HomeMy WebLinkAboutPermit Mechanical 1998-10-28SPrlIhrGFTELE,RES!DENTIAL
PERMIT APP[ICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:7 6zt L
LOT:
?fr s VbJOB NUMBER
225 Fifth Street
Springfleld, Oregon 97477
TAX LOI 07Loa
BLOCK: SUBD|V|SION: _
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PHONE:
?2"1> tZIP:
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D.STATE:
w4-gs5/
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CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHEB
fre tat/ 4os ?ryt"+ LHcDESCRIBE WOBK:
ADDRESS
Dsc"-*€
EXPIRES .,-1 PHONECONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL;
ELECTRICAL:
CONST.
CONTRACTOR #
tu\/l tgE,
# OF BLDGS: TIIIS FERfuIIT SHAL' EXPIRE
occY GRoUP:AU+fiO,rq+*ED UNnER THI$ p jnOAB p5&QQl-oo 1 0 th rp qgsr 5URgt2-001 -
OO9O. You may obtain copies ofthdiUrcSby-
to
farth
QUAD AREA:qiif"{'f ld\"tj.',
# o F sro R r E s C 0 I\4 td E ti * E & 0 H I S A 9,4 [t t1E] f{ gffiQlf,p n c e:
WATER HEATER:RANGE:
ssltfTs.NryrE
- OFFICE USE _
To request an inspectlon, you must call 726'3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. will bemade the same working day, lnspections requested after 7:00 a.m. wlll be ma<Je the following work day.
REQUIRED INSPECTIONS
l-l Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When ailplumbing worl< is complete.
Site lnspection - To be made
after excavatlon, but prior to
setting forms.
Underslab Plumbing / Electrical /
Mechanlcal - Prior to cover.
l-l Footlng - After trenches areIJ excavated.
Masonry - Steel locatlon, boncl
beams, groutlng.
Foundallon - After forms are
erected but prior to concrete
placement.
Post and Beam - prior to floorinsulation or decking.
Floor lnsulation - prior to
decki ng.
l--l ,'."flii:lii,[ljn'.'*oins - Prior [l orywan - prior to taprns.
l--l Underrtoor plumbing/Mechanicalu - Prior to lnsulation or decking.
l--l Rough Etectrical - prior tot-J cover.
lnserl - After fireplace approvaland instailation oi unit.
Curbcut & AtrFrroach - Afterforms are ert'cted but prior toplacement of concrete.
Sidewalk & Driveway - Afterexcavation is complete, formsand sub-base malerial in place.
Fence - When ccinpleted.
flt--'Trees - when arl requiredtrees are planted.
Electrical Service - Must be
approved to <lbtalrr permanent
electrical power.
Flreplace - Prlor to faclng
materlals and framing lrrsp.
Framlng - Prior to cover.
Wall/Celling tnsulatlon - prlor to
cover.
Wood Stove - After lnstallation
Final Electrical - When all
electrical work is complete.
hanical - When all
cal work ls complete.
Final Building - When alt
required lnspecilons have been
approved and building is
completed.
Other
MOBILE HOME INSPECTIONS
[-_l Btocking and Set.Up - When alt
-
blocklng ls complete.
Plumbing Connectlons _ Whenhome lras been connected towater ancj sewer.Sanitary Sewer - prior to filling
trench.
I--| Storrn Sewer - prior to fiiling
-
trench.
E ,yj,l:;:rne - Prror to rirrins n
I-_I !_ouetr Plumbing - prior to
-
COVer.
[-l Electrical Connection _ When
-
Dtocking, set-up, and plumbinornspections have been ,ppror6dand the home is connected tothe servlce panel.
r fi{ii,, il,"J,.;'l Ji?,i#,.
", oprcrches, sklrti n g,'deck;;;;"venung have be6n rn.tuirJi."
Fi
---catthtgtltffienter.
E
rl
E
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typ,
-
lnterior
-- Corner
-- Panhandle :'
-
Cul-de-sac
Setbacks
PL.HSE GAR ACC
N
S
E,
IS THE PFTOPOSED WORK TN THE .
HrsToRrcAL DtsTBtcL oR oN
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
VALUE
(A)
+IT;
Main
Carport
ITEM
Garage
Total Value
Building Permit Fee
State Surcharge
Total Fee
:
BUILDING PERM
SO. FT. X $/SQ, FT.
This 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.
Receipt Number:--_
Plans Reviewed By Date
,
E
Plan Check Fee:
Date Paid
Received By:
,f
PLAN CH ECK
RMIT
BUILDING VALUE
AND BUILDTNG P
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limlts which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
Nr
FT.
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
- FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
rt/.6.6 ?
/{. oo
fiS.au-€f,7f
2/, ))(D)
No
6,o o
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinanccs of the City of Springfield, and the Laws
of the State of Oregon pertainlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure wi thout perrnission of the Buildirrg Safety Division.
I further certify that only contractors and enrployees who
are In compliance with OFIS 701.055 will be used on this
project.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
Slgnature
Date
on the site at all t
MISCELLANEOUS PERMlTS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolltion
State Surcharge
Total Miscellaneous Perrnits (E)
/a
o7(t g,{
f
Au:
VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT BECEIVED
RECEIVED BYTOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
FT.
D 1l--ro.:3-(
Autnodz€d
225
trl0TtCE:
THIS PEBMIT SHALL EXPIHE IF T
sFv.,cFtELI,
CAL PERHIT APPLICATION
(rJ
FIFTE
SPRTNGFTELD, 0REGON 97477
RIUED UNOEB THIS PERMIT
N0f;s 0R ts g/5
I,EGAL
/"7b2t7FL 'Loo
Permits are non-transferable and exp 1re
if vork is not started vithin 180 days
of issuance or if vork is suspended for
L80 days.
Ci ty
Supervisor Lic
Expiration Dat
Constr Contr.
Expiration Date oalllng the center.
Orego
ure of supervising Erectri"i$enterle 1
b Number
A- Nev Residential-Sing1
Multi-Family per dvel
Serviee Included:
1000 sq.ft. or fess
Each addi.tional 500
sq. .t L or por tion
thereof
Each Manuf'd Home. or
Modular Dvelling
Sertice or Feeder
$ 8s.00
s 1s.00
s or Feeders
eration or Relocation
eor
ling
f tems
uni t.
2. C0NTRAOI0R INSTALL,ATfON ONIY B. Services or Feeders
Ins tallation, Alterations
Electrical Conttu.to@[ ot Relocation:
Address QO €rnx A-\=r-)
$ 40.00
200 amps o r less $ s0.00
20L amps t o 400 amps $ 60.00
"$L.l-h(l 40L amps to 600 amps s100.00
60L amps to 1000 amps s130.00lts$300.00
amps
-amps
Cost Sum
.00
.00
.00s
s40
$ss
$80
ovners NameJ
Address 52--h.*
Ci phone)9L S3S l
OVNER INSTALLATION
The installation is being made on
property f ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
DATE:
to 600
5. SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
0ver 600 amps or 1000 voTts see rrB'r a66tt
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit I
Each AdditionalCircuit or vith Service
or Feeder Permit I S 2.00 sI3
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Out1ine Lighting-
Limited Energy/Res
-Limited Energy/Comm
vL
$ ss.oo .ESrc
$ 40.00
$ 40.00
$ 20.00
$ 35.00
RECEIVED
/o r
INSPECTION REOI.]EST:
OFFICE: 726-3759 ''
1 TOCATTON OF
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