HomeMy WebLinkAboutPermit Building 2000-6-21
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I Job# 00-00984-01 I
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Page 1012
TRANS#:01-0002261
DATE: JUN 21 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: 00-00984-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 518 Nicholas Dr Spr
Assessors Map#: 17032212
Lot: Block: Addition:
Tax Lot #: 01900
Subdivision:
Owner:
Address:
Crescent Homes Inc
1677 Norkenzie
Phone Number: 541-686-2808
City/State/Zip: Eugene, OR 97401
New Value: $0
Scope Of Work: Single Family Residence
This is a copy with a new Application Number
Contractor Type
Mechanical Contr
Contractor
Comfort Flow Heating Co
1951 Don St Ste D, Springfield, OR
97477-1993
Registration # Expiration Date
460 6/27/2001
Phone
541-726-0100
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
_ "" ,'.' '~\.lWld:"> yvv. h..'
To request an inspection call the 24 hour recording at 726-3769. All inspecHP[!~Jeq~!lsJ!!~,befor.e,"7.:00Drel)on Utility
a.m. will be made the same working day, inspections requested after 7:00 il:,m.~!I! ,be ITIade the,lqllowing' r:' 2z'forii1
working day. . Ui',:, ~"c" '" I,. ",j.. 0;-\,'1 ';:,,~-oOl-
'r'\C'/, \I", 11;'\ 'j"~lr! GnijlC~ o~. ~:1f' rulos bV
Cwl!tf' "L;",;q.:..;r. I\~~;'/:'" :hc t'L.~:lone
"'umoer lor It!..: Oro['on Utility Notification
r".,......~.., . """.':":~."J'~44).
Required Inspections
Mechanical
Rough Gas
Final Gas
- When all gas work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
I Main: Accessory:
# Of Stories: ~e~rtet".t):
Current Units: ~ropo'sea'Units:
Census Code: Does not apply THIS PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
Total: COMMENCED OR IS ABANDONED FOR
flfH lOUU/oIY t"t:t1IUU.
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Job# 00-00984-01
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Page 2 01 2
Value/Quantity Fee Amount
1
Fee
Paid On Receipt#
Mechanical
06/21/2000 2261
06/21/2000 2261
06/21/2000 2261
06/21/2000 2261
06/21/2000 2261
1
$2.00
$13.00
$.45
$10.00
$1.05
$26,50
$26,50
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
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 hereon is true and correct, and I lurther certify that any and all work
performed shall be done in accordance with the Ordinances 01 the City of Springfield and the Laws of
the State 01 Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made
01 any structure without permission of the Community Services Division, Building Salety. I lurther
certify 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, that each
address is readable from the street, that the permit card is located at the front of the property, and the
aptJ,i; Ofna :i~:a; On the site at all times during construction. &;/2/ /fh
Signature '- Date
RESIDENTIAL .
PERMIT ,APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP'
.... ,
t.,
LOT'
C)/g
.
JOB NUMBER 00-0098<(-0/
225 Filth Street
Springfield, Oregon 97477
1)?
TAX LOT'
SUBDIVISION'
OWNER:..L-.,~n 'Be.eL PHONE:
~DDRE~";"~~ I f ( J'J)')rU.~
CITY' ," " S:,PUf{ STATE: ~liL
DESCRI\~WORr<- f(f.o ~
NEW t\, REMODEL ADDITION DEMOLISH __, OTHER
CONTRACTOR'S NAME
BLOCK:
/, .
'1~h/'?OX
, -
ZIP:L..J7VI"")
ADDRESS
CONST.
CONTRACTOR #
EXPIRES '." PHONE
GENERA' -
PLUMBINn, '"
MECHANI;.d-intdiml=ElA1lD <Ufa~ ~Sl '!':Xn( 'J,.tt-l) L-~~O
ELECTRICA' "
. _u
QUAD ARE}"
# OF BLDGS:
OCCY GROUP'
Ii OF STORIES:
WATER HEATER"
...:.. OFFICE USE -
LAND US'"
# OF UNITS'
CONSTR. TYPE:
HEAT SOURCE:
RANG'"
rot 01
'17 L-Or(JD
FLOOD PLAIN'
ZONING CODE:
. OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested belore 7:00 a.m. will be
made the same working day, Inspections requested aller 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
o Te":,porary Electric
O Site Inspection - To be mado
after excavation, but prior to
setting forms.
O Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
. ",_ I
O Footing -' After trenches are
excavaled~ .' ",
,:' i,' ,'"
O Underground Plumbing - Prior
to filling trench.
. . , .
O Underlloor Plumbing/Mechanical
, -,Prior to Insulation or decking.
O Post and iieam - Prior 10 1I00r
Insulation or decking.: .'.
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trench, ,
....- ,.
o Sto...;; So';";'r :... Prior to filling
,rench,
O Water Line - Prior to filling
trench.
O Rough Plumbing - Prior to
cover.
~
o Rough Mochanlcal - PrIor to
cover.
o Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrlcar power.
o Fireplace - Prior to facing
materlars and framing Insp.
o Framing - Prior to cover,
o Wail/Ceiling Insulation - Prior to
cover,'
o Drywall - Prior to taping.
o Wood Stovo - After In~:allntlon.
,':\"
o Insert - After fireplace approvel
and Installation 01 unit.
o C~;bc~t '& Approach - After'
. forms are erected but prior to
placement of concrete.
O Sidewalk & Driveway - After
excavation Is complete, forms
and 'sub.base" material In place.
o Fence - \OVhen cOiY'Ipletcd.
o Slreet Troos - When all required
trees are planted.
o Final Plumbing - When all
plumbing wc;>rl< Is complet.e.
o Frnal Eleclrlcal - When all
electrical work Is complete.
o Final Mechanical - When all
mechanIcal work I~ complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
DO'hor
MOBILE HOME INSPECTIONS
o Blocking and SOl'Up - Whon all
blocking Is complete.
,
o PlumbIng Connections - When
home has been connected to
water ,lnd sewer:.
o Electrical Connection - When
blocking, set.up, and .e.!umblng
Inspacllons have bee~PPUll'ed
and the home,ls con~~o
the servIce panel. ::0 -t:z:
f'T1 f'T1 C1J
n..#
n t::fc.......
o Final - After aeeqll!t.d<6;::1
Inspectlons are :M>Ed~cand
porches, skJrlln~ !::Ursa:
ventIng have beeo mITCd5
":Z:0'01'.J1'.J
D..';l :"rJ t:l
~..oo.....
Lot faces
.1 '.
Lot Type
Interior
Lot sq. Itg.
Lot coverage
Corner
Topography
Total height
,
Panhandle ,
Cul.de,sac
'..
',-.
.,
BUILDING PERMIT
ITEM sa, FT.
"~
X $/so. FT. =
Main
Garage
Carport
Total Value
Building Permit Fee
Stato Surcharge
Total Fee
(A)
Setbacks.
I PL. HSE I GAR ACC"
;--,,'--1
-;+-I--=j
BUILDING VALOE, PLAN CHECK
AND BUILDING PERMIT,
~ ','..-'
. -~.
VALUE
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;""';, ',;;; i l;:};t\{,
,
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'( IS THE.PROPOSED WORK IN THE.
....HiSTORICAL OISTRICT, OR ON :
THE HISTORICAL. REGISTER?
If yes, this appliCation must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
APPRove,..'
,',. ,.
';.
This permit Is granted on the express condition that the said
constructlon shall, In all respocla, conform to the Ordinance
adopted by the City, of Springfield, Including, the
Dovelopment Code, regulating the construction an"CJ 'use of
buildings, and may be suspended or revoked at any time
upon vi'olatlon of any provisions of saId ordinances.
pran Check Fee:
Date Paid:
"
Receipt Number:'
Received By:
Plans Reviewed By
',Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanl tary S!Jwer
Water
FT,
FT,
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
MechanIcal Permit
Iss,uance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge.
Sidewalk
It
Curbcut
II
Demolltl',>n
Slate Surcharge
Total Miscellaneous Permits
(E)
, ~I,
TOTAL AMOUNT DUE (excluding electrical)
(A, B; C, 0, and E Combined)
FEE
Systems Development Charge Is due on all undeveloped
properties within the City limits whlch.are being Improved.
ADDITIONAL COMMENTS
.,'",
" "~'
"
, :1: " " ,.. II ~ ~ "
By signature,.! state and agree, that I have caref~IIY e.xamlned
th.e c,ompleted application and do hereby"certify that all
Information hereon Is true and correct, and I further certify
..' ,,'.. 'f-Il-'-'
that any an.d all work performed shall be done In accordance
with the Ordlnanc~s of the City of Springfield, and the Laws
of the State 01 Oregon perlalnlng to'the work'descrlbed
herein, and that NO OCCUPANCY' wllr. be made of any
structure without permission of the Building Safety,Dlvlslon.
I further certify th.J.t only contractors and employees who
are In compliance with ORS 701.055 will be used 'on this
project.
" , .
I furthcr agree to ensurc that. all re.Qulred Inspoctions are
requested at the proper. tI,me, ~ha~ ea~~,~9dre,s~ Is readable
from the street, that the permit card Is.located at the front
01 the property, and the approved set of plans will remain
on the site at all times during construction.
Signature
Date
VALIDATION:
RECEIPT NUMBER
DATE PAID
, AMOUNT RECEIVED
RECEIVED BY