HomeMy WebLinkAboutPermit Mechanical 1995-04-24SPRINGFIELE,
RESID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PBOPOSED WOBK:
ASSESSORS MAP:
LOT:
-
BLOCK:
4-ft
JOB NUMBER 5o
225 Fifth Street
Spri ngf leld, Oregon 97 477
TAX LOT:oDZo t
SUBDIVISION
741 -?953PHONE
Springfield 97 477ZIP:ORSTATE:
Maxine on
157 N. tzth Street Space 64,
CITY:
ADDRESS:
OWNER:
NEW
-
REMoDEL ADDlloN DEMoLISH orHER -Eeptace f"rnac" fo
Tnstafl new heat oumoDESCRIBE WORK:
GENERAL:
EXPIRES PHONEADDRESS
Comfort Flow Heatinq 855 tlrJ. 1st E ne. 0r 97402 00460 6127195 342-BtOt
CONTRACTOB'S NAME
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
RANGE:
I OF BDRMS:
_ OFFICE USE -
LAND USE:
ZONING CODE:
FLOOD PLAIN:
E OF UNITS:
SECONDARY HEAT:
SOUARE FOOTAGE:
QUAD AREA:
I OF BLDGS:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. This ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. will be
made the sanre worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is complete.
Sits lnspecllon - To be made
after excavatlon, but Prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumblng/ Electrical/
Mechanlcal - Prlor to cover.
Electrical Servlce - Must be
approved to obtaln permanent
electrical power.
)=il finat Mechanical - When allF\nechanical work Is complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Final Building - When all
required lnspectlons have been
approved and bullding is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Other
Foundatlon - After forms are
erected but prior to concrete
placement.WalllCelling lnsulation - Prlor to
cover.
Underground Plumbing - Prior
to fllllng trench.l-l Drywall - Prior to taping.
MOBILE HOME INSPE TIONStlUnderlloor Plumblng/ Mechanical
- Prior to lnsulatlon or decking.Wood Stove - After lnstallation
Post and Beam - Prior to floor
lnsulation or decking.lnsert - After flreplace approval
and installatlon of unlt.
Blocking and Set-Up - When all
blocking is complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approach - After
forms are erected b(tt Prior to
placemont of concrete.
Plumbing Conneclions - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to f illing
trench.Eleclrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Sidewalk & DrivewaY - After
excavation is complete, forms
and sub-base material in Place.
Water Line - Prlor to filling
trench.l-l Fence - When completed.
Rough Plumbing - Prior to
cover.
Str€€t Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, sklrting, decks, and
venting have been installed.E
WATER HEATER:
fl
E
E
E
Storm Sewer - Prior to filling
trench,
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typ
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
PL.HSE GAR ACC
N
S
E
IS THE PBOPOSED WORK TN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER? ---
lf yes, this applicailon must be slgnedand approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
BUILDING PERMIT
VALUE
(A)
SO. FT. X $/SO. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT
This permit is granteci on the express condition that the saidconstruclion shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, including theDevelopment Code, regulating the ctnstruction and use ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of sald ordlnances.
Plan Check Fee: --
Date Paid:
Plans Reviewed By Date
Recei pl Numbe
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undevelopedproperties within tlre City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
N0
FT
FT.
FT.
(c)
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
MECHANICAL PERMIT
/,/,
/20,7 f +,y'f
-,/ 2-o--4-r-(D)
N0
ao
rz/t/, /frclo ea
Mechanical Permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have carefully examlnedthe completed application and do hereby cerilfy that alllnformation hereon is true and correct, and I f urther cerilfythat any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Lawsof the State of Oregon pertainlng to the work descrlbedherein, and that NO OCCUPANCy will be made of anystructure without permission of the Building Safety Divislon.I further certify that only contractors and employees whoare in compliance with ORS 701.055 will be used on thlsproject.
I further agree to ensure that all required inspections arerequested at the proper time, that each address is readabrefrom the street, that the permit card ls located at the frontof the property, and the approved set of prans wirr remarnon the site at all times during construcilon.
Date
bSignature
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk -..- ft
Curbcut --_- ft
Demolition
State Surcharge
Total Miscellaneous permits (E)
TOTAL AMOUNT DUE (exctuding etectrican 2A.7(A, B, C, D, and'E Combined)
VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
/ 709
FIECEIVED BY
2,a
CITY OF SPPINGFIELD, OREGO'V
225 FI.YTE STREEf,
SPRINGFIEI,D OREGON 9
INSPECTION RBQUEST: 7
OFFICE: 726-3759 .'ln*
Authorlzod
1 LOCATION OF TNSTALI..ATION ,L A.
bLol
fr-n
SPRIilGFIELE'
uso
EIJCTRTCAL PERHIT APPLICATION
City Job Nunber
PBE SCEEDTII,E BELOS
Nev Residential-Single or
Mu1ti-Family per dvelling unit.
Service Included:Items Cost
$ 8s.00
Sum
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COIITRACTOR INSTALI,ATION ONLY
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
s 1s.00
I s 40.00 *o.oo
Address
Electrical Contractor c {,\ I tr o n l-1il u.,.1,nu
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-40L amps to 600 amPs
-
60L amps to 1000 amPs-
0ver 1000 amps/vo1ts
-
Reconnect OnJ-Y
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
8
B
C
D
E
s s0.00
s 60.00
$ 100. 00
$130.00
$300.00s 40.00
.00
.00
.00
ilB|'above
Ci ty
Supervisor Li se Number lbgbE
Expirati.on Date l0-t-95
Constr Contr. Number
Expiration Date q-t-qs
Signa of Supervising Electrician
pnone 141-AA3 b
Temporary Services or Feeders
tnstallation, Alteration or Relocation
cit Phone 't+l - 3 953
OVNER
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
0vners Signature:
DATE:
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permi t * $ 2.00 _rep
Miscellaneous (Service/feeder not included)
200 amps or less $
20L amps to 400 amps
-
$
over 4b1 to 600 amps
-
$
over 600 amps or tb0O-fr-fIs se
-Each installation
Pump or irrigation $
sign/outline Lighting- $Liiited Energy/Res
-
$
t
40
55
80
e
o
0vners Name
Address
ON
40.00
40.00
20. 00
36.00
5 49.oo
A+ol,+d
RECElVED 51, qL
n 4q,