HomeMy WebLinkAboutPermit Mechanical 1991-12-06(/\lr /' -SP]lII\lGFIELr,
898 N.25th
h,
LOCATION OF PROPOSED WORK:
SUBDIVISION
TAX LOT:
JOB NUMBER
ASSESSORS MAP:lao?7Q tt
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOT
-
BLOCK:
225 Fifth Street
Spri ngf ield, Oregon 97 477
746-4764PHONE:
97 477ztPSTATE:OR
Richard Wilcox
spr ingfield
B9B N. 25th
CITY:
ADDRESS:
OWNER:
NEW -- REMODEL X ADDITION DEMOLISH OTHER
DESCRIBE WORK:Install heat pump/duct sYstem
GENERAL:
PLUMBING:
EXPI RES PHONEADDRESS
342-Bt1t6tF
ELECTRICAL:0*S Ele6'rt<-
MECHANICAL:Comfort Flow Heatino 855 l^l t92'i rst - Euoene 0460
CONTRACTOR'S NAME
CONST.
CONTRACTOR #
RANGE:
* OF BDRMS:
_ OFFICE USE -
ZONING CODE:
FLOOD PLAIN:
WATER HEATER
SECONDARY HEAT:
SQUARE FOOTAGE:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS
OCCY GROUP:
# OF STORIES
To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a.m. will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
l-l Temporary Electrictl ffi Rough Mechanical - Prior toH cover.
[7 Rough Electrical - Prior tolA cover.
Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
after excavation, but Prior to
setting forms.
c Final Electrical - When all
electrical work is complete.
Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain permanent
electrical power.
E Final Mechanical - When all
mechanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsp.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.
Other
Foundation - After forms are
erected but prior to concrete
placement.Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.
MOBILE HOME INSPE TIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.
Post and Beam - Prior to floor
insulation or decking.
Blocking and Set-Up - When all
blocking is complete.
Floor lnsulation - Prior to
decking.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Water Line - Prior to fi lling
trench.
Fence - When completed
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Rough Plumbing - Prior to
cover.
r>q Pa-
r
E
l--l Framing - Prior to cover.
r
E
E
E
rr
E
r
l--l Drywall - Prior to taping.
l--l Wood Stove - After installation.
[-l lnsert - After fireplace approval
'J and installation of unit.
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
ks
P.L.HSE GAR ACC
N
S
E
J THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the H istorical
Coordinator prior to permit issuance.
APPROVED:
BUILDING PERMIT
ITEM SQ. FT.
Main
X $/SQ, FT.VALUE
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee (A)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee
Date Paid
Receipt Number:-
Received By:
Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
N0
FT.
FT.
FT.
Plumbing Permit
State Surcharge
Total Charge (c)
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan N0
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
dw+iv\
Mechanical Permit
lssuance
State Surcharge
Total Permit
15.oo
IO.DO
,'14
(D)a 75
By signature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I further certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, 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 Building Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 witl be used on this
project.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card is located at the front
of the property, and the approved set of plans will remain
on the sits at all ti
I
es during construct
ASig natu re
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
VALIDATION:
RECEIPT NUMBER
"5'>61
DATE PAID l')'L'ct I
AMOUNT RECEIVED aq*ls
RECEIVED BY rQ6TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
lS rq-
,TY OF
SIDTI!NGFIELt'
225 FIFTH SlRBEf,
SPRTNGFIEID, ORBGON 97477
INSPBCTION RBQTIEST: 726-3769
OPFICE: 726-3759
1
JOB
a2
City
3. COHPIJTE FEE SCFEDUUE BBLOV
A. Nev Residential-Single or
MuIti-Family per dvelling unit.
Service fncluded:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
-Modular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
B. Services or Feeders.Installation, Alterations or
Relocat ion:
ab
BLBCTRICAL PERilIT APPLICATION
Job Number Q 'l I ?
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect On1y
E. Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/OutIine Lighting_ S
Limited Energy/Res $
Limi ted Energy/Comrn $
-q\CI3 a5
OF
Sum
wd
Permits are non-transferable and expireif work is not started vlthln 180 daysof issuance or if vork is suspended for
180 days
2. COIITRACTOR INSTALI,ATION ONLY
Electrical Contractor
Address
Ci ty Phone
Supervisor ticense Ntimber
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Eleetrician
C. Temporary Services or Feeders
Installation, Alteration or Relocation
s0.00
60.00
100.00
130.00
300.00
40.00
$
$
$
$
$
$
200 amps or less $ 40.00
201 amps to 4oo amps
-
g 55.00
-0ver 600 amps or 1000 volts see trBrr above
Address
clt Phone
OIINER INSTALI,ATION
The installation is being made on
property I own vhich is not intended
for sale, Iease or rent.
Ovners ture:
DATE:t,
D. Branch Clrcults
Nev, Alteratlon or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit _ $ 2.00 a,dd
4
7tr6-1i' '.tr
not included)
40.00
40. o0
20.00
36.00
SUBTOTAL OP ABOVB
5Z State Sureharge
TOTAL
RECEIVED BY:
5 5a.