HomeMy WebLinkAboutPermit Mechanical 1998-08-31RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office:726-3759
:;PRINGFTELD
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JOB NLJMBEN
225 FiIth Strcct
Spring tlerlcl, Orcgorr 97477
LOCATION OF PROPOSE,D WORI(:tilDD4 -DB
ASSESSOFIS MAP:/7 jLCzL
TAX LOT:.i7 2oa
BLOCI(:SUBDIVISION: ---LOT;
PHONE:
-
STAI't:7-tPN
OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DE,MOLISI.I OTI.IEII __-
OESCRIBE WORI(:
ADDRESS EX P II:1E,S PIJONE
o0
CONTRACTOR'S NAME
ELECTBICAL:
MECHANICAL:
PLUMBING:
CONST,
CONTRNCTOR /
GENERAL:
_ OFFICE USE _
ro'o 40tY" I 8f; fmE8ffit09",
made the sanre worklng clay,
must call 726'3769. TIrls ls a 24 tlour rccordlng. nll lnspcctions rcqucsled beforc 7:00 a.rn. wlll belnspections rcquested a[tcr 7:00 a.rn. will bc madc lhc followlng worl< clay.
REQUIRED INSPECI'IONS
Temporary Elcctric Rough Mcclrarrical - Prlor to
cover.
Final Plurrrbing - Whcn allpluntbing worl< is cornpletc.
iFirral Electfical - VJlrcn alt
Sitc lnspoction - To be mac,c
after excavatlon, but ltrior toscltin0 l<.lrrrrs.
Rouglr Elcctrical - Prior to
covel.cclrical worl( is corrrplctc.
Urrdcrslab Plunrt-:ing/ Elec trical /
Mcchanical - Prior to covcr.Electrical Servicc - Must be
alrprovecl to obtairr pcrrnancnt
clectrlcal l)owcr.
F irr cclrarrical - Whcn all
rtical worl< ls cornplctc.
Footlng - Af tcr trenches arc
excavated.Fircplace - Prlor to faclng
materlals and (raming lnsp.
Final Uuilclirrg - Wlrcn all
required inspcctlons have bccn
approvccl and builcling is
corn plc tocl.Masonry - Stcel locatlon, bond
beams, groutlng.Franrlng - Prlor to covcr.
Fourrdatlon - Aftcr [orms are
erected bu t prior to concretc
placernent.
O tlrcr
Wall/Cciling lrrsulatiorr - Prlor to
c ove r.
Underground Plunrbing - Prior
to fllllng trench.Drywall - Prlor to taping
MOBILE I.IOME INSPE TIONSUnderlloor Plumblng/ Mcchanical
- Prior to lnsulatlon or decl(ing.Wood Stovc - A(tcr install;rllon
Post and Bcam - Prior to floor
lnsulation or decl(1n0.lnsert - AItcr flrcl.)lacc approval
and installatlon oI unlt.
Blr:ckirrg arrd Sct.Up - Wlrcn all
blockinll is cornplcte.
Floor lnsulation - Prior to
dcc kl ng.Curbcut & Altl.rroaclr - nltcr
lorms arc croctcd but prior to
placcrncnt of corrcrct(1.
Plurnbirrg Conrrcctions - Whcn
Itotnr: has bcen co,tnected to
w;ltcr ilncl scvJ()r.
Sanilary Sewcr - Prior to lilling
trcnch.Elcctrical Corrrrcctiorr - Whcn
blocl<irrg, sct.up. and plrrnrbing
irts;pcctions ltnvo bccn approvcd
ilncl tlrc tlolnc is connccted to
tlrr: scrvicc 1.rancl.
Storrn Scwcr - l)tior to (illing
t rcnch.
Siclewalk & Drivcw;ry - nf tcr
cxcaviltion is complctc, Ioillls
an(l sut).basc rnatcriill in placc..
Watcr Llnc - Prlor to lilling
trench.
Forcc - Vvtlcn colnplctcd.
{itroot Trccs - Wlrcn all rcqulrcd
trccs are plantcd.
Firral - AItcr all rcquired
lnspcctions arc approvcd and
porchcs, sl(lrting, decl(s, and
ventln0 havc bcen lnstalled.
Rough Plunrbing - Prior to
cover,
t_l
t]
E
tl
tl
E
tl
tl
tl
E
tl
tl
t]
fl
n
ti
P.L.GAR ACC
N
c
E
Lot faccs
Lot sq. ltg.
Lot covcragc
Topography
Total lrclglrt
Lol 'fypc
V
-
lrrtcrior
--
Corncr
-
Panlrartcllc
-- Cul-rlc-sac
ar ks
HSE
r--lS THE PI1OPOSEO WORI( iN Tl-lE .
}.IISTORICAL DISTBICT, OB ON
TIlE HISTORICAL REGISTER?
-
It yes, this application must be slgned
arrd approved by thc Historlcal
Coordinator prior to pcrmit issuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Tlris pcrrnit is grantcd orr the cxprcss conditiorr tlrat tlrc said
construction sliall, in all respects, con[orm to the Ordinance
adoptcd by thc City oI Springficld, including the
Developmcnt Cocic, rcgulating thc construction and usc of
buildings, and may bc suspendcd or rcvol(cd at any tlrne
upon violation of any provisions o( said ordinances.
Plans ncvicwcd lJy Date
Rcceipt Nurrtbc
Plan Clrccl< Fee:
Datc Paid
Rcccivcd By:
VALUE
(A)
BUILDING PERMIT
Total Valuc
Building Pcrmit Fce
Sta[c Surcltargc
Total Fcc
SO. FT. X $/SO. I.'T.ITEM
Main
Garagc
Carport
Systcms Dcvelopmcnt Charge is duc on all undevcloped
propcrtics within tha Cily linrits whiclr arc bcing inrproved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
FEE
(c)
[:
NNResldcntial Eatlr(s)
PLUMBING PERMIT
t- I.
Plurnblng Pcrmit
Statc Surchar0e
Total Clrargc
Sanltary Scvver
Watcr
Sloiln Sowcr
Mobllc Horne
FT.
ITEM
Fix tu rcs
ADDITIONAL COMMENTS
By slgnature, I statc ancl agree, tnat I havl carctully examlned
the complctcd aprplication and do hereby certlfy that all
lnformation lrcrcorr is truc at1(l corrcct, ancJ I Iurther cerilfy
that any and allvrork pcrformcd shall bc done in accordance
with thc Ordinanccs oI thr.l City of Springf lcld, ancJ thc Laws
of llrc St;rtc oI Orcgon perlaining to thc worl< cJescrlbccJ
hcrein, arrd tlrat NO OCCUPAIiICY will [:rc rrraclo of any
structurc wilhout pcrrnission of the Buildlng Safety Division.
I furthcr certify that only contractors and entployees who
aro in cornpliancc witlr ORS 701.055 will bc used on this
pro jcc t.
I (urtl'rcr agrec to cnsure tlrat all rcquircd inspections arc
requestcd at Ihc propcr time, that each address is rcadablc
t thc pcrmlt card ls locaicd at the front
approvcd sct of plans will remain
Slgnatu
B-at qsDate
ri lon.rUg conses du rin
frorn thc strc
of tlrc pro
on thc sitc
Wood Stovc/ lnscrt / F:lrcplacr: Uni I
MISCELLANEOUS PERMITS
Mobilc Honrc
Stato lssuancc
Stato Surchargc
Sidewalk
--
tt
Curl:cut
-=
tt
Domolltlon
Stato Surchargc
lStot
Total Mlsccllaneous [)crtnits (E)
k
t
Vcnl Fan
Drycr
(D)
-t oL!o--
4{ 7{
MECHANICAL PERMIT
Fu rnacc
Exhaust Hood
Mcc lranical Pcrnrit
I s su ancc
Statc Surch:rr0c
Total Pcrrnlt
LO
c
\rt (
AMOUNT NECEIVT..D
FIECEIVE D 8Y
DATE PAID
VALIDATION:
RECE,II'T NUMBEFI
TOTAL AMOUNT OUE (cxcluding olectrir;al)
(A, B, C, D, and E Corrtl:incd)
.u
(
5P' GFTELO
cval.
NO
223 ITYTB STREET
SIRINGTIEI.D, OREGON gT[W
o
I.BGAL DESCRISTION I ToSzCzz
PERI{IT APPLICATION
IilSPE TION REOTIEST:Rffio uNDER THts PERMTT ts NofitY Job Nuruber ?tr ro r3
fl8fHo
oPEtcE:' ?26'3759 coMMENcED oB rs ABAND${EDE&Lnrg rEE scEEDt r.E BELou
1. I.I}CATION OF HIOD
RK \
Perolts are non-transferable a1!-explre
ii-uorlc is not started vithln 180 days
;i i;;;.;ce or tf vork is susPended for
180 days.
T. COITTBACTOR INSTALI.ArION OI{&T
A. Nev Residential-Single or
ttutti-pamil.y Per dueLllng unit'
servlee rneruded, ,,.r" cosr
1000 sq.ft. or less
Each acidttional 500
sq. ft or Portion
thereof
Each Hanuf'd tlome or
l{odular 'Dvelllng
Service or Feeder
Services or Feeders
Installation, Alterations
$ 40.00
s 50.00
$ 60.00
s100.00
s130.00
$300.00
$ 40.00
I;3Uii:{' *:"ii::'3i'Xi"3i"i.r,"" t i on
200 amPs'"or
201 amPs to
Over 401 to
0ver 600 amPs or
?6tO ltC€-0 3LOo Sum
JOB DESCRIPTION
$ 85.00
$ 15.00
Electrica1 con t rac ro, Yg az{G c--fr""!vrl hf.ot Reloca t ion :
B.
c.
Address
\-. CLI! tur*-a-^. -.Phone 4 to>?L
Supervisor Llcense Number 2-*,tf <-
Bxplration Date
200 anps or less
201 anps to 400 anPs
-
401 anps to 600 e&Ps
-
601 aops to 1090 afiPs-
over 1000 auPs/volts
-
Beconnect OnlY
Constr Contr. Numbe r2o P,7
Expiration Date 2 o-t
Signature of Supervlsing BLectrician
less
400
600 above
$ 40.00
s 55.00
$ 8o.oo
see tBf,
amDs
-anDs
rbooETTs
A OREGOTVCITY OF SPRING
RBCEIVED
you to