HomeMy WebLinkAboutPermit Mechanical 1998-11-03R.ESIO ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Of tice: 726.3759
LOCATION OF PROPOSED WORI(:
51;PN',vGFIELo
+b
225 Fif tlr Strcct
Sprlngllcrld, Orcgon 97477
TAX LOT:o'1 3>
JOB NUMBER 7t rs
ASSESSOFS MAP:ILt0r?-
LOT:BLOCI(:SUBDIVISION: -_--%
NEW
-
REMODE.L t/- ADDtrtoN DEMoLtstl orr-tEn
PFIONE,:
-
DPSTn]'E 7-lPi
OWNER;
ADDRESS;
CITY:
ADDRESS EXPI}:1ES P}.iON E
NV 1ltfl "r,i
CONTBACTOB'S NAME
GEN EBAL:
WATER I.IEATEf]:RANGF-:-
PLUMBING:
CONST.
CONTRACTOR ,
r'f flrnl'5QUn nt:. FOOTACE: .-"_._-__--
MECHANICA]
ELECTRICAL:
To rcquest an lnspcctlon, you must call 726-3769. Tlrls ls a 24 lrour rccor<Jlng. All lnspections rc(lucstcd trclorc 7:00 a.rn. wlll bc
made thc sante worklng cjay, lnspections rcquestcd aftcr 7:00 a.m. will bc ma<Jc thc tollowlng worl( day.
REQUIRED INSPECTIONS
Temporary Elcctric Rough Mcchanical - Prlor to
covcr.
Final Plr.rrrrbing - Whcn allplunrl:ing work is conrplete.
Sitc lnspcction - To be macjc
after cxcavation, but prior to
scttlng (orrns,
Rough Elcctrical - Prior to Final Elcctr(cal - UJhen attcoveral worl( is conlplctc.
/
ccharrical - Whcn allUnderslab Plun'rbing/ Elcctrical /
Mcclranlcal - Prior to covcr.Electrical Scrvlcc - Must bc
a1>provccl to obtain pcrrnancnt
clectrlcal l)owcr.
anical worl( ls cornplctc.
Footln0 - A(tcr trenches arc
excavatcd.Flrcplace - Prlor to facing
materlals and lraming lnsp.
Final Uuilclirrg - Wlrcn all
required ir-rspcctlons have bccn
approvccl and building is
corn plc tcd.Masonry - Stcel locatlon, bond
beams, groutlng.Framlng - Prior to covcr.
Fourrdatlon - Aftcr (orms arc
erected but prlor to concrete
placernent.
Othcr
Wall/Cciling lnsulation - Prlor lo
c over
Undergrourrd Plunrbing - Prior
to fllllng trench.Drywali - Prior tc, tapirrg
Underlloor Plumblng/ Mcchanical
- Prior to lnsulatlon or decl(ing.Wood Stovc - AItcr lnstall.rlion
Post and Bcam - Prlor to floor
lnsulation or decl<lng.lnsert - AItcr ilrel.rlacc approvol
and lnstallatlon oI unlt.
Blockirrg arrd Sct-Up - Whcn all
blt':cl<i ni; i s cornplete.
Floor lnsulation - Prior to
dect<lng.Curbcut & Alll.rroaclr - Aftcr
[orms arc crcctcd but prior to
placcrncnt oI corrcrctcl.
Pltrrnbirrg Conrtcctions - Whcn
lrornr.: has bc.en coltr'tccted Io
watcr,1ul(l ScvJcr,
Sanitary Scwcr - Prior to f illing
trcnch.Elcctrir:al Corrrrcction - Wltcn
blocking, sct.up, and plunrbing
Irtspcctions lrnvc bccn approvcd
ilnd tlrc trornc is connccted to
thc scrvicc f)ancl,
Stonll Sewcr - l)r'ior to (illing
trcnch,
Sidcwalk & Drivcwal, - nftcr
cxcav.rtiorr is complctc, [oIrns
ancl sub.basc rnalcriill itr pl;lcc.
Water Llnc - Prlor to filling
t rcn ch.
Ferrcc - Whcn cornplctcd
{itroot Trccs - Wlrcn all rcqulred
lrccs are plantccj.
Firral - AItcr all rcquircd
Inspcctions arc approvcd and
porclrcs, skirting, decks, and
vcnt/ng havc bccn lnslalled.
Firra
Rouglt Plurnbirtg - Prior to
covcr.
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DESCRIBE WORI(:
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MOBILE I.IOME INSPECTIONS
t_l
L]
Lot (accs
Lot sq. f t9.
Lot covcrago
Topo0raphY
Total l'lclght
Lol 'fyp(
-
lntcrior
--
Cortrcr
-
Panhatrcllc
-- Cul.tjc'sac
Sc lbacl<s
PL HSE Acc
N
S
GAR
IS THE PROPOSED V!OR\( iN T\18 .
I.IISTOFIICAL OISTRICT, OB ON
TI]E, I]ISTORICAL REGISTER?
-
llyes, this application must be slgncd
arrd approvcd by the Historlcal
Coordinator prior to permit issuance.
APPROVED
BUILDING PERMIT
ITEM SO. FT.
Main
Garagc
VALUEx $/so. t--T.
Carlror t
Total Valuc
Building Porntit Fcc
Statc Surclrar0c
Total Fcc
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pcrrnit is grarrted olt thc cxprcss condition tlrat tlrc said
construction shilll, in all respects, con[orm to the Ordinance
adopted by thc City of Springficld, including the
Dcvclopment Codc, rcgulating the construction and use of
buildings, and may bc susperrdcd or rcvol(cd at any tlrne
u pon violation of any provisions of said ordinances.
Plans llcvicwcd 13y Datc
Plan Cl'rccl< Fec
Datc Paid
Rcccipt N urnbcr
Rcccivcd By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systcms Dcvclopmcnt Charge is duc on all undeveloped
properlics witlrin tlrc City lirnits wl)iclr are bcing lmprovccl,
Rcsldcntial Batlr(s)
Sanltary Scwer
Watcr
Storrn Scwcr
Moblle Horne
PERMIT
FEE
(c)
t--'1.
FT.
Plumblng Pcrmit
Statc Surchargc
Total Clrargc
PLU MBIN G
ITEM
Fix tu res
ADDITIONAL COMMENTS
By slgnature, I statc ancl agrec, that I havS carclully examlnecl
the complctcd application and do hereby certlly that all
irr[ormation l]crcot'l is true ancl corrcct, ancJ I lurther certity
that any and all work pcrformcd shall be done in accorrJance
with tlrc Ordinanccs of tlrr: City of Spring(lcld, ancJ ilrc Laws
of tlrc Statc ol Orcgon perlaining to thc worl< cJescribccj
hcrcin, i.trrd tlrat NO OCCUpAITJCy will tic r.r.la(Jc of any
structurc without pcrrnission oI thc Buil<Jirrg Sa(ety Division.
I Iurtlrcr certity tlrat only contractors and employees who
aro in cornpliance with ORS 701.055 wlll bc used on thls
proiec t.
I Iurthcr agrec to cnsurc tltat all rcquirccl inspcctions arc
rcqucstcd at thc propcr timc, Iltat each addrcss ls rcacjablc
c pcrnrlt card ls locatcd at thc f ront
c apgrrovcd sct of plans will remain
,:I
Slgnaturc
Date
t U4J
lo
frorn thc strcct, tlta
n.ctdurg consl
oI tlrc property,
on thc sitc at
Wood Stovc/ lnscrt / Fjlrcplacc Urrit
MISCELLANEOUS PERMITS
Mobile Honrc
Statc lssuancc
Stalc Surchargc
Sidewalk
-
lt
Curbcut
-.-
tt
Dcmolitlon
Statc Surcharge
0tt
l{.o"
To t al M iscc llirn e ou s [)c rtn i t s (E)
/
tr
Dryc r Vcnt
/+(
?
C L")
(r' ,) )
Vent Fan
(D)
MECHANICAL PERMIT
Fu rnacc
Exlraust Hood
No
Mcchanical Pcrunit
lssu anco
Stalc Surch:rrgc
Total Pcrrnlt
VALIDATION:
RECEII)T NUMBEF'I
DATE PAID
AMOUNT REC
FIECEIVED BY
oi r 1{Y
TOTAL AMOUNT DUE (oxclutling olectrical)
(A, B, C, D, and E CortrbinccJ)
EIVT..D
c
F
(^)
[:T.
.atl.cFtll,Lo
BI.ECT&ICAL BERI{IT
Job l{urber
BELOT'
Nec Residential-Slnglc or
1b
1 OF
IAGAL DESC&IP TON
JOB DESCRITIION
lce
pcr dv-lllng un
uded:
I teas
tt.
Cost
s 85.00
$ 40.00
I K0 o 5
c
tt
Sum
less
Pernlts ire non-trensferablc and explrclt uork is not starred rlthln 180 diysof luuenq€ or lf uork ls suspended ior
180 days.
2. oGfltsaGIOR IHSIAL! ATTO| Otrty
Electrlcal Con *actot _81 a ,;cTpc fuo 4^+*l h.t,.c-Address
gttY {-qi..fdr= -. Phone bl5-6}?L
Suporvlsor Llcense Numbcr a_^
Erplratlon Date
Eech addttlonal 500
sQ. ft or portion
thcrcof
Each t{enuf'd 8ore. or
-Hoduler 'Duelltng
Srrvlcc or Fecder
Servlces or Feedersfnstellatton, Alteratlonsor Rclocatlonr
D. Branch Clrcults
200 aups or less
?91 urps to 400 aops
-
401 eops to.600 eupg
-
601 ups to t@0 .lps-
Ovcr 1000 anps/volt
Reconncct 0n1y
-
B
.-,*'$sos60
-effi
.00
.00
.00
.00
,00
.00
.00
.@
.00rBr
s100
$130
$300
$ao
see
Constr Contr. Nunber 2o*e?
Expt ratlon Date
Slgrature of SupervtsilU Electriclan
Orncrs Name
address .Pf LS i 1TL ST
cl Phone q Pf,- 3f , )
Temporqy Services or FcedersInstalletlon, Alteratlon or RelocstJon
200 amps"or lels
201 anps to 400 arps
-0ver 401 to 600 anpe
-over 600 amps or 1000-i6ll[s
$40
$55
$80
40.00
40.00
20.00
36.00
Ncv, Alteratlon or Extenston per pancl,
Onc Clreuit I
Each Addttlonal #
Clrcult or vlth Serviceor Feeder Peral t - l_
$ 3s.oo 3< oo
$ 2.oo 2COOI'IIER TNSTALT.ATTOII
tho inrtallatton ls betng nede onpropcEty I oun uhlch ls not intendedtor sa1c, lease otr rcnt.
Ovncrs Slgnature!
Hiecollaneous (Servlce/fesd.r not includrd)-!iaC[ r'nStallatlon
E
Puup or irrlgation SStgn/outllne Llghting- SLlnlted Energy/Rc S
DArl;5. SUETOTAL OP ABOVE5Z State Surchcrge3I Admlnlstratlve Fee
TCIALRICEIVED
Notification Center.Those rules are
in OAR 952-001 -0010 through OAR
0090.You maY obtain coPies of the rules
calling the center.(Note: the telePhone
22i!ItEftE UtilitY Notification
EEpECrIoil
by,,,
tn;
A^,.,;I3gsiffOTETGB:726-3759 88
$ 1s.00
-?t.oo
l::-
OREGO'V
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