltlon
Stato Surchargc
Fu rnacc
Exhaust Hood
Vcnt Fan
(4, 8, C, D, ancl E Corrrt>irtccl)FiE,CEIVED BY
u
225 FIETB STREET
SPRTNGFTELD, OREGON g7tffle
Zoning
INSPECTION REQUEST: 7?fi,tfi7i6& SignatureOFFICE: 726-3759
CAL PERHTT PLICATION
City Job Number
COHPLETE TEE SCHEDI.ILE BELOV
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Ineluded:
I tems Cos t
1000 sq.ft. or less
Each additional 500
s 8s.00
sq
th
Eac
Mo
Se
Ser
Ins t ions
.FlINGFIELO
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $Sign/OutIine t ighting- S
Limi ted Energy/Res
-
SLimited Energy/Comm S
The following project as s(
ili,l9 _?.d does not ;i[,l"o:m[?f[:,*approval.L
tl
3
A
in'
1. LOCATION OF INSTALI..ATION
Tt
JOB DESCRIPTION
la &<. C,. E* n .,
Permi ts are non-expi re
days
ed for
if v
tdftSu OAF rules
Y
You
A es 2 3
Ci ty Phone b[klAU
SuPervi-sor License Number 3 Vrg S
Expiration Date O
Constr Contr. Number )-C .(-
Expiration Date
Signature of Supervising Electrician
Ovners Name
Address ) S*L I t- R
cir.y 5 rp? ^.tf i*D Phone fy"P -lrOt
OITNER TNSTALLATION
The installation is being made onproperty I ovn which is not intendedfor sale, Iease or rent.
Ovners Signature:
;;il,s{
RBCE
. ft or oortion
blG<rdcE:rHtfitofla
THIS PERMI IS NOT
Feft00
/t',-w or Relocation:
200 amps or less: 20L amps to 400 amps
-
40L amps to 600 amps
--601 amps to 1000 amps-
Over 1000 amps/volts
-
Reconnect 0n1y
C
Sum
ee rrBrt aE66
s 2.00
not included
40.00
40. 00
20. oo
36. OO
B
E
s s0.00
s 60.00
s 100. 00
s130.00
s300.00s 40.00
-/ ^
Temporary Services or FeedersInstallation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Exterrsion Per Panel
200 amps'"or less $201 amps to 400 amps
-
S0ver 401 to 600 amps
-
$
Over 600 amps or lOO0-liolf[s s
One Circuit IEach AdditionalCircuit or vith Serviceor Feeder Permi t
40.00
55.00
80.00
$ 3s.oo 3 <9"
5 SUBTOTAL OF ABOVE
52 State Surcharge
3Z Admini.s trative Fee
TOTALRECETVED B
G5.@
Those