HomeMy WebLinkAboutPermit Mechanical 1993-05-21SP,lINGFIELI)
RESID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
JoB NUMBE " fiaZp
225 Fif th Street
Springf ield, Oregon 97477
4
LOCATION OF PROPOSED WORK:
ASSESSORS MAP TAX LOT:<:t+
LOT:BLOCK:
OWNER:PHONE:
ADDRESS:r)J
CITY:s?etr)STATE:Or ztP. 2?/ 2 s
DESCRIBE WORK CoUQ
NEW
-
REMODEL ADDITION DEMOLISH OTHER
CONTRACTOR'S NAME ADDRESS
CONSI.
CONTRACTOR #EXPII] ES]I)HON E
GENERAL:
PLUMBING
_ _7 2a, 762-MECHANICAL:
ELECTRICAL:
- OFFICE USE _
QUAD AREA:
# OF BLDGS
LAND USE:
'1 OF UNITS
FLOOD PLAIN
ZONING CODE:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPEr
HEAT SOURCE:
,, OF BDRMS:
SECONDARY HEAT: -
WATER HEATER:RANGE:IJ]QUARE FOOTAGE
To request an inspection, you must call 726-3769. This is a24hour recording. All inspectiorts requested before 7:00 a.m. will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
l--l Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plurnbing work is comf 'letc.
Site lnspection - To be made
after excavation, but Prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is comg,lelc.cover.
Underslab Plumbing / Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain permanent
electrical power.
w Final Mechanical - Wnen all
mechanical work is cornplcte.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsP.
Final Building - When all
required inspections hirve been
approved and building s
completed.Masonry - Steel location, bond
beams, grouting.
Other
- -Foundation - After forms are
erected but prior to concrete
placement.Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.I Drywall - Prior to taping
TJICBILE i.IOM E I NSPESIIO}TS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking'Wood Stove - After installation
Post and Beam - Prior to floor
insulation or decking.lnsert - Alter f ireplace aPProval
and installation of unit.
Blocking and Set.Up - When all
blocking is complete.'
Floor lnsulation - Prior to
decking.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plurnbing Conneclions - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Conneclion - V/hen
blor;king, set-up, and plurnbinrJ
inst)ections have been apfrrovcd
and the trorne is conncclcd t<r
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is completr:, forms
and sub-base material in place.
Water Llne - Prior to liliing
trench.
[-l Fence - Whcn completed
Rough Plumbing - Prior to
cover.
Slreet Trees - When all required
trees are planted.
Final - After all required
inspections are approv,)d and
porr:hes, skirting, deck';, and
venting have been installed.
SUBDIVISION:
Z* €
E
Framing - Prior to cover.tl
tl
E
r
E
E
E
r
E
Lot faces
Lot sq. ftg
Lot coverage
Topograph'7
Total height
Lot Tylre
--
lnterior
--
Corner
-- Panhandle
--
Cul-de-sac
Set
PL.
N
HSE GAFI ACC
S
E
IS I TTE PROPOSED WOFIK IN THE
I.IISTORICAL DISTFIICT, OR ON
THE HISTORICAL REGISTER? ---
lf yes, this application must be signed
and approved bY the Historical
Coordinator prior to permit issuance.
APPROVED
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to lhe Ordinance
adopted by the City of Springfield' including the
Development Cocie, requlating the construction and use of
br.rilcJings, and may be suspended or revoked at any time
upon violation of anv provisions of said ordinances.
Ftecei pt Number: ---
DatePlans Reviewed BY
f,larr Chcck Fee: -..-,
Date Paid
Fleceived By
BUILDING PERMIT
VALUE
(A)
SO. FT. X $/SQ. FT.ITE l\4
Main
Garage
Carlror t
f-
Total Valur:
Builciing F'arnrit Fee
State Slurcharge
Toti,l Fee
Systems Development Charge is due on all undeveloped
properties withln the City limits which are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fix t u res
Residcnti;rl Bath(s)
Sanitary Sewer
Water
Storm Sevrer
[Vlot]ile Hc,rt)e
PLUMBING PERMIT
FEE
N0
FT,
FT.
F-r.
(c)
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent
thtry'
(D)
N
.r->zr2
a>>
MEC HANICAL PERMIT
Mechanical Permit
lssuance
State Su rc harge
Tolal Pernttt
-/2:3
Fu rnace
Exhaust Hood
Vent Fan
_/2=-^_
->2
By signature, t state and agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springf ield, and the Laws
of the State of Oreglon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
..itructure without perrnission of the Building Safety Division.
I further certify that only contractors and ernployees who
are in compliance with ORS 701.055 will be used on this
proiect.
I f urther agree to ensure that all required inspections are
ri qr.tc::ted at the p,r'opsr time, lhat eai;h address is readable
permit card is located at the front
ont
J
of ans will remain
imes
SiEnatu re
Date
trom the street, t
of the propertMISCELLANEOUS PERMITS
Motrile lJc,mr:
State lssuance
State Sttrc harge
Sidewalk -
---
it
Curbctrt - -,-
ft
Dernolttiott
State Sur( harge
Total Miscellaneous Permits (E)
VALIDATION:
RECEIPT NUMBER
Dr\TE PAID
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D. anrl E Conrbined)
AMOUNT RECEIVED
RECEIVED BY
.T'2r/-97
?s
1
C'TY OF OREGO'I'
SPFlII\lGFIELO
225 PIYTE STRBBT
SPRTNGPTEIJ, OREGoN 97477
INSPBCTI0N REQUEST . 726-37 6!- 1 ^ ,* f z., r
OFPICE: 726-3759 '1"'''
1. LOCATION OP INSTALI.,ATION
ll+3 -d.tl,th,
LBGAL DESCRIPTION?.a.S-Z
JOB DESCRIPTION
/lef l. coHPLETE PEE scEBDULE BELov
BLECTRICAL PERHIT APPLICATION
Ci ty Job Nunber q7A
Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Hanuf'd Home or
-Modular DveIIing
Service or Feeder
s 8s.00
$ 1s.00
s 40.00
Services or FeedersInstalIation, Alterations
or Relocation:
LVK
A
C
s s0.00
s 60.00
s 100. 00
$130.00
$300.00
$ 40.00
s 40.00
s 40.00
$ 20.00
s 36.00
Sum
aSoE
tr.XAb G.rn-,,A i'trnrno ru-r
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. COIiITRACTOR INSTALI,ATION ONLY B
Electrical Contractor
Add
cit
ress
pnone'l4l - 3,A3 b
Supervisor cense Number IbR6 S
Expiration Date
constr contr. Number
Expiration Date
si re of sing Electrician
0vners Name
Address uM rJ^- 44tu,
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
0ver 1000 amps/volts
-Reconneet Only
Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps or less S
201 amps to 400 amps
-
$
Over 401 to 600 amps
-
S
Over 600 amps or 1000-16rfs se
00
00
00
B11
40.
55.
80.
ett
Ci ty Phone
OVNER
The installation is being made on
property I ovn vhich is not intendedfor sale, lease or rent.
Onners Signature:
DATE:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one Circuit 1 S 35.00 35.ooEach Addi tionalCircuit or vith Service
or Feeder Permit $ .2.00
B. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Ligh ting-
Limited Energy/Res
-Limi ted Energy/Comm
a
5 ST,BTOTAL OP ABOVB5f State Surcharge
TOTAL
' 35'.co
t.rI53h q5
RBCEIVED
-4S
,/4,1 - 6'l to