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HomeMy WebLinkAboutPermit Mechanical 2000-11-29SPRINGFIELD Job# 00-00308-01 RESIDENTIAL PERMIT City Of Springfield Gommunity Services Division Building Safety Page 1 of2 TRftN5*:01*00018?5 [ATE:N0V 2S 20CI0 AHT nE[D:i S 40.?0 CHf,i']EE; IAEHIER:05? 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 ?ur rLn^ L lrrr*y,,,ry> [',-t^^ { 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