HomeMy WebLinkAboutPermit Mechanical 1998-04-16SPrrINGFTELDRESIDENTIAL
PERMIT APPLICATION
lnspections:726-3769
Of(ice:726-3759
LOCATION OF PROPOSED WOFIK:
??o 4s*7
%ft,
JOB NUMBER
225 Flttlr Street
Sprlng tlnld, Oregon 97477
2484 N. 35TH STREET
1t1 oASSESSORS MAP:
LOT
-
BLOCK:
TAX LOI:
SUBDIVISION
FRED ShIANK 746-8001PHONE:
2484 N. 35TH STREET
SPRINGFIELD 97478STATE:ztPORCITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISI.I OTHEI]
AIR COND]TIONERTNSTALL GAS FURNACE ANDDESCBIBE WORI(
ADDRESS EXPI}1ES PHONE
NNMFNRT F 6/27 l98 726-0100LOW HEATTNG 1951 t]ON ST STE D SPRII\reffED 97477 00460
CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONST.
CONTFIACTOR #
GENERAL:
PLUMBING
_ OFFICE USE _
r OF BDIIMS:
WATER FIEATEII:
FLOOD I)LAIN
SOUAnE FOOT^GE:.--
LAND USE:
/ OF UNITS
QUAD AREA:
r OF BLDGS:
CONSTN. TYPE
HEAT SOURCEI
RN NGE:
OCCY GROUP:
r OF STORIES:SECONDn nY HEAT: _.
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recorcllng. All lnspections requestccJ bcforc 7:00 a.rn. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. will be macle the followlng worl< day.
REQUIRED INSPECTIONS
[-l Temporary Electric Rough Mechanical - Prlor to
cover.
Final Plunrbing - When allplumbing worl( is completc.
IFinal ElectNcol - When alt
Site lnspection - To be madc
af ter excavatlon, bul prior tosettln0 forrns.ctrical work is corrtpletc.
/
Underslab Plumbing/ Electrical /
Mechanlcal - Prior to cover.Electrical Servlcc - Must be
al)provecl to obtaln pcilnancnt
electrlcal l)ower.
Firral Meclranical - Whcn allrnccllanical work ls cornplclc.
Footlng - Af ter trenches are
cxcavated.Flreplace - Prlor to faclng
materlals and lraming lnsp.
Final Builcting - When all
required inspectlons have been
approved and buildlng is
completcd.Masonry - Steel locatlon, bond
beams, groutlng.{
Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
O thcr
Wall/Ceiling lnsulatiorr - Prlor to
cover.
Underground Plumbing - Prior
to fllllng trench.Drywall - Prlor to taping
MOBILE I-IOME INSPE TIONSUnderlloor Plumbing / Mechanlcal
- Prior to lnsulatlon or decking.Wood Stovc - n ftcr lnstallarlion.
Post and Boam - Prlor to floor
lnsulatlon or decl<lng.lnsert - Af ter flreplace approval
and installatlon of unlt.
Blocking and Sct.Up - Wlren all
blockinll is cornplete.
Floor lnsulation - Prior to
deckl ng.Curbcut & A1r;.rroach - Af ter
forms are erectcd bUt prior to
placemcn t of concrctcr.
Plurnbirrg Conneclions - When
Irorno has been conrtected to
water ancl sewer.
Sanitary Sewer - Prior to f llling
trcnch.Elcctrical Corrrrcction - When
blocking, sct.up, and plunrbing
irrs:poctions lrnvc bccn approvcc,
arlcl tllc }lotnc is connected to
tlrc scrvicc;rancl.
Storm Scwer - l)r'lor to tilling
trcnch,
Sidewalk & Driveway - AItcr
cxcavation is complcte, forrns
and sul)-base malerial in placo.
Waler Llne - Prlor to filling
trench.I ferrce - Wtren cornpletecJ
Rouglr Plunrbing - Prior to
cover.
(itresl Trccs - Wlren all rcqulred
trees are plantcd.
Final - After all requlred
lnspections are approved and
porclrcs, skirting, decl(s, and
ventlnO havo bcen lnstalled.
ZONING CODE:
tl [---l Rouglr Elcctrical - Prior toL---J covcr. I I
tl
tl
tl
tl
tl
t]
flr
tl fl t:]
GARPL.
N
c
E
Lot faccs
Lot sq. f tg.
Lot coverage
TopographY
Total hcight
Lot -lypc
-_
lnterior'
--
Corncr
_- Panhandle
.-- Cul-cjc-sac
Se lt:acks
H
N'-rHE PROPOSED WORK iN THE
HISTORICAL DISTBICT, OR ON
TI]E HISTORICAL REGISTER? .-
ll yes, this application must be slgned
arrd approved by the Historlcal
Coordinator prior to permit issuance.
APPFIOVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Tl.ris pcrmit is granted on the express conditiorr that the said
construction shall, in all respccts, conform to tlre Ordinance
adopted by the City of Spring(ield, including the
Devclopment Coclc, regulating the construction and use of
buildings, and may be suspended or revokcd at any time
upon violation of any provisions of said ordinances.
Plan Chcck Fee: ,-
Rcceipt Nurnbcr:-..
Plans Rcviewcd By
Datc Paid
Rcccived By:
VALUE
(A)
x $/so. F-T.
BUILDING PERMIT
ITEM SO. FT.
Main
Garagc
Carport
Systems Development Charge is due on all undeveloped
properties witlrln tlre City linrits which are bcing improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Fixtures
Bcsidcntial aath(s)
Sanltary Sewer
Watcr
Storrn Sewer
Moblle Home
trEE
(c)
N0
FT.
FT.
PLUMBING PERMIT
Plumblng Pormit
Statc Surcharoe
Total charge
/
By slgnature, I state and agree, that I hqve carclully examlned
tho completed application and do hereby certlly that all
lnformatlon lrereorr is true alrcl correct, and I f urther certity
that any and all work performed shall bc done in accordance
with tl.rc Ordinarrccs of thr: City of Springficld, arrd thc Laws
of thc Statc of Orcgon pertaining to thc worl< described
hcrein. and tlrat NO OCCUPAIICY will [:e rnac}e of any
structure without pcrrnission of the Building Safety Division.
I [urthcr certi[y that o,rly contractors and enrployees who
arc in cornpliance witl'r OFIS 701.055 wlll tre used on this
pro ject.
I (urther agree to ensure that all rcquired inspections are
rcquested at thc proper time, that cach address is readable
from the strcct, that thc pcrmit card ls locatcd at lhe front
oI the property, and tlrc approved set of plans will remain
on the sitc at all times during constructlon.
lD@a
(
o! stonature Qr4*! o,,"
LLIb
Wood Stove/ lnscrt/Flreplace Urril
Drycr Vcnt
MISCELLANEOUS PERMITS
Mobile Homc
State lssuancc
State Surchargc
Sidewalk
-
ft
Curtrcut
--
ft
Damolitlon
State Surchargc
Total Misccllaneous Pcrtnits (E)
,J{--t.-tlS'
*Jln 4
N0
/0,
Vcnt Fan
(D)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
4e_-Mechanlcal Perttrit
lssuance
State Surchatl.;e
Total Pcrmlt
)>1 q5)-
26
DAI'E PAID
AMOUNT RECEIVED
FTECEIVED BY
VALI DATION:
RECEII]T NUMBEF'I
TOTAL AMOUNT OUE (cxclucling clectrical)
(A, B, C, D, and E Conrbinccl)
Total Valuc
Building Pcrmit Fce
Stato Surchargc
Total Fcc Date
. t--1.
ADDITIONAL COMMENTS
CITY OF OREGON
The toliowing project
zcnrng, anC does not
as ou.bmltted has tho lollowlng
requiro epociflc land uEoaPProval
225 FIFTE STREET
SPRINGFIELD, OREGON
TNSPECTTON REQTIEST:
OFFICE: 726-3759
1. I-CCATIOIi OF TTON
JOB DESCRIPTION
A <t
2. CONTRACTOR TNSTALIATION ONLY
.tork.{
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BLECTRTCAL PERfiTT APPLICATION
Ci ty Job Number LlS
3
A
COHPLETE FEE SCEEDTILE BELOS
Nev Residential-Single orMulti-Family per dvelling unit.Service Included:
ftems Cost
Permits are non-transferable and expireif vork is nor started vithin 180 diysof issuance or if vork is suspended tor
180 days.
i.000 sq.ft. or less
Each additional 500sq. ft or portion
thereo f
Each Manufrd Home. or
-
Modular Dvelling
Sertice or Feeder
B. Services or FeedersInstallation, Alterations
$ 8s.00
s 1s.00
$ 40.00
Sum
on
a5ove
Electrical Contra
Address O.O , 6
lficl +r
uy J9'r3
-or Relocation:
200 amps or less $ 50.00
s 60.00
s100.00
s130. 00
$300.00s 40.00
$ 40.00
$ ss.00
$ 80.00
see "Brt
amp
amp
00O-7ofTs1
CS
00
00
t
t
t
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o
Ci ty amps
amPs
amps
201,
40L
601
0ve
. L&6 -t rs c
'bqql S
Phon
0n
Se
on
4
6
1
'or
to
to
t
s'
\S
amp00
01
er0v
400
600
10
1 v
amps
,
1
S
s
amps
401
p
am
It
r
J
e
vo
e
t
00
c
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5am
amps
\F?q
Number
6-/ -
ense
e/
Supervisor Lic
Expiration Dat
\sI
r
2-
Numbe
e
Constr Contr.
Expiration Dat
\90
rv1
A1 I
ps
s
o
a
r
t
eders
or Relocati
eF
on
2
2Signature of Supervising
0ver 600 amps or
Branch Circuits
One Circui t
Each Additional I S 3s.oo 3\0o
2.oo 2 oO
0vners Name
Address
Fron n<, k
2 /,Y4 A),3 S g'Nev, Alteration or Extension per panel
D
E
Ci ty c-D Phone 7y'G.9O o/
OI]NER INSTALLATION
The installation is being made onproperty I ovn ruhich is not intendedfor sale, lease or rent.
0vners Signature:
DATE:
Circuit or vith Serviceor Feeder permi t __j_ S
Miscellaneous (Service/feeder not included)
-Each instal-lation
Pump or irrigation
Sign/0utline Lighting-
Limited Energy/Res
-Limi ted Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Admini.s trative Fee
TOTAL
00
00
00
00
S40
$ao
$20
$36
5 c0
RECEIVED
SPRINGFIELEr
).a Pri
P^2n o..J
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