HomeMy WebLinkAboutPermit Mechanical 2001-02-22Job# 01-00154-01
RESIDENTIAL PERM!T
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
SPRINGFIELD
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2667 Viewmont Ave Spr
AssessorsMap#: 17032441
Lot: Block: Addition
Job Number: 01-001 54-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00121
Subdivision:
clTY oF SPRINGFIELD, OREGON
Owner: Dan Ogle
Address: 2667 Viewmont
Scope Of Work: Mechanical
lnstall heat pump
Phone Number:
City/State/Zip:
Alteration
541-687-8851
Springfield, OR97477
Value: $O
Contractor Type
Mechanical Contr
Contractor
Comfort Flow Heating Co
1951 Don St Ste D, Springfield, OR
97477-1993
Registration #
460
Expiration Date
6t2712001
Phone
541-726-0100
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.
Required lnspections
Mechanical
Rough Mechanical
FinalMechanical
Area (Sq.
Main:
- Prior to cover.
-When all mechanicalwork is complete.
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Accessory Total
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? I
Job# 01-00154-01 Page 2 of 2
Fee Paid On Receip# Value/Quantity Fee Amount
Mechanical
Minimum Mechanical Permit
Administrative Fee - Mechanical
Evaporative Cooler/Fan
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
0212212001
02t2212001
0212212001
02t22t2001
02t2212001
000451 6
000451 6
000451 6
000451 6
0004516
1
$10.50
$.45
$4.s0
$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 of Oregon. I further state that only contractors and employees who are in compliance with
o 1.055 will be used on this project. I further agree to ensure that all required inspections are
at the time and that the project address is readable from the street.
Signature Date
$26.50
^ l>-/o t
RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Offlce: 726-3759
SPllTNGFTeLE
LOCATION OF PROPOSED WORK:VWrno
JOB NUMBER
225 Fifth Street
Sprlng(leld, Oregon 97477
TAX LOT ,26,/?./ASSESSORS MAP:12a Vzv4/
SUBDIVISION:
PHO
STATE:ZlPl 11
OWNER:
CIW:
ADDRESS:
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE
NEW
ADDRESS F-XPIFIES .3 PHONECONTHA TOR'S NAME
GENEBAL:
ELECTRICAL:
MECHAN
CONST.
CONTRACTOFI /
PLUMBING:
, OF BDRMS
- OFFICE USE -
WATER HEATER:
FLOOD I)LAIN:OUAD AREA:
e OF BLDGSi
SECONDARY HEAT:
SQUARE. FOOTAGE:
LAND USE:
OCCY GBOUP:
r OF STORIES:
ZONING CODE: _
CONSTB. TYPE:
HEAT SOURCE:
# OF UNITS:
--_
To request an lnspectlon, you must call 726-3769. Thls ls a24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspectlons reguested after 7:00 a.m. wlll be macle the followlng work day.
REOUIRED INSPECTIONS
Temporary Eleclrlc I-l Flnat Plumblng - When altlJ plumblng worl( ls complete.
E
t]
E
tl
fl
Slto lnspectlon - To be made
after excavatlon. but prlor to
sottlng forms.
Flnal Electrlcal - When all
electrlcal work ls complete,
Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.E Electrlcal Servlce - Must be
approved to obtaln permanent
olectrlcal power.
w Flnal Mechanlcal - When allmechanlcal work ls complete.
Footlng - After trenches are
excavaled;
:,,
Masonry - Steel ,locatlon, bond
beams, groutlng.
E Flreplace - Prlor to facing
materlals and framlng lnsp.
Flnal Buildlng - When all
requlred lnspectlons have been
approved and bulldlng is
completed.
Framlng - Prlor to cover.
Foundatlon - After forms are
erectod but prlor to concrete
placemont.
Othor
Wall/C'olllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.Drywall - Prlor to taplng.
Undertloor Plumblng / tllechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPE TIONS
Wood Stovo - Alter lnstallatlon
Post and Bctm - Prlor lo floor
lnsulatlon or decklng.lnserl - After llreplace approval
and lnstallatlon oI unlt.
n Blocklng and Set.Up - When all
'J blocklng ls complete.
I
E
Floor lnsulallon - Prlor to
decklng.Curbcut & Alrproach - After
forms are erected but prior to
placement of concrete.
Plumbing Connectlons - When
home has been connected to
water and sevJer.'
Sanltary Sewer - Prlor to fllllng
trench.
Storm Sewer - Prlor to fllllng
trench.
Sidewalk & Drivewav - After
excavatlon ls complete, forms
and sub-base materlal ln place.
Eleclrlcal Connection - When
blocking, set-up, and plumblng
lnspectlons have been approved
and the home is connected to
the servlce panel.
Water Llne - Prlor to filling
trench.
Fence - lVhen ccinpleted.
Rough Plumblng - Prlor to
cover.
Street Tr€os - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
tl
I{
. ..; i,LOT BLOCK:
FIANGE:
ru Rough Mechanicat - Prior to? cover.
l-l Rough Electrical - Prior tol-J cover.E
E
E
E
tl
E
E
E
E
PL,l{sE GAR ACC'
N
I
S
e
( IS THE PROPOSED WORK TN THE.' HrsronrcAL DtsrRtcr, oR oN i
THE HISTORICAL BEGISTER?
-
lf yes, thls applldatlon must be slgned
arrd approved by the Hlstorlcal
Coordinator prlor to permlt lssuanoe,
{ir i; n.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-.
lnterlor
-_
Corner
-- Panhandle i'
-
Cul-de-sac
Se
.l
APPFIOVED:
VALUE
(A)
Total Value
Eulldlng Permit Fee
State Surcharge
Total Fec
r! !,
X $/SQ. FT.
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
Thls permit is grante<j on the express condlilon that the saldconstructlon shall, ln all respocta, oonform to thg Ordlnanc€adopted by the City of Sprlngfleld, lncludlng the
Development Code, regulating the constructlon and use ofbuildings, and may be suspended or revoked at any tlmeupon violation of any provlslons of sald ordlnances.
Plans Reviewed By Date
BU I LDI NG
AND BUIL
E cNLA H KEC
D N PG
,
E MB IT
Plan Check Fee:
Date Paid:
Beceipt Num
Recelved By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties withln tlre City limits whlch are belng lmproved.
ITEM
Flxtures
Besidentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
Ne
FT.
FT.
FT.
(c)
Plumblng Permit
Stato Surcharoo
Tolal Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that t have carelully examlned
the completed apptication and db hereby certlfy that all
lnformatlon hereon is true ancl correct, and I further cerilfy
that any and all work performed shall be ione in accordance
with the Ordinanccs of the City of Sprlngflcld, and the Lawsof the State of Oregon pertalnlng to the work,descrlbed
hereln, and that NO OCCUPANCy:wlll,be. made of any
structure wlthout permission of the Bulldlng Safety Dlvlslon.
I further certify that only contractors and employees who
are ln compllance with ORS 701.055 wlll be used on thlsproiect.
I further agree to ensure that all requlred lnspections are
requested at the proper ilme, that each.address ls readable
that the permlt card ls located at the front
Slgnature
Date
and the proved set of plans wlll remaln
from the
of the pro
I timon the sl rlng cons
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--_
ft
Demolitlon
State Surcharge
Total Mlscellaneous Permits (E)
AMOUNT DUE (excludtng electricat) __
(A, B, q D, and E Comblned)
TOTAL AMOUNT RECEIVED
RECEIVED BY
--
] il'
VAI.IDATION:
RECEIPT NUMBER _
Job# 0f-00154-01
RESTDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
Job Number: 01-001 54-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00121
Subdivision:
SPF!NGFIELD
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2667 Viewmont Ave Spr
AssessorsMap#: 17032441
Lot: Block: Addition:
ctrY oF SPRINGFIELD, OREGON
Owner: Dan Ogle
Address: 2667 Viewmont
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
Alteration
541-687-8851
Springfield, OR97477
Vatue: $0
lnstall heat pump
Contractor Type
ElectricalContr
MechanicalContr
Contractor
Ks Electric & Consultants lnc
Po Box 24933, Eugene, OR97402-0444
Comfort Flow Heating Co
1951 Don St Ste D, Springfield, OR
97477-1993
Registration #
70889
Expiration Date
12t3012000
Phone
541-686-6236
541-726-0100460612712001
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 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
Electrical
Rough Electrical
Final Electrical
Rough Mechanical
FinalMechanical
- Prior to cover.
-When all electrical work is complete
Mechanical
-Prior to cover.
-When all mechanicalwork is complete
Job# 01-00154-01
# Of Stories: Height (feet):
Current Units: ProPosed Units:
Census Code: Does not apply
Page 2 of 2
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? [
Area (Sq.
Main:Accessory:Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrica!
Branch Circuits WO Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
02t2812001
02t2812001
02t28t2001
4575
4575
4575
3 $39.00
$2.73
$1.17
$42.90
Mechanical
Minimum Mechanical Permit
Administrative Fee - Mechanical
Evaporative Cooler/Fan
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
02t2212001
02t2212001
02t2212001
02t2212001
02122t2001
000451 6
0004516
000451 6
000451 6
0004516
1
$10.s0
$.45
$4.50
$10.00
$1.0s
$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.
Signature Date
$69.40
OREGONctOF
SPl iFIELD
5
'the lollowrng proiect as submittsd has the lollox/ing
;;;;'';;'d;es rlot require specific land use
ftl'tT RE[D: I $ 4?. ?0
IHA|',IGE:. IAEHITR:flO]
Sum
i:ipprovai
225 FrFTE STREET zoning
SPRINGFIEI,D, OREGON 97477
Lorz
.?4 -o
INSPECTION REQIIEST:KitvOFFICE: 726-3759 +'rtlrulrzgo srgnature
1 LOCATION OP ALLATI
TJGAL DESCRTPTION
Electrical Contractor
Address
Ci ty Phone bF6-623 6
Supervisor License Number
Expiration Date /o
Constr Cont r. Number 7 o&tf
Expiration Date o
Signature of ing trician
0vners Name
Addres " )bA 7 t),?t-t),*arri
Ci ty Phone b&7-9857
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Ovners Signature:
DATE:
BLECTRICAL PERT{IT APPLICATION
Ci ty Job Nunber
COHPLETE FEE SCEEDUI,E BELOIT
New Residential-Single or
MuIti-Family Per dvelling unit.
Service Included:Items Cost
1-000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Modular Dvelling
Sertice or Feeder
s 8s.00
$ 1s.00
s 40.00
Services or Feeders
Installation, Alterations
Relocat ion:
3
A
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALT.ATION ONLY B
C Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
-40L amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amPs/volts
-
Reconnect OnlY
200 amps"or less
201 amps to 400 amPs
-Over 401 to 600 amps
Over 600 amps or 1000loITs
SUBTOTAL OF ABOVE
7% State Surcharge
32 Administrative Fee
TOTAL
Sso
s60
s100
s130
s300
$40
00
00
00
00
00
00
40.00
55.00
80.00
ee trBil aEove
$
s
$
s
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit t g 3s.oo 35
Each Additional
Circuit or vith Service )or Feeder Permi t 2- S 2'00 ?
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighti.g-
Limited Energy/Res
-
Limited EnergY/Comm
$ 40.00
s 40.00
$ 20.00
$ 36.00
5
RECETVED BY:
_3#----:i.v-+*
3Uf >f
225 FIFTE SIN.EUT
sPSnrGrrELD, OREGON 97477
IllSPEcf,ION I,EOUBSTg 726-3769
OFEICE; 726-3759
1 ON OT'
3PP'^iGFIE,LE'
TRRNSil: 01"-C[055??
unIL.ttni Jr-,, r.r-Jtl
,.
EI..ECTRICAL PER}TT APPLTCATTOf" . .
Ci ty rob Nunber O/ - @599- Ol
3" COI{?IATE TEE SCEEDULE BELOIT
BhO,
Ne'.r Residential-Single or
Hulti-FamlIy per duelling unit.
Service Includedl
,A
c
D.
E
Pq
Permlts are non-transferable and-explre
ii-rori ls not started vithin 180 days
ol iilu"nce or if vork is suspended for
180 daYs
Z. CTNTBA(ITOR INSTALINUON ONLY
Ereetrical con tr^.ro, AS HrzfueJ|&'o
Address d
Ct tY z Ynone bt6 -62 3-"(
Supetvisor License Number 3dq1 5 _
Expiration Date
Constr Conrr. Numler
Expiration Date e o
Signa.ture of SuPervislng Iectrlclan
I tems
1000 sq.ft. or }ess
gich "dattional 500
sq. ft or Portion
thereof
Each llanuf 'd Home' or
Modular 'DveIIing
Service or Feeder
.B' Services or Secders
Installation, Alterattons
U4t* Relocation:
200 amPs or less J-
201 amPs to 400 amPs '
401 amPs to 600^amPs
-
601 an[s to 1OO0 3mPs-over 1000 amPs/volts
-
Reconnect OnlY
(00t7-Cost Sutn
$ 85.00
$ 1s.00
$ 40.00
50.00
60.00
100.00
130.00
300.00
40.00
JOB ON
$
$
$
$
s
$
5o.oD
Temporary Services or Feeders -ii]iiiriii"", Arteration or Relocation
200 amps'"or less t 19ioi Imi; io aoo amPs
-
$ Iso;;'li5i io eoo am'Ps
-
$ 80
0ver 600 amps or' 1000 volts 6Ge
Branch Circuits
00
.00
.00
ilBtt aEffi
0sn rs
Address-z 6
Ci tY
DATE:
*o"e 222.: ?1ZO
Nev, Alteration or Extension Per Panel
One Cit'cui t
ilir',-rlJ i i ionar
Circult or vith Service
or Feeder Permtt "-
SUBTOTAL OF ABOVE
7% strte Surcharge
3Z Adnlnlstratlve Fee
TOTAL
s 3s.00
2 .00
not included)
$
OTilEN TNSTALI,ATION
The installatlon ls being nade on
Droperty I oun vhich is not lntended
ior'sale, lease or rent'
Omers Signature:
Hiscellaneous (Servlce/feeder
-Each ins tallation a
sici/outline Lighting- iLl;ited EnergY/Res
-
:
Limited Energy/Comn D
40.00
40.00
20.00
36,00
5
OREGONJCITY OF
BECEIVED
o
o
u+
1o ?