HomeMy WebLinkAboutPermit Mechanical 2001-6-8
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Job# 01-00585-01
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Page 1 of2
SPRINGFIELD
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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:
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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
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RESIDENTIAL:;';<~ 'h)i'.rJo;.:
PERMIT AppI!ICATION:::m.f,
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Inspections: '726-3769 ';, ,,; , ,
Office: 726,3759"
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LOCATION OF PROPOSED WORK,
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LOT,
ASSESSORS MAP:, .' .', ..
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OWNER:'" :I:~.:'~j..rrvfl~~l~ PHON'"
:':D~R~~~;~"'~'f- ,.
CITY::,: .::~~,,'X{ ",j[. .;;;;O'JJ:~iQ;"I;r:'"" STATE" (yl ~
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DESCRIB~"l~ ~.~.o
NEW REMODEL' ADDITION DEMOLISH OTHER
CONTRACTOR'S NAME
GENERA' .
'PLUMBING:,~(l ,
MECHANIC.Ai :
'. . .
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ELECTRICAl'
0{)JJ
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;.GOB NUMBER 01 J OOS~S ~Ol
", 225 Fiflh Slreel
Springfield. Oregon 97477
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.,,-;, TAX LOT:' '
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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'
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- 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.
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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' ~."
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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., ~
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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
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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
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*Pay Name :CDMFORT FLOW HEATING
*Mai 1 Addr : 1951 DON STREET SUITE 0
*Ciy/St/Z :SPRINGFlELD OR 97477
*Site Addl' :948 HAZELNUT
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----- - ----- - ---- ---- ----- -- -.------. ------
------- ------------------ -- -.---- ---- ----
THANK YOU!!!!!!
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-- ------ ------- -- ------- ---- - --_. - --.-----
Lot faces
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I Lot sq, ltg,
. ,
Lot coverage
Topography
Total helghl
L~I'~P~'. '
Interior
Corner
Panhandle i
Cul.de-sac
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',I ;P.L.':: JISEJ GAR ACC'
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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
;;('.'.
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( 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.
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';" APPROVEf"
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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
. " ,
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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.";!)..
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VALIDATION:
,RECEIPT NUMBER
DATEPAIP
AMOUNT RECEI'!,ED
,"
RECEIVED BY "....,'
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