HomeMy WebLinkAboutPermit Mechanical 1998-01-120tl09/98 1,1:00 t}sc 26 3689 SPFD DEV. SER.@ oor
5P Lrl
JOB NUMBER
qtbo 31
aTo
qfr,
t1 a9 13 00J
I-OCATION OF PROPOSED WOBK:
ASSESSORS MAP:
?25 Fif th Street
Sprlnglleld, Oregon gl 4Tl
RESIDENTIAL
PERMIT APPLICATION
lnspecllons: 726.3789
Olllco: 726.3t59
SUBDIVISION: . -.Lgr: ' ' r' , alocx
2t@ N. t.f{h
PHONE:
n tSTATEI ZlPl
Y6-
CITY;
ADORESS:
OWNEN:*th C c.-btr e
-k
a
I C(
a
4olt
4t
OTl-IERDEMOLISI.I
d( rra.C €-DESCRIBE WORK:
AODITION
qJ
NEW-.- REMODEL
AOOBESS
'(
a t
u lqsL{601
/c-
S
EXPIRES O PHONE
tL 1qO tL
1q1
MECHANICALI
ELECTRICAL:
CONTFACTOR'S NAME
f.rl^e \\-,PLUMBING:
GENERAI-,:
CONST.
CONTFIACTOR ,
\v Llllo O ta*
- OFFICE USE -
CONSTR,
H
OUAD ARE',:
I OF BLDGS:
SECONDARY HEAT
SOUARF. FOOTAGE:
, OF BDRMS:
-
WATER HEATEB:
OCC/ GROUP:
P OF SIORIES:
ZONING CODE:r OF UNITS:
LAND USE:FI.OOD PLAIN:
To roquegt an lnspectlon, you must cail 726-3789. fhls ordlng. All lnspectlons requested belore I:00 a.m. wlil be
made lhB oamo worklno day, lnspecllons
l*-l Tomporary Eloctrlc
l-l Slto tnspoctlon - To b6 madelJ aller excavatlon, but prlor lo
setllng lorms,
[-l Undcrelab Plumblngl Eloctrleal/u Meclranlcal - Prlor lo cover.
7Oqu0l
R
sted bo made he lollowlng work day.
EQ o N S
Ro U sh lo fl Flnal Plumblng
plumbl^g work - When all
cover./4 ls completo.
E
t]
Roug h EI eC rlcal tl Flnal EloelrlcDl - Whcn a,lcovor.electrlcal work lg complote
Eleclrlcal Servlca
approvod to obtal
electrlcal power.
M U9 Flnel Meihanlcal - Whon all
n p rm2n nl mechanlcal work ls aomplgle
T-l Footlng - Af ter trsnches are|J excavated,Flreplaco - Prlor to faclng
malerlals end tramlng lnsp.
Flnal Buildlng - When all
requlrod lngpectlons havg 5ssn
approved and bulldlnE le
completed.Maaonry - Sleet locatlon, bond
beam9, groullng.
[-l Framtng - Prlor to cove/.tl Foundcll6n - AttCr lormg are
orecled.but prlor to concig16
placBm6nl.
tl Olhor
-
WalllColtlng lneulallon - Prtor to
cover.
[-l Underground P]umblng - Prlo/H lo fllllng lrench.
[--l Underlloor Plumblng/ Mechanlcat|J - Prlor lo lnsulatlon or decklng.
f--l Post and Berm - Prlor to lloor|J lnsulatlon or deck,ng,
n orywall - Prlor to taplng.
MOBlLE HOME INSPE TIONSflWood Slovo - Artor lnetallatlon,
lnsorl - Aller llreplace approval
and lnstallatlon ol untt.
[-l Blocking and Sot.Up - When a[u blocklng ls complota
Floor lnEulallon - Prlor lo
decklng,Curbcul & Approsch - Atter
lorms are crocted but p/lor lo
placomenl of concrete,
Plumblng Connecllons - When
home has been conngcled lo
wal6r and gEwer.tl
D
Sanllary Sswer -. Prlor lo fllllng
tr6nch.Eleclrlcal Conneclton - When
blocklng, set-up, and plumbln0
,nsp6cllonr have been approvod
and lha home ls connecled to
the servlce pane!.
Slorm Sower - Prlor to lllllng
lreneh-
n SlAowalk & Drlvewsy - Alrer
'J €xcAva(lon l9 conrplele, lorms
and sub-base malerlal In place.
Wolor Llno - Prlor to llllfng
lrench.
Fenee - When conlplelod.
Slreel Trees - When all requlred
Iroos a/6 planted.
Flnal - After all requlrbd
lnspecllons are approved andporches, sklrtlng, decks, andvenllng have bocn lnslalled.'
Rough Flumblng - Prlor lo
cover.tl
I
I
t
I
1
tl
be
o1l09/98 1.1:00 2I503 726 3689 SPFD DEV. SER
PL.HSE GAR ACC
N
W
E
lut'
( 'rs rHe PROPOSEO WOFK TN 7HE.
H lsToFlcAL olsTRtc[ oB oN
THE I.IISTONICAL REGISTER?
-
ll yes, th,s appllcailon musl bo slgnodand approvod by lhe Hl6torlcal
Coordlnalor prlo, lo p6rmlt lssuance.
APPFIOVED;
Lol facos
Lot sq. ,rg,
Lol covorago
Tonography
Total holOhl
Lor Tr,_
-
lnterlor
--
Corner
*_ Panhandlo !
-
Oul-de+ac
VALUE
(A)
'TEM
Maln
Garage
Carport
Total Value
Bulldlng Permlt Feo
State Surcharge
Tolal Feo
SO, FI X $/SQ. FT.
BUILDING PERIiiIT
Thls pormlt is grantec, on lhe oxpress condlllon that tho 6atdconstructlon shall, ln alt respecls, conrorm to the Ordlnanc€adoplod by the Clty . ol Sprtnglteld, lncludlng lheDovelopment Code, regulatlng lho construcllon and -ubs ofbulldlngs; and may be suspended or revokod al any ilmeupon vlolallon of any provlsloos of satd ordlnances.
Datg
Rocelpt N
AL N c Et-l CK
ILU D GN P M IT
Date Pald:
Facelved By:
BUILDI
AND B
sysTEMS DEVELOptITENT CHARGE (SDc)
(B)
Syslems Developmont Chargo ls duo on all undoveloped
propertlos wlthln th€ Clly llmlts whlch aro belng lmproved.
ITEM
Flxlures
Flesldonllal Beth(s)
SBnllBry Sower
Wator
Slorm Sower
Moblle Home
FEE
N'
FT.
(c)
PLUMBING PERMIT
Plumblng Psrmlt
Stato Surcha,g€
Tolal Chargo
ADDITIONAL COMMENTS
By olgnature, I stalo snd agroe, that I have carelully oxamlnod
tho completed appilcarlon and db hereby corilry lhat at,
lnformallon hereon ls lrue anrl corrgct, and I lurlhel corllly
lhat any and all work perlormad ahall bo done ln accordanco
wllh the Ordlnances ol the Glty of Sprlnglleld, and lhe Laws
o, lho Slat6 of Oreg6n perlalntng lo lho work doscrlbed
hereln. and lhal NO OCCUPANCf wlll be made of any
slructuro wlthoul permlsslon of lhe Bulldlng Sal€ty Dlvtslon.
Lurther certlly thal only contractors and employees who
are ln 666p11ance wtth ORS ZOI.OSS wlll bo used on thls
prolec t.
I lurthar aeroo lo ensuro that 6ll roqulred lnspecttons are
,oquoslod at th€ propor tlmq that oach addross ls readable
from the slreot. lhat the permlt card ls locatod Et ths ,ront
of the property, and th6 apprcved sel ol plans wlll rernaln
Slgnature
Date
on lhe slto at all tlm urln0 constructlon.
Wood Slove/lns6rt/Flroptace Unlt
Drysr Vont
MISCELLANEOUS PERMITS
Mobrle Homs
Slate lssuance
slalo surchaTge
Sldewalk f I
Curbcul ---:-- tt
0smolltlon
slal6 su.chargo
Tolal Mlecellaneous permlls (E)
aD(D)
4
N.'Vent Fan
1,6, ?Mechanlcal Permlt
lssuancs
Stalo Surcharge
Total Permlt
MECHANICAL PERMIT
Furnacs
Exhaust Hood
d-5-.--
fOTAL AMOUNT OUE (oxctudlng electrlcal)(A,B,qQandEComblned)
28 qLt
RECEIVED BY
qd4).A.MOUNT RECEIVEO 4Jtr.
DATE PAID
VALIDAT'ON:
RECEIPT NUMBER
s
Plan Gheck Foe: "-"-...---_-
Plans Flevlewod By
\r< 6
I
r-
CITY OF OPEGO'V
sPI. .;FIELE,
ai,p,roval.
Date
225 FIFTE STREET auuprtao
SPRINGFTELD, OR.EGON 97 477
INSPECTION REQUESTz 726-3769
OFFICE: 726-3759
1
Permits are non-trans e rable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALLATION
Electri
Address
caI Contractor
nct regukp has tflo loflowlng
t oat
ep€cllc hnd
.., ing,end
ELECTRICAL PERHIT
Ci ty Job Number
3. COHPLETE FBE SCHEDI.ILE BELOII
A Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
I tems Cos t
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
-Modular Dvelling
Service or Feeder
$ 8s.00
s is.00
s 40.00
B Services or Feeders
Installation, Alterations
or Relocation:
Sum
ciry(l(E II Phone
Supervisor License Number
Expiration Date
Constr Contr. Number Ut-st9ct
Expiration Date 1 lrg/q
of rpervising Electri cian
4r*r 1000 amps/volts
eet 0n1y
0050s20
20
40
1
4
6
1
or
to
to
to
0
1
1
1
amps
amps
amps
amps
ess
00 amps
00 amps
000 amps_
s 60.00
$100.00
s130. 00
s300.00s 40.00
9
Services or Feeders
oD, Alteration or Relocation
200 amps''or less $
201 amps to 400 amps
-
S
over 401 to 6oo amps
-
$
Over 600 amps or 1000 voITs s
40.00
5s.00
80.00
ee rrBrr a6ove
S
0vne
Address
Ci
TION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
DATE:
D. Branch Circui ts
Nev, Alteration or Extension Per Panel
One Circui t
Each Addi tional $ 3s.00
E
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limi ted Energy/Res
Limi ted Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
:l';::i":'rliil.'"'"ru g z.oo ;3|
Miscellaneous (Service/feeder not included)
er.","-lAb;t8lD
$
$
$
s
40
40
20
36
U)
00
00
00
00
5
RECEIVED B
-]-