HomeMy WebLinkAboutPermit Mechanical 1998-02-12SPRINGFIELE)RESIDENTIAL
PERMIT APPLICATION
lnspectlonsr 726-3769
Offlce:726-3759
JOB NUMBER ct
225 Fifth Street
Springfleld, Oregon 97477
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:t1 n 11, ll TAX LOT:o)5 e /
LOT:BLOCK:SUBDIVISION:
9lo
oc ZIP:STATE:
OWNER:PHONE:ur. Lsi l"-9ttg
g )vr 7
.f,51p / ev,)i<
Lr',t. 57.ADDRESS:
CITY:SPtrD
NEW- REMODEL ADDITION><- DEMOLISH OTHER-
LDESCR]BE WORK:
EFICE USE -
ADDRESS
-6 J
vrwHEAT SOURCE
EXPIRES 3 PHONECONTRACTOB'S NAME
GENERAL:
r OF BDRMS:CONSTR.
WATER HEATEFI:
ZONING CODE:
FLOOD PLAIN
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
'€li
RANGE:
QUAD AREA:
# OF BLDGS
SECONDARY HEAT
SOUARE. FOOTAGE:
OCCY GROUP;
* OF STORIES:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:OO a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
[--l Temporary Electrlc Rough Mechanlcal - Prior to
cover.
Flnal Plumbing - When attplumblng worl< is complete.
Slte lnspectlon - To be madc
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Flnal Electrlcal - When alt
electrical work is complete.cover.
Underslab Plumblngl Electrlcal /
Mechanlcal - Prlor to cover.tl Eleclrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
nal Mechanlcal - When all
mechanlcal work ls complete.
E Footlng - After trenches are
excavated.Flnal Buildlng - When all
requlred lnspectlons have been
approved and building is
completed.
E Flreplace - Prlor to faclng
materlals and framing lnsp.E Masonry - Steel locatlon, bond
beams, groutlng.
l-l Framlng - Prior to cover.
E Foundatlon - After forms are
erected but prlor to concrete
placement.
@6Ger
WalllCblllng lnsulatlon - Prtor to
cover.
Underground Plumblng - Prior
to lllllng trench.Drywall - Prlor to taplng.
E MOBILE HOME INSPE TIONSUnderlloor Plumblngl Mechanlcal
- Prlor to lnsulatlon or decklng.E Wood Stove - After lnstallation.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreirlace approval
and lnstallatlon of unlt.
E Blocking and Set.Up - When ail
blocklng ls complete.
IPlumblng Connectlons - When
home has been connected to
water and sewer.
Floor lnsulation - Prlor to
decklng.Curbcut & AJrproaclr - After
forms are erected but prlor to
placement of concrete.Sanltary Sewer - Prior to filllng
trench.Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the servlce panel.
Slorm Sewer - Prlor to filllng
trench.
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base material ln place.
tl Water Llne - Prlor to filling
trench.n Fence - lVhen cct',rpleted.
Str€et Tre€s - When all requlred
trees are planted.
l--l Flnal - After att requiredu lnspections are approved andporches, sklrtlng, decks, andventlng have been lnstalled.
[_-l Rough Plumblng - Prlor to|J cover.
I
E
E
E
;
Lot faces
Lot sg. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle l
-
Cul-de-sac
P.L.HSE GAR ACC
N
S
E
Set IS THE PROPOSEO WORK TN THE -
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPFIOVED:
VALUE
(A)
t
Total Value
Building Permit Fee
State Surcharge
Total Fee
X $/SQ. FT.
BUILDING PERMIT
ITEM SQ. FT.
Main
I
Garage
Carport
This permit is granted on the cxpress 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.
Receipt Number:_
Plans Reviewed By Date
BU I LDI NG
AND BUIL
LU E c EHNLA KC
ID GN P MR IT
,
E
Plan Check Fee:
Date Paid
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
FEE
(c)
N'
FT.
Residential Bath(s)
Plumbing Permit
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Fixtures
Sanitary Sewer
Water
Storm Sewer
Moblle Home
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fl replace Unit
-bs,
+o(D)
NoVent Fan
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby cerilfy that all
lnformation hereon is true and correct, and I f urther cerflfy
that any and all work performed shall be done in accorrJance
with the Ordinances of the City of Sprlngfietd, and the Laws
of the State of Oregon perlainlng to the work descrlbed
herein, and that NO OCCUPANCy wlll be made of any
structure without permission of the Bulldirrg Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 7O1.OS5 wlll be used on thls
proiect.
I {urther agree to ensure that all requlred inspections are
requested at the proper flme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remain
on the site at all times durlng construcilon.
Date
/Slgnature
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Perrnits (E)
TOTAL AMOUNT DUE (excluding etectricat)
(A, B, C, Q and E Comblned)
a-2
t]-qK3
I b
DATE PAIT)
AMOUNT BECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBEH
Received By:
Systems Development Charge is due on all undeveloped
properties within tl'le City limits which are being improved.
FT.
FT.
#lo.---=-
D"a
9-t "-q3
Ittc
approval.
Dato
SPr*JGFIELE
ELEGTRICAL PERT{IT APPLICATION
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFPICE: 726-3759
AITT
PERIOD.qtran r
1. LOCATI ON OF INSTALLATION
City Job Number
3. COHPLETE FEE SCHEDTILE BELOV
Nev Residential-Single or
Multi-FamiIy per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
s 8s.00
s 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-40L amps to 600 amps
-
501 amps to 1000 amPs-
Over 1000 amps/volts
Reconnect OniY
c Temporary Services or Feeders
Installation, Alteration or Relocation
o^b _'tt.A
B
1a o Sum
JOB PTION
Permits are non-transferable and expire
if vork is not started vithin 1B0 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALTJ\TION ONLY
Erectricar contrr"to' C riS €lltlrun-r,0,nO
Address 0 O
Phone rl -AA3ba
$ s0.00
s 60.00
$100.00
s130. 00
s300.00
$ 40.00
cir
Supervisor cense Number tb8 S
Expiration Date lo-t-q8
Constr Contr. Number 3 4q
Expiration Dat" 9-l- 98
Si e of Supervising Electrician
0vners Name
Address
Phone
,u[bs6-qlt5
200 amps''or less
201 amps to 400 amps
Over 401 to 600 amPs
0ver 600 amps or 1000
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Admini.strative Fee
TOTAL
$ 40.
$ ss.
$ 80.
00
o0
00
B" aEIE-
Ci ty
OVNER
The installation is being made on
property I oun vhich is not intended
for sale, Iease or rent.
0mers Signature:
DATE:
ftTts see "
D. Branch Circuits
E
Nev, Alteration or Extension Per Panel
One Circuit I $ 35.00 35.oo
Each Additional
Circuit or vith Service
or Feeder Permit I $ 2.00 -^.qO
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/0ut1ine Lighting-
Limited Energy/Res
Limited nner[y/Comm
40.00
40.00
20.00
36.00
31,oo
l,95
$
$
$
$
5
BRECEIVED
OREGOA'C'TV 9F
31, qb