HomeMy WebLinkAboutPermit Mechanical 1999-04-06RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Office:726$759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
7rl #"4/ ?
JOB NUMBER
225 Fitth Street
Sprl ng fleld, Oregon 97477
TAX LOT:o29
SPrlI LD
7o
LOT
-
BLOCK:SUBOIVISION
NEW
-
REMODEL ADDITION DEMOLISH OTHER
PHONE:
STATE:ZlPi 2zrzz
r
CITY:
DESCBIBE WORK:
ADDRESS:
OWNER:Gran473 /U :t'
ADDRESS
CONST, ICONTRACTOR# EXPIRES il PHONECONTRACTOR'S NAME
PLUMBING:
MECHANICAL:
lri
,iHiu.SOUARF. FOOTAGE:WATER HEATER:
- OFFICE USE -
RANGE:
NDARY HEAT:--
OUAD AREA:
r OF BLDGS:
' ' 1','r oF,OCCY GROUP:
* OF STORIES:
LAND USE:hrr
# OF UNITS: ,z cilll
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a24 nour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested af ter 7:00 a.m. wlll be ma<Je the foltowlng work day.
REQUIRED INSPECTIONS
J--l Rough Mechanlcal - Prlor to1--l cover.
Finat Plumblng - When allplumblng work ls complete.
Slto lnspectlon - To tre made
after excavatlon, but prlor to
settlng forms.
Rough Electrlcal - Prlor to E
E
t]
Flnal Electrlcal - When all
electrlcal work ls complete.cover.
Underglab Plumblng/ Electrical/
Mechanlcal - Prlor to cover.Etectrlcal Servlce - Must be
approved lo obtaln permanent
electrlcal power.
Flna! Mechanlcal - When all
mechanlcal work ls complete.
E Footlng - Alter trenches are
excavated.Flnal Bulldlng - When all
requlred lnspectlons have been
approved and bulldlng ls
completed.
tl Flreplaco - Prlor to faclng
materlals and framlng lnsp.
Maronry - Stcel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Foundatlon - After forms are
gractcd but prlor to concrete
placemont.
Other
WalllCelllng lnsulatlon - Prlor to
cover.
tl
E
E
Underground Plumblng - Prlor
to fllllng trench.Drywall - Prlor to taplng
MOBILE HOME INSPECTIONS
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to floor Insert - After flreplace approval
and lnstallatlon of unlt.
Blocklng and Set.Up - When ail
blocklng ls complete.lnsulatlon or degrklng. ,
Floor lnsulatlon - Prior to
decklng.Curbcut & Approaclr - After
forms are erected but prior to
placoment of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanllary Sewer - Prlor to fllllng
trench.Electrlcal Connectlon - When
blocklng, set.up, and plumblng
lnspectlons have been approved
and the home ls connected to
the servlce panel.
Storm Sewer - Prlor to filling
trench.
J-l Sidewalk & DrlvewaV - After|J excavation ls complete, forms
and sub-base malerlal ln place,
Water Llne - Prlor to filllng
trench.
Rough Plumblng - Prlor to
cover.
$treet Trees - When all requlred
trees are planted.
Flnal - After all required
lnspectlons are approved and
porchos, sklrtlng, decks, and
ventlng have been lnstalled.
E
E
".. i,.,
ELECTBICAL:
[--l remporary Electrlc
E
tl
E fl
tl
I-l Fence - When coinpleted.
Lot faces
Lot sq. ftg.
Lot ooverage
Topography
Total helght
Lot Type
-
lnterlor
-- Cornor
-- Panha4dle, !:
. r,a r .:', , r...,tr.
( -: THE PROPOSED WORK IN THE.
HISTOBICAL DISTRIGT, OR ON
THE HISTORICAL REGISTER?
-
It yes, thls appllcatlon mult bG sloned
and approved by the Historlcal
t.Coordlnator prlor to p€rmlt lgguanoe.
APPROVED:
P.L.HSE GAR ACC
N
S
]W
E
VALUE
(A)
't
Total Value
Building Permit Fee
State Surcharge
Total Fee
SO. FT. X $/SO. FT.
BUTLDING PERTO|IT
ITEM
Main
Garage
Carport
BUTLDING VhIUE, iSMU CHECK
AND BUILDING PERMIT
Thls perrnit is granted.on the c+cpress condltlon that the said
constructidn sh5ll, lri ail r'edpdc(i, iontqim io the Ordlnance
adopted by the d[y'iot SpplTrgfietd, lqcludlng the
Development Code, regulating the constructlon qnd use of
ouildings, and may be suspertdeO'sr, fe$Ok€d\at any tlme
upon violation of any provisions of sald ordlnances.
Plans Reviewed By
'.1
Date
Receipt Numbe
Received By:
, .' Plan Oheok.Fe€?.r;r. I, i \
Date Paid:
;|:.QY,FJE|V!.S".B,SIELQ.P"M'ENT::e.HAfi GEI$P.c),1'
(B)
I i; sys temt. bble r op mqnl,crr ayqe'ls+d (r d 96, 4t u nd evet oped
properties wlthln"the City limits which are being improved.
ITEM
Flxtures
Residentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N'
FT.
PLUMBING PERMIT
Plumblng Permlt
Stato Surcharge
Total Charge
FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
Mechanical Permlt
lssuance
State Surcharge ,7 f f ,4e
Total Permlt (D)
/5P/o,4
,/t4 '/r(),
N0Vent Fan
MECHANICAL PERMIT
Furnace t/
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accorrJance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCY wlll be made of any
structure wlthout permission of the Bulldlng Safety Divislon.
I further certlfy that only contractors and employees who
are ln compllance with ORS 701.055 wlll be used on thls
proiect.
I further agree to ensure that all requlred lnspections are
requested at the proper tlme, that each address ls readable
Slgnature
Date 7
from the street, that the perml card ls located at the front
of the property, and the a set of plans wlll remaln
on the site at all tlmes construCtlon.
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Tolal Mlscellaneous Permlts (E)
TOTAL AMOUNT DUE (excluding electrlcal)
(A, B, C, Q and E Comblned)
242:2^a
v
7
VAI-IDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
FT.
, CITY OF OPEGO'U
SPF FIELO
The lollowing pro,ect as submitted has the following
zonrng. and does not require specific land use
225 FIFTB STREET APTJTOVAI
SPRINGFIELD, 0REGON 97477 Zonins
INSPECf,ION REQTESTz 72
OFEICE: 726-3759
A.lthoflaed Signature
1 LOCATION OF INSTALT,ATIONz ta,7
LEGAL DESCRTPTION/7n3 35 /2, .o27A0
Permits ire non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACf,OR INSTALT,ATION ONLY
/-l
LO rt-EIJCTRICAL PERHIT APPLICATION
L{ -q - I 1 ci Job Nuruber oy';z
SCEEDIILE BELOV
A Nev Residential-Single or
MuIti-FamiIy per dvelling unit.
Servicd Included:
I tems Ccs t
1000 $ B:.00
Each
sq. ft o
thereof
Each Manu
Modular
s 1:,.00
DveIIi
Sertice or Feed 00
Sum
sq,f*.
addi t
r
f'd Home.ard''
B
c
D
Services or Feed
Installation, AI
or Relocation:
ers
terat ions
Electrical Contractor
Address N S-4
Ci ty Phone
a I'/r{
3Lq a
200
20L
401
601
affilErtQg:l
$ 50.00
WIO3g RET
c rules
Supervisor License Number
Expiratio" o"r.u l0 '-O I - 17
Expiration Date /2 o/
)(
Signature of Supervising Eleetrician
lo
Ovners Name
hddress sf,z
ciry JdF) , Pnone 7y'/-/6//
OVNER INSTALT,ATION
The installation is being made on
property I ovn vhibh is not intended
for'sa1e, Iease or rent.
Osners Signature:
DATB:
Circuit or vith Service
or Feeder Permit $ 1:.00
E. Hiscellaneous (Service/feeder not included)
200 amps"or less
201 amps to 400 amps
-Over 401 to 600 amps
over 600 amps or fbOO voTT
Branch Circuits
Nev, Alteration or Extension Per Panel
one c"{rcuit ES 3:i.OO 3tr
Each Additional
-Each installation
Pump or irrigation
Sign/Outline Lighting_
Limi ted' Energy/Res
Limited Energy/Comm
LOn
s see, lrBrr a5ffi
$ 4(r.00
$ 5-5.00
s 80.00
$ 40.00
$ /d0.00
$ 2fJ.00
$ 36.00
5 SUBTOTAL OF ABOVE
5Z State Surcharge
32 Admini.strative Fee
TOTALRBCETVED
Oa
/DD"e
JOB DESCRIPTION
,i) e Fu,or*z =
consrr contr. Number 70g%-Ins taIIat
erbtain
+7f'o-