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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 ?