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HomeMy WebLinkAboutPermit Mechanical 1992-10-15RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726-3159 ASSESSORS MAP: OWNER: - -G ADDRESS: _____ CITY; DESCRIBE WORK -L^,q 5 SP,r ELE) JOB NUMBER q)lq a 225 Fltth Street Springfleld, Oregon g74ll LocATtoN oF pRoposED woRK: ____3] I N tbf,J TAX LOT:o -7)() BLOCK: - SUBDIVISION: +h PHONE:1 q l-oL( I s STATE:a$?lxrztP 7 a e -r eNEW ---- REMODEL ADDITION DEMOLISH OTHER CONTBACTOR'S NAME CEN ERAL: t,I-tJMRINC: M EC HAN rcA t, fllal*tLo( \:__ H_<"-t .r Y 1tt1 e EL.t:CTRICAL Q-*€LectL tq s[r ."-s7 o\ ADDNESS CONST CONTRACTOR #EXPIRES PHONE L3 -LV -t QUAD AREA: __ r OF BLDGS: _- OCCY GROUp: _ r OF STORIES: _ WATER HEATER: To request an inspectiorr made the sanre working /I OF UNITS: CONSTFI. TYPE HEAT SOURCE: FIANGE: Rough Mechanicat - prior tocover. Rough Electricat -- prior tocover FLOOD PLAIN: ZONING CODE: * OF BDRMS: SECONDAFIY HEA'I: SQUARE FOOTAGE: ions requested before 7:00 a.m. wlll beowlng wor,( day. , you rnust c:aii 126-376g. This is a ?4 rlo,.tr recorcllng. Allday, inspcctions requested after 7:00 a.m. wlll be macje REQUIRED INSPECTIONS lnspect the folt Sile lnspeclion - To bc rnadr,.af lcr excav;rtion, but prior t()setting lorilts. [-_| Understab plumbing/Etectricat/lJ Mechanical - prioi to ""rui.-" [-l Footing - After rrenches are'---- cxoavatcd. [l frlasonry - Steel tocation, t)on(, - oearnsr groutino. Temporary Eteclric Foundalion - After forms areerected but prior to concreteplacement. Post and Beam - Prior to floor insulalion or decking. Floor lnsulation - Prior to decki ng. Sanitary Sewer - Prior to lilling trench. Slorm Sewer - Prior to filling trench. Water Llne - Prlor to (illingl trench. Rough Plumbing - Prior to Eleclrical Service - Must beapproved to obtain permanentetectrical power. l--l rinal ptumbing _ When ail -. prumbing worl( is complete. Final Eleclricat - Wllen atlelectrical work is complete. Final Mechanical _ When allmechanical work is complete. Final Bultding - When ailrequlrecl .lnspecilons have br..enapproved ancl builcling iscomplete(,. [ -f Firentace - prior to ,a(:lnU - rrralerl:rls an<l framlng lnspl [-_l Framing - prior to cover. Olher Underground Plumbinq - prior to filling trench. - L_l Drywall - Prlor to taping fl Underlloor Ptumbing/Mechanicat.- .- Prior to insulation or clecking. Wall/Ceiling lnsulation _ prior tocover. Wood Stove - Afler Installation lnserl - After flreplace approval and lnstallation of unit. Curbcut & Approach - After forms are erected but prior to placement of concrete. Sidewalk & Driveway - After excavation is comPlete, forms and sub-base material in Place. Fence - Wlren conlPleted. Street Trees - When all required trees are Planted' MOBILE HOME INSPE TIONS [-_l Blocking and Set.Up - When ail - blocking ls complete. Plumbing Connections - Whenhome has been connected towater and sewer. Eleclrical Connection - Whenblocking, set-up, and plumbing inspections have been approved and the home is connected to the servlce panel. Flnal - After all requlred lnspections are approved and porches, sklrting, decks, and ventlng have been installed. cover. LOT. 3 _ OFFICE USE - LAND USE: I_i il r n a tl En E Lot faces Lot sq. ftg. Lot coverage ToPograPhY Total height Lot TYPe - lnterior --.-. Corner - Panhandle - Cul'de'sac PL.HSE ACC N S E Date B veweRcviNSP VA KCEHcNALPELUGNLDUBTMREPGNDLUB dDSAANlret1:llrodisconexl-rc predo11rant ecnannl0()ttllleStoTltINpcIconf ortSrcarlnspec hehalSoril1duncrUgltcdconstenilsCpoo{Ci v euscItanclonbyderUCoNSptadoohe:lt t1 sodCregue,rneneniltdanyokeprDevelrevooedndSSUpebednrays.an arln cerddinoUIgsbSaidoion2\provisny Received BY ReceiPt Numbcr:- -- upon violation ol Plan Check Fee: Date Paid: (A) x $/so. FT' Total Fee BUILDING PERMIT ITEM SO' FT' Main Garage CarPort Total Value Building Permit Fee State Surcharge edopdeveIIUaloneSUdCCl.t at gloevepmenDS rovcdtemmSpystewl't cltSmticct l.t vnrhtertIOpepT CHARGE (SDC) (B) SYSTEMS DEV ELOPMEN '_Q,,l- Vn r Lr,-Lfua ADDITIONAL CO MMENTS ITEM Fixtures Residential Bath(s) SanitarY Sewer Water Storm Sewer Mobile Home NO FT. FT, FT. (c) PLUMBING PER MIT Plumbing Permlt State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit DrYer Vent .!5-15(D) ,-)< MECHANICAL PERM IT Furnace Exhaust Hood Vent Fan Mechanical Permit lssuance State Surcharge Total Permlt By signature, I state ancl agree' that I have carelully examined the completeO uppf ituUJn and do hereby certily that all irrformation hereon '" ;;;; und "o"e"t' and I f urther certi(y that any and all *o'k p"'fo'med shall be done in accordance with the orclinances oiti't" Citv of Springf ielcl' and the Laws of tlle Statc of O'"tlt".r"p"'taining to the. work clcscribccl lrcrcirr, atltl tlrrtt r'ro cliCLrpANCY will br: trtttdr: ol atry structLrre witlrout O""ntOt't'n o( ttre Builcling Satety Division' I f urther ccrtify tn't t"''i' contractors ancl .r:rrtployees wlro are lt't cotnpfion"" *lti' ORS 70l'O55 will t.tc used on tlris proiect Signatu re Date --=..-- rol Ci \ t all reqtrirecl insPections are I f urtlrcr agree to crrsute tha that each adclress is readable requested at the ProP(lr timc' it card is located at the (ront from the street, that thc Perm ed set of Plans will remain o( the ProPertY, and thc aPprov construction'd u ringon tlre site at all t Mobile Home State lssuance State Surcharge Sidewalk - ll Curbcut - ll Demolition State Surcharge (E) MISCELLANEOUS PER MITS Total Miscellaneous Permits VALIDATION: RECEIPT NUMBEFI - DATE PAID AMOUNT RECEIVED RECEIVEO BY .-. -- :-sr.<o - u{q0 + -- AA 11,= TOTAL AMOUNT DUE (exclud 6, B, C, D, and E Combined) l<-sing electrical) ii rnr PRoPoSED WOBK IN THE ll lsTORICAL DISTRI CT, OR ON TI-IE HISTORICAL REG ISTER? lf ye s, this aPPlication must be signed ancl apProved bY tlre Historical Coorcjitrettor Prior to pr-.rmit issuance' APPBOVED: - VALUE being F- FEE F- No '!ca *l<')soo- )DAo st"taN(;FtEL(, ! 225 FTFTB STREET SPRTNGFTELD oREGON 97477 lj;,,tgr5gg"ffi atu INSPECTION REQUBST: 126-3769OPPTCE: 72G-3159 PERilTT APPLTCATION 3. COHPLBTE TEB SCEEDULE BELOY -Sing1e orHuIti-Family pe r dvelling unit.Service fnclud ed: f tems 1,000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Manufrd Home or - Modular Dwelling Service or Feeder B. Services or Feedersfnstallation, Alterations or. Relocation: c. , 1. LOCATTON OP INSTALLATTON,uthorized Sig LEGAL DESCRTPTION .:7o o JOB DESCRTPTTON Add ress Po.*s cit Phone t-t\3 b Supervisor L cense Number lb g6E Expiration Date l0 * I -Ov,\) Constr Contr. Number ExpirationDate q-l-q.q Signature of Supervising Blectrician 0vners Name Address 200 amps or less $ 5O.OO 401 amps to 600 amps - gloo.o0 601 amps to 1000 amps- g13o.o0 over 1000 amps/volts - $30o.oo Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps or less S 40.00 201 amps to 400 amps - g 55.00 over 401 to 600 amps - $ go.oo Over 600 amps or 1000Erfs see "Bu aEiG- Cos t s 8s.00 s 1s.00 s 40.00 Sum Permits are non-transferable and expireif vork is not started vithin iAO a"y"of issuance or if vork i" "u.p"nded for180 days. 2. COMrRACTOR INSTALT,ATION ONLY Electrical Contractor C d,f F 0o nr,ir n ,, CIrrn D. Branch Circuits Nev, Alteration or Extension per panel Ci ty Phone 14,1-o*at OIINER INSTALI,ATION The installation is being made on property I ovn vhich is not intendedfor sale, lease or rent. Ovners Signature: DATE: RECEIPT *: one Ci rcui t I $ 35.00 35.CoEach Addi tional Circuit or vith Service or Feeder Permit S 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation $Sign/Outline Lighting_ S Limi ted Energy/Res SLimited Energy/Comm $ not included) 40.00 40.00 20.00 5 STIBTOTAL OF ABOVB 5X State Surcharge TOTAL 35 .oo I tl<l. r I uI RECEIVED BY: 3b,t15 , ELEGTAICAL city Job xu u", 72 //# s,l,q nirnnLt I l-