HomeMy WebLinkAboutPermit Mechanical 1998-06-26:;PRINGFIELD
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SUBDIVISION
JOB NLJMBER
LOCATION OF PFOPOSED WOH}(:
ASSESSORS MAP:
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Otfice: 726.3759
LOT:
--
BLOCI(
TAX LOT:
225 Filtlr Strcct
Spring ili:lcl, Orcgon 97477
PHON E:
STAI'E:7to
747-D10
q 7479
OWNER:
ADDRESS:
CITY:
DEMOLISI] OTI.IEN
€una dDESCRIBE WORI(:
NEW
er
REMODEL ADDITION
ADDRESS l.:XPlllES PI-ION E
Slt-b"a7.q
CONTRACTOB'S NAME
MECHANICAL:
ELECTRICAL
CONST.
CONTRACTOR //
GENERN L:
PLUMBING
, OF 6DiiMS
WATER FIEATER:
rLOOD I)LNIN
_ OFFICE USE _
l-i EAT SOURCE: _*-.
CJONSTFI. TYPE:
RN NGE:
QUAD AREA:
I OF BLDGS:
SECONDANY H EAI':
SOUANi:. FOOTNCE:
OCCY GROUP:
r OF STOI']IES:
ZONING CODE,:
LAND USE:
To rcguest an lnspection, you must call 726-3769. Tlrls ls a 24 llour rccorcJlng. nll lnspcctiorls rc(luestccJ bclore 7:00 a.rn. wlll bcmade the sanle worklng day, lnspcctions rcquested aftcr 7:00 a.rn. will be maclc thc followlng worl( cjay,
REQUIRED INSPECTIONS
[-_l Temporary Elcctric iouglr Mcchanical - Prlor to
ovcr.
Firral Plurrrbing - Whcn allpluntl:ing worl( is conlpletc.
IFin:rl Elcctr\cal - !^,ihcn all
clectrical worl< is cornplatc,
Site lnspection - To bc maclc
a(ter excavation, but prior to
settln0 lorrns.
Rouglr Elcctrical - Prior to
cover
Underslab Plunrbing/ Elcctrical/
Mechanlcal - Prior to covcr.Elcctrical Scrvicc - Must be
a1:provcci to obtain pcrrnarlcnt
clectrlcal l)ower.
irral Mcchanical - Whcn all
lr)ocllanical lvorl< ls cornplete.
Footlng - A(ter trenchcs arc
excavated.Fireplacc - Prlor to f acing
materials and framirrg lnsp.
Final Uuilclirrg - When all
required inspectlons havc becn
approvcd and building is
co rn plc t0d.Masonry - Steel locatlon, IJond
beams, groutlng.Franrlng - Prlor to covcr.
Fourrdatlon - Aftcr [orms are
erected bu t prior to concretc
placernent,
Otlrcr
Wall/Cciling lnsulntion - Prlor to
covei,
Undcrgrourrd Plunrbing - Prior
to filllng trench,Drywall - Prior to taLring
MOBILE I.IOME INSPECTIONS
U nderlloor Plu mblrr g / M cch an ic al
- Prior to lnsulatlon or decl<ing.Wood Stovc - AItor Installirlion
Post and Bcam - Prior to f loor
lnsulation or decl<lng.lnscrt - AIter flrcy:lacc apl>roval
and installatlon oI unlt.
Blocliing and Set.Up - Whcn all
blt':cl<i n11 i s cornplcte.
Floor lnsulation - Prior to
d eckl ng,Curbcut & Af:l.rroaclr - A(tcr
[orms arc crcctcd bUt t)rior to
placerncllt of corrcrr:tcr.
Plrrrnbirrll Corrrrcclions - Whcn
Irornr.: has bcen cort|lccted to
w;itcr irr)cl scvJer.
Sarritary Sewcr - Prror to fillin0
trcnch.Elcctrical Corrrrcctiorr - Whcn
t>lockin1.y, scl.up, and plrrnrbing
inspcclior)s llnvc. bcon approvcd
ilnd tllc lrorrro is connccted to
thr: scrvicc pancl.
Storrn Sewer - l)rior to tilling
trenclr.
Sidewalk & Drivcwal, - nflcr
cxcavation is complctc, [oI|ns
ancl sut'.r.base rnalcrial in placc.
Water Llne - Prlor to f illing
trench.
Fcrrcc - Wlrcn cornplctcd.
{itrost Trccs - Whcn all rcqulred
trccs are plantcd.
Firral - Altcr all requircd
lnspcctions arc approved and
porchcs, skirting, cJecl(s, and
vcntlnO havc bcen lnstalled.
Rouglr Plurnbirrg - Prior to
cover.
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Lot,accs
Lot sq. f tg.
Lot covcragc
TopographY
Total hclght
Lol'Iypcv
-_ lnteriorj'
--
Cortrcr
-
Panharrcllc
-- Cul-rJc'sac
Sc t bac l(,;
P.L,HSE
N
c
E
IS THE PI]OPOSE,D WORI( iN TI]E ..
I.IISTORICAL DISTRICT, OB ON
TI]E I{ISTORICAL REGISTER?
-
l( yes, tl-ris application must be slgned
and approvcd by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
VALUE
(A)
X $/SO. I.'T,
Total Valuc
Building Pcrmit Fcc
Statc Surclrargc
Total Fcc
BUILDING PERMIT
ITEM SO. FT.
Main
Garagc
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pcrnrilis grarrted on thc cxprcss conditiort tlrat the said
construction sllall, in all respccis, con[orm to the Ordinance
adopted by the City oI Springf icld, including the
Dcvelopment Codc, rcoUlating the construction and use of
buildirrgs, and may bc suspcrrdcd or rcvol<cd at any tlme
u pon violatlon of any provisions of said ordinances.
Datc
Plan Chccl< Fec
Datc Paid:
Bcceipt Nurnbcr
Rcccived By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(u)
Systcms Dcvelopmcnt Chargc is duc on all undeveloped
propcrtics within tlrc City linrits whiclr are bcing inrproved.
Rcsidcntial Bath(s)
Sanltary Scwer
Watcr
Storrn Scwer
Mobllc Horne
PERMIT
FEE
NN
l;1.
FT.
(r,)
Plurnblng Pcrmit
Statc Surchargc
Total Clrarge
PLUMBING
ITE,M
Fix tu res
ADDITIONAL COMMENTS
By slgnature, I statc ancJ agree, that I lravS carclully examlnecJ
the complcted application and do hereby certlly that all
information hercorr is true ancl corrcct, and I Iurther certity
that any and all work pcrformcd shall bc done in accordance
with tlrc Ordinarrccs of ttrr: City of SpringIlcld, arrcJ tlrc Laws
o( tho St;rtc oI Oregon pertaining to tlrc work cJescribecJ
hcrcin, arrd tirat NO OCCUPAI'JCY will be rnacle of any
structurc without pcrrnission oI the BuilcJing Sa[ety Division.
I [urthcr certify that only contractors and enrployees who
aro in cornpliancc with OFtS 701.055 wlll bc used on lhis
prc, jcc i.
I (urther agree to ensurc that all requircd inspcctions arc
propcr l,imc, that eaclr address is rcadablc
pcrmlt card ls locatcd at thc front
thc approvcd sct oI plans will rcmain
Slgnatu
Date
(
rcquestcd at thc
imes d ring c
Irat t
b- dbd
frorn thc str
ol tlrc pro
on the si ction.
Wood Stovc/lnscrt/F:lrcplacc UniI
Drycr Vcnt
MISCELLANEOUS PERMITS
Mobile Honrc
Statc lssuancc
Stato Surclrargc
Sidewalk
-
tt
Curbcut
-.-
ft
Ocrnolltlon
Statc Surchargc
/6,
Total Miscellancous Pcrrnits (E)
&
J-{-!,9{
aa
Vcnt Fan
(D)
MECHANICAL PERMIT
Fu rnacc
Exhaust Hood
Mcchanical Pcrnrit
lssu ancc
Statc Surchar0c
Total Pcrmlt
TOTAL AMOUNT DUE (oxcludine clcclrical)
(A, B, C, D, and E CotttbirtccJ)
-&b- q d
"<A)
jno55
AMOUNT RECEIVED
FTECEIVED AY
DATE PAID
VALIDATION:
RECE,I''T NUMBE,F]
Plar-rs novi;wcd- Lir-*------
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eNy
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74
rHE
ttlodoeenot r€gulrc epocitic land
$PFL.TJFIELEt
use
EI^ECTRICAL PERHIT APPLICATION
$ Bs.0o
r
225 FIFTH STREET
SPRINGFIELD, OREGON 9
INSPECTION REQUEST:
OFFICE: 726-3159
726-37 69
1. LOCATION OF INSTALLATION
Ji.A.
LEGAL DESCRIPTION bo
JOB DESCRIPTION
c hJ
Fon Ci ty Job Nunber QT o7K2)
3. COHPLETE FEE SCffiDl]LE BELOIJ
Nev Residential-Single or
MuIti-FamilY Per dvelling unit'
Service Included:Items Cost
Permits are non-transferable and expire
if vork is not started vithin 180 days
;; i;;;";"" o. if vork is susPended for
1.80 days.
2. CONTRACTOR INSTALT,ATION ONLY
Electrical contrac rc, (\Lt^cTnn A"rOt"*rw
Address @o&or )-q q jq.
Ci ty €pnone 6E6-(2:L
Supervisor License Number -^Pq
Expir:ation Date
Constr Contr. U'Lmber )Off 7
Expiration Date
Signature of Supervising Electrician
TemoorarY Services or Feeders -i""l"iir',r";, erieration or Relocation
200 amPs or Iess
20L amps to 400 amPS -._--40L amPs to 600 amPS
-
60L arnps to 1000 amPS-
over Lb00 amPs/volts ___-
Reconnect 0n1Y
200 amPs''or less;;i ;;; i" aoo amps
-0ver 4bl- to 600 amps
Over 600 amPs or 1bO0-vo-ITs
one Circuit I
Each Additional
Circuit or vith Servrce
Ji-eu"a"t Permit (
1000 sq.ft. or Iess
Each additional 500
sq. ft or Portion
thereo f
Each Manuf'd Home' or
Modular Dvelling
Service or Feeder
Services or Feeders
Installation, AIte:rations
or Relocation:
SUBTOTAL OF ABOVE
5% State Surcharge
gi aa*i"istrative Fee
TOTAL
DD
s 1s. oo
$ 40.00
Sum
included )
)(
(
s
C
s
s0.00
60.00
100.00
130.00
300.00
40. 00
$ 2.00
$ 40.00
s ss.00
s 80.00
see ttBtt above
Ovners Name
Address
Ci tY Phone ?tl-6'ro
D. Branch Circuits
Nev,Alteration or Extension Per Panel
s 3s.00
OTINER INSTALLATION
The installation is being made.on
Droperty I ovn\,rrtili-' is iot intendec
!oi'.utl, lease or rent'
Owners Signature:
MiscelLaneous (Service/feeder not
-Each installation ( aO.
Pump or irrigatiorr .- :;)llllzr,l,l;;;-l1::i"s- 3 i3.Lirnited EnergYzl
-
c 1rii.ii"a EnergY/comm ) ro'
E
00
00
00
00
q
o-1DATE:
R
RECEIVED B ^)
3q-q u
J)
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