HomeMy WebLinkAboutPermit Mechanical 1992-07-21SPRI,tGFIELC'
RESIDENTIAL
PERMIT APPLICATION
lnspections: 720-3769
Of fice: 72G-3759
LOCNTION OF PROP ED WOFIK
ASSESSORS MAP:
JoB NUMBE " 9A222- -225 Fi{th Street
Springf ield, aregon 97 477
Js /U 3s+
TAX LOT:
LO r:BLOCK SUBDIVISION
S<rlrue Clrqa
e_5 q 5 __lu_.__3_8 +)L
cr tY | ,' i 6tr rgr\\
PHoNE: 11I:8!15d --
,rr, I '7 4 la
OWNER: -
ADDRESS: .-
DESCRIBE WORK:
STATE:CR
I TD SilN t-L b\ L+} PU {'frQ 3
NEW -- REMODEL ADDITION DEMOLISH OTHER
CONTRACTOR'S NAME ADDRESS
CONST.
CONTRACTOR #EXPIRES PHONE
GENERAL:
PLUMBING
55 to.\st E Da o tla-ttoMECHANICAL:
_ OFFICE USE _
5-LAND USEOUAD AREA
, OF BLDGS
OCCY GROUP:
r OF STORIES:
WATER HEATER
r OF UNITS:
HEAT SOURCE: * __
FLOOD PLAIN:
ZONING CODE:---,-
* OF BDRMS:
SECONDARY HEAT
SQUAFIE FOOTAGE: -
CONSTR. TYPE:
RANGE:
To request an inspection, you must call 726-3769. This is a24hour recording. All inspections reguested before 7:0O a.m. will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
af ter excavaliorr, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - Wherr all
electrical work is complete.cover.
Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain permanent
electrlcal power.
X Final Mechanical - When all
mechanical worl( is complete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materlals and framing lnsl:.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover.
Other - -Foundation - After forms are
erected but prior lo concrete
placerllent.Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.
MOBILE HOME INSPE TIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After installation.
Post and Beam - Prior to floor
insulation or decking.lnsert - After flreplace a;rproval
and installation of unit.
Blocking and Set-Up - Wherr all
blocking is complete.
Floor lnsulalion - Prior to
decking.Curbcut & Approach - 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 f illing
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
lrench.
Sidewalk & Driveway - Af ter
excavation is complete, forms
and sub-base material in Place.
Waler Line - Prior to fllling
trench.
Streel Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting lrave been installecl.Rough Plumbing - Prior to
cover.
ELECTRICAL:
--
fl tl
ErE
r
fl
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tl
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E
l-l Drywall - Prior to taping.
tl
tl
E
l-_l Fence - When comPleted.E
S TI.JE PROPOSED WORK IN THE
I.IISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
---It yes, tlris application must be signed
ancl apProved bY the Historical
Coordinator prior to permit issuance'
APPROVED
Lot Type
-
lnlerior
_-- Corner
'- Panhandle
-
Cul'de'sac
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
P.L.HSE GAR ACC
N
J
E
Setbacks
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is grantcd on the express conditiorr that the said
consiruction shall, in atl respects, conform to the Ordinance
"Jopt".f by the City of Springlield' including the
Development Code, regulating the construction and use of
[uif Oin'g", and may be suspencted or revoked at any ti'rne
upon violation of any provisions of said ordinances'
DatcPlans Rcviewed BY
Receipt Number:--
Received BY:
Plan Check Fee:
Date Paid:
BUILDING PERMIT
VALUE
(A)
SQ. FT. X $/SO. FT.ITEM
Main
Garage
Carport
Total Value
Builcling Permit Fee
State Surcharge
Total Fee
Systems Developnrent Charge is clue on all undeveloped
properties within thc City limits which are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
N0
FT.
FT.
(c)
FT.
Plumbing Permit
State Stttcltarl;c
Total Charl;e
WoocJ Stove/ lnsert/ Fireplace Unit
Dryer Vcnt
MECHANICAL PERMIT ao
7{25,
/2/.1)
No
(D)
,7t
Mechanical Permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
oo
By signature, I state arrcJ agree, that I have caref ully examined
the completeci application ancl cJo hereby certify that all
informationhereotristrueandcorrect,ancllfurtherccrtify
that any and all work performed shall be done in accordance
with the Ordinances o{ thc City of Springfield, and tl're Laws
of tl-re State of Oregorr pertaining to thc worl< dcscribcd
lrerein, and that NO OCCUPANCY will be tnade of any
structure without permission of the Building Safety Division'
I f urther certify that only contractors and ernployees who
are in compliance with ORS 701.055 will be used on lhis
proiect.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit carcj is located at the front
of the property, and the approved set of plans will remain
S ring c structi
Signature -
Date
on the site at all
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
Stats Surcherge
Sidewalk .-_ lt
Curbcut .--- ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
EI E
DATE PAID
VALIDATION:
RECEIPT NUMBER.. -
AMOUNT BEC
RECEIVED BY
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
257{
c.$'nJqlpqqq
225 FIFTB STREET
SPRTNGFTELD, oRBGoN 97477
INSPBCTION REQITESTz 726-3769
oFFICE: 726-3759
1. LOCATION OF INSTALI,ATION
IJGAL DESCRIPTION
JOB DESCN.IPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
Address
2. CONTRACf,OR INSTALI,ATION ONLY
Electrical Contractor C{S 800 tf,tfn',0rrrn "
ELECTRICAL PERfiIT APPLICATION
S,'gnati;re City Job Number /2o
""?
3 BETOIJ
A Nev Residential-Single or
MuIti-FamiIy per dvelling unit.
Service fncluded:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
t hereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 8s.00
s 1s.00
s 40.00
B Services or Feeders
Installation, Alterations or
Relocat ion:
st',ilN(;FtELE)
One Circui t
Each Additional
STIBTOTAL OF ABOVB
5Z State Surcharge
TOTAL
ah
Sum
cit Phone'1+l-7 t?b
Supervisor License Number t{"flh s
Expiration Date
Constr Contr. Number or9+g
Exp iration Date q -t-qD
si ture of SuPervising Electrician
Owners Name
Address
200 amps or less $ 50.00
601 amps to looo amps- $130.99
over lboo amps/vorts
-
$3oo.oo
Temporary Services or Feeders
Insia1lation, Alteration or Relocation
200 amps or less $ 40'00
over 4b1 to 6oo amis
-
$ Bo'oo
-
Over 600 amps or 1O0O voTIs see ilBtr above
Branch Circuits
Nev, Alteration or Extension Per Panel
c
D
I $ 3s.oo 35. oo
c ne1ryl-Ici
OVNER ,TION
The installation is being made on
proPerty I own vhich is not intended
for sale, lease or rent'
Owners Signature:
DATE:7
RECEIFT *:
Circuit or vith Service
or Feeder Permit I $ 2'00 ,''DO
Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/0utIine Lighting--
Limited EnergY/Res
-
Limited EnergY/Comm
E
s
$
s
S
.00
.00
.00
.00
40
40
36
20
l..I -iIia
RECEIVED BY:
-2>q2
5 3'l.oo#
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