HomeMy WebLinkAboutPermit Mechanical 2000-06-23SPR!i{GFIELD
Job# 00-01001-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
Job Number: 00-01 001-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 01002
Subdivision:
TRANSS:01-0001305
DATE:JUN 23 ?t]OO
At'lT RE[D:? $ 26.50
CHANGE:
IAEHIER:059
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2050 00002nd St Spr
Assessors Map#: 17032623
Lot: Block: Addition:
JI
Y
crrY oF SPRINGFTELD, OREGO^
Owner: Beverly Duvall
Address: 2050 2nd Street
Scope Of Work: Mechanical
New Gas service
Phone Number:
City/State/Zip:
New
541-747-5707
Springfield, OR97477
Value: $0
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
office use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
.J
To request an inspection call the 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.
Required lnspections
Mechanicalt
Rough Gas
Rough Mechanical
Gas Service
FinalGas
FinalMechanica!
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
-Prior to cover.
-After line is installed and line
-When all gas work is complete.
-When all mechanicalwork is
\TIHE
Pressure ter
ANY 180 DAY
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Area (Sq.
Main:Accessory:Total:
Fee Paid On Receip# Value/Quantity Fee Amount
Mechanical
One to Four Outlets
Minimum Mechanical Permit
0612312000
0612312000
230s
2305
$2.00
$7.00
\S Noi
1
Job# 00-01001-01 Page2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanica!
06t23t2000
0612312000
06t23t2000
06t2312000
2305
2305
2305
2305
1
$.45
$6.00
$10.00
$1.05
$26.50
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.
Sa^^--U,v K- E
Signature Date
$26.50
O [zs /oo
SPEI$ICIFIELD
225 North Fifth Street
Springfield, OR974TT
Location Of Proposed Site: 2OSO
AssessorsMap#: 110J2623
Lot: Block:
Owner: Beverly Duvall
Address: 20SO 2nd Street
Scope Of Work: Mechanical
New Gas service
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Job# 00-01 001-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
00002nd St Spr
Addition:
Page 1 of 2
Phone Number:
City/State/Zip:
New
Job Number: 00-01 001-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 01002
Subdivision:
541-747-5707
Springfield, OR9T4t7
Value: $0
To request an inspection callthe 24
a.m. will be made the same working
working day.
hour recording at726-3169. Ail inspections requested before 7:00day, inspections requested after 7:oo a.;.;itr ue maJe tn" rorioiring
office use _
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
xdgOTIEE:
PToHa}FcudIcsHALL EXPI RE IF THE WoBK
APPIY ALTHoRIZED UNDIRTHIS PEFIMITIS NoI.
CCMIUENCED OR IS ABANDONED FOR
Rough Plumbing
Final Plumbing
Rough Gas
Rough Mechanicat
Gas Service
Final Gas
FinalMechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
- Prior to cover.
-When all plumbing work is complete
Mechanicat
# Of Stories:
Current Units:
Census Code: Does not
-Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. pressure ter-When allgas work is complete.
-When all mechanicalwork is complete.
ctrY oF SPRTNGFTELD, OREGON
Main:Accessory:Total:
180 Y
rl
Job#00-01001 -01 Page 2 of 2
Paid On ReceiPt#ValuelQuantitY Fee Amount
Plumbi
Fee
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Miscellaneous Plumbing
Plumbing Administrative Fee
Total Plumbing
07/1 3/2000
07/1 3/2000
07t13t2000
07113t2000
2554
2554
2554
2554
$15.00
$1.05
$.oo
$.4s
$16.50
Mechanical
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical lssuance
State Surcharge For Mechanical permit
Total Mechanical
06t23t2000
06t23t2000
06t23t2000
06123t2000
06t23t2000
06t23t2000
$2.00
$7.00
$.4s
$6.00
$10.00
$1.0s
$26.50
2305
230s
2305
2305
2305
2305
1
1
Grand Tota!
By signature, I state and agree that I have carefu lly examined the completed application and dohereby certify that
performed shallbe
all information herein is true and correct, and I further certify that any and allworkdone in accordance with the Ordinances of the City of Spri ngfield and the Laws ofthe State of Oregon I further state that only contractors and who are in compliance withORS 701.055 willbe employees
req at
used on this project.I further agree to ensure that allrequired inspections aretime and that the project address is readable from the street.
Signature
Date
$43.00
7-/ joa
RqSIDiNTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
giPFlIh|GFIELr)
.JOB NUMBER oo -o oof -o
225 Fifth Street
Sprlngf lelrJ, Oregon 97477
)a1o N,r,*L 2")
ASSESSORS MAP:l)oi zez 3
LOI
-
BLOCK:
TAX LOT:o(ooz
OWNER PHOT..,'E
CITY:
U 7'/ 7 5 )rs -)
ADDRESS dA
SfATE:DT?ZIP:q9tq77-2/)
'2,o5tc
ADDITION DEMOLISI{ OTHER
u)hoDESCRIBE WORK:
*.* A FEMoDEL
ADDRESS h:XPIBES ,a PHONECONTBACTOR'S NAME
MECHANICAL:
ELECTRICAL
PLUMBING:
GENERAL:
CONST,
CONTRACTOR #
- OFFICE USjE -
, OF BDRMS:
RANGE
OCCY GROUP:
FLOOD I)LAIN
, OF STORIES:___
WATER HEATER
HEAT SOURCE;
LAND USE:QUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SQUARF, FOOTAGE:
CONSTR. TYPE: ___-
# OF UNITS: ____ZONING CODE:_
To reques
made the
t an lnspectlon, you must call 726'3769' Thls is a24hour rccordlng. All lnspections requested before 7:00 a.m. wlll besame worklng day, lnspections requested after 7:oo a.m. wlll be ma<je the following worl< day.
[--l femporary Electrlc
REOUIRED INSPECTTONS
[-l Rough Mechanical - prior tolJ cover.ffifrn"r pturnbtng - When ail
-
plumblng worl< ls complete.
Slte lnspecllon - To be made
after excavatlon, but prior tosetting forms.
Rough Electrical - prlor to Flnal Electrlcal - When allelectrical work ls complete.c ove r.
Underslab Plumblng/ Electrical /
Mechanlcal - Prior to cover.Eleclrlcal Servlcs - Must be
approved to <lbtaln perrnanent
electrlcal povrer.
Final Mechanical - When allrnechanical work is complete,
Footlng - After trenches are
excavated.Flreplace - Prlor to facing
materlals and framlng lnsp.
Flnal Building - Vlihen allrequired lnspecilons have beenapproved and builcling is
completed.l--l Masonry - Steel locailon, bonc,* beams, groutlng.
[-l Framlng - prior to cover.
Foundatlon - After forms are
erected but prior to concrete
placernent.
Other
Wall/Celling lnsulatlon - prlor to
cover.
t] ,'J',flfiiflfi.3i"ln'.'-orns - Prior [-l Drvwau - prror to taprns
Underlloor Plumblng/ Mechanical
- Prior to lnsulatlon or decklng,
MOBILE HOME TNSPECTIONS
Wood Stove - After lnstallatlon.
Post and Beam - Prlor to floorlnsulatlon or decklng.lnserl - Alter fire;:lace approval
and lnstallailon o, unlt.
[--l Blocking and Ser.Up - When all.J blocklng ls cornplete.
Floor lnsulation - Prior to
deckl ng.Curbcut & Apprroach - Afterforms are er()cted bUt prior loplacement of concretc-..
Plumblng Connectlons - Whenhome has been connected towater and sewer.Sanitary Sewer - prlor to fllling
trench-
Slorrn Sewer .- Pflor to fllling
trench.
Sidewall< & Driveway - Afterexcavittiorr is complete, fotrnsand sutl.base malerial in place.
Fence - When cciripieted.
Electrical Connection - Whenblocklng, set-up, and plumblngtnspections lrave been approvedand tl'le home is connected tothe service panel.[--l Water Line - prtor ro fiilinglJ tren<;h.
Final - After all requiredinspectlons are approved andporchcs, skirilng, decks, andventlng have been installed.M;:: Prumbrns - prror ro I-_l (;trest Trces - When ail requtred
-- trees are Dlanted.
SUBDIVISION: ---
tl tl
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-.
lnterior
--
Corner
.- Panhandle
-
Cul-de-sac
PL.TJSF.G}.R ACC
N
S
k IS THE PFIOPOSED WORK.|N-II.IE . -
I.IISTORICAL DISTRICT, OR ON
TIlE I{ISlORICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
arrd approved by the Historical
Coordinator prior to permit issuance.
APPROVED
BUILDING VALUE, PLAN CHECK
AND BUILDING PERII/IIT
This pernrit is granted on the cxpress condition that the said
construction shall, in all respccts, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
ouildings, and may be suspended or revoked at any tlme
upon violation of ar"ry provisions of said ordinances.
Receipt Number:--..
DatePlans Rcviewed By
Plan Check Fee:
Date Paid
Received By:
VALUE
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fec
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within tl're City linrits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N.
FT.
FT.
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
By signature, I state and agree, that I have caref ully examlned
tlre completed application and do hereby certify that all
lrrformation hereon ls true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
with the Ordinances of thc City of Sprlngfit'ld, and the Laws
of the State of Oregon pertalnlng to the work described
hereln, and that NO OCCUPANCY will be made of any
structure without pertnission of the Builcllng Safety Divislon.
I further certify that only contractors and entployees who
are in cornpliance with ORS 701.055 will be used on this
proiect.
I {urther agree to ensure that all required inspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
z:1 3 oa
on the site at all ti during construction.
Slgnr
Date
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--_
ft
Demolition
State Surcharge
Total Miscellaneous Pertnits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
N0Vent Fan
(D)
MECHANICAL PERMIT
Furnace
Exhaust llood
Mechanical Permit
lssuance
State Surcharge
Total Permit
€+tsL'l
D
C,I
C{c:
Z
:E>3-{
c...
tdo
VAI-IDATION
RECEIPT NUMBER
DATE PAIi)
oCir-
AMOUNT RECEIVED
FTECEIVED BY
r=;q]DD-12.mclf
E
F'|.
(--"'