HomeMy WebLinkAboutPermit Mechanical 1995-10-27BESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726.3759
LOCATION OF pnoPOSED WOBK:_..
ASSESSORS MAP
SPR NGFIELc,
452 Union Street
SU BDIVISION
JOB NUMBE^22?T_
225 Fifttr Street
Springf teld, Oregon 97477
LOT:- BLOCK
OWNER Kelsay
PHON E:726-0409
ADDRESS:452 Union Street
CITY:STATE:OR ZIP 97477
I]EMODEL ADDITION DEMOLISH .)TI.{trtr'
Install gas heating/cooling eguipmentDESCRIBE WORI(
NEW - 1-.
ADDRESS
EXPI RES PHON E
1951 Don St.ield, OR 97477 oLlbo -o
MECHANICAL Comfort Flow Heating
CONTRACTOR,S NAME
ETECTRICAL:._-_
CONST.
CONTBACTOR ,
G EN ERAL:
PLU M BI NG
, OF BDRMS: -_-
RANGF.:
QUAD AREA:
, OF BLDGS
SECONDABY HEAT:
SOUARE FOOTAGE:
WATER I.IEATER:
OCCY GFIOUP:
, OF STORIES:
CONSTB. TYPE:
HEAT SOURCE:
# OF UNITS:
To re Uq n ep cn o n,you m c alu
n p o ns re qu CS e d be o re 7:00 a.m wlll behoownIwoday.rl(
26-3769. Thls ls a 24 hour recordlng, Ailrcquested af tor 7:00 a.m. wlll bo macle
REQUIRED TNSPECTIONS
ffi Roueh Mechanlcal - prlor to
-.
cover.
Rough Electrlcal - prlor tocover.
Electrlcal Servlce - Must beapproved to obtaln permanent
olectrlcal powor.
Flroplaco - prlor to faclngmaterlals and framlng lnspl
Framlng - prlor to cover.
Wall/Celllng lnsulatlon - prlor to
mad the sanre worl(ing <Jay, lnspectl
Ternporary Eleclric
Site lnspection - To tre macloafter excavation, bul prlor tosettinO forilrs.
Underslab plunrbing/ Eleclrical /Mochanlcal - prior to cover.
o ns
fl rtnat ptumbing - When ail
-
plumblng work ls complete.
m
Flnal Electrlcal - VV5q. .1Jelectrlcal work ls complete.
Flnal Mechanlcal - Wnen altmechanlcal work Is complete.
Footlng - Af ter trenches areoxcavaled.
Masonry - Steel locatlon, bonclbeams, grouil ng,
Foundatlon - After forms areerected but prior to concretoplacemen t.
Underground plunrtring - prlor
to filllng trench,
Underlloor plumblrrg/ Mechanlcal
- Prlor to tnsularioh or decklng.
Posl and Bearrv. - prlor to floorlnsulatlon or decl(lng,
Floor lnsulalion - prior to
dec ki n g.
w i liti,z;'ls:??;"[J i:,x,, o u u napproved and bullding iscompleted.
[-_l tnsert - After ftreptace approval
-
and lnstallatlon of unlt. .'
[-l Blocktng and Set.Up _ When ail
-
blocklng ls complete,
cover.
Drywall - prlor ta taplng.
Wood Stovo - Af ter Installatlo'n.
MOBILE HOME INSPECTIONS
Plumbing Connectlons - Whenhome lras been connected towater and sewer,Sanltary Sewer - prior to fllling
trench.
Curbcul & Approach - Aftertorms are erocted bUt prior toplacemont of concrcto.
Storm Sewer - prior to f illing
trench.
Sldewalk & Drlveway - Alterexcavatlon ls completc, formsanc, sub.base materlal ln place.
Fenqe - When completed.Water Llne - prtor to fillingtrench.
Rough Plurnbing - prlor to
cover.[-_l Street Troog - When ail requlred
-
trees are planled.
Flnal - After all requiredrnspecllons are approved andporc.hes, sklrting, decks, andventlng have boen lnstalled,
Electrlcal Connection - Whenblocking, set.up, and plumblnglnspoctions have been approvedand the home ls connected tothe servlce panel.
rAX Lor; ars?aaes
_ OFFICE USE -
LAND USE;
J-Yl otiror F . ::ff, -
rl
E
tl
E
n
tl
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul.de.sac
Setbac r is lr-tE pFtoposED wonK lN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf y€s, lhls application must be slgned
and approvcd by the Historlcal
Coordlnator prior to permit issuance.
APPROVED
P,L.HSE GAR ACC
N
S
E
VALUE
(A)
BUILDING PERMIT
Total Valuo
Bulldlng Permit Fee
State Surcharge
Total Fee
SO. FI. X $/SO. FT,ITEM
Main
Garage
Carport
BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT
Thls permlt is grantcd on thc exprcss corrclitiorr ttral the Saidconstruction shall, in all respects, conforrn to the Ordinanceadopted by thc City of Sprirrgfielcl , inctudtng theDevelopment Coclc, rcgulating the coDslruction ancJ use ofbulldlngs, and may l>c suspended or revokcd at any timeupon violation of arry provisions of saicl ordinances.
Plan Check Fee: ..__
Becel pt N urnber':-__... _-
DatePlans Rcvieweci 8Y- " ---- --'
Datc Pald
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developmcnt Charge is cJue on all undeveloped
propertles wlthln the City llntits which are bcing Improved,
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
N0
FT.
FT.
(c)
Plumblng Permlt
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Flx t u res
ADDITIONAL COMMENTS
Wood, Stove/ lnsert/ Flroplace Unl t
Dryer Vent
(D)24-^
No
/r,*
Vent Fan
*
Mechanlcal Permlt
I ssuance
State Surcharge
Total Permlt
,44
re
MECHANICAL PERMIT
Fu rnaco
Exhaust Hood By slgnature, I state anil agree, that I have carctully examlned
the completed appllcailon and do herel:y ceril ly that all
lnformatlon hereon is true arrcl correct, ancl r rurthcr cerilty
that any and all work performed shall bc done in accorclance
wlth the Ordinanccs of the Clty o( Sprlngf ield, and the Lawsof the Stato of Oregon pertalnlng to thc work descrlbed
heroln, and that NO OCCUPANCy wiil bo macJo of any
structure wlthout perrnission of the Bult<JinO Safety Dlvislon.
I further certlfy that only contractors and employees who
are ln compllance with ORS 7O1,OS5 wlil be used on thlsprolect.
I further agree to ensure that all requirecJ lnspecilons are
requested at the proper ilme, that cach address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans wiil remaln
/o-s z-q{
Slg natu re
Date
on the slte at lmcs durlng construcilon
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut ' ft
Demolltlon
State Surcharge
Total Mlscellaneous Pormlts (E)
TOTAL AMOUNT DUE (excludlng clcctrlcat)
(A, B, C, D, and E Comblned)
<c>
-?>DATE PAID
AMOUNT RECEIVED
BECEIVED BY --
FT.
VALIDATION:
FIECEIPT NUMBER _/J*_Z
t a
,ror5''t''-\h-aL-15
7 26,]gigyc{i Sig;raturo
1. LOCATTON OF INSTAIT-A,TION,-l lrruelnl ut.
IJGAL DESCRIPTION
JOB DESCRIPTION
Permi ts are non-ransferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COIITRACTOR INSTATI^ATTON ONLY
SP6'INGFIEL(f
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAI
Ili, I?;""x,J ts#tr, ?:.1XPgH,ff il",T I:x.
225 FIETE STREET
SPRINGFTELD, OREGON
INSPECTTON REQUEST:
OFFICE: 726-3759
ci
Supervisor cense Number
ELECTRICAL PERHIT APPLICATION
Ci ty Job Number %
3 COHPLETE FEE SCEEDUI^E BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
B
E
A
Sum
Electrical Contractor
Address 0
C.$S €t ootrrrr-,,J,.0
Phone qlt -a3b
Constr Contr. Number
Expiration Date q - l-qb
Signa of Supervising Electrician
0vners Name
Address
Ci ty Phone rlLb - o l,o9
OVNER TION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent-
Ovners Signature:
DATE:
RECEIPT
C- Temporary Services or Feeders
Installa'tion, Alteration or Relocation
200 amps"or Iess $ 19.99
201 amps to 400 amps
-
S 51199
0ver 401 to 600 amPs
-
$ 80.00
Over 600 amps or 1000-voTTs see "8" above.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Hodular Dvelling
Service or Feeder
s 8s.00
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 arnps to 400 amps
-401 amps to 600 amPs _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0n1y
Nev, Alteration or Extension Per Panel .
one Circuit i S 35-00 n$..go
Each Addi tional
Circuit or vith Service
or Feeder Permit
-
S 2.00
Miscellaneous (Service/feeder not' included)
s s0.00
s 60.00
$L00.00
s130.00
s300.00
$ 40.008b
Expiration Date t0 - | - q b
-Each installation
Pump or irrigation S
Sign/OutIine Lighting- S
t imi ted Energy./Res
-
S
Limited Energy/Comm S
40.0q
40.00
20.00
36.00
5 35.oai ,{r
I'5
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