HomeMy WebLinkAboutPermit Mechanical 2000-6-16
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I Job# 00-00952-01 I
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Page 1 of2
TRANS#:01-0002189
DATE:JUN 16 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00952-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 6576 main St Spr
Assessors Map#: 17023442
Lot: Block: Addition:
Tax Lot #: 00305
Subdivision:
*
Owner:
Paul Darling
6576 main st
Phone Number: 541-746-2199
City/State/Zip: springfield, OR 97478
New Value: $0
Address:
Scope Of Work: Mechanical
replace existing gas furnace/reconnect water htr
Contractor Type
Mechanical Contr
Contractor
Marshalls Heating
4110 Olympic Street, Springfield, OR
97478
Registration # Expiration Date
Phone
541-747-7445
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 at 726-3769. All inspectio~+~g~sted before 7:00
a.m. will be made the same working day, inspections requested after 7:00 atlh\..tv1i1be-made the following
working day. THIS PERMIT SHALL EXPIRE IF THE WORK
. , 'T: ,^n,-,cn II"m:~ THI~ PERMIT IS NOT
Required Inspections
Mechanical
'COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Rough Mechanical
Final Mechanical
- Prior to cover.
- When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
[Ar~a (Sq. r. .1)
_ Main: Accessory:
I' _. ." .,i" . 1,,,-, ", . .an .;:\..;u,I c..' JUV
Height (feet):d':"o'::r',. 'ov '(1' enr'-'ciol" Util:l.
tfll!u\fl'j'Ul~~.::': l'.!l:'" . L >.- ,.., .'
Current Units: Ir,r,?po~.ed l,I,nits:, .,~ c 'll'8' ':. ~ :".^
Census Code: Does not apply '01"-. i'...-i, "~_,I Ii', .: J ,)...., "y:-~"
,"- '.} ",..- '. I~('" 1-
lOf'l(l Y('ll T1P\' o,.tr\Yll~o:.J:C~ ~ ',' ,I.
"'I "")' v'n.'~' 1"'G+-'rl1" ~ ' l-l"I:'\'~:-:'
C~~ ....' '\ .. ....' " . , 'f.'.
i _. ...~ ,l-" "'r~nnn llti!itl: 1\IO";dcatlC'
. .. , ... .~, t \
Total:
# Of Stories:
. ,
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Job# 00-00952-01
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Page 2 of2
Value/Quantity Fee Amount
Fee
Paid On Receipt#
Mechanical
06/16/2000 2189
06/16/2000 2189
06/16/2000 2189
06/16/2000 2189
06/16/2000 2189
1
$9.00
$.45
$6.00
$10.00
$1.05
$26.50
$26.50
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical Issuance
State Surcharge For Mechanical Permit
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 that the project address is readable from the street.
Signature
Date
Pnl)! F>Drll'n~
(,5,)((' ({JQ /(J 6fnoP:f-
Spn~~ STATE:
r, flaUL e'xt..5hnC1
J
REMODEL AODITION
RESlrtENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
ASSESSORS MAP: W n ").....
LOT:
OWNER:
ADDRESS:
CITY:
DESCRIBE WORK:
NEW
CONTRACTOR'S NAME
GENERAl'
PLUMBING:
MECHANICAL:_ffio..r.<hctIA '5,
ELECTRICAl'
QUAD AREA'
. OF BLDGS'
OCCY GROUP:
. OF STORIES: _._
WATER HEATER:
.
SPRINGFIELD
..,.'" ,
.
JOB NUMBERCO-OC 9S;Z-O{
225 Fifth Street
Springfield, Oregon 97477
___. TAX LOT'
Cl030 C)
<4
BLOCK:
nR
SUBDIVISION:
PHONE,_]9r:o -';;<~9
....
ZIP:
q 7'118"
~s,
-lump//? _ <>\-lY\Q~-l-f\f'('roneC+ t}.;n ~:
L-
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover.
o Rough Electrical - Prior to
cover.
D Electrical Service - Must be
approved to obtain permanent
Glectrlcal power.
D
Fireplace - Prior to facIng
materlal~ and framing Insp.
DEMOLISH ___.
OTHER
ADDRESS
CONST.
CONTRACTOR'
EXPIRES ,-:' PHONE
D
Framing - Prior to cover.
lj II [) ()~J(' (~, spfld *as-r;9n '}JJ.!1-7.!l!J:5-
- OFFICE USE -
LANO USE: _,_
. OF UNITS:
CONSTR. TYPE: _
HEAT SOURCE:
RANGE:__
FLOOD PLAIN:
ZONING CODE:_
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To rlJQup.st an inspeclJoT1, you mw;1 C3.!! 725 37139. Ttd~ ~E, :j .:~, ~~\L:~ :-c,,:;o;":ji;'Q. ..\tl fiiSp<=ciion:;:; .eql.ll.:::ited before "1:00 a.m, wllr be
made the same working day, Inspections requested after 7:00 a.m. will be made the following work day.
D Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
D Footing - After trenches are
excavated.
D Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
D Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
D Floor Insulation - Prior to
decking.
D Sanitary Sewer - Prior to filling
trench.
D Storln Sewer - Prior to filling
trench.
O Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
o Wall/Ceiling Insulation - Prior to
cover.
D Drywall - Prior to taping.
D Wood Slovo - After Installation.
D Insert - After fireplace approvlll
and Installation of unit.
D CurbclIt & Approach - After
forms are erected but prior to
placement of concrete.
D Sidewalk & Driveway - After
excavetion Is complete, forms
and sub.bas" materIal In place.
o Fence - When cOi',1pleted.
D Street Trees - When all required
trees are planted.
D Final Plumbing - When all
plumbing w9rl< Is complete.
D Final Electrical - When ail
electrical work Is complete.
D Final Mechanical - When all
mechanIcal work Is complete.
D Final Building - When all
requIred Inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
wafer i3.nd sewer;
D
Electrical Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
D
FInal - After all required
Inspeclions are approved and
porches, skirting, decks, and
ventIng have been Installed.
Lol faces
.
lot Type
.
Topography
Total height
Panhandle
S
Setbacks
'HSEIGAR'ACcl
, I
I
I
___J
IS THE PROPOSED WORK IN THE.
"HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this application must be signed
alld approved by the Historical
Coordinator prIor to permIt Issuance.
Lot sq. ftg.
Interior
I PL.
Lot coverage
Corner
N
----.-
Cul.de-sac
I
W I
~-=c--
APPROVED:
ITEM
so. F1'.
. X $/50, F1'.
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
BUILDING PERMIT
Garage
"
This permit is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revokod at any time
upc.n violation of any provisions of said ordinances,
Main
Carport
Plan Check F'ie;
Date Paid:
TotDI Value
Receipt Number.
Building Permit Fee
Received By:
Stilte Surcharge
Total Fec
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s) N'
Sanitary S~wer
FT.
l' I
/(1J II JC
dJ '1,--, I la-cO
W :):)/0.
/
Water
f1'.
Storm Sewer
F1'.
Mobile Home
Plumbing Permit
State Surcharge
Tolal Charge
(C)
MECHANICAL PERMIT
Furnace
Vent Fan
N'
By signature, I state and agree, that I have carefully 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 donG in accordance
with the Ordinances of the City at Springfield, and the Laws
ot the State of Oregon pertaining to the work des-::ribed
herein, and that NO OCCUPANCY will be made of any
structure without permission of the BuildIng Safety Division.
I further certify that only contractors and employees who
are In compliance with OAS 701.055 will be used on this
project.
Exhaust Hood
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mectlanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agree (0 ensure that all required Inspections are
requested at the proper time, that each address is readable
from tho street, that the permit card Is located at the front
of the property, and tho approved set of plans will remain
on the site at all ti 0 UU''''fxctlon.
Signature /0.. _I J /l/J
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Date
Curbcul
It
Demolition
Tolal Miscellaneous Permits
(E)
VALIDATION:
RECEIPT NUMBER
OATE PAID &'//(4 - (5))
AMOUNT RECEIVED
RECEIVED BY 11..,J)1dthcLt0
State Surcharge
TOTAL AMOUNT DUE (excluding electrical)
lA, B, C, D, and E Combined)