HomeMy WebLinkAboutPermit Mechanical 1997-09-11f.ff{flf{Tfr
lnspections: T26.9169
0lfice:726.57s9
ICATION
qfi
JOB NUMBER
225 Filth Street
Sprlngtleld, Oregon 97477
TAX LOT
SUBDIVISION:
LOCATION OF PRO
ASSESSORS MAP:
FIK:
LOT BLOCK:
PHONE:
ZIP:STATE:
OWNER:
ADDR
CITY:
ON
-
DEMOLISH OTHERNEW- REMODEL A
DESCRIBE WORK:
GENERAL:
ADDRESS EXPIRES ,: PHONECONTRACTOR'S NAME
ELECTRICAL:
PLUMBING:
MECHAN
CONST.
CONTRACTOR #
EUSE-
r OF BDRMS:
ZONING CODE:
FLOOO PLAIN
SECONDARY HEAT:
SOUARE FOOTAGE:WATER HEATER:BANGE:
HEAT
co
QUAD AREA:
r OF BLDGS:
OCCY GROUP:
r OF STORIES:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour s.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 followlng work day.
REOUIRED INSPECTIONS
Temporary Electrlc - Prlor to Flnal Plumblng - When all
plumblng worl< ls complete.cover.
Slt€ lnspectlon - To be mado
after excavatlon, but prior to
settlng forms.
Rough El - Prlor to Flnal Electrlcal - When all
electrlcal work is complete.cover.
E Underslab Plumblngl Electrlcal I
Mechanlcal - Prlor to cover.tl Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
l-Il-flnal Mechanlcal - When ail
-
mechanlcal work ls complete.
Footlng - After trenches are
excavated.l-l Flreptace - Prior to faclngH materlals and framlng lnsp.
Flnal Buildlng - When att
requlred lnspectlons have been
approved and bullding is
Masonry - Steel locatlon, bond
beams, groutlng.
com
l--l Framlng - Prlor to cover.\
tl Foundatlon - After forms are
erocted but prlor to concrete
placemont.
[Z[,,9ttre'
WaltlCblllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prlor
to lllllng trench.l--l orywall - Prlor to taplng.
MOBILE HOME INSPE TIONSUndertloor Plumblng / Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - Alter flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Alrproach - After
forms are erected but prlor to
placomcnt of concrete.
Plumblng Connecllons - When
home has been connected to
water an<J sewer.E Sanltary Sewer - Prlor to fllllng
trench.EleclrlcalrConnectlon - When
blocklng, set.up, and plumbing
lnspectlons have been approved
and the home ls connected tothe servlce panel,
Storm Sewer - Prlor to fllllng
trench.
Sldewalk & Drlveway - After
excavation ls complete, forms
and sub-base materlal in place.
E Water Llne - Prlor to fllllng
trench.
Fence - When coirrpleted,
Slroet Trees - When all roqulred
trees are planted.
Final - After all required
lnspecllons are approved andporches, sklrilng, decks, andventlng have been lnstalled.
[-l Rough Plumbing - Prior tol-J cover-
E fl
' l;l
Lot faces
Lot sq. ttg'
Lot coverage
ToPograPhY
Total helght
Lot TYPe
lnterlor
-
Qorner
I
-
Panhandle'
_- Cul'de-sac
\\,LGARHSEP,L.
N
W
APPROVED:
se. FT. x grse. FT. - VALUE
BUILDING PERMIT
,l
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
Slate Surcharge
Total Fee
adopted by the City of Sprlngfleld, includlng the
Development Code, regulailng the constructlon and use ofbulldings, and may be suspended or revoked at any tlmeupon vlolation of any provisions of said ordlnances.
DatePlans Reviewed By
Beceipt Numbe
KECHNcLAEvhLUNGUBLD
MR TPGLDNDNUBA
dsaithethatitioncondtheonThiSSexpressgrantedpermi
0the rdinanceshallconstructionalinmconfort0respects,
Plan Check Fee:
Date Paid
Beceived By:
EMS DEVELOPMENT CHARGE (SDC)
(B)
SYST Systems Development Charge ls due on all undevetopedproperties wlthln ilre City limlts whlch are being improved.
ITEM
Flxtures
Rosldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
PLUMBTNG PERMIT
FEE
FT.
(c)
Plumblng Permlt
Stato Surcharge
Total Charge
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/Flreplace Unit
oJll
(D)
M
7r%
Dryer Vent
nical Permi
lssqance
State Surcharge
Total Permlt
ADDITIONAL COMMENTS
By slgnature, I state and agree, that t have caref ully examlnedthe completed appilcation and do hereby cerflfy that alllnformatlon hereon ls true anct correct, and I f urther certlfy
that any and a[ work performed shafl be done in accordance
wlth the Ordinanccs of the City of Sprlngfield, and the Lawsof the State of Oregon perlalnlng to the work descrlbed
hereln, and that NO OCCUPANCy will be made of any
structure wlthout permission of the Bulldlng Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 wlll be used on thlsprolect.
I further agree to ensure that all requlred lnspections are
requested at the proper tlme, that each address ls readable
from the street, that the permll card ls located at the front
of the property, and the approve.d eet of plans wlll remale
on the site at all times during c
Slgnature
Date
VALIDATION:
BECEIPT NUMBER
DATE PAII)
AMOUNT RECEIVED
RECEIVED BY
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut __- ft
Demolltlon
State Surcharge
Total Mlscellaneous Pormits (E)
TOTAL AMOUNT OUE (exctudlng electrical)
(A, B, C, Q and E Comblned)
s
I
I
THEiNWOBK
ONOR
be slgnedmustapPllcatlonthlsyes'Historlcalthebyapprovedandissuance.to permiprlorCoordlnator
(A)
Nc
FT.
S;Ptr}.*JF'ELD
THE
AI}THAREEO UNDER THIS PERMIIIS
coMMENcED oH ts
tB*H_D*?I[EQ
A1[Ye ru:ffi$FdffiffiEi&q u i," apec iii e
f,tQ$orrooins
225 TITTE Sl3.EET
SPRINGFIEI,D, OREGON
INSPECf,ION REQUEST:
OFFICE: 726-3759
Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if vork is suspended for
180 days.
2. COI{ItsACTOR INSTALI..ATION ONLY
Electrical contractot Of S €lXmtmt,rt?n(,
1. LOCATTON OF rNsTAl1,611$6hcrtzed
+a5 Jr'.38,th
L4 -D t bL3
JOB DESCRI
Address
ci Phonery4r-7,?,3 k)
Supervisor cense Number lloSo S
Expiration Date
Constr Contr. Number 038i+q
Expiration Date q -r-qg
Signature of Supervising Electrician
0vners Name
Address +^5 -ds" 3 x rh,
EI.ECTRICAL PERHIT APPTICATION
City Job q -7 t344
COHPI,ETE FEE SCffiD{'LE BELOS
New Residential-Sing1e or
Multi-FamilY Per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
Modular Dvelling
Service or Feeder
$ 8s.00
$ r.s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
apprwal
97477
726-3 769 Z+ni tJ-r
A.
Sum
B
c
D.
E
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amPs
-
601 amps to 1000 amPs-
0ver 1000 amPs/vo1ts
-
Reconnect 0n1Y
s s0.00
s 60.00
$100. 0o
$130.00
$300.00s 40.00
0-i-q8
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
Temporary Services or Feeders
Insiallaiion, Alteration or Relocation
200 amps"or less $ 1q'00
over 4b1 to 600 amps l $ 80.00
or.i OoO amps or rboO-voTts see '8" aSov-il
Nev, Alteration or Bxtension Per Panel
one Circuit i $ 35.00 JS.OO
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2'00
Miscelianeous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0ut1ine Lighting-
Limited Energy/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
Ci ty
OITNER
DATE:
rt4+-a,l bo6_
,TION
$ 40.00
$ 40.00
$ 20.00
$ 36.00
RBCEIVED BY:
5 o