HomeMy WebLinkAboutPermit Mechanical 1996-08-16a
SPFlINGFIELC,RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORI(
2fi,
JOB NUMBER
225 Fif th Street
Sprlngtleld, Oregon 97477
e4 t5 Al. 38+h sl
ASSESSORS MAP:
LOT:BLOCK:SUBDIVISION
TAX LOT:
OWNER:PHONE
DRSTATE:zlP
e Dstb
q"7 q1[ADDRESS:Aqt5
c ,1 4
S+,
SCITY:
il, 3g
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ADDBESS EXPI RES PHON E
qbo t7,.-o l,o
CONTBACTOR'S NAME
ELECTRICAL:
MECHANICAL
CONST.
CONTRACTOR,
GENERAL:
PLUMBING
BANGE:
' OF BDRMS
- OFFICE USE _
LAND USE:
ZONING CODE:
FLOOD PLAIN
# OF UNITS:
HEAT SOURCE
OUAD AREA:
, OF BLDGS
SECONDARY HEATi
SOUARE FOOTAGE:
OCCY GROUP:
I OF STOBIES:
CONSTR. TYPE: __
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requesteci before 7:00 a.m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng worl<'day.
R U!RED TNSPECTIONS
Temporary Eleclrlc Rough Mcchanlcal - Prlor to
cover.
Flnal Plumbing - When allplumblng worl< ls complete.
Slte lnspectlon - To be madc
after excavatlon, but prior to
settlng forms.
Rough Electrical - Prior to Flnal Electrlcal - When all
electrlcal work is complete.cover,
Underslab Plumblng/ Electrical/
Mechanlcal - Prlor to cover.Electrical Servlco - Must be
approved to obtaln permanent
electrlcal power.
lnal Mechanlcal - When all
mechanlcal work ls complete.
Footlng - Af ter trenches are
excavated.Flreplaco - Prlor to faclng
materlals and f ramlng lnsp.
Flnal Buildlng - When all
requlred lnspectlons have been
approved and bullding ls
com pleted.Masonry - Steel locatlon, boncl
beams, groutlnO,Framlng - Prlor to cover,
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Colllng lnsulatlon - Prlor to
cover,
Underground Plumblng - Prlor
to fllllng trench.[-l Drywall - Prlor ro taptng
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng,
MOBILE HOME INSPECTIONS
Wood Stovo - After lnstallatlon.
Posl and Boam - Prlor to floor
lnsulatlon or decklng,
Blocklng and Set.Up - When all
blocklng ls complete.
Floor lnsulallon - Prlor to
deckl ng,Curbcut & A1:proach - After
(orms are erected btrt prlor to
placemont of concrctc.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to fllling
trench. I'r
Electrlcal Connection - When
blocklng, set.up, and plumblng
lnspections have becn approved
and the home ls connected to
the servlce panel.
Storm Sewer - Prlor to fllllngtrench. r
Sidewalk & Driveway - After
excavatlon ls complete, forms
and sub-base materlal ln place.
Water Llne - Prlor to f illlng
trench,l-_l Fence - When completed
Street Treos - When all requlred
trees are planted.
Final - After all required
Inspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
Rough Plumblng - Prlor to
cover.
J" /a
WATER HEATER:
tl
tl
tl
tl
tl
E
tl
E
E
lnsert - Alter f lreplace approval
and lnstallatlon oI unlt.
tl
tl
Lot faces
Lot sq. ftg,
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
P,L.HSE GAR ACC
N
S
E
S THE PROPOSED WORK iN THE ,
I.IISTORICAL DISTRICT, OR ON
THE HISIOFIICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved by the Hlstorlcal
Coordlnator prlor to permit lssuance.
APPROVED:
VALU E
(A)
X $/SO, FT,
Total Value
Bullding Permit Fee
Slate Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT,
Maln
Garage
Carport
Thls permit is granted on the cxpress condition that the sald
construction shall, ln all respects, conform to the Ordlnance
adopted by the City of Sprlngfield, includlng the
Development Code, regulatlng the constructlon and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of sald ordinances.
Plans Rcviewcd !3y Date
Receipt Numbe
Plan Check Fee:
Date Paid
Received By
BUILDING VALUE
AND BUlLDING P
,I
, PLAN CHECK
ERMIT
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties withln tlre City linrlts which are being lmproved.
ITEM
Flxtures
Rosldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(t)
No
FT.
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
Stato Surcharge
Total Charge
ADDITIONAL COMMENTS
By slgnature, I statc and agree, that I have caref ully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon horeon is true and correct, and I lurther cerilly
that any and all work performed shall be done in accordance
wlth the Ordlnanccs of thc Clty of Sprlngfleld, and the Laws
of the State of Oregon pertalnlng to tho work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structure wlthout perrnission of the Buildlrrg Safety Dlvislon.
I further certify that only contractors and employees who
are ln compliance with OBS ZOi.05S will be used on thls
proiect.
I f urther agrec to ensure that all requlred lnspections are
requested at the proper tlme, that oach address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
Slgnature
Date
,4
on the slte at al imes during constructlon
/Ee
Wood Stove/lnserti Flreplace Unlt
Dryer Vent
MISCELLANEOUS PERMITS
Moblle Home
Slale lssuance
State Surcharge
Sldewalk
--
ft
Curbcut
-
ft
Demolitlon
State Surchargp
Total Miscellaneous Pennits (E)
(D)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan No
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
\TOTAL AMOUNT DUE (excludlng clectrtcat
(A, B, C, D, and E Comblned)
VALIDATION:
BECEIPT NUMBE
DATE PAID
AMOUNT FI
RECEIVEO
ECE
BY
E
A\ffi(
Tso-
ai,i-ri Oi;a!
The fcllo'.'ring proiecl as rubmitted hrg th9
;.r;:.;';;;?6ei not require ePecitic land afr,
SPFINGFIELO
us(}
ELECTRICAL PERHIT APPLICATION
ob Number 2
COMPI,ETE FEE SCffiDULE BELOS
Nev Residential-Single or
MuIti-Family per dvelling uni.t.
Service fncluded:Items Cost
1000 sq.ft. or less S 85.00
Each additional 500
sq. ft or portion
thereof S 15.00
Each Manuf'd Home or
-Modular Dvelling
Service or Feeder S 40.00
Services or Feeders
lns tallation, Alterations
or Relocation:
200 amps or less
201- amps to 400 amps _
401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/voIts
Reconnect 0n1y
s see "Bu a56G-
225 FIFTE STREET o,t+ X' 7 b' 9t^o
SPRINGFTELD, OREGON 97477
INSPECTION REQUEST z 726-3iBgrzoo 5r
OFPICE: 726-3159
3
C
1.TOCATION OF INSTALI.ATION
LEGAL PTIONa
JOB DESCRTPTION
t5K
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTAII^ATION ONLY
Electrical Contracto
Address P
cit Pfro.,e?4 |-AL3 b
Supervisor L L Cense Number t636S
Expiration Date iO - i -Q 8
Constr Contr. Number o5s4q
Expiration Date a -l-1t
s re of- Supervising Electrician
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or less
201 amps to 400 amps _
Over 401 to 600 amps
Over 600 amps or 1000-ioT[
A
Sum
B
s s0.00
s 60.00
s100.00
s130. 00
$300.00
s 40.00
s 40.00
$ ss.00
$ 80.00
Owners Name
Address
cir Phone 4*b-O ?,tb
OVNER ALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
D. Branch Circuits
E
Nev, Alteration or Extension Per Panel
one circuit I $ 35.00 35,_qO
Each Addi tional
Circuit or vith Service
or Feeder permit I S 2.00 )",OO
Miscellaneous (Service/feeder not included)
-Each instalLation
Pump or irrigation _Sign/0ut1ine Lighting-
Limited Energy/Res
Limi ted Energy/Comm
$ 40.00
s 40.00
$ 20.00
s 36.00
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
aO
3
RECEIVED
5 .oo
{,\.-