HomeMy WebLinkAboutPermit Mechanical 1999-03-12RESIDENTIAL
PERMIT APPLICATION
lnspections:726.3769
OIfice:726.3759
ST,NINGFIELD
JOB NLJMOETI €?o 3 35
225 Fiftlr Slrcct
Springtlclcl, Orcgorr 97477
LOCATTON OF PROPOSED WOBI(: --3\5 S 4Z Pa
PI.IONE
CRSIAl'E:7-tP:
I
a
q
AD
OWNER:
CITY:
DEMOLISI.I OTFIE':1
ADDITIONNEW_ REMooEL __lZ
ADDRESS
EXPII:1ES PIlONE
CONTBACTOR'S NAME
MECHANICAL:
CONST.
CONTI1ACTOR /GENEBAL:
PLUMBING
WATER
rnFS
UNDEfi
CO
on
- OrrrCr. U®on
ouAo AFrEA: N0IICE:follow rules adopted by the Oregon UtitityLAND USE:
TL!l$ pEgyp -.-_-$Je*ifk:ationxente r. Th oreod6reln t forth, OF BLDGS in OAR 952-001-001XPIBE IF.'*'-'0RZED
OCCY GROU rH'S PEguilr$sNorTpe;nalI ino i nter. (Notg,OFS'
l-/f-_.'- cA,, .".r r_/\, u\-/Llri_i::rrumberforthe Oregon Utility N-tuer is 1 -696Sd@ASa4[y Fr EAr:
RN NGE:
-SOUANI FOOTACE:
NSSESSORS MAP:
-- TAX LOl:0q 3ofLO'[BLOCI(;SUBDIVISION:
Sitc lnspcction - To bc macJealtcr excavation, but l)rior toscttln0 lorrns.
l-_| Unctcrslab plunrbing/ Elccrrical /
-
Mccltanlcal - prior to covcr.Elcctrical Scrvlcc - Mtrst lrca1>provetl to ol.:tain pcilnancr.ltclcctrlcai l)owur.
Fircplacc - prlor to taclng;
materlals ancl Irarning lnsp.
[-l Franring - prlor ro covcr.
Wall/C'cili,rg lrrsulatiorr - prlor to
irral Mcclranical - Whcn allnrcclrartical ,,vorl< ls cornplc tc.
Final [Juilclirrg - Wlrcn allrcquircd inspcctlons havc bccn;rpprovcd and truilc,ling iscornplct0d.
O tlrcr
Final - Attcr all rcquired
lrrspcctions arc approvcd and
porcl.rcs, skirting, clecl(s, and
vcntln0 havc bccn lnslalled.
Firrirl Elcc tr(catclcctric0l worl< i - Yr'hcrl all
s corrrplclc.
Footlng - Af tcr trenchcs arccxcavatcd.
[-l ruasonry - Srcct locatlon, bonct
-
bcan'ls, groutlng.
Foundatlon - nrtcr Iorms arcerected but prior to concrctcplaccrncn t.
Post and Bcam - prior to lloorlnsulation or clccklng.
Floor lnsulation - prior to
dccl<lng.
Sanitary Scwcr - Prior to lillingtrcnch.
Slorrrr Scwcr - l)rior to tilling
trcnc h.
Watcr Llrre - Prlor to tilling
trcnch,
Rough Plurrrbing - Prior to
cover.
Undcrgrouncl plunrbino - prior
to fllllng trcnch. L_l Dryterall .- Prior ro rai)ir.:g.
Undcrlloor Plurnblng/ Mcchanical
- Prior to lnsulatlon or ctccking. | | Wood Stovc - nftcr ln::tailation.
MOBILE I.IOME INSPECTIONS
Pltrrtrbirrg Conrrcctions - Whcnltolnr.: h;r:.; tlccn conrtccted towitlCr;tn(l SCV/()r.
[-_l lnsert - Alrcr flrcJ.rlacc approval
-
and installatlon ol unlt.
[l Btocking arld Sct.Up - Wlrcn alt
-
trlocl<in(l is cornplctc,
R\
*\.:
Elcctrir:al Corrrrcctiorr - Whcnt:lockirrg. sct.up. ancl plrrnrbingllrsjpcction:j ltnvc: l:ccr.t approvedillld tl)c ltolnc is conncctcd toth(.'Scrvic0 f)ancl.
To rcquest an lnspcctlon, you rnust catt 726-326rnade the sanle worl(lng cIay, lnspcctions rcque
aII
I-l Temporary Elccrric
9. Tlrls ls a 24 lrour rccorcJln0. n llsted a[tcr 7:00 a.rn. will bc madc
EQUIRED iNSPECI'IONS
Rouglt Mcclranic:rl - prlor tocovcr.
Rouglr Eicctricnl - prior tocovct'.
covcr,
Curbcut & Alrl.rroaclr - n ltcr(orms arc crcctccJ bul f)rior toplaccrncnt oI cortcrclr:.
Sidcwalk & Orivcv.ral, - nftcrcxcav;1lio,l is cornplctc, [oilllS
ancl sull.basc tnalcriill irr g.ll:tco.
Fcncc - Wltcn coltlplctcd
{itroot Trcos - Wllcn all rcqulrccl
trees arc plantcd.
lnspcctiorls rc(luca$tccl bcloro 7:00 a.rn. w lll bcthc (ollowlng worl( day.
fl fin:rt [)ltrirrbing - Whcn alt
-
plunlt)ing worl< is complctc.
-7
DESCRIBE WORI(:
ELECTRICiTL:
tl
[]
tl
tl
tl
tl
tl
tl tl
Lot laccs
Lot sq, ftg.
Lot covcraoo
TopograPhY
Total lrclgltt
Lot'lYprr''
__ lntcrtor'
--- Cornor
.__ Panlrarrcllc
..-_ Cul'dc'sac
Sc llt l(s
P.L.HSE,GAR
N
c
I5 TI-IE, PROI'OSE,O WOR l( iN Tl-lE
..}.IISTORICAL DISTRICT' OR ON
TI.{E IlISTORICAL REGISTER? .-
l{ ycs, tlris application must be slgncd
o,',.t aPProvccJ bY thc Hlstorlcal
Coorclinator prior to pcrrnit issuance'
APPROVED:
Dalc
k-t
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Tlris pcrnrit is grarrtecJ oll thc cxprcss concJitiorr that thc said
consiruction sJlall, in all respccts' conform to thc Ordinancc
,i"o,"J tv thc City ot Springticld' including the
Dcvclopnrcnt Coclc, regulating ihc construction and use of
["fl,ri"'gt, and may bJ suspc'rclcd or rcvol<cd at any tlme
upon riofation oI any provisions oI said ordinances'
Plan Clrcck Fcc
Datc [)aid:
Rcccipt Nttttlbcr:
Rcccivecl BY:
PIarrs Rcvicw cd l3Y
Systcrns Dovelopmcnt Charge is cJuc on all undeveloped
propertics witlrin thc City linrits whiclr arc bcinq; improved'
ADDITIONAL COMMENTS
J)7Let,
/
By slgnaturc, I statc ancl agrce, tlrat I have careIully examlned
thc complcted application ancl do hereby certl,y that all
ln[ormatiorr hcrcorl is truc arlcl corrcct, and I Iurtl'rcr ccrtify
that any irncJ all worl< pcr[<lrmecl shall bc donc in accordance
witlr tlrc Ordirrartcr"'ls ol tlrr: City of Springllcld, ancl Ilrc Laws
ol tlrc St;rtc oI Orcgon pcrtainlng to thc worl< descrlbcd
hcrcin, and tlrat NO OCCUPT\l{CY will l.ic rrracjc of any
structurc without 1>ortrrission ot tlrc Buil<Jlrrg Sa[ety Division.
I Iurthcr ccrtily that only contractors ancJ cnrployecs who
aro in cornpliancc'with ORS 701.055 wlll bc used on thls
pro jcc l.
I Iurther a0rec lo cnsuic ll'rat illl rccluircd inspcctions arc
rcqucslcd;rt tho prol)cr tinle, lhat cacl't addrcss ls rcadablc
lrorn thc strcct t the pcrunlt card ls locatcd at the front
oI tlrc lrropc tlrc a1.llrrovcd sct of plans will rcmain
on tlre site cs dur 0 con on.
Slgnatu
Datc 34/ -fl
VALIDATION:
RECEIPT NUME]EF]7tt {1
f43Dnl'E, I'N ID
NNlOUNT RECEIVED
FIECEIVED 3Y _-.-
2
TOTAL AMOUNT DUE (cxclu(ling clcctricltl)
(4, B, C, O, and E Cortlt>inotl)/I
BUILDING PERMIT
VALUE
(^)
so. FT. y. $/so. I:T.ITEM
Main
Garagc
Carport
Total Valuc
Buil<Jing Pcrnrit Fcc
Statc Surclrar0c
Tolal Fcc
SYSTEMS DEVELOPMENT CHARGE (SD
(B)
c)
Rcslclcntial Bath(s)
SanltarY Scv.,er
Watcr
Stortn Scwcr
Mobllc l-lornc
P ERM IT
FEE
N"
[:]',
l:'l:
(\,,
Plumblng Pcrmit
Statc Surclraroe
Total Charoc
PLUMBING
ITEM
Fixtures
WootJ Stovc/ lnscrt / t:l rc placc'Urri I
MISCELLANEOUS PERMITS
Mobilc Hontc
Statc lssuancc
Stato Surclrargc
Sidcwall< _-- tt
Curbcut _-.- lt
Ocmollllon
Stalc Surchargc
MECHANICAL PERMIT
tCa,t
Total Mlsccllirncous [)crtnits (E)
'rg 7J
Z
No
2b
/d.d t
(D)
jw_p4
Fu rnacc
Exhaust Hood
Vcnl Fan
Mcclranical Pcrll'lit
lssu ancc
Statc Surcltarl;c
Total Pcnnlt
/4)
E
__--_--
.INGFIELO
EA
1,ff;;,:#x%3'jJ",.jitiTBH:1fi
:,1:,f H:,*225 FIETE STREET
SPRINGFIELD, OREGON 97.7
Date
L77-
26-ttg9INSPECTION REQT'EST
OFFICE: 726-3759
1 LOCATION OF rN#,lfih"frsdff""'"
ryw?* o"to
ELECTRICAL PERHIT APPLICATION
?"-D/2-
-q ?70 3 ss
DESCRIPTION
Ovners Name
Address
Ci ty b8r-, (u.a Phone 'l.t.l -73af-r----I
OVNER INSTALLATION
The installation is being made on
property I ovn r.rhich is not intended
f or sale , f ease ot' ren t .
Ovners Signature:
DATE:
Ci ty Job Nurnber
FEE SCEEDTII.E BELOV
A. Nev Residential-Single or
Multi-FamiIy per dvelling unit.
Service Included:Items Cost
oregorr iavv ibtiuiitrri y.J'-r {a,
s 8s.00
$ 1s.00
s 40.00
Permi ts at'e non-transf erable
if vork is not started vithin
of issuance or if vork is sus
180 days.
Address P o Go t )uraa,
Ci ty Phone /e/P-/ 6, q
I Supervi-sor License Number 211' 5
Expiration Date
Constr Contr. tlumber 7D.P#
Expiration Date o
Signature of Supervising Electrician
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Erec r r i ca 1 con t rac r ot: vg nzc.Tetc,q ^et r o,Jil:l"i:l::: t ?:;'
A1 t e ra t i ons
Sum
40.00
55. O0
80.00
ee rrBtr a566
200 amps or less
201 amps to 400 amps __401 amps to 600 amPs
-
601 amps to 1"000 amps-
rrn-rov€g 1000 amPs/voI ts
-NI!IT SHALL EXPIRE IFTHE WORKc' Ifilt:liltl3iltfrFho&tl5ft"di'ieroca r i on
, t,, ,l\ilL'01'iED FOR
Over 401 to 600 amps' Over 600 amps or 1000-6Tfs
s s0.00
s 60.00
s100.00
s130.00
s300.00
s 40.00
$
$
$
s
s40
s40
$20
s36
D. Branch Circuits
E
Nev, Alteration or Extension Per Panel
one Circuit I $ 35.00 33
Each Additional
Circuit or vith Service
or Feeder Permit
-
S 2-00
Miscellaneous (Service/feeder not included
-Each installation
Pump or irrigation
Sign/OutIine Lighting-
Limited Energy/Res
Limi ted Energy/Comm
.00
.00
.00
.00
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
?,
BRECEIVED
a
5
follow rules
Notification
/o- /-al
. 1{*
-tT-'16-
17 tD