The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 1998-03-25SP RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office:726'3759 JOB NUMBER 225 Fifth Street Sprlngfleld, Oregon 97477 3\1 LOCATION OF PBO ASSESSOBS MAP: LOX BLOCK: TAX LOT: SUBDIVISION: - PHONE: ztPSTATE: OWNER: CITY: A DESCRIBE WORK: NEW -- REMODEL ADDITION DEMOLISH OTHER ADDRESS EXPIRES ,5 PHONE CONTRACTOR'S NAME ELECTRICAL: MECHAN CONST. CONTRACTOR '' GENERAL: PLUMBING FF]CE USE - ZONING CODE: FLOOO I)LAIN: SECONDARY HEAT SOUARE. FOOTAGE: , OF BDBMS:-co RANGE: HEAT OUAD AREA: r OF BLDGS: WATER HEATER: OCCY GROUP: r OF STORIES: tl must cal 726-3769.Tht S S a 24 n s.AI ns pec ti ons requested be lore 7:00 a.m.il be To an nspec on you work day.made he Same worklng day,n pect ions requested after 7:00 a.m. wlll be made REQUIRED INSPECTIONS l-El-f,ough Mechanlcal - Prior tou cover. [l Rough Electrica] - Prior tot---J cover. th e fo owl ng Temporary Electrlc I-_l Flnal PlumbingtJ plumbing work - When all ls complete. Site lnspectlon - To lre made alter excavatlon, but Prior to settlng forms. Flnal Electrlcal - When all electrical work is complete. Underslab Plumblngl Electrical / Mechanlcal - Prlor to cover. Electrlcal Service - Must be approved to obtain permanent electrlcal power. f-7-Finat Mechanlcal - When allU mechanical work ls complete. E Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framing lnsp. Flnal Buildlng - When all required lnspections have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prior to cover, Foundallon - After forms are erected but prlor to concrete placement, Olher Wall/Celling lnsulation - Prlor to cover. Underground Plumbing - Prior to fllllng trench.[--l Drywall - Prlor to taplng. Underlloor Plumbing / Mechanlcal - Prior to lnsulatlon or decking. MOBILE HOME INSPECTIONS Wood Stove - After lnstallatlon. Post and Beam - Prlor to floor lnsulatlon or clecklng.[--l lnsert - After flreplace approval - and lnstallatlon ot unlt. Blocklng and Set.Up - When allblocklng ls complete. Floor lnsulatlon - Prior to decklng.Curbcut & AJ:proaclr - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. Sidewalk & Drlveway - After excavation is complete, forms and sub-base material in place. Electrlcal Connection - When blocking, set-up, and plumbing lnspections have been approved and the home is connected to the servlce panel. Water Llne - Prlor to filling trench. Fence - Vlhen cci-rrpleted. Street Trees - When all requlred trees are planted. Final - After all required inspectlons are approved andporches, sklrting, decks, andventlng have been lnstalled. Bough Plumbing - Prlor to cover. request E tl E tl E Er fl I Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterior - Corner - Panhandle ') - Cul-de-sac r lS THE PROPOSED WORK tN THE - HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: P.L.HSE GAR ACC N S E BUILD!NG PERditT SQ. FT.VALUE (A) ITEM Main Garage Carport Total Value Building permit Fee State Surcharge Total Fee 'ii t X $/SQ. FT. This permit is granted on the cxpress condition that the saidconstruction shall, in all respecis, conform io tne OrOinanceadopted by the City . of SpiingfielJ, inctudtng theDevelopment code. regurating in" "-"n"tii"iion ,no use ofbuildings, and may be suspended or revoked at any ilmeupon vioration of any provisions of said orJin.n".". Date Plans R eviewed By ?!l.r!D_tNG VALUE, AND BUILDING PE LAN CHECK RMIT Plan Check Fee: Date Paid: Beceipt Number: Received By: SYSTEMS DEVELO PMENT CHARGE (SDC) (B) Systems Develop properties within ment Charge is due on all undeveloped the City limits which are being improved.PLUMBING PERMIT Nr FEE FT. FT. FI (c) Plumbing permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/Flreplace Unit Dryer Vent MECHANICAL PERMIT (D) No Mechanical Permlt lssuance State Surcharge Total Permit Furnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have carefully examlnedthe completed application and do hereby cerufy that allInformation hereon is true anc, correct, and I f urther cerilfythat any and ail work performed shail be done in accordancewith the Ordinances of the City of Sprlngfield, and the Lawsof the state of oregon pertaining to the work descrlbedherein, and that NO OCCUPANCy will be made of anystructure wlthout perrnission of the Bullding Safety Divislon.I further certity that only contractors and employees whoare in compliance with OFIS 701.055 wlll be used on thlsprolect. I further agree to ensure that all required inspections are reguested at the proper time, that each address ls readable from the street, that the permlt card ls located at the front n ng constru Slgnatu Date of the property, and the s will remaln on the site at all ti MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolitlon State Surcharge Total Mlscellaneous Perrnits (E) TOTAL AMOUNT DUE (excluding electricat) (A, B, C, O and E Comblned) DATE PAIT) RECEIVED AMOUNT VALIDATION: RECEIPT NUMBER . r'i. - ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home riilDl!ffih[silms sPCll. -IELE, Nev Residential-Single or MuIti-Family per dvelling unit. Service fncluded: I tems Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home. or Hodular Dvelling Service or Feeder' s 8s.00 $ 1s.00 s 40.00 Services or Feeders Installatlon, Alterations or Relocation: f)'rt Aulhorlz€d qr877 225 FIYIrl STREET SPRINGFIELD, OREGON INSPECf,ION REQTIEST: oFFICE: 726-3759 974 72 3 77 6- rT APPLICATION BELOV 1. LOCATION OF INSTALLATION ,80 oh'{AS DESCR PTIONA[c Sum JOB Permits are non-transferable and expire if sork is not started vithin t80 days of issuance or if vork is suspended for 180 days 2. COMRACTOR INSTAI,I,ATION ONIY Electrical contractor @S Address Ci ty 343- rbgt Supervisor icense Number Ltr€SS ixpiration Date lO - I -Q? onstr Contr. Number @t xpirationDate q-tq-O<> I 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- 0ver 1000 amps/volts -Reconnect 0n1y B s s0.00 s 50.00 $100.00 $130.00 $300.00 s 40.00 gnaqure of Supe JJp-nnao,^, rvising Electrician la--- lners Name dress siArnz:. ty Phone 74Ll a^r.*-- OVNER INSTAI,LATION = installation is being made on )perty I ovn vhich is not intended : sa),e, lease or rgnt. rers Signature: C. Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps"or less $ 40.00 201 amps to 400 amps - S 55.00. Over 401 to 600 amps - $ 90.00 0ver 600 amps or 1000-voITs see uB" aSoiE- D. Branch Circui ts Nev, Alteration or Extension Per Panel One Circuit I S 35.00 &S*Each Additional Circuit or vith Serviceor Feeder Permit g 2.00 E Miscellaneous ( Service,/feeder -Each installation Pump or irrigation g Sign/0utline Lightirg- $ Limited EnergylRes - $ Limited Energy/Comm S not included) 40.00 40.00 20.00 36.00 SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee rolat -ns to -1S EIVED c,-,, - D,J/E--- 5. tos 31.8()