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Home My WebLink AboutPermit Mechanical 2001-05-30SPRINGFIELD Job# 01-00552-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of2 Job Number: 01-00552-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 01500 Subdivision: 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 517 00003rd St Spr AssessorsMap#: 17033534 Lot: Block: Addition: ctTY oF SPRfiNGFfiELq OREGON Owner: Delores Thomas Address: 517 3rd Street Scope Of Work: Mechanical Phone Number: City/State/Zip: New 541-747-2042 Springfield, OR97477 Value: $0 Contractor Type MechanicalContr Contractor Marshalls Heating 4110 Olympic Street, Springfield, OR 97478 Registration # Expiration Date Phone 541-747-7445 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 callthe 24hour recording a1726-3769. 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 Mechanical Rough Mechanical FinalMechanical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? [ -Prior to cover. -When all mechanicalwork is complete # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Area (Sq. Main:Accessory:Tota!: Job# 01 -00552-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Minimum Mechanical Permit Administrative Fee - Mechanical Mechanical lssuance State Surcharge - Mechanical Total Mechanical 05/30/2001 05/30/2001 0513012001 05/30/2001 0005584 0005584 0005584 0005584 1 $15.00 $.45 $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 proper time and that the project address is readable from the street. sig o{te $26.50 €/9r/,, RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WOBK: SPrlINGFIELE' 0{y, .,OB NUMBEB 225 Fifth Street Springfleld, Oregon 97477 TAX LOT:0l;"ar O/ oo €5)/ ASSESSORS MAP:!1 03 3 3.{ LOT: - BLOCK:SUBDIVISION: sOWNER ADDRESS: CITY: PHOI',,1E: ZIP:STATE: OLISII OTHER _- DESCRIBE WORK NEW - REMODEL ADDITION ADDRESS [:XPIRES 1 PHONECONTRACTOR'S NAME GENERAL: ELECTRICAL: MECHANICAL: PLUMBING: CONST. CONTRACTOR # r OF BDRMS: - OFFICE USE _ LAND USE: SOUABF. FOOTAGE:._ SECONDARY HEAT: I OF UNITS: OUAD AREA: r OF BLDGS: FLOOD I)LAIN: ZONING CODE OCCY GBOUP: r OF STORIES: CONSTR. TYPE HEAT SOURCE: Tn r.:nrrp+i en irrcr:arti,rn rr^" E,,,Jl . -ll aa^'r7Co Tl.l^:.J-q....jiJ.-v.:,-.::,).Ju;ltJi.L.-1ii..jJ....;.i:''l'n.: made the sante working day, lnspections requested after 7:O0 a.m. will be macle the following work day. REQUIRED INSPECTIONS [-l Temporary Electric l'fuoush Mechanical - Prlor tof cover. Final Plurnbing - When ailplumblng worl( is complete. Site lnspectlon - To be made after excavation, but prior to settlng forms. Rough Electrical - Prior to Final Electrical - When att eleetricbl work is complete.cover. Underslab Plumbing/ Electrical/ Mechanlcal - Prior to cover.Eleclrlcal Service - Must be approvecl to obtaln perrtanent electrical power. ffi-finat Mechanlcal - When ail '! mechanical worl< is complete, Footlng - After trenches are excavated.Flreplace - Prlor to facing materlals and framing lrrsp. Flnal Building - Vrihen all required lnspections have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.Framing - Prior to cover. Foundatlon - After forms are erected but prior to concrete placement. Other Wall/Celling lnsulation - Prlor to cover. Underground Plumblng - Prior to fllllng trench.Drywall - Prior to taplng MOBILE HOME INSPECTIONSUnderlloor Plumblng/ Mechanical - Prior to lnsulation or decking.Wood Slove - Afler lnstallation Post and Beam - Prior to floor lnsulation or decking.lnsert - After flreplace approval and lnstallatlon of unlt. Blocking and Set.Up - When att blocking ls complete. Floor lnsulalion - Prior to decking.Curbcut & Approach - After forms are eft,'cted but prior to placement of concretc.. Plumbing Connectlons - When home lras been connected to water and sewer; Sanitary Sewer - Prior to filling trench.Electrical Connection - When blocking, set-up, and plumbing lnspections have been approvedand the home ls connected to the servlce panel. Storrn Sewer - Prior to lilling trench. Sidewall< & Drivew;ry - After excavation ls complete, lorms and auf)-basO materlal ln plac6. Water Llne - Prlor to lilling tr6nch. Fence - !'vhen cciripleted Rough Plumbing - Prlor to Street Trees - When all required trees are planted. Flnal - After all requlred inspectlons are approved and porches, skirting, decks, and ventlng have been lnstalled.cover tl E RANGF.:WATER HEATER: E E E E tl E fl tl E tl E tl E tl PL.}JSF.ACC N GAR S Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot T!6e - lnterlor -- Corner - Panhandle - Cul-de:sac Setbacke IS THE PROPOSED WORK iN THE . HISTORICAL DISTFIICT, OR ON THE I{ISTORICAL REGISTER? - il yes, this applicatlon must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERN'IT This pernrit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or r€vokod at any tlme upon violatlon of any provislons ol sald ordlnancea. Plan Check Fee: Date Paid Receipt Number Received By Plarrs Rcviewed By Date Systems Development Charge is due on all undeveloped properties within tlre City linrits which are being improved. ADDITIONAL COMMENTS By sigrrature, I state and agree, that I have caref ully examlned the completed application and do hereby certify that all lnformation hereon is true and correct, and I f urther cerilfy that any and all work performed shall be done in accordance with the Ordinanccs of the City of Springfir.:ld, and the Laws of iire State of Oregon pertaining to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure without perrnission of the Builciirrg Safety Divislon. I further certify that only contractors and enrployees who are in cornpliance with ORS 701.055 will be used on thls proiect. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card ls located at the front of the property, and the approved set of plans will remain on the site at all during struction Signature Date E VAI.IDATION: RECEIPT NUMBER DATE PAIi) AMOUNT RECEIVE 5sv1 D=itrf,D'vJ 1rnm -{v7F \ m (=3 -.D '.DC L."i t3(:} (] r.J VALUEX $/SQ. FT. Garage Carport Total Value Building Permit Fee State Surcharge Total Fec BUILDING PERMIT ITEM SO. FT. Marn SYSTEMS DEVELOPMENT CHARGE (SDC) (B) FEE (c) N" I-1.. Residential Bath(s) PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Sanitary Sewer Water Storm Sewer Itlobile !lorne ITEM Fixt u res /o o)t".(D) rL ,m) NoVent Fan replace UnitWood Stove i Inser rVe Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnacc Exhaust lloorj MISCELLAN EOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut ---- ft Demolition State Surcharge Total Miscellaneous Perrnits (E) TOIAL AMOUNT DUE (excluding electricat) (A, B, C, D, and E Combincd)FIECEIVED BY Hrf€+ ft (A) F'L____ TI- I ,-1 /r'r a