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Home My WebLink AboutPermit Mechanical 2000-06-29SPhItGFIELD Job# 00-01026-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 421 Woodlane Dr Spr AssessorsMap#: 17032621 Lot: Block: Addition Job Number: 00-01 026-01 Office:726-3759 !nspection Line: 726-3769 Tax Lot#: 03604 Subdivision: ctrY oF SPR7NGFTELD, OREGOTV Owner: AprilPederson Address: 421 Woodlane Dr Scope Of Work: Mechanical add forced air heat Phone Number: City/State/Zip: New Springfield, OR97477 Value: $0 Contractor Type MechanicalContr Contractor Dean Heating & Air 6541 Shoreview Dr, Cottage Grove, OR 97424 Registration # Expiration Date Phone 541-767-0626 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: To request an inspection callthe 24 hour recording at726-3769. 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. Rough Mechanical FinalMechanical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? (Sq. Feet) Required lnspections Mechanical -Prior to cover. -When all mechanicalwork is complete. # Of Stories: Current Units: Census Code: Does not apply *t9'TtGtti' PTU&BEEUIIiGHALL EXP I RE I F THE WORK AI.JTHOBIZED UNDEHTHIS PERIVIIT IS NO i ECIiIN/ENCED OB IS ABANDONED FOfi ANY 180 DAY PERIOD. Main:Accessory:Tota!: Sq. I liion Job# 00-01026-01 Page 2 ot 2 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanica! 06t29t2000 06t29t2000 0612912000 0612912000 06t29t2000 2388 2388 2388 2388 2388 1 $9.00 $.45 $6.00 $10.00 $1.05 $26.50 Grand Total By signature, I state and agree that I have carefully examined the hereby certify that all information herein is true and correct, and I ' completed application further certify that any r and do and allwork $26.s0 -za-@ 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 emp loyees who are in compliance with ORS 701.055 will be used on this lfurther agree to ensure that all required inspections are is readable from the street.the proper time Signature Date RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726-3759 LOCATION OF PROPOSED WORK: g;P IELD @:Q1o?.69 I.JOB NUMBER 225 Fifth Street Spri rrg f lelrJ, O regon 97 477 tl Z( uJc>o \Lil/VE bE ASSESSORS MAP:1103 26ZI TAX LOT:o36 q LOT - BLOCK:SUBDIVISION: PHOf.,tE SIATE:ztP 4 00, OWNER: ADDRESS: CITY: FIEMODEL ADDITION DEMOLISH OTHER /DESCRIBE WORK: NEWX GENERAL: ADDRESS - 0626,{62 7 Coo EXPIHES ,1 PHONE 4&) 1!16te- & CONTRACTOR'S NAME PLUMBING: MECHANICAL: E#AL: CONST, CONTRACTOR ' - OFFICE USJE - I OF BDRMS: ZONING CODE: FLOOD I)LAIN # OF STOBIES: __-- WATER HEATER: LAND USE: # OF UNITS QUAD AREA: , OF BLDGS SECONDAFIY HEAT: SOUART FOOTAGE:BANGE: CONSTR. TYPE. HEAT SOURCE: OCCY GROUP:--- To request an lnspectlon, you must call 726'3769. This is a 24 hour rccordlng. All inspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be macle the followlng work day. REQUIRED INSPECTIONS Temporary Electrlc Rough Mechanlcal - fJrior to cover. Flnal Plutnbing - When allplumblng worl( is complete. Slte lnspectlon - To be made after excavation, but prior to settlng forms. Rough Electrical - prior to Final Electrical - When ail electrlcal work ls complete.cover Underslab Plumbing/ Electrical / Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be approved to obtaln perrnanent electrlcal povr'er. Final Mechanlcal - When allmechanical work ls complete. Footlng - After trenches are excavated.Flreplaco - Prlor to faclng materlals and framing lnsp. Framlng - Prior to cover. Final Bulldlng - When all reguired lnspectlons have been approved and bullding is completecl.[-l Masonry - Steet locailon, bonctlJ beams, groutlng. Foundatlon - After forms are erected but prlor to concrete placernont. Other Wall/Ceiling lnsulailon - prlor to cover. [-l UnAerground Plumblng - prior 'J to fllllng trench.Drywall - Prlor to taplng Underlloor Plumblng/ Mechanlcal - Prior to lnsulation or decklng. MOBILE HOME INSPECTIONS Wood Stove - After lnstallation Post and Beam - Prlor to floorlnsulatlon or decklng,[---l lnsert - After ftrei]lace approval.- and installation of unit. Blocking and Set.Up - When altblocklniT ls complete. Floor lnsulallon - Prlor to decklng.Curbcut & Apprroaclr - After forms are ert:cted but prior loplacemcnt of concrete. Plumbing Connections - Whenhome l'ras been connected towater and sevJer. Sanltary Sewer - Prior to tilllng trench. Storrn Sewer .- Prior to fllling trench. Sidewall< & Driveway - Afterexcavatio|l is completc, forrns and sub.base material in place. Electrical Connection - Whenblocking, set.up, and plumbing lnspectlons have been approvedand the home is connected tothe service panel. [-l Water Llne - prtor ro fiiling - trench. l-l Rough Plumblng - prtor ro.J cover. Fence - lvhen cciilpieted {itreet Treos - When all required trees are planted. FInal - After alt requiredinspections are approved andporches, sklrtlng, decks, andventlng have been lnstalled.i 9 zttz a tl t_l tl E E tl Lot faces Lot sq. ftg. Lot coverage Topography Total helght Setbacks IJSEP,L.GAR ACC N S E _!v_-_ IS THE PROPOSED WORK IN THE - ' l-ilsroRtcAL DtsrBtcT, oR oN TIIE 11 ISIORICAL REGISTER? - lf yes, this applicatlon must be slgned arrd approved by the Historlcal Coordinator prior to permit issuance, APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERI/IIT This pernrit is granted on the express condition that the said construction shall, ln all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of bulldings, and may be suspended or revoked at any tlme upon violation of any provisions of said ordinances. Fleceipt Number:-.. Plans Rcviewed By Date Plan Check Fee: Date Paid Received By: VALUE (A) ,i Total Value Building Permit Fee State Surcharge Total Fee x $/so. FT, BUILDING PERMIT ITEM SO. FT. Main Garage Carport Systems Development Charge is due on all undeveloped properties within tlre City limits which are being improved. SYSTEMS DEVELOPMENT CHA.RGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Besidential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) N! FT, F-1. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge _ ,jT Wood Stove/ lnsert/ Flreplace Unit Dryer Vent (D) No t5 -;---<-qZG:-- Vent Fan Mechanical Permlt lssuance State Surcharge Total Permlt MECHANICAL PERMIT Fu rnace Exhaust lloorj By slgrrature, I state and agree, that I have carof ully examlned the completed application and do hereby certify that all lrrformatlon hereon is true and correct, and I lurther certlfy that any and all work performed shall be done in accordance with the Ordinanccs of the City of Sprlngf icld, and the Laws of the State of Oregon perlainlng to thc work descrlbed hereln, and that NO OCCUPANCY will be made of any structure wi thout pertnission of the Builciirlg Safety Divislon. I further certily that only contractors and entployees who aro in cornpliance with OFIS 701.055 wlll be lrsed on thls proiect. I {urther agree to ensure that all required inspections are requested at the proper tlme, that each address ls readable f rom tlre street, that the permit card ls located at the f ront of the property, and the approved set of pl o6zee-e---E-EEE z) gtr ::fl:!> 5-.oZ6 6 zz _eo_ AMOUNT RECEIVED DATE PAII) Slgnature Dale RECEIVED BY wlll remain ructloon the site ll times durln D:3-{ -{ t= 7Jr> 3> ;r-t 42.rn m cJfE d,,+t =ii.-{ l:-l {r+ f".l (=rn-'-oOt'-l cJtj\f.ffJ, (}L"I VAI-IDATION: BECEIPT NUMBER MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk - ft Curbcut -_ ft Demolltion State Surcharge Total Miscellaneous Perlnits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Comblned) Lot Type - - lnterior -- Corner - Panhandle - Cul-de-sac