HomeMy WebLinkAboutPermit Mechanical 1998-01-23SPTTINGFIEL()RESIDENTIAL
PERMIT APPLICATION
lnspections:726-3769
Of tice: 726-3759
LOCATION OF PROPOSED WORI(:
efi,
JoB NLTMBEn %**
225 Fitth Strcet
Sprlngtleld, Orcgorr 97477
,bsL Ynlnn
ASSESSORS MAP:*4>2
LOT:BLOCI(:
TAX LOT:
PHON E:
STATE:7-tP
74{-5Aot
qrl L/77CITY:
ADDRESS:
OWNER:
DESCRIBE WORI(
ADDRESS l.:XPlllES PHONECONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
G EN EFIAL:
PLUMBING
_ OFFICE USE -
LAND USE:
, OF BDTTMS
WATER HENTER
ZONING CODE:
FLOOD PI N IN
SECONDN NY F]EAN -.
SOUNNI:. FOOTNGE
Z OF UNITS:
HEnT SOURCE: ____
RANGF-:
OCCY GROUP:
, OF STORIES
CONSTR. TYPE:
To request an lnspectlon, you must call 726'3769. Tltls ls a 24 hour recordlng. nll lnspections requestect bcforc 7:00 a.rn. wlll bc
made the sanle worklng day, lnspections requested after 7:00 a.m. will bc rnadc thc tollowlng worl< day.
REQUIRED INSPECTIONS
[--l Temporary Electric Rough Moclranical - Prior to
cover.
Final Plurrrbing - When allpluntl:ing work is conrplete.
Site lnspection - To be maclc
af ter excavation, bul prior to
settlng lorrns.
Final Elcctrical - VJlren alt
clectrical worl( is conlplctc.
Underslab Plumbing/ Electrical /
Meclranlcal - Prior to cover.Electrical Servlcc - Must be
approvecl to obtain l)cr rilancnt
clectrlcal l)owcr.
w Firral Mccharrical - When all
rnccllanical worl< ls cornplcte.
Footlng - Af ter trenches are
cxcavated.Fireplace - Prlor to faclng
materlals and f raming lnsp.
Final tluilcling - When all
required Inspectlons have been
approved and building is
complot(rci.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to covcr
Foundallon - After (orms are
erected but prior to concretc
placement,
O ther
Wall/Ceiling lrrsulation - Prlor to
c ove r.
Underground Plumbing - Prior
to fllllng trench.
MOBILE I.IOME INSPESTIONSUnderlloor Plumblng/ Mechanical
- Prior to lnsulatlon or decl<ing.
Post and Bcam - Prior to floor
lnsulation or decl<lng.lnserl - Altcr flreplace apllroval
and installatlon oI unlt.
Blockirrg and Set.Up - Wlren all
blocl<in11 is cornplete.
Floor lnsulation - Prior to
deckl ng.Curbcut & A1r;.rroarclr - Aftcr
forms arc crectcd bUt prior to
placcrncnl oI corrcrclcl.
Pltrnrbirrg Conrrcclions - When
lroln0 has been connected to
w;rtcr an(l scv/(;rr.
Sanitary Sewcr - Prior to filling
trcnch.Elcctrir;al Corrrrectiorr - Whcn
[rlocl<irr11, sol.up, ancJ pltrnrbing
irr:;pccli<>ns lliv() l)cc11 approvc(,
;iltd tllc ttorrro is connccted to
thr: scrvicc Srancl.
Slorrrr Scwer - l)rior lo tilling
trench,
Siclewalk & Drivcwll, - Af lcr
cxcavation is complcte, loillls
an(l sut).base rnalcrial in pl;rco,
Walcr Line - Prlor to filling
trench.
Fencc - Wl)en cornplctecl
!itroot Trccs - Wlron all rcquired
trces are planlcd,
[:inal - Aftcr all required
inspections are approved and
porchcs, skirting, deckS, and
vcntln0 havo bcen lnstallecl,
Bough Plunrbing - Prior to
cover.
L--l
47ar
DR
OUAD AREA:
I OF BLDGS:
tl t_l
[l Rough Elcctrical - Prior ror___J covcr.. I I
E
tl
tl
E
tl
fl
tl
t_l
[-_] Drywall - Prior to taping.
l-l Wood Stovc - n f tcr lnstallalion.
tl
rl
t_l
l:JE
ACCPL,GAR
N
S
E
Lot faccs
Lot sq. ttg.
Lot coveragc
Topography
Total hcigl'rt
Lot 'lytrc Sc ll)acl(s
HS
IS THE IJI']OI)OSED WORK iN TIlE
FI ISTORICAL DISTRICT, OR ON
TIIE HISTORICAL REGISTER?
-
It yes, tl-ris application must be slgned
arrd approved by the Historlcal
Coordinator prior to pcrmit issuance.
APPROVED:
ln terior
Corncr
Panhandlc
Cul-d c-sac
VALUE
(^)
X S/SO. I-'T,
Carport
Main
Garagc
Total Valuc
Building Pcrmit Fcc
State Surchargc
Total Fcc
BUILDING PERMIT
ITEM SO. FT.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pcrmit is granted on tl're cxpress condition that the said
construction shall, in all Iespccts, conform to tl-re Ordinance
adopted by the City of Springfield, including the
Dcvelopmcnt Coclc, regulating the construction and use of
buildings, and rnay bc suspendcd or rcvol<cd at any time
upon violation oI any provisions of said ordinances.
Rccci pt N rrrrtbcr':--..
Plans llcvicwcd By Datc
Plan Chccl< Fcc
Datc lraid
Rcceivcd By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systerns Devclopmcnt Chargc is duc on all undeveloped,
propcrties witlrin thc City linrits whiclr are bcing improved.
ADDITIONAL COMMENTS
Residcntial Batlr(s)
Sanitary Sewcr
Water
Storrn Scwer
Mobile Home
PERMIT
FEE
N0
FT.
(c)
t:'1.
FT.
Plumtrlng Poilnit
Statc Surcharoe
Total Cltarge
PLUMBING
ITEM
Fix tu res
By slgnature, I state and agree, that I have carcf ully examlned
tho complcted application and do hereby certlfy that all
in[ormation hcreorr is true ancl corrcct, and I lurthcr certl(y
th:lt any and all worl< ;:cr[orrncd shall bc done in accordanco
vrith tlrc Ordinanccs of tlrc City of Springlicld, and the Laws
of tlrc Statc of Orcaon pertairring to thc worl< described
hcrcin, and llrat NO OCCUPANCY will bc rnaclc o( any
structurc withou t pcrrnission of the Building Saf ety Division.
I [urthoI certi[y that only contractors and employees who
arc in cornpliancc witlr ORS 701.055 will be used on this
pro lec t.
I turthcr agree to ensure that all required inspections are
rcquestcd at thc propcr timc, that cach address is readable
permit card ls locatcd at the front
Slgnature
Date
I)
uring c stru
e roved sct of
f rom tl-rc strcct, t
s will rcmainof thc propert
on thc sitc a
Wood Stovc/ lnscrt / F:lrcplacr: Urtil
Drycr Vent
MISCELLANEOUS PERMITS
Mobilc Honrc
Statc lssuanco
Stato Surchargc
Sidcwall<
----
f t
Curbcut
-.-
fl
Demolition
Slatc Surcltargc
MECHANICAL PERMIT
2z.P
Total Misccllaneous Pcrtrlits (E)
rz
-2
(D)
Furnacc
Exhaust Hood
Vent Fan
Meclranical Pcrtttit
lssuancc
Slatc SurcharJ;e
Total Permlt
/22-2?<.2.2-DAI-E PAID
AMOUNT RECEIVT:D
FIE,CEIVE.D BY
VALIDATION:
RECEII)T NUME]L,F'I
TOTAL AMOUNT DUE (cxclucling clcctrical)
(A. B, C. D, and E Cotttl:ittccl)
?35>A
CITY OF OREGON
SPRllr<FIELD
DEvELoP{ffi:ffiW"ffiffiffitr'H u@ 225 FIFTH STREET
SPRINGFIELD, OR 97477
(s41 ) 726-3753
FAX (541) 726-368e
approvd
zzs FrwE s&wfiU1A
OFFICE: 726-3759
1 OF INSTALI..ATTON
tflt oqot
AUTHORIZED UNDEH TEEFFERIAUNS BEII{IT APPLICATION
oH ls AB0hrwMB FRilu., qt0D7L
ANY 180'# oEBlPr?"tE EEE scffiDt Ir BBL,,
A Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
L000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
-Modular Dvelling
Service or Feeder $ 40.00
Services or Feeders
Ins tallation, Alterations
or Relocation:
7
Sum
Permits are non-tif vork is not stof issuance or if
ransferable and expire
arted vithin 180 days
work is suspended for
1RO days. rr
2. COI{TRACTOR INSTALI,ATION ONLY B.
Electrical Contrac tor k S E/.,.7Kr'.,,C^ru/4r+uf,
Address O.o R* ?y?J3 -Ptrc
ci Z it-q corz..Phone 6&A -btg{.
200 amps or less
201 amps to 400 anps
-401- amps to 600 amps
601 amps to 1000 anps-
Over L000 amps/vo1ts
Reconnect 0n1y
/
Supervisor License Number 2a--"fr-U
$ s0.00
$ 60.00
$ 100. 00
$130.00
$300.00
$ 40.00
Expiration Date o-
Constr Contr. Number
^r11Expiration Date
C. Temporary Services or Feeders
Installation, Alteration or Refocation
D.
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
200 amps or less $ 40.00
201 amps to 400 amps
-
$ 55.00
over 401 to 600 amps
-
S 80.00
Over 600 amps or 1000 voTts see rrBrr aEm-
Branch Circuits
Nev, Alteration or Extension Per Panel
one circui t l $ 3s. oo 5! O
Each Additional
Circuit or vith Serviee
or Feeder Permit $ 2.00
-Each installation
Pump or irrigation $
Sign/Outline Lightine $
Limited Energy/Res
-
$
Limited Energy/Comm $
Signature of Supervising Electrician
Ovners Name lrr cL
Address 3O fct Y O(rtr-(\ l+
Ci il&..'1,'t ehone ?t/L *So I--T------qf-
OITNER INSTALLATTON
The installation is being made on
property I ovn vhich is not intended
for saIe, lease or rent.
Ovners Signature:
E. Miscellaneous (Service/feeder not included)
40.00
40.00
20.00
36.00
005
DATE:I
RBCEIVED
NOTICE:
THIS PERMIT SHALL EXPIHE IFTHE WORK
-q)