HomeMy WebLinkAboutPermit Mechanical 1997-07-03RESIDENTIAL
PERMIT APPLICATION
lnspections:726.3769
Olfice: 726.3759
LOCATION OF PROPOSED WORI(:
SPFlIN(;FTELD ?t
ASSESSOBS MAP:t7o?
JOB NLJMEER
225 Fitth Strect
Springtlctcl, Oregon g7 427
TAX LOT:o
LOT: BLOCK:SUBDIVISION
OWNER:
ADDBES
CITY:
PHON E
STATE:7_tP
du 4t7q7
NEW
-
REMODEL ADDITION DEMOLISI.I OTHEFI
ADDRESS l.:-XPltl ES PHONE
CONTFIACTOR'S NAME
MECHANICAL:
ELECTBICAL:
CONSI.
CONTRACTOR #
GENEBAL:
PLUMBING
_ OFFICE USE _
, OF BDRMSOCCY GROUP:
ZONING CODE:
FLOOD I)LAIN
SECONDARY Ft EAT; _-
SOUA nt1 FOOTAOE:
LAND USE:
, OF STORIES: ___
// OF UNITS:
OUAD AREA:
# OF BLDGS:
RANGE:WATER I.IEATER:
CONSTN. TYPE:
HEAT SOURCE:
To requcst an lnspcctlon,
made thc sanre worklng ,
' you must call 726'37G9. Tlrls ls a 24 hour rccording. All inspcctions re(luestcd bc[orc 7:00 a.rn. will beday, lnspections rcquested after 7:00 a.m. will be macle thc [ollowtne worl( day.
REQUIRED INSPECTIONS
l-_l Temporary Etecrric Rough Mcchanical - prior to
cover.Final Pltrrrrbing - Whcn allIrrnrl:in g worl< is completc.
Sito lnspection - To be madc
af ter excavation, but prior to
settinO lorrns.
Rough Elcctrical - prior to I Elcctrical - VJtrcrr allcovcr.A
Underslab Plumbing/ Electrical /Mechanlcal - Prior to cover.Eleclrical Servlcc - Mrrst be
alrprovecl to oblairr llcilrlaneneleclrlcal l)owcr.
,ANY t
a
Footlng - Alter trenches are
excavated.Firr
Flreplace - Prlor to faclng
materlals and lrarning lnsp.
requtlMasonry - Steel locatlon, troncJ
beams, groutlng.
approved and building is
complc tcd.
Framlng - Prlor to covcr.
Foundallon - After (orms are
erecled but prior to concrete
placemen t.
Otlrcr
Wall/Cciling lnsulatiorl - Prior to
c over.
Undcrgrourrd Plunrbing - Prior
to filllng trench.Drywall - Prior to taL)in0
Underlloor Plumblrrg/ Mcchanical
- Prior to lnsulatlon or decl(ing.
MOBILE I.IOME INSPESTIONS
Wood Stovc - Af tcr lnstallalion
Post and Beam - Prior to floor
lnsulation or dccl<lng.lnsert - Altcr fircpiacc approvsl
and installatlon oI unlt.
Blockirrg and Set.Up - Whcn all
blt:cl<inry is cornplete.
Floor lnsulation - Prior to
dcckl ng.Curbctrt & Al:l.rrolclt - nftcr
forms arc croclcd l]Ut I)rior lo
placcrncrr t oI corrc rr-: t(1.
Pltrrrrtrirrg Conrrcctiorrs - Whenlloln(i lras llccn colltecled to
w;1lcr iln(l scwer.
Sanitary Scwcr - Prior lo f illing
I rcncl'r.Elcctrir:ll Corrrrcctiorr - Whcn
trlocl<irr1;, sct.up, ancl plunrbing
irli;pccti()ns llilvo I)cot'l approvc(,
ilr'rd tlrc trornc is connccted tothc scrvicc f)ancl.
Storrrr Scwcr - l)r'ior lo Iilling
trench.
Siclcwalk & Drivew;ry - nItcr
cxcavatiorr is complclc, (oilils
an(l sut).base rnalcri;ll irr f)l;)cc.
Watcr Line - Prlor to filling
trench.
Ferrcc - Wlrcn cornplelcd.
{ilrost Trces - Wlrcn all required
lrees are plantcd.
Final - AItcr all required
inspcctions arc approved and
porclrcs, skirting, decl(s, and
vcntlng l)avc bcen lnstallec,.
Rouglr Plunrbing - Prior to
cover.
ei,t,
DESCRIBE WORI(:
is cornplcte.
tl
t_l ing
Nor
spectlons
L]
[]
Ll
tl
tl
E
tl
E
tl
E
L:l
Lot faccs
Lot sq. f tg.
Lot coveragc
TopograPhY
Total hcight
Lot 'fypc
--
lntcrior
--
Corner
-
Panhandle
-
Cul'de'sac
ac l<:;
PL.HSE GAR ACC
N
S
F-
ls Tl-1 E IrRoPoStu wo'ii( iN l'llE
HISTORICAL DISTRICT, OR ON
TI]E IlISTORICAL REGISTER? -._-
ll yes, this application must be slgned
and aPProvccl bY the Historical
Coordinator prior to permit issuance'
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Tlris pcrmit is grarrtecl on the cxprcss conclition that the said
construction slr;rll, in all respccts, conlorm to the Ordinance
,,1"p,",1 by the City of Springtleld' including the
Developmcnt Cocle, regulating the construction and use of
buildings, ancl nray bc susper'rded or rcvol<cd at any tirne
upon violation of any provisions oI said ordinanccs'
Plan Check Fee:.
--
Plans llcvicwcd BY Date
Receipl N ttttlbc
Datc Paid
Rcccived BY:
VALU I:
(^)
x s/so. t--T,
PERMIT
SO. FT.
BUILDING
ITEM
Main
Garage
Carport
Total Valuc
Building Pcrnrit Fcc
Statc Surchargc
Total Fcc
Systems Developmcnt Charge is ciuc on all undevcloped,
propertics witl-rin tlrc Cily linrits whiclr are bcing improved'SYSTEMS DEVELOPMENT CHARGE (SDC)
( r-t)
Flcsidcntial Batlt(s)
SanitarY Sewer
Water
Stortn Scwer
Moblle Horne
PERMIT
FEE
(c)
N
t;'I.
[:T.
FT
Plumblng Pcrtnit
State SurcharOe
Total Cltarge
PLU MBING
ITEM
Fix tu res
By slgnaturc, I statc anc.l agree, that I have caref ully examlned
the completed application and do hereby certlly that all
lnformation lrercotr is true allcl corrcct, and I Iurther certify
that any and all work pcrformed shall be done in accordance
witl.r tlrc OrcJinarrccs of tirr: City o{ Springf icld, and thc Laws
of tlrc St;rtc of Orcgon f)crlaining to thc worl< described
lrerein, arrd tirat NO OCCUPANCY will bc tnacle o( any
structurc witl'rout pcrtnissiotr o( tlre Buildirrg Satety Division.
I f u rt hcr certi ty t lra t orlly con t rac tors and enr ployees who
arc in cotnpliancc with ORS 701.055 wlll be used on this
pro jec t.
I (urther agree to ensurc that all rcquired inspections are
rcqucstcd at the propcr timc, tlrat cach address is readable
lre pcrmit card is locatcd at the front
Slgnature
Date
q
from tlrc strcct, tlt.
approved sct of ans will rcmairt
C nItes duri
C
oI tlrc property,
conslon tlre site at
WoocJ Stovc/ lnscrt / Fircplacc Urril
stare surcha ,.). lfuo}{y MUU frt
MISCELLANEOUS PERMITS
Mobile Honte
State lssuancc
Stalc Surchargc
Sidewalk
---
tt
Curbcut
--,-
ft
Dcmolition
Statc Surcharge
t5l^^ilzi--
Total Mlsocllaneous Pcrtnils (E)
N0
Drycr Vcnt
Verr I Fan
A-ZADTotal Pertnit (D)
Mccllanical Pcrtttit
lssu ance
MECHANICAL PERMIT
Fu rnacc
Exhaust Hood
LttS|,1
)-t)AMOUNT RECEIVtlD
UM tFl
F{ECEIVE,D BY _.-..
VALIDATION
RECEII)T N
DATE PAID
TOTAL AMOUNT DUE (cxclu(ling clcctricitl)
(A, B, C, D, and E Cotttbirtcd)
-4
,1
ADDITIONAL COMMENTS
- 3-17
OBEGO'VCITY OF
225 FIFTE STREET
SPRTNGFTELD, oREGoN 97477 ,
INSPECTION REQUESTT 726-376'
OFPICE: 726-3759 Author.lzod
1. LOCATION OF ALLA
ON
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI.^ATION ONLY
Electrical Contractor
Address
,r,rrrrrn**\d-(
';7.U-%L Job Nunbe ,q le 70
SPFlIt-.l.FlELEl
ELE TRICAL PERHIT APPLICATTON
Ci ty
SCEEDTII.E BELOiI
Nev Residential-Single or
Multi-Family per dvelling unit.
Service fncluded:Items Cost
1000 sq.ft. or less
each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home. or
-Modular Dvelling
Service or Feeder
s 8s.00
$ 15.00
s 40.00
Services or Feeders
InstalIation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _60L amps to 1000 amps_
Over L000 amps/voIts
Reconnect 0nly
Temporary Services or Feeders
Installation, Alteration or Relocation
I
A
c
Sum
B
Ci ty Phone
Supervisor License Number
Expiration Date,
Constr Contr. Number
Expiration Date
Signa of Supe 1 Electrician
Ovners Name
Address a1 O;Qs{?sile
city Ah/lhu4 Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhiCh is not intended
for sale, lease or rent.
0vners Signature:
DATE:
200 amps''or less S
201 amps to 4OO amps
-
$
over 4b1 to 600 amps
-
$
0ver 600 amps or 1O00GTfs s
,y'gt=&az
s s0.00
s 60.00
s100.00
s130.00
s300.00
s 40.00
00
00
00
B" aEiE
40.
55.
80.
ee tt
s 40.00
s 40.00
s 20.00
s 36.00
3{€
E
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit r $ 35.00 3e
Each Additional
Circuit or vith Service
or Feeder Permit
-
S 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/Out1ine Lighting-
Limi ted Energy/Res _Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3Z Administrative Fee
TOTAL
5
RECEIVED
7