The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 1999-01-27- RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3tSg IELO JOB NUMBER 225 Fifth Street Sprlng flelrl, Oregon gl 417 LOCATION OF PROPOSED WORK:2sst /l)-.\? t+1 ASSESSORS MAP;2_ LOT:TAX LOI /)aO o-o BLOCK: - SUBDIVISION STATE: 2 PHONE:\Z*3fqb- ZIP:q? sl A) Ll 2 OWNER: ADDRESS: CITY: A,f ac ADDITION DEMOLISH OTHER DESCRIBE WORK: NEW_-_ REMODEL ADDRESS f () EXPIRES ,A PHONE CONTRACTOR'S NAME ELECTRICAL: MECHANICAL: PLUMBING: GENERAL: CONST. CONTRACTOR , I ,F.r.\AlTt0 - OFFICE USE _ LAND USE:FLOOD I)LAIN QUAD AREA: r OF BLDGS: RANGE:WATER HEATER:- OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: # OF UNTTS: ---__ To request an lnspecilon, you made the same worklng day, must call 126-9765. Thls is a 24 hour recordtng. Ail Ilnspectlons requested after 7:OO a.m. wlll b" rn"ou REOUIRED INSPECTIONS Inspectlons re the followlng ,quested before 7:00 a.m. will bework day. Temporary Eleclrlc Rough Mechanlcal - prior tocover. Site lnspectlon - To be madeafter excavatlon, but prlor tosetting torms. Rough Electricat - prior to l--l Finat ptumbing _ When ail - ptumbing worl< ls complete. , -4l: :1,,:,"Tfl?i,, ;yff i: ill ,*(;m #ffjr rL?,; "xffi?"il: cover. I-l U-nderstab plumbtng/ Etectricat / - Mechanlcal - prloi to cover. fl Foottng - After trenches are - excavat€d. n Masonry - Steel locatlon, bondu beams, grouilng. Electrlcal Servlce - Must beapproved to obtain permanent electrlcal power. Flreplace - prlor to faclngmaterlals and framing lnsf Flnal Building - When ailrequired lnspectlons have beenapproved and buildlng iscompleted. n Framlng - prlor to cover. Foundatlon - After forms are erected but prlor to concreteplacement. I-_l other Wall/Celling lnsulatlon - prtor to cover. Underground Plumblng - prior to fllllng trench.l-l Drywatl - prtor to taptng. E Underlloor Plumbingl Mechanlcal - Prlor to lnsulatlon or decklng. MOBILE HOME INSPE TTONS Wood Stovo - After lnstallation. Post and Beam - Prlor to floor lnsulatlon or decklng.l-l lnsert - After flreplace approvql - and installatlon ot unlt. I-_l Blocking and Ser-Up - When ail'J blocklng ls compleie. tl Floor lnsulalion - Prlor to decklng.Curbcut & Approach - After forms are erected but prior toplacement of concrete. Plumbing Connections - Whenhome has been connected to water and sewer. Sanitary Sewer - Prior to fllling trench.Eleclrical Connection - When blocking, set-up, and plumbing lnspections have been approved and the home is connected to the servlce panel. E Storm Sewer - Prior to fllllng trench. Sidewalk & Driveway - After excavation ls complete, forms and sub-base mar.erlal ln place. E Water Llne - Prlor to filllng trench. Fence - When ccrrrpleted Rough Plumblng - Prlor to cover. Streel Trees - When all required trees are planted. Final - After all required lnspectlons are approved andporches, sklrtlng, decks, and ventlng have been lnstalled.E SECONDARY H E E tl P.L.E GAR ACG N S E . IS THE PROPOSED WORK H ISTORICAL OISI RICT, OR THE HISTOFIICAL REGISTER? - lf yes, thls applicatlon must be slgned o,,O '"PPtor"O bY the H istorical Coordinator prior to permit issuance' rN THE . ONLot faces Lot sq. ftg. Lot coverage TopograPhY Total helght Lot TYPe - lnterlor __ Gorner -- Panhandle' - Cul'de-sac APPROVED: DatePlans Revi ewed BY KECHcLANENtUDLB M TR t, EPGNDUBNA dsaiatthethitioncondethonexpressrantednlISThsperinanceOrdthermfotoconalreslnpects,allshructionnstco th enUncldsneldSofprsCthetydtebyoadpSEuofandrUctionconshereuatngemCode,nt sDeveop imeatanyrevokededdorSUdbepenanmaynUIbdisorddnances.of salonSIproviany Recei Pt Number: Received BY: upon violation of Plan Check Fee: Date Paid: BUILDING PERMIT VALUESO. FT. (A) ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee ii,+ X $/SQ. FT. Systems Development Charge is due on all undeveloped properties within the City limits which are being improved'SYSTEMS DEVELOPMENT CHARG (B) E (sDc) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT FEE FT. FT FT. (c) Plumblng Permlt State Surcharge Total Charge Wood Stove/ lnsert / Fl replace Unit Dryer Vent state surcharge ,7 f f 'y'f MECHANICAL PERMIT No /D90 Lz 2.rd-4-.?,Total Permit rtt a y'lryLFe ,-it \a'ia\ (D) /,Lo Mechanical Permit lssuance Furnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformationhereonistrueanclcorrect,andlfurthercertlfy that any and all work performed shall be done in accordance wlth the Ordinanccs of the City of Springfield, and the Laws of the State of Oregon pertaining to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure without pertnission of the Building Safety Division' I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on thls prolect. 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 permlt card ls located at the front the approved set of plans will remain Signatu re IDate v, rUtimes during of the propert on the site at MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolitlon State Surcharge Total Miscellaneous Pertnits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 32e# ? LA DATE PAI[) AMOUNT RECEIVED -RECEIVED BY VAI-IDATION: FIECEIPT NUMBER ILDI is N! OFEGO'UCITY OF 225 FIFTE STREET 1. LOCATION OF INSTALLATTON LEGAL ON C Permits are non-transferable and expire if work is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COT.IltsA(f,OR INSTALI,ATION ONLY Electrical Contractor Address Ci ty Phone Exoiration Date Signature of Supervising Electrician Ovners Name Address ci Phone <) d, -e<) OVNER INSTALLATION The installation is being made on property I ovn which is not intended for sale, Iease or rent. Omers Signature: DATE: BLECTRICAL PERHIT APPLICATION Ci ty Job Nurnber ?gn //b COHPT,ETE PEE SCEEDULE BELOS Nev Residential-Single or Multi-Family 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 Sertice or Feeder s 8s.00 s 1s.00 s 40.00 Services or Feeders Installation, Alterations or Relocation: The following Proiect AS submitted has the zoning. and does not require specific land use approval Ab/a- Zoning Date SPF''TGFIELO 200 amps or less 201 amps to 400 amPs - 401 amps to 600 amPs - 601 amps to i.000 amPs- Over 1000 amPs/volts - Reconnect 0n1Y )SPRINGFIELD' OREGON 974trZthorized Signature INSPECTION REQUESTz 726-3769 OFPICE: 726-3759 7Z- 3 A Sum B $ s0.00 $ 60.00 $100.00 s130. 00 s300.00s 40.00Supervisor License Number Exniration Date Constr Contr. Number Temporary Services or Feeders Installation, Alteration or Relocationc D. Branch Circuits Nev, Alteration or Extension Per Panel 40.00 55.00 80. oo ee ilBrr a[ffi- L/- $ 3s.00 jS."' 200 amps''or less 201 amps to 400 amPs - 0ver 401 to 600 amps 0ver 600 amps or fOOO voT[s $ s $ s One Circuitt/2Each Additional' Circuit or vit h Service or Feeder Permit - $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/0utline Lighting- Limited EnergY/Res - Limited EnergY/Comm s 40.00 s 40.00 $ 20.00 $ 36.00 SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL .75.'"_ t?s-,oc RECETVED -#*L x JOB DESCRIFTION - I &+ t tz{ -C ,=z e ?/tu''41