HomeMy WebLinkAboutPermit Mechanical 2001-6-21
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I Job# 01.00595.01 I
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CITY SF SPRINGFIELD, SREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services DIvIsion
BUilding Safety
Job Number 01-00595-01
225 North Fifth Street
Springfield, OR 97477
Office 726-3759
Inspection Line 726-3769
Location Of Proposed Site 3585 Cherokee Dr Spr
Assessors Map# 18020621
Lot Block Addition
Tax Lot # 05200
SubdivIsion
Owner
John Ellington
3585 Cherokee Drive
Phone Number 541-744-0125
City/State/Zip Springfield, OR 97478
New Value $0
Address
Scope Of Work Mechanical
Contractor Type
Mechanical Contr
Contractor
Comfort Flow Heating
1951 Don Street, Springfield, OR 97477
Registration # Expiration Date
460 6/1/2003
Phone
541-726-0100
Quad Area
# Of Units
Constr Type
Water Heater
Office Use
Land Use
Zoning Code
Bedrooms
Range
# Of BUildings
Occupancy Group
Heat Source
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
ReqUired Inspections
Mechanical
Rough Mechanical
Final Mechanical
- Prior to cover
- When all mechanical work IS complete
Construction Types
Occupancy Groups
# Of BUildings
# Of Bedrooms
Handicap Access? 0
,Area (Sq Feet)
I Main Accessory
# Of Stones
Current Units
Census Code Does not apply
Height (feet)
Proposed Units
Total
,..
.
Fee
Job# 01-00595-01
Paid On Recelpt#
Mechanical
06/12/2001 5772
06/12/2001 5772
06/12/2001 5772
06/12/2001 5772
06/12/2001 5772
06/12/2001 5772
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Value/Quantity
Fee Amount
1
MInimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
10,000 CubiC Feet or Less
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
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~-7.01 055 Will be used on this project I further agree to ensure that all required inspections are
reques d at the ~per time and that the project address IS readable from the street r. (I I
~\ Um -l)~ A /\ P Q f ____ If l1 0 (
v- -
Signature Date
1
1
$500
$ 45
$600
$400
$10 00
$105
$26 50
$26 50
OWNER~h ? to-f\ fJ..lLt~tun
ADDReSS' b. ?DB5CU....(!.xl)~Or
/,'nLi&
I f
DESCRIBE ~K ~L~
NEW / REMODEL
.r
RESIDENTIAL
PERMIT APPLICATION
,
Inspections 726.3769
Office 726.3759
LOCATION OF PROPOSED WORK
ASSESSORS MAP
LOT ()t:,2mJ' '1' l\ ~,.
I,
CITY
CONTRACTOR'S NAME
.
BLOCK
STATE J).f)
atc/)~ 1 A./Y\Ci...U t- a..u-.
J v ,
ADDITION DEMOLISH
JOB NUMBER () I .. ()O Cjq s- 0 I
225 Fifth Street
Sprlngfl~ld. Oregon 97477
TAX LOT
SUBDIVISION
I fW~O(o:J-1
PHONF
'744 -'O(,;)..S
ZIP
CA., L.J-J B
ConC.G...hLv~ "
OTHER
ADDRESS
CONST
CONTRACTOR'
EXPIRES ..... PHONE
GENERAl
PLUMBING ^
MECHANICAL ?\YutrJ- ~ W,dVL:J 1 lis \ Dt>n6-1-* D
ELECTRICAl
QUAD AREA
. OF BLDGS
OCCY GROUP
. OF STORIES
WATER HEATER
- OFFICE USE -
LAND USE
. OF UNITS
CONSTR TYPE
HEAT SOURCE
RANGE
1../(,,0
!dt2,
'/2&- 01 CD
FLOOD PLAIN
ZONING CODE
. OF BDRMS
SECONDARY HEAT
SQUARE' FOOTAGE
To requesl an Inspection, you musl call 7263769 This Is a 24 hour recording All Inspections requested before 700 a m will be
made the same working day. Inspections requested aHer 700 a m will be made the following work day
o Temporary Electric
o Sfte Inspecllon - To be made
after excavation, but prior to
setting forms
o Underslab Plumblng/Electrlca"
Mechanical - Prior to cover
o Fooling - Arier lrenches are
excavated
," ,
o Masonry - Steel location, bond
beams, grou\lng ,
.'
o Foundation - After forms are
erected but prior to concrete
placement
o Underground Plumbing - Prior
to filling trench
,
o Underfloor Plumbing/Mechanical
- Prior to Insulation or decking
D Post and Beam - Prior to floor
Insulation or decking
o Floor Insulation - Prior to
decking
o Sanitary Sewer - Prior to filling
trench
o Storm Sewer - Prior to filling
trench
o Water Line - Prior to filling
trench
o Rough Plumbing - Prior to
cover
REQUIRED INSPECTIONS
M Rough Mechanlc'al - Prior to
~ cover
o Rough Electrical - Prior to
cover
o Electrical Service - Must be
approved to obtai n permanent
electrical power
o Fireplace - Prior to facing
materials and framing Insp
o Framing - Prior to cover
o Wail/Ceiling Insulation - Prior to
cover
o Drywall - Prior to laplng
o Wood Stovo - After Installatlon
o Insert - After fireplace approval
and InstallatIon of unit
o Curbcut & Approach - After
forms are emcted but prior to
placement of concrete
o Sidewalk & Driveway - After
excavation Is complete. forms
and sub base material in place
o Fence - '''Vhen C'onlpleted
o Street Trees - Wh~n all required
trees are planted
o
Final Plumbing - When all
plumbing worle; Is complete
o FInal Electrical - When all
electrical work is complete
M Final Mechanical - When all
~ mechanical work Is complete
o Final Building - When all
required Inspections have been
approved and building Is
completed
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set Up - When all
blockIng Is complete
o Plumbing Connections - When
home has been connected to
water and sewer
o Electrical Connection - When
blockIng, set uP. and pl~mblng
Inspections have been approved
and the home Is connectej]t$
the servIce panel ;0 -I Z
mrTlc.o
M .#
(""") t:::I~..
O Final - After all ~ulr~d~8
Inspections are a~rovedJ and I
porches, skirting, ~~I's;"ljn~g t
venting have been:::rtnslalted 0 /
. ::Z:Cl"-I'JU1 r
..........~ ..-....
:::~qg:~~ ,,'
Lot faces
Lot Type
Lot SQ ftg
Interior
Lot coverage
Corner
Panhandle 't
Topography
Total height
Cui de &ac
c
BUILDING PERi\1IT ~1 ,ill *
ITEM sa FT x $/sa FT
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fec
(A)
1 t' 't,'" ,( ,lt~I-~~Jlf~)l
\ ,'i'l'i"J
Setbacks
'HSEIGAR'ACcl
-I I
I
J APPR~VED
BUILDlt,J'G VALdE, PLAN CHECK
AND BUILDING PERMIT
,
I PL
IN
Is
I -,
IS THE PROPOSED WORK iN THE.
HISTORICAL DISTRICT, OR ON I
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance
E
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VALUE
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
tTEM
Fixtures
Residential Bath(s) N'
Sanitary Sewer FT
Water FT
Storm Sewer FT
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/Insert/Fireplace Unit
f!fe~vp;\VvUQ+ AWtuvJA
Mechanlcal Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits
(E)
TOTAL AMOUNT DUE (excluding electrical)
\. (A. B, C, 0, and E Combined)
\
FEE
This permIt Is granted on the express condition that the said
constructlon shall, In all respects, conform to the Ordinance
adopted by the Clty of Springfield, Including the
Dovelopment Code, regulating the construction and use of
oulldmgs, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances
Plan Check Fee
Date Paid
Receipt Number
Received By
Plans ReViewed By
Date
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examined
the completed application dnd do hereby certify that all
Information hereon Is true and correct, and I further certify
that any and all work performed shall be donG In accordance
with the Ordlnancos 01 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 the Building Safety DIvision
J further certify that only contractors and employees who
are In compliance with ORS 701055 will be used on this
project
I further agree to ensure that all required Inspections are
requested at the proper time, that each address 15 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 a II times during construction
VvJ.. jJ fl2--.
Signature
Date
IIJ/J.)JlJ
.
VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVl'D
,
RECEIVED BY
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