HomeMy WebLinkAboutPermit Mechanical 2002-6-20
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I Job# 02-00741-01 I
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SPRINGPlELD
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CITY OF SPRINGFIELD, OREGON
Page 1 of 2
TRANS#:01-0009672
DATE:JUN 20 2002
AMT RECD:2 $ 61.75
CHANGE:
CASHIER:001
PUBLIC PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00741-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 205 Dorris St Spr
Assessors Map#: 18030200
Lot: Block: Addition:
Tax Lot #: 00802
Subdivision:
Owner:
Willamalane Park and Recreation
200 South Mill Street
Phone Number: 541-726-4335
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Heating System
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C(l!'!J!~ct,or TYP,e;>", ~,(ll'1tr~.ctor.' cil: " " Registration # Expiration D~eO' Phone
Mechani~I'~o!~tr' }~ons!~ea,tin.~'A~~ Air Conditioning 59565 4/27/~ ~1-343-6829
"'TIM",' . .' ),4285 West 7Th, Ave SUite D, Eugene, wal\CE: ~ l'HE WO~K
97402-335 TI4I~ PERM\1 SHA~~ ~~~ PEOk!\T I~ NOT
'~1un~lltU Ulwch ,..,w
Office Uso, EO OR IS ABANDONED FOR
Land Use: COMM18E~%AI{ PERIOD/# Of Buildings:
Zoning Code: ANI{ Occupancy Group:
Bedrooms: Heat Source: Heat Pump
Range: Sq. Footage:
,/
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
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 Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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Fee
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Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
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Job# 02-00741-01
Paid On Receipt#
I Mechanical
06/20/2002 9672
06/20/2002 9672
06/20/2002 9672
06/20/2002 9672
06/20/2002 9672
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Page 2 of 2
Value/Quantity
Fee Amount
$33.00
$3.60
$12.00
$10.00
$3.15
$61.75
$61.75
6 &o/t'.;u
Dale' ~
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OWNER: '#1 --(jj)t1.4?7~..A,?.dtR)
ADDR~"'" 'M~ [3p; >>Vff!/ ~t-
CITY: ~hA1~jJ.. I . STAT~" t~. ZIP: 9'}' 4. '7 7
DESCRIBE WORK:~ffP!h~~ tnv MbfuV xI/ij/J1./~- I~ /llP..JJfvA' J~/('?J ~4 ',yJ
ADDITION .... DEMOLISH . OTHER./ ht.J4 /1.{} / Ma ~t .ayk. '
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK: .22/)
ASSESSORS MAP'
LOT:
NEW
REMODEL
CONTRACTOR'S NAME
GENERAl'
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BLOCK'
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JOB NUMBER
SUBDIVISION'
PHONE:
.~/,L/-7,;)k,' 7 ~3..t;
ADDRESS' .
CON ST.
CONTRACTOR .
PHONE
MECHANICAl'
Rm~'~ 1"".....,-- p_ .. ,:,. ~
~ ~. .......... o,J"'.....ta.
6lPlS-f)'1T 7th St.
LL..... _llJ, vi\. :1(4U~
(50::!) 343-6R~q
S'l56t:'
PLUMBING:
ELECTRICA' .
QUAD AREA'
N OF BLDGS:
(,I,'
t. ",'.' 'i!
...i', .
OCCY GROY~'
N OF STORIES:
1/",,1' T'I'
" "
- l,r'
1 :'
WATER HEATER'"
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ilJlliJU U(\;II::
TIIIG f;;~MIT sHffiNmIR~S;'JHI: WORK
ll'.!!.tlMIlED UNOOi'1!l/lSlPERMIT IS W'-
COMMENCED OR~S~rQ VI
ANY 180 DAY PEf!!g~ARE FOOTAGE:. ..
- OFFICE USE -
- "
LAND USE:
N OF UNITS:
CONSTA. TYPE:
EXPIRES
. z.J~ 7}~",,/<.I
FLOOD PLAIN'
To requesl an Inspection, you mU9! 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. ~III be made the following work day.
REQUIRED INSPECTIONS
o Temporary Electric
o Site Inspection - To be mado
after excavation, but prIor to
setting forms.
o Underslab Plumbing/Electrical!
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 - Prior
to filling trench.
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior 10 filling
trench. .
o Storm Sewer - Prior to Hlllng
trench.
o Waler Une - Prior to filling
treneh.
o Rough Plumbing - Prior to
cover.
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" ,"'..'iEAT SOURCE:
1''' ," RANGF'
o Rough Mechanical - Prior to
cover.
o Rough 'Electrical - Prior to
cover.
o Electrlcal Servlca - Must be
approved to obtain permanent
olectrlcal power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling insulation - Prior to
'cover.
o Drywall - Prlol to taping.
o Wood Sto~o - After Installallon.
o Insert - After fireplace approval
and Installation of unll.
o Curbcut & Approach - After
forms are erected bul prior to
placemont of concrete.
o Sidewalk & Driveway - After
excavation Is com pIe Ie, forms
and sub.base'materlal In place.
o Fence. - When completed.
o Streot Trees - Whun all required
trees are planted.
o Final Plumbing - When all
-plumbing w9rl< Is complet,e.
D Final Electrical - When all
electrical work Is complete.
f";;7f" Final Mechanical - When all
L,.t:U 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 .1nd sewer.
o Electrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o 'Final - After all requlled
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
Setbacks
;+~!"'"I~CI
Iw ,I I
I E I
~..: ,l
Lot faces
Lol TYP.
Interior
Lol sq. ftg.
Lot coverage
Corner
Topoglaphy
Total height
Panhandle ~.
Cui-dc-sac
BUILDING PERMIT
ITEM sa. FT:
,
X $/SO. FT. _
VAWE
Main
Garage
"
Carport
Total Value
Building Permit Fee
Slate Surcharge
Tolal Fcc
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures ....V:,~ '!
,;; ~ \ I ;.. ~.
Resldenllal Bat,h(s) ,~N'. , '. J:r:l. i ~{'t";':; ","..'"
Sanitary S~;"er '::., . ~T:'. ',' l~ :,:;'I~i(}Hi~:\
. ',"""..., I' ('.l":FT .....J ~ ~:;I,' t~~ \.f::,-,~~Jr~';MOO
Water nw Woo' .1.. ) .,.., W ~ . ',"
1"''1: .\.ivili..l'l VtllJ ~J TrIA
Storm Sower
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
N'
Wood Stovellnserl/Flreplace Unit
Dryer Vent
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5.@()
L/~ oc>
/0 a7
i3./~
b/.76
Issuance
Slate Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stale Surcharge
Sidewalk
It
Curbcul
It
Domolltion
Slale Surcharge
Total Miscellaneous Permits
(E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
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_S THE PROPOSED WORK IN THE. .
''''HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
alld approved by the Historical
Coordinator prior to permit Issuance.
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APPROVED'
BUILDING VAlliE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the said
construction shall, In all respects. conform to the Ordinance
adopted by the Clty.of Springfield, Including the
Dovelopment Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee:
Date Paid:
Recelpl Number:
Received By: .
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
p'operlles within Iho City limits which are being Improved.
ADDITIONAL COMMENTS
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 eartHy
that any and all work performed shall be donG In accordance
. with the Ordinances of Iho City of Sprlngllold, and the Laws
of Ihe Slate 01 Ologon perlalnlng to tho work described
heroin, and thai NO. OCCUPANCY will be made of any
structure without permissIon of the Building Safely Division.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
I further agreo 10 ensure thai all required Inspections are
requested at the proper time, that each address Is readable
from the street, that the pormlt card Is localed at tho front
of the property, and the approved set of plans will remain
on the site at all times during construction.
Slgnatur~
Date
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RE:CEIVEn
RECEIVED BY