HomeMy WebLinkAboutPermit Mechanical 1993-07-16SP]rINGF IELD q,7t oll"RESID ENTIALpEnrutr APPLIcATIoN
lnspections: 726'3769
O(lice: 726'3759 Zft,
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97 477
TAX LOT:0 D
SUBDIVISION
LOCATION OF PRO
ASSESSORS MAP:
POS ED WORK
l1 OLVOb
BLOCK:LOT:
-
PHONE:
ztPSTATE:
b
?7?79
- /e93/
OWNER: --
ADDFIESS: --
CITY: ._..-.-
DEMOLISH OTHER
DESCRTBE WORK:
,*.*
_*-_ REMODEL ADDITION
CONTRACTOR'S NAME . ADDRESS
GENERAL:
PHONEEXPIRES
.r-,t+ / th 7?a \
CONST.
CONTRACTOR #
PLUMBING: --
MECHANICAL:
E++Cr#}lez+U:
_ OFFICE USE -
ZONING CODE:
FLOOD PLAIN
I OF UNITS:
WATER HEATER:
OUAD AREA
SECONDARY HEAT:
SQUARE FOOTAGE:
'f OF BDRMS: .==-.._-
OCCY GFOUP: =--CONSTR. TYPE:
HEAT SOURCE:/ OF STOFIIES: ---
To request an inspection, you must call 726-3
made the same working day, inspections req
T6g.Thisisa24hourrecording.AllinspectionsrequestedbeforeT:00a.m.willbe
uestedafterT:00a.m.willbemadethefoliowingworkday.
REQUIRED INSPECTIONS
[l TemPorarY Electric
lr
Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plurnbing work is comPlete.
Site lnspection - To be made
af ter excavation, but Prior to
setting forms.
Rough Electrical - Piior Io Final Electrical - When all
electrical wort< is comPlete'cover.
Underslab Plumbing / Electrical I
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain Permanent
electrical Power.
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.Framing - Prior to cover.
Other
Foundation - After forms are
erected but Prior to concrete
placement.
Wall/Ceiling lnsulation - Prior to
cover
Underground Plumbing - Prior
to f illing trench.[-_l Drywall - Prior to taoing
MOBILE HOME INSPE TIONS
Underlloor Plumbing / Mechanical
- Prior to insulation or decking'Wood Stove - After installation'
Post and Beam - Prior to floor
insulation or decking.lnsert - After firePlace aPProval
and installation of unit.
Blocking and Set'UP - When all
blocking is comPlete.
Floor lnsulation - Prior to
decki ng.Curbcut & APProach - After
forms are erected but Prior to
placement of concrete.
Plumbing Conneclions - When
home has been connccted to
water and sewer.
Sanitary Sewer - Prior'to f illing
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, {orms
and sub-base materiai in Place.
Water Line - Prior to filling
t ren ch.
l--l Fence - When comPleted
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.Streel Trees - Wherr all required
trees are planted.Rough Plumbing - Prior to
cover.
tl
tl
E
E
E
E
tl
E
E
tl
E
tl
Lot faces
Lot sq, ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
--
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
PL.HSE GAR ACC
N
S
E
IS I-HE PROPOSED WORK IN THE
HISTORICAL DISTBICT, OB ON
THE. HISTORICAL REGISTER? -=-_lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
VALUE
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pcrmit is grantcd (,n tho (-"xprcss concJition th;rt thc said
construction shall, in all respects, conform tr..r the Ordinance
adopted by the City of Springfietd, inctuding the
Development Code, re gulattng the construclion and use of
buildings, and may be suspcndec! or revokecj at any time
upon violation of any provisions of said ordinances.
Plan Check Fee: __
Beceipt Number:-
Plans Reviewed By Date
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developrncnt Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
NO
FT.
FT.
F-r.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Fireplace Unit
t 6.dDll/1
16 6-D
ta 6D
,1b
74,14(D)
NoVent Fan
r Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By signature, I state an(j agree, that I have carefully examlnecl
the completed applic:rtion "and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the Ci ty of Springfield, and the Laws
of the Statc of Oregorr pcrtaining to the work clcscribed
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further ccrtify that only conlractors and employees who
are in compliance with ORS 701.055 will be used on this
proiect.
I f urther agree to ensure that all required inspectio6rs are
requested at the proper time, that each address is readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
on the site at all time:; during construction.
Signature
o*e 7-tZ
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
VALIDATION:
RECEIPT NUMBER -
DATE PAID /)
q 5'1,
Z
-tb4a
WVr..n-**_
AMOUNT RECEIVED
RECEIVED BY G-TOTAL AMOUNT DUE (excluding electrlcal)
(A, B, C, D, and E Combined)
24-7d"
OFEG
0h
225 FIFTE STREEf,
irmtlcrrst,D' oREGoN
INSPECTION REQTIEST:
OFPICE: 726-3759
1 LOCATION OP INSTALI.ATI .r,J Sig
s:??:,?ffi[I$*tril:utup,crucAl PBRHTT APPLICATION
City Job Nunber 2,1 Al Lq
1 \b'ft COHPLETB FEE SCEEDULB BBLOV
Nev Residential-Single or
iuiti-rarilY Per dvelling unit'
loliowing
Service Included:
I tens
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereo f
Each Manuf'd Home or
Hodular DveIIing
Service or Feeder
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amPs
-
401 amps to 500 amPs
-
601 amPs to 1000 amPs-
0ver 1000 amPs/vo1ts
-
Reconnect OnlY
SI.ETOTAL OF ABOVE
5Z State Surcharge
TOTAL
The {cllowing
.: i, and d
97477, . ::"al'
726-3769 t
t' ...
A/3 4()
I.EGAL DESCRIPTION-1 r)1o a.l o1 t
JOB
expi re
r days
ied for
180 daYs.
2. CONTRACTOR INSTALI.ATION ONLY
OREGON ELECTRIC SERVICE
ElectricalPCGhBocr8.r.t 2e70w 7th Pt""a
Eugcne, Oregon 97402
Address
city phone'St{3 lc'?r
Supervisor License Ntimber I3 q.as
Expiration Date
Cons tr Contr. Number .Jr>4
TemporarY Services or Feeders -i;;i;ii"iion, Alteration or Relocation
Cos t
s 8s.00
$ 1s.00
$ 40.00
s s0.00
$ 60.00
$100.00
$1 30. oo
$300.00
$ 40.00
Sum
Pernits are non-transferable and
if vork is not started vithin 180
;i i;;r""ce or if vork is susPend
B
c
o C--,
ExP iration Date It
signa of Supervising Eleetrieian
Ovners Name
Address
Ci ty Phone 74 tp btr\r
OVNER ALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
0nners Signature:
DATE:
200 amps or less $
,oi ;;;; to 4oo amps
- i
Over 401 to 600 amps
-
)
Over 600 amPs or 1000 volts s
Branch Circuits
) -ci 40.00
55.00
80.00
D
ee ilBrr a566
fTS'
Nev, Alteration or Extension Per Panel
one circuit I s 35.00 ff
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2'00
E Hiscellaneous (Service/feeder not included)
-Each ins tal1at ion
Pump or irrigation
Sign/Out1ine Lighting_
Limi ted Energy/Res
Limi ted Energy/Comm
*3S *
$ 40.00
$ 40.00
s 20.00
s 36.00
5
RECEIVED BY:
-7
)-vr-
)I
I U , ?..\I