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Home My WebLink AboutPermit Mechanical 2001-8-9 -,' , . .. . . . Job# 01-00864-01 Page 1 of 2 TRANS#:01-0006397 DATE:AUG 09 2001 AMT RECD:2 $ 123.50 CHANGE: $ 61. 75 CASHIER: 011 ~ RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00864-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 25 Kathleen Ct Spr Assessors Map#: 17032241 Lot: Block: Addition: Tax Lot #: 00100 Subdivision: Owner: Address: Bernie Splonskowski 25 Kathleen Phone Number: 541-747-1994 City/State/Zip: Springfield, OR 97477 New Value: $0 Scope Of Work: Mechanical ; NUl 1\,;1:: TI-!I<: nr:p~'IT <:'~AII "')(PIRE IF THE WORK Contractor'Type\ 'Contractor M h ~lIT'ljG"QI"t "'D IC'"mf:prtJFul'<: PERMIT IS NOT ec anlCa -on r- om 0 ow COMMENCED il95;13I;)On\Si?€et,l:spnngfield, OR 97477 ....-1l.1"'Y"1_1I.1......_____ I_ . --- -~_.. .-.. .-,-.. -- J -_.- k! 'ow ~':les adopted by the Oregon Utility ~.J ~~i'jt.-,I,.IDr. rc~tr.-" T....='\C'o:) rules a""" ~(3t forth Registration# .. Ex.piration'Date Phone .'.0,'\.1 952-0iJ1-001O wough OAI-l952-001- 0090. You may obtain copies 2,4,)iJ?!?i9,J Q.C9 ca '!i;10 the center. (Note: the telephone nl-" lovunl I L..IUV'-'. Office Use Land Use: Zoning Code: Bedrooms: Range: ........--. .-. -"- -.-::1:..... --....J .~_....__.._.. Cem.:ris 1-800-332-2344). # Of Buildings: Occupancy Group: Heat Source: 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 l Rough Mechanical Final Mechanical - Prior to cover. -When all mechanical work is complete, Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D [Are.a (Sq. Feet) _ Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Mechanical 08/09/2001 6397 Value/Quantity Fee Amount Minimum Mechanical Permit $33.00 :,....-' ,1 ..~ . . Fee Job# 01-00864-01 Paid On Receipt# Mecnanical 08/09/2001 6397 08/09/2001 6397 08/09/2001 6397 08/09/2001 6397 Page 2 of 2 Value/Quantity Fee Amount Administrative Fee - Mechanical Less than 100,000 BTU 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 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. 1 $3.60 $12.00 $10.00 $3.15 $61.75 $61.75 Signature Date .'" . .RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 OHlce: 726.3759 . LOCATION OF PROPOSED WORK' /)5 1"70::1., ;:;l..:;t L.f- I ASSESSORS MAP' LOT' (t. BLOCK: OWNER: ~((l'~ ?f?-In~/ ADDRES~ UUJ/; 0 fA? - - " u; CITY' ~p i/.. STATE: ~ . JOB NUMBER o I - oo~4,() ( 225 Filth Street Springfield, Oregon 97477 TAX LOT' 00100 SUBDIVISION' PHONE: _ '7lf7- mq; ZIP: C1jl.f77 DESCRIBEJI{oRK:~~J /l~Ai- f"-11 f:Y t~~. NEW V REMODEL ADDITION DEMOLISH OTHER - OFFICE USE - QUAD AREA: LAND US". FLOOD PLAIN' # OF BLDGS: # OF UNITS' ZONING CODE: OCCY GROUP' CONSTR. TYPE: # OF BDRMS: # OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANGF' SQUARE FOOTAGE: To request an Inspection, you must call 726.3769. This Is a 24 hour recording. Alllnspe~tlons requested before 7:00 a.m. will be made the same working day,lnspectlons requested after 7:00 a.m. ~1I1 be made the following work day. ED INSPECTIONS o Temporary Electric D Site Inspection ~ To be made after excavatlon, but prior to setting forms. o Underslab Plumblng/Electrlca" Mechanical - P~lor to cover. o Footing - Alter trenches are excavated. . o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plu~blng - Prior to fllllng.t'ench. . i o Underlloor Plumblng/Mechanlcel - Prior to InSUla;t10n or deckl ng. o Post and Beam -- Prior to floor Insulation or decking. o Floor Insulation ~ Prior to decking. o Sanitary Sewer -'- Prior 10 IIlIlng trench. : I o Storm Sewer - Prior to filling trench. . o Water Line - Prior to filling trench. D Rough Plumbing'- Prior to cover. I I , , ough Mechanical - Prior to cover. D Rough' Eh3ctrlcnJ --:" Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. o Wall/C"elllng Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stovo .- After I~sta"atlon. o Insert - After fireplace approval and Installation of unit. o Curbcllt & Approach - After . forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is complele. forms and sub.base ma.!erlal In place. o F~nce" - ,,vhen cOlllpleted. D Street Trees - Whtm all required trees are planled. o Final Plumbing - When all .plumblng W9rl( Is complet.e. D Final Electrical - When all electrical work Is complete. ~hanlcal - When all mechanical work Is complete. o Final Building - When . all required Inspections have been approved ,and building is completed. , , ., ~ . ~ "'- '. o o"ther 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~blng Inspecllons have been apijI.q~ and the home Is conne~Cf5to:> the service panel. ~ 8j ni t.5 Dt:::J~. :;:;: (")2 ~~::x> ~~ o Final - After all re91iReci' ffi:3 Inspections are apPlq~edlaod I porchos, skirting: i1~c1{s,..alr!i g venting have been;Il'f,;tatl~ri... 0 .~ PLoJf\...0--. o. . OL~J ~U10i=i.::j ( I Lot faces \ , . LOl.sq. fig. ,- Lot coverage Topography Total height . Lot Type '~, ~ \ .. 'I; ,'l!;Ai!f.\;; . .1. .'-.. .; " .~ Corne r N IS THE PROPOSED WORK IN THE. ; .....HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this appllcallon must be signed and approved by the Historical . Coordinator prior to permit Issuance. Interior Setbacks . I P.L. 'HSE' GAR I ACC ,. Panhandle . S Cul.de.sa'c' W ~--. APPROVED: \ BUILDING PERMIT ITEM sa. FT. X $/sa. FT. = VALUE . . !I. BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT \~ :( Garage '. . This permit 15 granted on the express condition that the said construction shall. in all respect~. conform to the Ordinance edopted by the Clly.ol Springfield, Including the Development 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. Main Carport Plan Check Fee: Date Paid: Total Value Receipt Number: Building Permit Fee Received By: . State Surcharge Total Fee (A) Plans Reviewed By Dale SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on all undeveloped properlles within the City limits which are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Resldenllal Bath(s) N' Sanitary S~wer Water FT. FT. FT. Storm Sewer Mobile Home Plumbing Permit State Surcharge' Total Charge (C) MECHANICAL PERMIT Furnaco Vent Fan N' By slgnature,l stale and agree, that I have carefully examined the completed appllcallon and do hereby cerllfy that all Infor~atlon 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 tho work described herein,. and that NO OCCUPANCY will be made of any structure without permission of lheHulldlng Safety Division. I further eertHy that only contractors and employees who are In compllanco with OAS 701.055 will be used on this prolect. Exhaust Hood Wood Stovellnsert/Flreplace Unll ~~- Mechanical Permit Issuance State Surcharge Total Permll (D) I further agro.o 10 ensuro thai. all required Inspecllons are requested at the proper time, that each address Is readable from the stree~. hat. the permit card Is located at the front of the proper "1. md the appr ed set of plans will remain on the- site ar times durl 9 nstructlon.. ~ MISCELLANEOUS PERMITS Mobile Home State Issuance Stato Surcharge Signature Sidewalk It Date Curbcut It Demolition Total Miscellaneous Pennils (E) VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED Slate Surcharge TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) RECEIVED BY