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HomeMy WebLinkAboutPermit Mechanical 2000-06-15SPRINGFIELD Job# 00-00945-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2465 00014th Pl Spr AssessorsMap#: 17032433 Lot: Block: Addition: Job Number: 00-00945-01 Office:726-3759 Inspection Line: 726-3769 Tax Lot#: 00102 Subdivision: ctTY oF sPRtNcFtELD, OREoON Owner: Michael Drury Address: po box 1473 Scope Of Work: Mechanical heat pump Phone Number: City/State/Zip: New 541-729-2583 springfield, OR97477 Value: $O Contractor Type MechanicalContr Contractor Comfort Flow Heating Co 1951 Don St Ste D, Springfield, OR 97477-1993 Registration # 460 Expiration Date 6t27t2001 Phone 541-726-0100 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 a|726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after Z:Qtl6ffilOEbe made the following working dav' THTspERIvTTSFTALLEXpTRETFTHEW0RK Required lnspections Mechanica!CONNMENCED OR IS ABANDONED FOR Rough Mechanical - Prior to cover. ANy 190 DAy pERlOD. Final Mechanical -When allmechanicalwork is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Area (Sq Main:Accessory:Total t090 Yor callirr0 Job# 00-00945-01 Page 2 ot 2 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanica! 0611512000 06/1 5/2000 06/1 5/2000 06/1 5/2000 06/1 5/2000 2169 2169 2169 2169 21 69 1 $e.00 $.45 $6.00 $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 State of Oregon. I further state that only contractors and employees who are in compliance with ORS 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.s0 -AESIDENTIAL PERMIT APPLICATION SPFrTNGF IELl) lnspec Offlce: JoBNUMBE"ffi 225. Fif rh street lrfiTi: Jiltj i5 ltl0[Sprtnsftetd, oreryg9pffi ; : g-tt,. itf [HAI,iEE: IASHIER:00LLOCATION OF PBOPOSED WORK: ASSESSOBS MAP:7 zLl LOT tlons: 726.3769 726-3759 Nb TAX LOT:Oot o7 BLOCK:SUBDIVISION PHONE: CITY: OWNEB: STATE: -7 4-a zt P: ADDITION OLISH OTHEFI DESCRIBE WORK: "t* h REMoDEL ADDBESS 0 -ol [--XPIRES ,t PHONE CONTRACTOR'S NAME GENERAL: MECHANI CONST. CONTRACTOR # ELECTRlCAL: PLUMBlNG: RANGE: - OFFICE USE - ZONING CODE: OUAD AREA: r OF BLDGS: SECONDAHY HEAT: SOUARE FOOTAGE: , OF BDRMS: WATEB HEATER: OCCY GROUP: / OF STORIES: CONSTR. TYPE: HEAT SOURCE: / OF UNITS: - LAND USE:FLOOD I:LAIN: To req made uest an lnspectlon, you must call 726'3769. Thls ls a 24 hour recordlng. All lnspecilons requested before 7:00 a.m. wlll betho same worklng day, lnspectlons requested after 7:00 a.m. wlll be macle the followlng work day. REQUIRED INSPECTIONS Temporary Electrlc Rough Mechanlcal - Prlor to cover. Final Plumbing - When allplumblng worl( ls complete. tl Slte lnspectlon - To lre made after oxcavatlon, but prlor to settlng forms. Rough Electrical - Prior to Flnal Electrlcal - When allelectrlcal work ls complete.cover. [_l Understab PlumblnglElectrica!/u Mechanlcal - Prlor to cover. I I Electrical Servlce - Must beapproved to obtaln permanent olectrlcal power. Flnal Mechanlcat - When allmechanlcal work ls complete, l-l Footlng - After trenches arelJ excavated;J-l flroptacs - Prlor to factng - materlals and framlng lnsp, Flnal Buildlng - Vrihen allrequlred lnspectlons have been approved and building is completed.E tl Masonry - Steel locatlon, bonc, ,beams, groutlng. Foundatton - After forms are erected but prlor to concrete placemont. Framlng - Prior to cover, Other Wall/Celllng lnsulatlon - Prlor to cover. Undorground Plumblng - Prlor to fllllng trench.l-l Drywall - Prlor to taptng, tl D Underlloor Plumblng I Mechanlcal - Prlor to lnsulatlon or decklng. MOBILE HOME TNSPE TIONS Vlood Stovo - After lnstallatlon. Post and Bcrm - Prlor to floor lnsulatlon or decklng.lnserl - After flreplace approval and lnstallatlon of unlt. l-l Blocktng and Ser.Up - When ailu blocklng ls complete. Floor lnsulatlon - Prlor to decklng.Curbcut & Approaclr - After forms are erected but prior to placement of concrete. Plumbing Connectlons - When home lras been connected to water and sevJen Sanltary Sewer - Prlor to fllllng trench. Storm Sewer - Prlor to fllllng trench. Sidewall< & Driveway - After excavation ls cOmplete, folms and sub-base materlal ln place. Eleclrical Connection - When blocklng, set-up, and plumblng lnspeclions have been approved and the home ls connected to the servlce panel. Water Llne - Prlor to filllng trench. Fence - When coirrpieted Rough Plumblng - Prlor to cover. Street Trees - When a!l requlred trees are planted. Final - After alt required lnspectlons are approved andporches, sklrting, decks, and ventlng have been lnstalled. .l 3 E tl fl E fl tl E E tl tl E tl i ji:' i,1, .''l,l ,. Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterlor -- Corner -- Panhandle - Cul-de-sac HSE GAR ACCPL. N I S c i IS THE PROPOSED WORK fN THE.' HtsroRrcAL otsTRtol, oR oN THE HISTORICAL REGISTER? - lf yes, thls appllcallon must be slgned arrd approved by the H istorlcal Coordinalor prlor to Permlt lssuance. i APP EDT ,i VALUE (A) Total Value Bulldlng Permlt Fee Stato Surcharge Total Fee ;;t x $/so. FT. BUILDING PERMIT ITEM SO. FT. Main Garage Carport '1. 1l 'l.BUILDING YALUE, PLAN CHECK AND BUILDING PERMIT . Thls permit is granted on the cxpress condltlon that the sald constructlon shall, ln all respocte, conform to the Ordlnance adopted by the City ol Sprlngfleld, lncludlng the Development Code, regulating the constructlon and uSe of buildings, and may be suspended or revoked at any tlme upon violation of any provisions of sald ordlnances. Plans Reviewed By Dato Becei pt Numbe Plan Check Fee: Date Paid: Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge ls due on all undeveloped properties within the City llmlts whlch are belng lmproved. ITEM Flxtures Residentlal Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) N. FT. Plumblng Permlt Stato Surcharoe Total Charge I eluruarNG PERMIT ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fl replace Unit Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hoorj By slgnature, I state and agree, that I have carelully examlned the completed application and db hereby certlfy that all lnformatlon hereon is true and correct, and I f urther certlfy that any and all work performed shall be done in accordance with the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work,descrlbed hereln, and that NO OCCUPANCy wlll be made of any structure without perrnission of the Bulldlng Safety Dlvislon. I further certify that only contractors and employees who are in compliance with ORS 701.0S5 wlll be used on thls proiect. I further agree to ensure that all requlred lnspections are requested at the proper tlme, that each.address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans wlll remaln on the site at all tlmes durlng constructlon. Date MISCELLANEOUS PERMITS Mobile Home State lssuance Stato Surcharge Sidewalk _- ft Curbcut --_ ft Demolitlon State Surcharge Total Miscellaneous Perrnits (E) TOTAL AMOUNT DUE (exctuding etectricat) (A, B, C, D, and E Comblned) VAI.IDATION: FIECEIPT NUMBER _ DATE PAID AMOUNT RECEIVED BECEIVED BY - ' F,r_ . FT. : . tt' APR!NGFTELD Job# 00-00945-01 RES!DENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2465 00014th Pl Spr Assessors Map#: 17032433 Lot: Block: Addition: Job Number: 00-00945-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 00102 Subdivision: ctTY oF sPRrNcFtELD, OREGOA' Owner: MichaelDrury Address: po box 1473 Scope Of Work: Mechanical heat pump Phone Number: City/State/Zip: New 541-729-2583 springfield, OR97477 Value: $0 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 1213012000 Phone 541-686-6236 541-726-01004606t27t2001 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 Elecirici! IUAIION I Rough Electrical Final Electrical Rough Mechanical Final Mechanical - Prior to cover. -When all electrical work is complete Mechanica! - Prior to cover. -When all mechanicalwork is complete. NOTIGE: THIS PERITIT SHALL EXPIRE IF THE WORK AJTHORIZED UNDERTHIS PERMITIS NOT COMMENCED OR IS ABANDONED FOR ANY lSODAYPERIOD. forth -001- 3s by ne , .,.1^()-1'r.?-2?441 Job# 00-00945-01 # Of Stories: Height (feet): Current Units: Proposed Units: Census Code:Does not apply Total: Page 2 of 2 Construction Types: Occupancy Groups # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Feet) 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 0612112000 06t21t2000 06t21t2000 2266 2266 2266 2 $37.00 $2.s9 $1.11 $40.70 Mechanical Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Mechanical lssuance State Surcharge For Mechanical Permit Tota! Mechanical 06/1 5/2000 0611512000 0611512000 06/1 s/2000 06/1 5/2000 2169 2169 2169 2169 2169 1 $e.oo $.45 $6.00 $10.00 $1.05 $26.50 Grand Total By signature, I state and agree that I have carefully examined the completed application and do fr6reby certify that all information herein is true and correct, and I further ggrtify t[at any and all work perforined shall be done in accordance with the Ordinances of the City of Springfield and the Laws of ine 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 $67.20 CITY OF OREGON SI GFIELI) DATE:JUN 21 TOOO A|'lT RE[D: I $ 40 .70- IHANGE: IASHIER:061zontng, and does not approval SPRTNGFTELD, OREGON 97477 TNSPECTION REQTIEST : 726-3769 [tateOFPICE: 726-3759 Authorlzed I,EGAI DESCRIPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for L80 days. 2. COMRASTOR INSTAII.'ATION ONLY B. Electrical Contracrcrk 5; Ho.lfeu lfnra* Address Ci ty Yhone Llt-2/1 Supervisor License Number Expiration Date Constr Contr. Nr:mber Expir:ation Date Signature of Supervising Eleetrician The {ollowing Proiect as submitted has the following require sPecilic land use BELOg Nev Residential-Single or Multi-Family per dvelling unit. Service Incl-uded:Items Cost 1"000 sq. f t. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular Dvelling Service or Feeder $ 8s.00 $ 1s.00 s 40.00 Services or Feeders InstalIation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPs -40L amps to 600 amPs - 60L amps to 1000 amPs- Over 1000 amps/voIts - Reconnect 0n1Y D Temporary Services or Feeders Insiallaiion, Alteration or Relocation 200 amps''or less $ 40'00 over 4b1 to 6oo amps - $ Bo.oo Over 600 amps or 1bOO-toITs see rtBrr a66tt Nev, Alteration or Extension Per Pane1 c. One Circuit I Each Additional Circuit or vith Service or Feeder Perrnit 1 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/Out1ine Lighting- Limited Energy/Res --Limited EnergY/Comm SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL Sum $ s0.00 s 60.00 s100. 00 $130. 00 $300.00s 40.00 00 00 00 00 40 40 20 36 s s $ s 0wners Name Address e Vbf A). /L/4 -2- Ci ty Yhone J.?b./7, OVNER INSTALI.,ATION 7)?- et83 c€c's The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0vners Signature: DATE: RECEI\IED 5 1. LoCATTON OP TNSTALI4IToDeUrA{ tt lus /fu<_, .A. 225 FTFIE STREET 9/-o -T .3 ( APPLICATION o,oo ?(t-o {t"G DI:--277_w__-