HomeMy WebLinkAboutPermit Mechanical 1994-09-09SPRIl\IGFIRESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT BLOCK:
?/rs 9bJOB NUMBER
225 Fifth st
Springfleld, O
sA >Fr
TAX LOT:
SUBDIVISION:
PHONE:I tu
STATE:
-o
CITY:
ADDRESS:
OWNER:
ADDITION DEMOLISH OTHEFI
DESCRIBE WORK:
NEw w'' BEMoDEL
ADDRESS EXPIBES PHONECONTRACTOR'S NAME
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONSI
CONTRACTOR #
RANGE:
FLOOD PLAIN
- OFFICE USE -
WATER HEATER:
r OF UNITS:
, OF BDRMS
OUAD AREA:
r OF BLDGS:
LAND USE:
OCCY GROUP:
* OF STORIES:SECONDARY HEAT:
SOUARE FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE:
ZONING CODE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the following work day.
REQUIRED !NSPECTIONS
Temporary Electrlc l)7'l Rough Mechanlcal - Prlor to|4cover.Final Plumbing - When allplumblng work ls complete.
Slte lnspectlon - To be made
after excavatlon, but prlor to
settlng forms.
h Electrical - Prlor to ftf,r'flnat Etectrlcat - When a[
,/flqlectrical work ls complete.scover.
Underslab Plumblng/ Electrical,
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanlcal - When all
anlcal work ls complete.
Footlng - After trenches are
excavated.[l flreplace - Prlor to faclng
-
materlals and framlng lnsp.
l-l Framlng - Prlor to cover.
Final Building - When all
requlred lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
WatltCelllng lnsulallon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.Drywall - Prlor to taplng
MOBILE HOME INSPE TIONSUnderlloor Plumblngl Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stove - After lnstallatlon
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approval
and lnstallatlon of unlt.
l-l Blocking and Set.Up - Whep ail.J blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approach - After
forms are erected but prlor to
placement of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prlor to fllling
trench.Electrical Conneclion - When
blocking, set-up, and plurpblng
lnspections have been approved
and the home ls connected to
the servlce panel.
Storm Sewer - Prlor to fllllng
trench.
Sidewalk & Drlveway - After
excavation is complete, forms
and sub-base materlal in place.
Water Llne - Prlor to filllng
trench.
Fence - When completed.
Slroet Trees - When all requlred
trees are planted.
Final - After all required
inspectlons are approved and
porches, skirting, decks, and
ventlng have been lnstalled.
Rough Plumblng - Prior to
cover.
I
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GENEBAL:
tl
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tl
tl
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E
tl
tl
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t]
fl
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total belght
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
\ . J THE PROPOSED WORK TN THE -
HI.STORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes. this appllcatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
HSE GAR ACCP.L.
N
S
E
VALUE
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Beviewed By Date
Receipt Numbe
Date Paid:
Received By:
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties withln the City limits which are being improved.
ITEM
Fixlures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
No
FT.
FT.
FT.
PLUMBING PERMIT
Plumblng Permit
State_ Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
/71?rrZl?/'7
--T--
?4.2o '
No
d12
/Do L)
MECHANICAL PERMIT
Mechanical Permit
lssuahce
State Surcharge
Total Permit
,-.,
-z/ IJ )2 4.2.n2 .
(D)
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
lnformatlon hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work described
herein, and that NO OCCUPANCy will be made of any
structure without permission of the Building Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required lnspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans wlll remaln
Date
on.I times during c
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (exctuding electricat)
(A, B, C, Q and E Combined)
o,
DATE PAID
AMOUNT FIECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
5t.,ur.lc:l:lt:Ll,
I
The)dlfowing prolect as submttted has the tollowing
zoning, and doeo not require epeciflc land use
approval.t,.LECTRICAL PSNUIT APPLICATION
b Number
SCIIEDULB BBLOU
Nev Residential-Single or
HuItl-FamilY Per dvelling unit.
Service Included:Items Cost Sum
1000 sq.ft. or ]ess
Each additional 500
sq. ft or portlon
thereo f
Each Hanuf 'd llome or
Ho<lular Dwelling
Service or Feeder
$ 85.00
$ 15.00
Services or Feeders
Installatlon, Alteratlons or
Relocation:
200 amps or less
2O1ranrps to 400 amPs
-
401 amps to 600 amps
-
601 amps to 1000 amPs-
Over 1000 amps/volts
-
Reconnect 0nlY
225 I]IIITII STRI.:I|T
Ilxp
Constr Cont r. Number € 86a o
iration Date 23^
qfr
SPIUNGFIELt), oltticoN 97 477 Zon
INSPP.CTION REQUIIST z 726
OFPICE: 7?.6-3759
1.INST
A
I.EGAL DESCRIPTION
JOB ru0N
Pcrnrits arc non-transferable and explre
if vork is not started vlthin 180 days
of issuance or if vork ls suspended for
180 days.
2. CO}NTIACTOR IN:;TALI.ATION ONLY D
Iilcr:trical con trac torM, c
A<Jclr:ess ? e {h/,t t/)
ciry €a(cne thone 439.3137
Supervisor Ltccnse Ndnrber aJ
iration Date ./a -/- 7{
!yz
Z
s 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c Temporary Services or Feeders
Insia}latlon, Alteratlon or Relocation '
200 amps.or less $ 40'00
over /,bt to 600 amps
-
$ 80.00
,
Over 600 amps or 1000 volts see rrBil above
E>:p
s ture
0vners Name
IS Electri cian
D
Arld res s
Ci ty I'lronr:
OVNIiN IN:;'TALLATION
Tlre installation is being made on
property f olrn vhich is not interrded
for sale, Iease or rent.
Ovners Signaturc:
oiirn: i'
RNCIIIPT
Branclr Ci rcui ts
Nev, Alteratlon or Extenslon Per Panel
one cl.rcui t l-t $ 35. oo )E*
Eaclr Additional
Circuit or vith Service
or Feeder Permit
-
S 2.00
-l'liscellaneous (Service/feeder not included)
-Each installation
Pqrmp or i rriga t ion
Sign/OutIine Lighting-
Limi ted EnergY/Res
-
Limi ted EnergY/Comrn
SI'IITOTAL OF ABOVE
5f State SurchargetottrF 3$ n1Zzn,,
E
s
s
$
s
40
40
20
36
.00
.00
.00
.00
aL)
37krrli('tiIl/H) llY:
5
$ 40.00
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