HomeMy WebLinkAboutPermit Mechanical 1996-06-18SP IELO
LOCATIO N OF PBOPOSED WOBK:
FEf,'-?'+-Iltl''o''o'
3i,[T'f%:1726'376e
ffi,
225 Fif th Street'spt,"gii"ro' Oregon 97477
Ir
2-
TAX LOT
JOB NUMBER
7tP:
ZONING CODEr
# OF BDRMS:
SECONDARY HEAT:
SOUARE. FOOTAGE:
ions requested before 7:00 a'm' wlll be
lowlng work day.
Flnal Plumbing - When all
plumbing worl< is comPlete'
Flnal Electrlcal - When all
etectrical work ls comPlete'
Z '/
ASSESSORS MAP:SUBDIVISION:
LOTi
OWNER:
ADDRESS:
CITY:
NEW REMODEL
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
QUAD AREA:
# OF BLDGS:
OCCY GROUP:
r OF STORIES:
WATER HEATER:
Footlng - After trenches are
excavated,
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but Prlor to concrete
placemont.
Underground Plumblng - Prior
to fllllng trench.
Underltoor Plumblng I Mechanlcal
- Prlor to lnsulatlon or decklng.
Post and Beam - Prlor to floor
lnsulatlon or decking.
Floor lnsulatlon - Prlor to
deckl ng.
Sanltary Sewer - Prlor to ,llllng
trench.
Storm Sewer - Prlor to fllllng
trench.
BLOCK:
STATE:
ADDITION DEMOLISH OTHER
ADDBESS
- OFFICE USE -
LAND USE:
# OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
cover.
Electrlcal Servlce - Must be
approved to obtaln Permanent
electrlcal Power.
PHONE:
l--l FIrePlace - Prlor to faclngI I materlals and framlng lnsP'
Framlng - Prlor to cover,
WalllCelllng lnsulatlon - Prlor to
cover.
33N?Io",o,'EXPIRES PHONE
To request an lnspectlon, you must call
maoe'tne same worklng day' lnspectlor
726-g76g.Thls ls a 24 hour recordlng' All lnspect
ns Lqu".t"O after 7:00 a'm' wlll be made the foll
REOUIRED INSPECTIONS
TemporarY Electrlc w Rough Mechanlcal - Prlor to
SIte lnspectlon - To be madc
after excavatlon, but Prior to
settlng lorms.
Underslab Plumblngl Electrical/
Mechanlcal - Prlor to cover'
%7tPzc>
Rough Electrlcal - Prlor to
w Flnal Mechanlcal - When all
mechanical Y|tork ls complete'64c rffiv1$
Flnal Building - When all
required lnsPectlons have been
approved and building ls
completed.
l--1 water Ltne - Prtor to fitllng f1 Fence - When completed.a trench-
l--l orywatl - Prlor to tanlng.
f-l Wood Stovo - After lnstallatlon'
lnsert - After flrePlace aPProval
and lnstallatlon of unlt.
Curbcut & APProach - After
forms are erected btlt Prior to
placemcnt of concrete.
Sidewalk & Drlveway - After
excavation ls comPlete, forms
and sub-base material ln Place.
MOBILE HOME INSPECTIONS
Blocking and Set.UP - When all
blocklng ls comPlete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Electrical Connectlon - When
blocklng, set-up, and Plumbing
lnspectlons have been approved
and the home is connected to
the servlce panel.
fl Rough plumbtng _ prlor to
-
cover.Slre€l Troes - When all requlredtrees are planted.d
DESCRIBE WORK:
-
tl
E
n
tl tl
E
tl
E n
n
ll
il
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Totat helght
Lot T1r _
-- lnterior
-.* Corner
-- panhandle
_- Cul-de_sac
PL.-t,sE
N
E
IS THE PBO
HISIORI WOFK iN THE
THE H ISTORICAL
CAL DISTR
REGI
lcr
STER?
-
OR ON
lf yes, this applicallon
POSED
and app roved bvtCoordin
upon violati
Plan Check
Dale paid:
on of any provisions of said ordinan ces.
Beceipt Numbe
Receivecl By:
Plans Fcvi ewecJ By
Date
Systems Developmcnt Ch arge is due on all u ndevelopedproperties within ure City linrits which are bei ng improved.
ADDITION AL COMMENTS
I further agree to ensure that all required lns pections arerequested at the proper ilme, that each add ress ls readablefrom tho street, that the permlt card ls located at the frontof the property, and the approved set of plans will remain
construcUon.
Sls
must be slgrhe Historl
ned
calalor prior to perrpll issuance.
APPROVED:
BUILD ING
DING
VALU E,
PE
PLAN
RMIT
CHECKANDBU,L
This permit is granted on t he express condj tion that the saidconstruction s hall, ln all respects, con form to the Ordinadoptedbythe Cit Y of Sprin g f ield,includin I theDevelopment Code,reg ulating the
ance
buildi n9s, and m aY be suspended or revoked at any time
construction and use of
Fee;
By slgnature, I state and agree, that I have caref ully examlnedlhe completed appticatlon and Oo nereUf cerilfy that altlnformatlon hereon is true ancl correct, and I f urther cerilfythat any and all work performed shall be done in accordancewlth the Ordinances of the City of Sprlngfield, and the Lawsof the state of oregon pertainlng to the work descrrbedherein, and that NO OCCUPANCy wllt be made of anystructure without perrnission of the Bulldlng Safety Division.I further certify that only contractors anOlmptoyees whoare ln compliance with ORS 701.05S will be used on lhlsproject.
TOT
VALUE
(A)
X $/SQ. F]l
BUI
IIEM
LDING PERM,T
60. FT.
Tolal Value
Builcling permit Fee
State Surcharge
Total Fec
Main
Garage
Carport
T cHARcE (sDC)
(B)
SYSTEMS DEVE LOPMEN
Fixtures
Besldential Bath(s)
Sanilary Sewer
Water
Storm Sewer
Moblle Home
FEE
-
(c)
PLU
ITEM
MBING PERMIT
FT.
Plumblng permit
State Surcharge
Total Charge
MECHANICAL PERMITFurnacc LfuoU
Exhaust Hood
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
?4.2a
4
(D)
2rz,-/{
Vent Fan No
Mechanical permit
lssuance
State Surcharge
Total Permit
2a
ize
DATE PAID
BY
VALIDATION:
RECEIPT NUMBER
AMOUNT RECEIVE'D
MISCELLAN EOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
lt
Curbcut lt
Demolition
state surchal99
(E)
Perm\tsaneous
{otat
IL
e\ectrical)
Date ,b--q Iv->
LtrL
on the site
--
N0
FT.
1f ,-i-,a?
,/g'nrv:e-
--
-
-
\*
The foll,owing project as eubmitted hes the following
zoning , and doee not re"?uire epecific landapprwd.
LDK,Zon
225 FIFTE STREET omo [0.#.qv
SPRTNGFTELD, oREGoN SZSStrzoa
INSPECf,ION REQUESTz 726-37
OFFICE: 726-3759
1 OF
LEGAL
..JOB DESCRI
Permits are non-transfera b1e and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALLATTON ONIY
ST'FtINGFIELl)
use
ELECTRICAT PERHIT APPLICATION
ty Job Nunber
COHPLETE FBE SCffiDTILE 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
Service or Feeder
s 8s.00
$ 1s.00
$ 40.00
afi
3
A
I
s300.s 40.
$ 40.00
$ ss.00
s 80.00
s see ttBtt
Sum
aEove-
Ci ty Ptrone lrll -AAZL
Supervisor L cens e Number I hSb S
Expiration Date 0
Constr Contr. Number 0 e+q
Expirationoate 9-l-96
S ture of SuPervising Electrician
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-
601 amps to 1000 amPs-
Over 1000 amps/volts
-
Reconnect OnlY
C
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
Temporary Services or Feeders
Insiallaiion, Alteration or Relocation
J
Electrical Contractor
Address
a rt
S
s
s
s
100
130
00
00
00
00
00
00
50.
60.
-q8
Ovners
Address
Ci
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent'
Osners Signature:
200 amps''or less
201 amps to 400 amps
-Over 40L to 600 amps
Over 600 amps or 1000-voIT
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit I $ 35.00 .7g.oo
Each Additional
Circuit or vith Service
or Feeder p"irit- I g 2.00 7..OO
E. Miscellaneous (S"tri""Zt""der not included)
-Each instalLation
Pump or irrigation
-
Sign/Out1ine Light ing-
Limited EnergY/Res
-
Limited Energy/Comm
b
c
Phone ,l+b-"ll 09
OIINER ALT^ATION
s
s
$
$
40 00
00
00
00
40
20
36
5
DATE:
RECEIVED
3"1, oo
l. 85
I