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Home My WebLink AboutPermit Mechanical 2000-02-14Job# 00-00270-01 Page 1 of2 TRANSS:01-0000590 I}ATE:FTE 14 2OOO fillT RECD:2 $ 2&.50 [HAiiGE: IASHIEft:05? SPRTNGFIELD RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1819 Yenta Ave Spr AssessorsMap#: 17032434 Lot: Block: Addition: Job Number: 00-00270-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00350 Subdivision: ctTY oF SPRINGFIELD, OREGOTV Owner: Don Kimball Address: 1819 Yenta Ave Scope Of Work: Mechanical Phone Number: City/State/Zip: Alteration 541-746-2483 Springfield, OR97477 Value: $0 Contractor Type MechanicalContr Contractor Marshalls Oil and lnsulation 4110 Olympic Street, Springfield, OR 97478 Registration # Expiration Date Phone 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. Rough Gas Rough Mechanical FinalGas FinalMechanical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq Main: Required lnspections Mechanical -After line is installed and capped if not attached to an appliance -Prior to cover. -When allgas work is complete. -When all mechanicalwork is complete. # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Accessory:Total u Job# 00-00270-01 Page2 ot 2 Fee Paid On Receipt# Value/Quantity Fee Amount One to Four Outlets Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical 02t14t2000 02t14t2000 02t1412000 02t14t2000 02t14t2000 02t't4t2000 590 590 590 590 590 590 $2.00 $7.00 $.45 $6.00 $10.00 $1.05 $26.50 Signature $26.50 Jr) Date 1 1 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 certiff 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.Ddl htlz- RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK:n ASSESSORS MAP:03Jq TAX LOT: .JOB NUMBER 225 Fifth Street Sprirrgfleld, Oregon 97477 o SPRINGFIELO 00frrqo4l LOT - BLOCK:SUBDIVISION PHONE: STATE:ZIP: I 1 q b-7qffi DEMOLISI.I OTHERtTtoN ___ OWNER: DESCFIIBE WORK: ADDRESS: CITY NEW- REMODEL AD ADDRESS r [--XPIRES 1 PHONECONTRACTOR'S NAME MECHANICAL: ELECTRICAL: CONST. CONTRACTOFI # GENERAL: PLUMBING RANGE: , OF BDRMS _ OFFICE USE _ WATER HEATER: ZONING CODE: FLOOD I)LAIN: + OF UNITS: CONSTR. TYPE: --HEAT SOURCE: QUAD AFIEA: N OF BLDGS: SECONDABY HEAT: SOUARF. FOOTAGE: OCCY GROUP: r OF STORIES: To reQI-rest an inspect!on, you rnuit c:l! 721 37€9. TLI: lt -r?4 h+u; lu;oirjin9. Aii ii'rspeLiig,rrs ,equcsiecj ueiore Z:oO a.m. will bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day. REQUIRED INSPECTIONS l-l Temporary Electric t___J Rough Mechanical - Prior to cover. Flnal Plurrrbing - When ailplumbing worl( ls complete. Site lnspectlon - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When atl electrical work is complete.cover. Underslab Plumbing/ Electrical / Mechanlcal - Prior to cover.Electrical Service - Must be approvecl to obtaln permanent olectrlcal power. Final Mecharrical - When all mechanical work is complete. Footlng - After trenches are excavated.Flnal Buildlng - Vlihen alt required lnspections have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are erected but prlor to concrete placernent. Other Underground Plumblng - Prior to fllllng trench. MOBILE HOME INSPE TIONSUnderlloor Plumblng/ Mechanical - Prior to insulation or decking. Post and Beam - Prlor to floor lnsulatlon or decking.lnsert - After flreplace approval and lnstallatlon of unlt. Blocking and Set.Up - When att blocklng ls complete. Floor lnsulation - Prior to decking.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sevr'eri Sanitary Sewer - Prior to filling trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approv€dand the home ls connected to the servlce panel. Stonn Sewer - Prlor to fllling trench. Sidewall< & Drlveway - After excavation ls complete, forms ancl Bub.baso materlal ln placo. Water Line - Prlor to filling t r€)n c h. Fence - lVhen cci,rpleted Rough Plumbing - Prlor to Slreet Trees - When all required trees are planted. Flnal - After all requlred lnspectlons are approved and porches, sklrting, decks, and ventlng have been lnstalled.cover. LAND USE: f-l Flreptace - Prlor to faclng.J materlals and framing lnsp. [-_l Framlng - Prior to cover. f--l WallrCelling lnsutatlon - Prtor to[-J cover. [-l Drywall - Prlor to taplng. [-l Wood Stovo - After lnstallatlon. r tl L] tl E E E E tl E tl E tl E E tl IS THE PROPOSED WOBK TN THE . HISTORICAL DISTRICT, OR ON TI]E HISTORICAL REGISTER? --lf yes, this applicatlon must be slgned arrd approved by the Historical Coordinator prior to permit issuance. APPROVED VALUE (A) X $/SQ. FT. BUILDING PERMIT ITEM SO. FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fcc SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) FT. N" Ft. PLUMBING PERMTT FT. Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnacc Exhaust llood Vent Fan No Wood Stovei lnsert/Flreplace Unit Dryer Vent (D) Mechanical Permit lssuance State Surcharge Total Permit MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -- ft Curbcut --_ ft Demolition State Surcharge Total Miscellaneous Perrni ts (E) TO'IAL AMOUNT DUE (exctuding electricat) (A, B, C, D, and E Combincd) Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot i-ype -. lnterior -- Corner - Panhandle - Cul-de-sac backs E BUILDING VALUE, PLAN CHECK AND BUILDING PERN'IT This pernrit is granted on the cxpress conclition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Spri ngfield, including the Development Code, regulating the construction and use ofbuildings, and may be suspended or r€vok€d at any ilme upon violation of any provlslon! of sald ordlnenca8. Plan Cheok Fee; Date Paid Recel pt Number:__. Received By Plans Reviewed Ely Date Systems Development Charge is due on all undeveloped properties within tlre City linrits which are being improved. ADDITIONAL COMMENTS By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby cerilfy that all lnformatlon hereon is true ancl correct, and I f urther cerflfy that any and all work performed shall be done in accordance with the Ordinanccs of the City of Sprlngficld, and the Lawsof the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCy will be made of any structure without perrnission of the Builclirrg Safety Divislon.I further certify that only contractors and enrployees who are in compliance with ORS 701.O55 will be used on thls proiect. I further agree to ensure that all required lnspections 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 times durin g construction Signature Date VAI-IDATION: FIECEIPT NUMBER DATE PAI[) AMOUNT RECEIVED _ P.L.xsr I cen ACC N S RECEIVED BY