HomeMy WebLinkAboutPermit Mechanical 1999-6-24
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ADDRESS: (p 9 5 1+ s rp hili' ,g-
CITY: S 0/12 ) Jv(~ f/ r? ,)J
-,/- ./1/ 5':r /J- / /
RESIDENTIAL~
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
~.
ASSESSORS MAP'
LOT:
OWNER:
1-(;-
DESCRIBE WORK:
NEW
REMODEL
STATE: oR
#EiU illY' ~~Nj.
BLOCK:
ADDITION
DEMOLISH
OTHER
JOB NUMBER
99ort3
225 Fifth Street
Springfield, Oregon 97477
s~; (!~.(lc;(
TAX L~T: d O() 26i
SUBDIVISION:
7T
c ,,-,
,.. .:I!:::-
PHONE: -ZY t - {;;3 O.:J
ZIP:
17 Cl7 7
/0
. I
..{/ ;<15/1 f\!v
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CON ST.
CONTRACTOR'S NAME; . ADD~ErS.- .... '. CONTRACTOR # EXPIRES
~ ,/- ,A II r; /lJY CiJ:JiV N (j .~f}-/ L 5a55. \'
.~ PHONE
W ,2.CJO~
PLUMBING:
MECHANICAl 1:..
ELECTRICAL:' LtC GJll2DNEE (~LtJlve'V' ')
. NQ!IC~: . '. ... -"". ..01\ . .
THIS PERMIT SHALL EXPIRE IFTHEWORRFFICE U~~~:i~VV rUles ad~p;~~~ I~~V ,84Ulres you I,,,
QUAD AREA: ~0~IZED UNDER THIS PERMrol9$JOL . 'I OAA ~~;genter. 7~~~~~f2~~N:;ln //!!/!t}
# OF BLDGS:COMfy1EN(,~ORISABANDONIili):fQEihs: J090. VOu ma01-001OiOiNir~~@~~~Setforth
callin Y obtain COOl ~ F1 vO~-001_
OCCY GRou~NY180DAYPERIOD. CONSTR. TYPE: (- gthecenrer (~6fF~1RfMOO"'/€lSb
'fUli/oer for the O' e: the telep'hn .Y
# OF STORIES: HEAT SOURCE: ,"'~_. reg(ffEt;(J>llNj;)MI.Y'tH~1lA
,. ., '" 0' or ',Y-1voC/ /ca~tl-:- .
" '" . 'r;-'i'~?_?~/f . IOn
WATER HEATER: RANGF" SQUARE P~OTAGE:
To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be
made the same working day, Inspections requested after 7:00 a.m, will b,e made the following work day.
o Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumblng/Electricall
Mechanical - Prior to cover.
o Footing - After trenches are
. excavated.
o Masonry - Steel location, bond
beams, grouting. .
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Pr!or
to filling trench.
o Underfloor Plumblng/Mechanlcai
-: Prior to Insulation or decking.
o Post and Beam - Prior to floor.
. Insulation or .,decklng.
. u
i :\.
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trench. "
D Storm Sewer - Prior to Hlllng
trench.
o Water Line - Prior to filling
trench.
.0 Rough PlumbIng - Prior to
coyer.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
D. Framing - Prior to cover,
U Wall/C'elllng Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stovo - After Installation.
o Insert - After fireplace approvlll
and Installation of unit.
D Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete, forms
and'sub.base material In place.
o Fence - When cor.lpleted.
o Street Trees':'" When all required
trees are planted.
D Final Plumbing - When all
plumbing w()rl< Is 'complete.
~nal Electrical - When all
~Iectrlcal work Is complete.
~
F: nal Mechanical - When all
U mechanical work is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
D Other
MOBILE HOME INSPECTIONS
o Blocking and Set-Up - When all
blocking Is complete.
o Plumbing Gon~ections - When
home has been connected to
water and sewer.
o Electrical Connection - When
. blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
D Final - After all required
Inspections are approved and
porches, 'skirting, decks, and
venting have been Installed.
(
\
Lot sq. ftg.
Interior
Iii, .f. .J (..4-,
...~ '~~l"o':: ,f -i, ii. ~1=1>,~ !1!" ,~jj)
.:'...1;:4:.;;'
Setbacks, ,'.
I P.L. HSE GAR A.CC'
IN
Lot faces
Lot Typ...
Topography
Total height
".
Panhandle
S
IS THE PR.OPOSEP WORK ~N THE.
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator priOr to permit issuance.
Lot coverage
Corner
Cul-de-sac
w
----
E
APPROVED:
ITEM
SO. FT.
X $/SO. FT.
VALUE
B'UILDlNG "ALOE, PLAN CHECK
AND BUILDING PERMIT
BUILDING PERMIT 'j
't
Garage
"
This permit is granted on the express condition that the said
construction shall. in all respects, conform to the Ordinlince
adopted by the City of Sprlngfle'ld, Including ttle
Development Code, regulating the oonstructlon and use 9f
buildings, and may be suspended or revoked at any time
ul'on violation or any provisions 01 said ordlnanoes.
Main
Carport
Plan Check Fee:
Dcto Paid:
Total Velue
Building Permit Fee
Aaeelpt NUmber:
State Surcharge
Received By:
Total Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Residential Bath(s)
N'
EZt:2.,d.J ~ /J/d /1"-11
,.
~,(nJ.
Fixtures
,
Sanitary S~wer
Water
FT.
Storm Sewer
FT.
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Total Permit
(D)
(("', tl J
10 ' Uo
'f~ 71
U'ML
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certHy that all
Information hereon is true and correct, and I further certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield. and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of Ihe Building Safety Division.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
Exhaust Hood
Vent Fa'n
NO
Wood Stovellnsert/Flreplace Unit
D:rfr Vent !
/1'/ (" (/1..;,
Mechanical Permit
Issuance
State Surcharge
State Surcharge
Sidewalk
ft
I further agree to ensure thai all required inspections are
requested at the proper time, that each address Is readable
from the street, that the permit card Is located at the front
of the property, and the approved set of plans will remain
on the site at -"es during constr~ctl n
Signature .t7~~;:; d~
6-~Y-ff- /-
Datp
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Curbcul
ft
Demolition
Slate Surcharge
VALIDATION:
RECEIPT NUMBER ()3'f~ S7
DATE PAID (p /2.,'f1 f1
AMOUNT R"C"'VED~ ff Zf1
RECEIVED BY _ M
Total Miscellaneous Permils (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
~
zoning and oe:;. nOli<< .
approvai ZOning LD (L"
... I NOTICE:
Date (,..-~ -'1 .\
Aulh.orized fu9.nature ~ T~I\SRE~MITSHALLEXPIREJf!~'4'QRK -
ZZ:> Fn-rH STREET A9THORIZED UNDER THIS ~fWtlS~T PERMIT APPLICAT.ION
~~~~~~;;>REg~~~~ 9~i~~3769 COMMENCEDORISABANDCQJ)llt~F.oR> Number 9tjt?~6"3
OFFICE: 726-3759 ' ANY 180 DAY PERIOD.
1.
LOCAIION OF INSTALLATI~~
t'1c; A~If)~:v'7
LEGAL DESCRIPTION
J 7 b1 3 Lj2- '/ oo;tC)q
jJOB DESCRIPTION f
Ale VA/II t!1fl.C. fA..
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular'Dwelling
Service or Feeder
Sum
S 85.00
$ 15.00
.$ 40.00
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
'. ...,,~ Installation, Alterations
Electrical ContMdfd'tTION:Ore90~\lVreqJireSYOU.~G or Relocation:
follow rules aaog:teo oy me uregon Utility , , '
Address' Notification C~r. Those rules are setfort2.100amps or less
in OAR 959601-0010 through UAR 952-001201 amps to 400 amps
Ci ty 0090. y.01:P~btain copies of the ruies ~01 amps to. 600 amps
. C Itl.9 the center. (Note: the telephone 601 amps to 1000 amps
Supervisor Lice tntUHWftfie..DrpQon Utilitv Notification Over 1000 amps/volts
Center is 1-800-332-2:344). i Reconnec t. Only
'i:\F\ , i~,..
'C. Temporary Services or Feeders
Installation, Alteration or Relocation
Si
ature of Supervising Electrician
Owners Name Lv ,i~", &tVl.- //V.I?L
~Jp
Phone 7II{;....(p r () 3
Address ''15''
Ci ty C:;./J f!/
j
OVNER INSTALLATION
The installation -is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
200 amps' COT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00 35
One Circuit r
Each Additional
Circuit or with Service
or Feeder Permit I
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Light~ng
Limited Energy/Res
Limited Energy/Comm
__________+____________________________ 5. SUBTOTAL OF ABOVE
DATE: t-.1lf-~t:j;'f- _ 5% State Surcharge
,,~gi~~~^7~-r~l~ ~~;ministrative Fee
. ~ .- - ~-;fcJ~
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see "B" above
,.
$ 2.00
not included)
$ 40,.00
$ 40.00
$ 20.00
$ 36.00
eo
- .35
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