HomeMy WebLinkAboutPermit Mechanical 2001-7-9
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I Job# 01-00695-01 I
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00695-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 6401 Main St Spr
Assessors Map#: 17023443
Lot: Block: Addition:
Tax Lot #: 00600
Subdivision:
*
Owner:
Nick Tolbert
6401 Main St
Phone Number: 541-746-7832
City/State/Zip: Springfield, OR 97478
New Value: $0
Address:
Scope Of Work: Mechanical
This is a copy with a new Application Number
Contractor Type
Mechanical Contr
Contractor
Home Comfort Heating
706 Oscar Street, Eugene, OR 97402
Registration #
84164
Expiration Date
6/1/03
Phone
541-345-2838
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
1
(VN) Wood Frame
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group: Dwelling
Heat Source:
Sq, Footage:
To request an inspection call the 24 hour recording at 726-3769. 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 Inspections
Mechanical
Rough Mechanical
Final Mechanical
- Prior to cover.
- When all mechanical work is complete.
Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:1
Total:
"
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Job# 01-00695-01
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Page 2 of 2
Value/Quantity Fee Amount
;,'"
Fee
Paid On Receipt#
r Mechanical
07/09/2001
07/09/2001
07/09/2001
07/09/2001
07/09/2001
1
$9.00
$.45
$6.00
$10.00
$1.05
$26.50
$26,50
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
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 e project address is readable from the street.
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Signature U
7- 7-o/'
Date
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REMODEL ADDITIOX
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Otflce: 726,3759
ASSESSORS MAP'
LOT:
OWNER'
ADDRESS:
CITY'
DESCRIBE WORK:
NEW
CONTRACTOR'S NAME
BLOCK:
STATF' bQ
3 Va +Dn \-{ If
DEMOLISH OTtER
o l- ()nft,cl \'-0 I
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JOB NUMBER MI-l \ 510 { I
225 Filth Street
Sprlnglleld, Oregon 97477
TAX LOT'
SUBDIVISION'
PHONF'
~\\
C11 LC7 3
('{\(U~ u tafku re.c! fit. 'ltfl
ZIP:
ADDRESS
CONST.
CONTRACTOR ·
EXPIRES ,;-:0. PHONE
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover.
D Rough Electrical - PrIor to
cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
D Wail/Ceiling Insulation - Prior to
cover.
D Drywall - Prior to taping.
D Wood Slovo - After Installation.
D Insert - After fireplace approval
and Installation of unit.
D Curbellt & Approach - After
forms are erected but prior to
placoment of concrete.
D Sldewall{ & Driveway - After
excavation Is compiete. forms
and sub-base material In place.
D Fence - vVhen cOi"r'lplcted.
D Street Trees - Wh~n all required
trees are planted.
GENERI" .
PLUMBIN("
MECHANICAL~I> r""\,,^.Q.+\\~.'lDlnf&:.,,v'S\c\."\.^, (\'1.Ll.O,- ~\..t.\l.'-\ N'?/01 {9,\.l~'-\""-2K::1R:
ELECTRICAl'
- OFFICE USE -
QUAD AREA' LAND USE: _ FLOOD PLAIN'
. OF BLDGS: . OF UNITS' ZONING CODE:_
OCCY GROUP' CONSTR. TYPE: . OF BDRMS:
. OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER' RANGE: _ SQUARE FOOTAGE:
To request an Inspection, you must call 726-3769. This Is a 24 hour recording. Alllnspecllons requested before 7:00 a.m. wIll be
made the same working day. Inspectlons requested after 7:00 a.m. will be made the following work day.
o Final Plumbing - When all
plumbIng W9rl< Is complet.c.
o Final Electrical - Wl'len all
electrical work Is complete.
D Final Mechanical - When all
mechanical work :s complete.
D Final Building -, When all
required Inspections have been
approved and building Is
completed.
DOthor
MOBILE HOME INSPECfIONS
D Blocking and Set.Up - When all
blocking Is complete.
D Plumbing Connections - When
home 113s been connected to
water and sewer.
D Electrical Connection - When
blocking, set-up, and Q!!Jmblng
Inspections have bee~~:B'~ed
and the home Is conncclUUJlO
the service panel. F'f: M ~
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D .. co
D Final - Alter al~'I\)qu"ell- t-'
Inspections are ii'ii~'9:o1Q:jlclJ
porches, sklrlln~~~,'Iil1.~
venting have bea(,l fB:s.!flIJ~
om. 00
t-J.rnr,. n~""
~ :: "-' f-.:t 00J
1-
D Temporary Eloctrlc
D Site Ins paction - To be made
after excavation, but prior to
settIng forms.
D Underslab PlumblnglElectrlcal1
Mechanical - Prior to cover.
o
Footing - After trenches are
excavated.
o
Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms are
erected but prior to concrete
placement.
D
Underground Plumbing - Prior
to filling trench.
D Underfloor Plumbing/Mechanical
_ Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking.
D Sanitary Sewer - Prior to tilling
trench.
D Slorrn Sewer - Prior to filling
trench.
o Waler Line - Prior to filling
trench.
D Rough Plumbing - Prior to
cover.
Lot faces
Lot Type
.1\
LOI sq. flg.
Inlerlor
Lot coverage
Corner
Topography
Total height
;
Panhandle'
Cul-de-sac
BUILDING PERMIT I " t
ITEM
SO, FT.
X $/so. FT. =
Main
Garage
Carport
Total Value
Bllllding Permil Fee
State Surcharge
Tolal Fcc
(A)
I
W I
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.E...__ _" - -,-
BUILDING VAUiJE, PLAN CHECK
AND BUILDING PERMIT
I P.L.
IN
Is
VALUE
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( ISTHE PROPOSED WORK IN THE. ..
".'HISTO!'iICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
il yes, Ihls application must be signed
,and approved by the Historical
_ J Coordinator prior to permit Issuance.
Setbacks.
HSEIGAR
ACC'
APPROVEP'
This permit is granted on tho express condition lhat the said
construction shall, In all respects, conform to the Ordinance
adopted by the Cily, of Springfield, Including the
Oovelopment Code, regulating thecd:n_structJon and use of
oulldlngs, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee:
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within tho City limits which are being Improved.
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/Insert/Fireplace Unit
DP;~PMYvP
Mechanical Permit
Issuance
State Surcharge
Tolal Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fl
Curbcut
fl
Demolition
State Surcharge
Total Miscellaneous Permlls
(E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
ADDITIONAL COMMENTS
FEE
By signature, I state and agree, that I have carofully examined
the completed application and do hereby certify that all
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done In accordance
with the Ordinances of lhe City ol Sprlngllold, and the Laws
of the Slate of Orogon pertaining to the work described
herein, and thai NO OCCUPANCY will be made of any
structure without permission of th'e Building Safety Division.
I further certify that or:'lly contractors and employees who
are In compliance with ORS 701.055 will bo used on this
proiecl. '
I further agree lo ensure that all required Inspections are
iCQuestetl at the proper time, that each address Is readable
from the streel, that the permit card Is located at the front
ol the property, and the approved set of plans will remain
on the site at all times during construction.
Signature
Oat...
VALIDATION:
RECEIPT NUMBER
DATE PAIP
AMOUNT RECEIVEr
RECEIVED BY