HomeMy WebLinkAboutPermit Mechanical 2000-11-29SPRINGFIELD
Job# 00-00308-01
RESIDENTIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
Page 1 of2
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225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 930 00025th Pl Spr
AssessorsMap#: 17033611
Lot: Block: Addition:
Job Number: 00-00308-01
Office:726-3759
Inspection Line: 726-3769
Tax Lot#: 02401
Subdivision:
ctTY oF SPRiNGFiELD, OREGO^
Owner: Robert Adair
Address: 930 25th Place
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
Addition
Springfield, OR97477
Value: $0
Adding Heat pump and air handler
Contractor Type
ElectricalContr
Mechanical Contr
Contractor
Jb Electric lnc
4065 W 1 1Th #18, Eugene, OR 97402
Marshall's Heating
4110 Olympic Street, Springfield, OR
97478
Registration #
104929
Expiration Date
311412004
Phone
541-687-5770
541-747-7445
Quad Area:
# Of Units:
Gonstr. 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 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 Inspections
Electrical
Rough Electrical
Final Electrical
Rough Mechanical
FinalMechanical
-Prior to cover.
-When all electricalwork is complete
Mechanical
- Prior to cover.
-When all mechanicalwork is complete.
S,
I]OR,SABAIV
YPEH,OD.ANYlSODA
Job# 00-00308-01
# Of Stories: Height (feet):
Current Units: Proposed Units
Census Code: Does not apply
Total:
PageZ ot2
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:Accessory:
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
Branch Circuits WO Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
11t2912000
11t29t2000
11t2912000
3895
3895
3895
2 $37.00
$2.59
$1.1 1
$40.70
Minimum Mechanical Permit
Minimum Mechanical Permit
Mechanical Administrative Fee
Mechanical Administrative Fee
Less than 100,000 BTU
Less than 100,000 BTU
Mechanical lssuance
Mechanical lssuance
State Surcharge For Mechanical Permit
State Surcharge For Mechanical Permit
Total Mechanical
Mechanical
0212412000
11t1712000
02t24t2000
1111712000
02t2412000
11t17t2000
0212412000
11t17t2000
0212412000
1111712000
381 6
381 6
381 6
381 6
381 6
1
1
$9.00
$9.00
$.45
$.45
$6.00
$6.00
$10.00
$10.00
$1.05
$1.05
$s3.00
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
$93.70
5T GFIELD
D EV E LA P M E NT S E RV I C E S D E PARTIVI E NT 225 FIFTH STREET
SPRINGFIELD, OR 97477
1541t 726-3753
FAX 1511 ' 726-3689
225 FIFTE STREET
SPRTNGFTELD, OREG0N 97
INSPECTION REQTIEST: 7
OFFICE: 726-3759
1
DESCRIPTION
DESCRI ON
Permits are non-trans f erabl-e exp i re
if vork is not started vithin 180 days
of issuance or if vork is suspended for
1B0 days.
2. COMRACTOR INSTALLATION ONLY
Electrical Contracto
eaaress/J A ln +#
Ci ty Pho
Supervi s License lluruer,S8],1 S
Expiration Date
Constr Contr. Number
Expiration Date D
Signature Electrician
PERHIT APPLICATION
Job Nunber A o -OaSo>- ol
COI{PIJTE FEE SCEEDUI^E BELOII
Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:Items Cost Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular DveIIing
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
Services or Feeders
InstalIation, Alterations
or Relocation:
Oate S\gnature
,d"*
A
B
)nT
Ovners
Address q l).
$ s0.00
s 60.00
$100. 00
$130. 00
$300.00
$ 40.00
$ 3s.00
$ 2.00
6:
200
201
401
601
amps or
amps to
amps to
amps to
less
600 amps
1000 amps
Over 1000 amps/volts
-
Reconnect 0n1Y
A/*
I
C
one Circuit -l-Each Additional
Circuit or vith Service
or Feeder Permi t I
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irri.gation
Sign/Out1ine Lighting-
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
7%, State Surcharge
32 Administrative Fee
TOTAL
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amos or Less $ 40.00
201 amos to 400 amps
-
$ 55.00
over 4b1 to 6oo amps
-
$ 80.00
Over 600 amps or fbOO voTts see uB" aE6TE-
Branch Circuits
Nev, Alteration or Extension Per Panel
D
me
{h
Ci ty Phone
OVNER IN
The installation is being made on
property f ovn vhich is not intended
for saIe, Iease or rent.
Osners Signature:
DATE:
RECEIPT #:
$ 40.00
$ 40.00
$ 20.00
$ 36.00
RECBTVED
(
DI
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SPRINGFIELD
Job# 00-00308-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of2
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 930 00025th Pl Spr
AssessorsMap#: 17033611
Lot: Block: Addition:
Job Number: 00-00308-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 02401
Subdivision:
CITY OF SPRITVGFIELD OREGON
Owner: Robert Adair
Address: 930 25th Place
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
Addition
Springfield, OR97477
Value: $0
Adding Heat pump and air handler
Contractor Type
MechanicalContr
Gontractor
Marshall's 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 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 Inspections
glectrrcal
Rough Electrical
Fina! Electrical
Rough Mechanical
FinalMechanical
-Prior to cover.
-When all electrical work is complete.
Mechanicat
- Prior to cover.
-When all mechanicalwork is complete
NOTICE:
THIS PERMTT SHAII. EXPI.qF IF TIJF r r INN
AUTHORIZED UI,JDEfi Tli t[. ofrr:,.
COMMENCED OH lS AEAiriUUir,JEu r _,nANY lSODAYPERIOD.
ugu. you may ootatn copigs {,Jt ths rules b
Calliilg ir,L csnler. iFjote: the telephone
numberioi the Oregort Urility Notification
Center is r -8C0-ggZ-A944).
Job# 00-00308-01
# Of Stories: Height (feet):
Current Units: Proposed Units
Census Code: Does not apply
Total
Page2 of 2
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:Accessory
Fee Paid On Receipt# Value/Quantity Fee Amount
Minimum Mechanical Permit
Minimum Mechanical Permit
Mechanical Administrative Fee
Mechanical Administrative Fee
Less than 100,000 BTU
Less than 100,000 BTU
Mechanical lssuance
Mechanical lssuance
State Surcharge For Mechanical Permit
State Surcharge For Mechanical Permit
Tota! Mechanical
Mechanical
0212412000
1111712000
0212412000
1111712000
0212412000
1111712000
0212412000
1111712000
02t24t2000
1111712000
381 6
381 6
381 6
381 6
3B'16
1
1
$e.00
$e.00
$.+s
$.45
$6.00
$6.00
$10.00
$10.00
$1.05
$1.05
$s3.00
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.
$53.00
A*4 zSrr%,ttlr/e';
sign#M Die
Job# 00-00308-01 Paoe 1 of 2- TRANSS: 111-0000701
DATE:FIB 24 2000
Al{T RE[D:2 $ ?6.50
IHANGE:
Cf,SHIER: OO3
SPRINGFIELD
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
225 North Fifth Street
Springfleld, OR97477
Location Of Proposed Site: 930 00025th Pl Spr
AssessorsMap#: 17033611
Lot: Block: Addition:
Job Number: 00-00308-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 02401
Subdivision:
ctTY oF SPR7NGFTELD, OREGOTV
Owner: Robert Adair
Address: 930 25th Place
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
Addition
Springfield, OR97477
Value: $0
Adding Heat pump and air handler
Contractor Type
MechanicalContr
Contractor
Marshall's 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 call the 24 hour 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.
Rough Electrical
Final Electrical
Rough Mechanical
FinalMechanical
Required lnspections
Electrical
-Prior to cover.
-When all electricalwork is complete.
Mechanical
-Prior to cover.
-When all mechanicalwork is complete
Job# 00-00308-01
# Of Stories: Height (feet):
Current Units: Proposed Units
Census Code: Does not apply
Page2 of 2
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(sq
Main:Accessory:Total
Fee Paid On Receipt# Value/Quantity Fee Amount
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
02t24t2004
02t24t2000
02124t2000
azt24t2000
02t24t2004
1
$9.00
$.45
$6.00
$10.00
$1.05
$26.50
Grand Total $26.50
z/27/a"
Da{eSignatu/e '/
TTESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
SP]ITnrGFIEL()
.JOB NUMBER
225 Fifth Street
Sprl rrg f lelrJ, Oregon g7 477
TAX LOT:
SUBDIVISION:_
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:BLOCK:
PHOr,,lE:sjh-
oK-STATE:ZIP:
3
7q 'l-6/ ?3OWNER:
ADDRESS:
CITY;
DEMOLISII OTHER
DESCRIBE WORK:
NEW
--
REMODEL ADDITIO
ADDRESS
t I o
[--XPIBES 1 PHONECONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
RANGF.:
# OF BDNMS
_ OFFICE USE -
LAND USE:
WATER HEATER:
ZONING CODE:
FLOOD I)LAIN:
+ OF UNITS:
HEAT SOURCE:
QUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SQUARF. FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE: __
To request an inscectlon, !,ou m(rst ca!! 725 37€9. Tl:l: lr ;i ?4 h.Jur rcccrdlr-;g. ,r.ii insfjcclioi.j iequesic!; buiore 7:00 a.rn. wiit Oemade the same working day, lnspections requested after 7:00 a.m. wlll be macje the following work day.
REQUIRED INSPECTIONS
Temporary Eleclrlc Rough Mechanical - Prlor to
cover.
Final Plunrbing - When allplumblng worl< ls complete.
Slte lnspectlon - To be made
after excavatlon, but prior to
setting forms.
Rough Electrical - Prior to Final Electrlcal - When ail
electrical work is complete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.Electrical Servlce - Must be
approvecl to obtain permanent
electrlcal power.
Final Mechanical - When all
mechanical work is complete.
l-l Footlng - After trenches arelJ excavated.Final Building - \Aihen ail
required lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prior to concrete
placement.
Underground Plumblng - Prior
to fllllng trench.
Underlloor Plumblng/ Mechanical
- Prior to lnsulatlon or decking.
MOBILE HOME INSPE TIONS
Post and Beam - Prlor to floor
lnsulatlon or decking.
Blocking and Set.Up - When ail
blocklng is complete.
Floor lnsulalion - Prior to
decklng.Curbcut & Approaclr - After
forms are erected bUt prior lo
placement of concrete.
Plumbing Connections - When
home lras been connected to
wat'er and s€vJ€t';
Sanitary Sewer - Prior to lilling
trench.Electrical Conneclion - When
blocking, set.up, and plumbing
lnspections have bsen approvedand the home ls connected to
the service panel.
Stonn Sewer - Prior to fllling
trench.
Sidewalk & Driveway - After
excavation ls complete, lorrns
and aub.baso materlal ln placo.
Water Line - Prlor to filling
trench.[--l Fence - !Vhen cci'rrpieted
Rough Plumbing - Prior to Street Trees - When all required
trees are planted.
Flnal - After all requtred
inspections are approved andporchos, sklrting, decks, andventlng have been lnstalled,cover,
O
I7qe a
tl
Other
-
tl
E
E
E
E
fl
E
[-l Flreptace - Prtor to facing
-
materlals and framing lrrsp.
[--l Framlng - Prior to cover.
l-_l Wall/Celting tnsulatlon - prtor tolJ cover.
[-l Drywall - Prtor to taptng.
[-l Wood Stovo - After lnstallatlon.
lnsert - After flreplace approvql
and lnstallatlon of unlt.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
ln terior
--
Corner
-
Panhandle
-
Cul-de-sac
backs IS THE PROPOSED WORK TN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
--lf yes, this applioatlon must be slgned
arrd approved by the Historlcal
Coordinator prior to permit issuance.
BUTLDING VALUE, PLAN CHECK
AND BUILDING PERUIIT
This pernrit is granted on the cxpress 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
bulldings, and may be suspended or revokod at eny tlme
upon violation of any provlslons ol sald ordlnencoo.
Plan Cheok Fee;
Date Paid
Recei ot Number:
Received By:
Plans Rcviewed By Date
Systems Development Charge is due on all undeveloped
properties within thc City linrits which are being improved.
ADDITIONAL COMMENTS
OC
By slgnature, I state and agree, that I have carefully 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
wlth the Ordinanccs of the City of Springfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure without perrnission of the Builcilng Safety Divislon.
I further certily that only contractors and entployees who
are in compliance with OFIS 701.055 vrill be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper ilme, that each address is readable
from tlre street, that the permlt card ls located at the front
of the property, and the approved set of plans will remain
on the site at all times during constructlon
Slgnatu re
@
TOIAL AMOUNT DUE (excluding electricat)
(A, B, C, D, and E Combincd)
Date
VAI-IDATION:
RECEIPT NUMBER.._
DATE PAID
AMOUNT RECEIVED -
BECEIVED BY _--...__
PL.}-ISE GAR ACC
N
S
E
VALUE
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fec
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Oarport
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobi!e Hornc
FEE
(c)
F1'.
F'T.
PLUMBING PERMIT
FT.
Plumbing Permit
State Surcharge
Total Charge
Wood Stovei lnsert/Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
--
ft
Curbcut
---
ft
Demolitlon
State Surcharge
Total Miscellaneous Perrnits
(D)
(E)
Mechanical Permit
lssu ance
State Surcharge
Total Permit
M ECHANICAL PERMIT
Fu rnace
Exhaust l'lood
Vent Fan No
APPFIOVED:
Nr