HomeMy WebLinkAboutPermit Mechanical 2001-3-15 (2) • Job#01-00244-01 • Page 1 of 2
SPRINGFIELD TRANS#:01-0004662
911111111k 1110 CITY OF SPRINGFIELD, OREGON DATE:MAR 152001
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AMT RECD:2 $ 26.50
CHANGE:
CASHIER:003
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division Job Number: 01-00244-01
Building Safety
225 North Fifth Street Office: 726-3759
Springfield, OR 97477 Inspection Line: 726-3769
Location Of Proposed Site: 3447 Baldy View Ln Spr
Assessors Map#: 17031400 Tax Lot#: 01802 SCANNED
Lot: Block: Addition: Subdivision:
Owner: ROBERT CRAMER Phone Number: 541-747-6704
Address: 3447 BALDY VIEW LANE City/State/Zip: SPRINGFIELD, OR 97477
Scope Of Work: Mechanical New Value: $0
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NEW HEAT PUMP SYSTEM
Contractor Type Contractor Registration # Expiration Date Phone
Mechanical Contr Comfort Flow Heating Co 460 6/27/2001 541-726-0100
1951 Don St Ste D, Springfield, OR
97477-1993
Office Use
Quad Area: Land Use: #Of Buildings:
#Of Units: Zoning Code: Occupancy Group:
Constr.Type: Bedrooms: Heat Source:
Water Heater: Range: Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Construction Types:
Occupancy Groups:
#Of Buildings: # Of Stories: Height(feet):
#Of Bedrooms: Current Units: Proposed Units:
Handicap Access? Census Code:Does not apply
Area (Sq. Feet)
[Area
Accessory: Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Minimum Mechanical Permit 03/15/2001 4682 $9.00
Administrative Fee- Mechanical 03/15/2001 4682 $.45
Less than 100,000 BTU 03/15/2001 4682 1 $6.00
Mechanical Issuance 03/15/2001 4682 $10.00
Job#01-00244-01 • Page 2 of 2
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Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
State Surcharge- Mechanical 03/15/2001 4682 $1.05
Total Mechanical $26.50
Grand Total $26.50
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time and that the project address is readable from the street.
Signature Date
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•, PRINGi. •:. - •
RESIDENTIAL I Jt .. s •
PERMIT APPLICATION .. JOB NUMBER 4id602�¢--11/
Inspectlons:'726.3769 U' 225 Fifth Street
Office: 726-3759 (�l�ij' f �S/�pringfleid, Oregon 97477
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LOCATION OF PROPOSED WORK:_- i le—•-• e. 1s1 ' GD la•I I/,./
ASSESSORS MAP /793 / �1 D �__ .-__ • - TAX LOT:• CQ �j d Z.
I/
LOT: '. ' a'7 ! s BLOCK: - __ SUBDIVISION:
• OWNER•: • ,D -
. ti" I PHONE:_ /11-7-42-70V
ADDRESS*. .4, frt./ Urea ! Lk,r0 . .r
CITY /1/I I/ L ,.:; STATE: (02./ ZIP: / -h
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DESCRIBE RK: bs5-1tl-b/ r KQ--t tuVN p cSi/SI(I 1 -_
NEW REMODEL 'ADDITION ' DEMOLISH - OTHER
CONTR.
CONTRACTOR'S NAME •'
. ADDRESS • . CONTRACTOR EXPIRES n PHONE
GENERAL: '
.PLUMBING: ����� / �1 - - / _. / �-'7
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MECHANICAL C'r'D uraf-r1I4 Icvt f 7�/%�• . b/o3 ! 7-In"vfto7
• ELECTRICAL: - --. •
— OFFICE USE —
QUAD AREA: LAND USE:_ .FLOOD PLAIN:
, # OF BLDGS: • # OF UNITS: _ ZONING CODE:
OCCY GROUP: _ CONSTR. TYPE: * OF BDRMS:
/ OF STORIES: HEAT SOURCE: • - SECONDARY HEAT: -_
WATER HEATER:` RANGE:__ SQUARE..FOOTAGE:_
To request an Inspection, you must call 726-3769. This la 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 be made the following Work day.
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REQUIRED INSPECTIONS
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n Temporary Electric• n Rough Mechanical — Prior to n Final Plumbing — When all
•. • , cover, •plumbing work Is complete.
- in Site•Inspection.—To-be made ' Rough-Electrical — Prior'to n Final Electrical — When all
after excavation, but prior to cover. electrical work Is complete.
setting forms. p
n I 1 Underslab Plumbing/Electrical/ Electrical Service — Must be n Final Mechanical — When all
Mechanical -,}Prior to cover. approved to obtain permanent mechanical work Is complete.
electrical power.
n Footing After trenches are n Final Building — When all
excavated:''- i—'1 Fireplace — Prior to facing required inspections have been
I : " i32` ' ''''• I 1 materials and framing Insp. approved and building is
nMasonry — Steel,location, bond completed.
beams, grouting..; ;.
I—I Framing — Prior to cover.
1 n
n Foundation— After forms are Other
erected-but prior to concrete i i Wail/Ceiling Insulation — Prior to
placement. •y; I 1
cover:
n Underground Plumbing — Prior n Drywall — Prior to taping.
to filling trench,'
MOBILE HOME INSPECTIONS
In Underfloor Plumbing/Mechanical n Wood Stove — After Installation.
—.Prior to Insulation or decking.
i _ Blocking and Set-Up
n nsutlation8or decking or to floor fireplace approval n blocking Is complete.— When all
Insert — After fire'
and Installation of unit.
nFloor insulation — Prior to n Plumbing Connections — When
decking. n Curbcut & Approach — After home has been connected to
forms are erected but prior to water and sewer.
nSanitary Sewer — Prior to filling placement of concrete.
trench. n Electrical Connection — When
-.•,.... .. . n Sidewalk & Driveway — After blocking, set-up, and plumbing
n Storm Sewer
• Prior to filling excavation Is complete, forms Inspections have been approved
. trench. and sub-base material In place. and the home Is connected to
the service panel.
nWater Line — Prior to filling • n Fence— When completed.
trench. Final — After all required
Inspections are approved and
n,Rough •Plumbing Prior to . n,Street.Trees — When all required porches, skirting, decks, and aa,
• -cover.- -r r- • ' trees are planted. . - venting have been installed. .
--I. - - .
4.
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rr t I. c t•'V r1j tl t i ' Tar i.,. '"�.
Lot faces - • Lot Type f r Setback TITS THE'PROPOSED WORK fN'THE
. Lot sq. ftg. _ Interior s, PL' H,aE GAR ACC'
HISTORICAL DISTRICT,OR ON.; I
C.THE HISTORICAL REGISTER?
Lot coverage _, _ Corner N „ � --- ,• If yes,,this application must be signed
Topography Panhandle h g'' -- and approved by the Historical
.Coordinator prior to permit Issuance.
Total height _ Cul-de-sac (
'u -• E __ r t : i'.APPROVED
PERMIT HAM—
BUILDING BUILDING VU E, -LAN CHECK
ITEM SO. FT. X S/SO. FT = VALUE AND BUILDING PERMIT,__
This permit is granted on the express condition that the said
Main - construction shall, In all respects,conform to the Ordinance
Garage adopted by the City of Springfield, including the ',
Development Code,regulating the construction and use of
Carport _ _. - buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee:
Date Paid:
Total Value -
Receipt Number: '
Building Permit Fee _ Received By:
State Surcharge -
Total Fee (A) - _ Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC) Systems Development Charge is due on'all undeveloped '
(B) _
properties within the City limits which are being improved.
PLUMBING PERMIT • - . ADDITIONAL COMMENTS ' -
ITEM FEE
Fixtures -- - _
Residential Bath(s) N' - -
Sanitary Sewer - FT. - _ 'C
Water FT.
Storm Sewer FT.
Mobile Home - -.
Plumbing Permit
State Surcharge _-
Total Charge (C)
MECHANICAL PERMIT •
Furnace
Exhaust Hood - By signature,I state and agree,that.I have carefully examined
the completed application and do hereby certify that all '
Vent Fan - N° Information hereon is true and correct,and I further certify
Wood Stove/Insert/Fireplace Unit that any and all work performed shall be done in accordance •
” with the Ordinances of the City of Springfield,and the Laws
Dryer Vent - of the State of Oregon.perlainingito:the work described
.herein,, and that NO OCCUPANCYf'Wjll"be.made of any
structure without permission of the Building Safety,Division.
Mechanical Permit I further certify that only contractors,and employees who
Issuance _ are"in compliance with ORS 701.055 will be used'on this •
project.
"State Surcharge ___._.. ..... ..... ...
Total Permit (0) I further agree to ensure that all required Inspections are i
- requested at the propor,time,.that each,address is readable
MISCELLANEOUS PERMITS from the street, that the permit cardts'looated at the front
Mobile Home cf the proper and the approved set of plans will remain '
on the-site . . I times d,�g construction.
State Issuance - '•'"
State Surcharge - Signature ` A, I���_� ..-. -
. 3 1601
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Sidewalk ft � - Date
Curbcut ft
Demolition . .
State Surcharge _ . - • _ - VALIDATION: -it=
n
_RECEIPT NUMBER m m c0
l J •. a..
Total Miscellaneous Permits - (E) DATE PAID • ?>o
( ) GG rJ 70 r--
- AMOUNT RECEIVED ' • ' I.r"L-i n ca i-+o
TOTAL AMOUNT DUE (excluding electrical) _ "'
^'l 5 �r5
(A, B, C, 0, and E Combined
) ... .. RECEIVED BY �� o�
L4 r..r.m
1 ' W1:."! 0 Iy rJ ■