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
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