Loading...
HomeMy WebLinkAboutPermit Mechanical 2001-6-8 . Job# 01-00585-01 . Page 1 of2 SPRINGFIELD ~. RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00585-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 948 Hazelnut St Spr Assessors Map#: 18020614 Lot: Block: Addition: Tax Lot #: 14800 Subdivision: Owner: Address: David Anderson Phone Number: 541-988-3606 City/StatelZip: Springfield, OR 97478 Addition Value: $0 948 Hazelnut Scope Of Work: Mechanical Adding heat pump to existing HVAC System Contractor Type Electrical Contr Contractor Ks Electric & Consultants Inc Po Box 24933, Eugene. OR 97402-0444 Comfort Flow Heating 1951 Don Street, Springfield, OR 97477 Registration # 70889 Expiration Date 12/30/04 Phone 541-686-6236 Mechanical Contr 460 6/1/03 541-726-0100 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, Final Mechanical Required Inspections I Mechanical -When all mechanical work is complete, Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 [Ar~a (Sq, Feet) _ Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: . . . Page 2 of2 Fee Job# 01-00585-01 I Paid On Receipt# Electrical 06/08/2001 5733 06/08/2001 5733 06/08/2001 5733 Value/Quantity Fee Amount Branch Circuits W/O Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 1 $35,00 $2.45 $1,05 $38.50 Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical Issuance State Surcharge - Mechanical Total Mechanical Mechanical 06/08/2001 5742 06/08/2001 5742 06/08/2001 5742 06/08/2001 5742 06/08/2001 5742 1 $9,00 $.45 $6,00 $10,00 $1,05 $26.50 $65.00 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. Signature Date . ". RESIDENTIAL:;';<~ 'h)i'.rJo;.: PERMIT AppI!ICATION:::m.f, 'I ,'l, ../l \./ </1 Inspections: '726-3769 ';, ,,; , , Office: 726,3759" .'..' , ~ .. \'.\!",:I LOCATION OF PROPOSED WORK, ,<^",. -. . ').'.:,'.: ..' I, LOT, ASSESSORS MAP:, .' .', .. ,r' ~"tl".. '.'. "',,,, ,', ",.>") f0/J ,~,"'i"'l';;"""" I ..I'f.. d .1,;,'1 ,.:;1 - -BLOCK' inifi~~ n....,\ , ..~I OWNER:'" :I:~.:'~j..rrvfl~~l~ PHON'" :':D~R~~~;~"'~'f- ,. CITY::,: .::~~,,'X{ ",j[. .;;;;O'JJ:~iQ;"I;r:'"" STATE" (yl ~ ~,..~,. DESCRIB~"l~ ~.~.o NEW REMODEL' ADDITION DEMOLISH OTHER CONTRACTOR'S NAME GENERA' . 'PLUMBING:,~(l , MECHANIC.Ai : '. . . . . , . ' ELECTRICAl' 0{)JJ . ;.GOB NUMBER 01 J OOS~S ~Ol ", 225 Fiflh Slreel Springfield. Oregon 97477 ,.1;:' ,:'" .,,-;, TAX LOT:' ' ,.'1.., . .- '-,..-,' SUBDIVISION' ~~--: 3rko ZIP' 0h1(.,(r'f( ADDRESS' CONST. CONTRACTOR # EXPIRES ...., PHONE D R~ugh Mechanical"':' Prior to cover. D Roug'hElectrlcal - Prlor,to cover. D Electrical ServIce - Must be approved to obta.ln permanent eleclrlcal power. D'Flr~p'~ce - Prior to facIng materials and framing Insp. D Fra,mlng - Prior to cover. [j Wail/Ceiling Insulation - Prior to cover.' D Drywall - Pr~or 10 taping. . D Wood Stovo - After I~stallatlon., D Insert - After fireplace approvlSl and Inslallatlon of unit. D Curbcut & Allproach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - Alter excavation Is complote, forms and'~ub.base material In place. ,:.. D'Fence.'- When completed. " . . DIStreet Trees - When all required trees B:re planted. 4{,.,o M:s 72.-Croloo , I C1S' I UM Jt:D' ".1' - OFFICE USE - aUAD 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: RANG'" SaUARE.', FOOTAG E: TO request an Inspection. you musl 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. ~1I1 be made the following work day. REQUiRED INSPECTIONS D Temporary Elecirlc' D Site Inspection"";' To be made after excavation, but prior to setting forms. D Underalilb Plumbing/Electrical/ Mechanical - Prior to cover. " . 'f" D Footing - Aller lrenches,ar~ excavated:"" . ,,;' , . . . "i.;:~ .~~ ". ~;" D Maaonry - Sleel;locallon, bond , :be~ms. grou,~!~g..t,ll; ..:. " I. .1,h1 . . ,,_' . ,.i ~:' D Foundation - Alter lormil"are erecled'bul prior to'concrele placemont. .: ..,' D Underground Plumbing - Prior 10 filling Irench,' , ;..1/'.. \', : D Undernoor 'Phf'mblng/Me'charilcal -.Prlor to Insulation or deckIng. I q,:'.' . tl h) :} -. .' '. ;,.- D POBt and Beam,- Prior to floor Insulation or decking. ' D Floor Insulation - Prior to . decking, D Sanllary Sewer - Prior 10 filling Irench. : ' -..,....,..--....... ..,~', D Storm Sewer .:- Prior to mUng trench. . . D Waler LIne - Prior 10 filling trench.: . D ~~:e~~ Plum,b.~."g. ~ P~!.?~. ~o j' ~." ~ ,.I.,.. . D Final Plumbing - When all plumbing Work Is complele, D Final Electrical - When all electrical work Is complete. ~ Final Mechanical - When all ~ mechanical work Is complete. D FInal Building - When all required Inspections have been approved and building is completed., ~ I.. l . ~.I ~ ~ \" I. , , D Other MOBILE HOME INSPECTIONS D Blocking and Set. up - When all blocking Is complete. D Plumbing Connections - When home has been connected to water .'lnd sewer. o Eleclrlcal Connection - When blocking. sel.up. and plumbing Inspections have been~pr<l'ifl'd and the home Is connect~ ~ the service panel. :::0 -I :z: mfT1co n..# . n t::::JC-.4u D Final - After a"~qulre~ 0 " inspecllons ere SRProoJ"e(j-anq' porches. sklrllngb'l~"l ancD ,venting have beej)JI!fJ;\"JIfi'a.g .:..:.~O"~c..ry ........mU1a~ ,........Of--LI'.:I r; -7 . . ----------- -------------- --------------.. --------------------------------------.- CITY OF SPRINGFIELD 225 FIFTH STREET S~~INGFIELD. OR 97477 (541 )726-3753 - . - --------_._------- ------- . --------------------------- llU 111M" 1'0 DEUELOPMENT bFhUICCS AND PUBLIC WORKS -- ------------------------ ---. - -" ~_._------------------------- REG-RELEIrT:Ul 0005747 C:JUN 06 2001 CASHIER 10:011 ,- A:JUN 08 2001 ------------ - ---------------- ---------- -- - . ----------------- 1006 MECHAlIIC", ,t.;f.'" $15.00 JOB~:Ol-Q0585-01 1099 ST41E SURCHARGE(?;) 11,05 JOB~:01-Oa585-01 1096 ADMIN FEt(3%) $0,45 JD8rt:Ol-00585-01 1067 MECHANIW E'.:,'.', $10,00 JD8~:01-00585-01 roTAL DUE $26.50 RECEIVED FROfl: COMFORT FLOW HEATING CHECK: $26,50 IOTAL TENDERED $26,50 CHANGE DUE $0.00 ---------------------------------------- ---------------------------------------- *Pay Name :CDMFORT FLOW HEATING *Mai 1 Addr : 1951 DON STREET SUITE 0 *Ciy/St/Z :SPRINGFlELD OR 97477 *Site Addl' :948 HAZELNUT --------------- .._- ------ ------- .+-------- ---------------------------------------- ----- - ----- - ---- ---- ----- -- -.------. ------ ------- ------------------ -- -.---- ---- ---- THANK YOU!!!!!! ----------------------------.----------- -- ------ ------- -- ------- ---- - --_. - --.----- Lot faces ,,' . . I Lot sq, ltg, . , Lot coverage Topography Total helghl L~I'~P~'. ' Interior Corner Panhandle i Cul.de-sac J; \J ~' f, . "','",,' , , ' ". ;........." OJ . :::i/ \:Ij',f;.,l,.A";;>t':~'~l>'~~~~'tit~tf<' ..' ~',\,: .~ .:\" \L.'~ :,~.. ' ~:1 ':, ;-, ,:~... ''''i~ :~:J ?,:K ..,~'" ~ I .,- ".,::~"t;,~:..': Setba'ck's"'.' .'''i~~,' ',I ;P.L.':: JISEJ GAR ACC' I ,', I N' '" I,s', ""...... Iw IE ITEM BUILDING PER~ITr,;;~ SQ, FT, X $/SQ, FT. - Main Garage . Carport Total Value Building Permit Fee State Surcharge Total Fec (A) VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Balh(s) N' Sanitary S~wer Water FT. FT, FT. Storm Sewer Mobile Home Plumbing Permll State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnserllFlreplace Unit B~A 17lLMg_ Mechanical Permit Issuance State Surcharge To.tal Permit MISCELLANEOUS PERMITS Mobile Home State Issuance Slale Surcharge Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (C) , (0) (E) \, '\ TOTAL AMOUNT DUE (excluding electrical) (A. B, C. D, and E Combined) FEE ;;('.'. ;1';. " ( IS THE,PROPOSED \('JORK tN THE, "'HISTOI;lICAL DIST~lcr, OR ON , THE ,HISlORICAL REGISTER? If yes, this application musl be signed and approved by the Hlslorical . Coord,~nator prior to permit Issuance. " , .t .'. .~. ';" APPROVEf" ,\,1_ . "".-,,- -~". " !i": ....,'. : ~ I , ".< BUILDiN''G Vl't1!i'E,P'LAN CHECK AND BUILDING PERMIT '.. ...."""'1.....,."'.,..... This permit is granted on the express condition that the said construction shall, In all respects, conform to the Ordinance ado pled by Ihe City ,of Springfield. Inclucjlng the Dovelopment Code, regulating the construction arid 'use of oulldings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. '-v - .. Plan Check Fee: Date Paid: Recelpl Number: Received By' Plans Reviewed By Date Syslems Development Charge Is due on all undeveloped properlles within Ihe City limits which are being Improved, ADDITIONAL COMMENTS . " , .Ii By signature, I slale and agree, tha'" have carefully examined the compleled application and do hereby certify Ihal all Information hereon Is true ~,nd corre~t. ~n9 I further certify that any and all work performed shaJl 'be donG in accordance with lhe Ordlnancus of the City of Sprlngflold, and the L.eW8 of lhe Stale of Oregon perlalnlng'lo'tho work described herein. and thaI NO OCCUPANcy1wIII' be made of any slructure wllhoul permission of the Building Safely Division, I furlher certify Ihal only contraclors,and employees who are In compliance with ORS 701:055 will be used 'on lhls project. I,.... '. I f~r:t~e'r- agree 10 ensure that, all required Inspections are requested at the properlY~me, ~.ha.~ ea~r!!lddress Is readable from lhe slreel. Ihat the permit card Is,localed allhe fronl f of the property. nd the a roved set of plans will remain on the site I times d rl 9 constr~cUon. ~"D RJl ~ Signature Date:':.''!, f 7/ () / , - I <.!,;'J.";!).. ',,;t., ."\'. . ',' f n!' " VALIDATION: ,RECEIPT NUMBER DATEPAIP AMOUNT RECEI'!,ED ," RECEIVED BY "....,' " " :. .."i., .;, ,.;.,' \--