The URL can be used to link to this page

Home My WebLink AboutPermit Building 2004-7-23 8-CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2004-00921 ISSUED: 07/23/2004 APPLIED: 07/23/2004 EXPIRES: 01/2312005 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1083 QUlNALT ST ASSESSOR'S PARCEL NO,: 1703264102300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: PROJECT DESCRIPTION: Gas line & water heater, connect to range & dryer Owner: BELL RUTH A Address: 1083 QUlNALT SPRINGFIELD OR 97477 , CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARSHALLS INC License 25790 BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type VN Water Type: Secondary Construction Type:q r ' Range Type: # f B d ;.\ I 1&::1'" J 1\,..1, . - ~ . ,:.' J I tl UI 8::; ytE, l\,; P h o e ro~rnfbw rules adopted oy ths Oregon I~Rf~~1 da~ : 'Id' Notification Center. Those rules are serr&nr,e Ul mg: nfa in OAR 952-001-0010 throu\,j;' j:OEiEiOPMENT INFORMATION , 0090. You may obtain caples (;, .. ,_ ,,_,__ -. cflllinq the center. (Note: the telephone . F~ontyard ~fWIl5~i for the Oregon Utility Notific!?tY5f~ay Dlst: S~de I Setba& Center is 1-800-332-2344). # Street ~rees Rqd: SIde 2 Setback: Paved DrIVe Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbacks: Alteration Residential Phone Number: 541-746-8778 Expiration Date 12/23/2005 Phone 541-747-7445 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: NOTICE:. I PUBLIC IMPROVEMENTS I THIS PERMIT SHALL EXPIRE IF THE WORK Sidewalk Type: AUTHORIZED UNDER THIS PERMIT IS NOT DownspoutsfDrains: COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, Notes: I Valuation DescriDtion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Total Value of Project Pal1e 1 of2 Value Date Calculated . . Lll f OF :srK1j~GFIELD Building/Combination Permit PERMIT NO: cOM2004-00921 ISSUED: 07/23/2004 APPLIED: 07/23/2004 EXPIRES: 01/2312005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees ~ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Appliance Vent Gas Outlets 1-4 MinimumlAdjustment Mechanical Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $6.00 $4.00 $35.00 7/23/04 7/23/04 7123/04 7/23/04 7/23/04 7/23/04 1200400000000001133 1200400000000001133 1200400000000001133 1200400000000001133 1200400000000001133 1200400000000001133 Total Amount Paid $62.65 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 work day. I Relluired Insnertionsj Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. 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 done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 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 approved set of plans will remain on the site at all A\~~ ~('~H1L 1 CD' Ol( Owner;;'r Contractors Signature Date Pal1e 2 of2 22-5 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Joh/Journal Number COM2004-00921 COM2004-00921 COM2004-00921 COM2004-00921 COM2004-00921 COM2004-0092I Payments: Type of Payment Check 7/23/2004 . ~ Jiiily of Springfield Official Receipt -"elopment Services Department Public Works Department RECEIPT #: 1200400000000001133 Date: 07/23/2004 Description -Mechanical Issuance Fee- Gas Outlets 1-4 Minimum! Adjustment Mechanical + 7% State Surcharge + 10% Administrative Fee Appliance Vent Paid By MARS HALLS INC Item Total: Check Number Authorization Received By Batch Number Number How Received dim 18094 In Person Payment Total: Page 1 of 1 11:33:I5AM Amount Due 10,00 4,00 35.00 3,15 4.50 6.00 $62.65 Amount Paid $62.65 $62.65 " ~. ......~~:li~:. ::::~~:{'... !";>i;:' .,......,. ;:.~/i::: :..:..: ..... . RESIDENTIAL PERMIT APPLICATION Inspections: 726-3169 Ollleo: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP; l.O1' . SPRINaFI~LD ; ~ Joe NUMBER cf-tJtJiz/ . 225 Filth Streel ~ ~ SprlngrJeld, Oregon 9"'77 I()~ 3 ~l7i f$) o..J- ~ BLOCK: TAX LOl' SUBDIVISION: _ ~ OWNER_I< V+h . R ~ I _ PHONE"::Jt['i()':'"Ri":) ~ AOOR.J~r-~ C\jU ~ no. 0 +- N". LP-+ CIW [ JI.Jn 1\ f\ STATE: (')yC ZIP: CYi Lj 11 OESCRIB~ORK\ ~. ~~ ~ 9 (~nJrfi pi C\q -l-f\ ~ NEW L REMODEL _ ADDITION _ D~~JtUSH ___ OTHER __.___. CONTRACTOR'S NAME GENERA! . PLUMBING' ADDRESS CON ST. CONTRACTOR ,. EXPIRES ;. PHONE \$\(1 ~"^.h(l1 J 1 ;---, '-:~Y:"'Jqn MECHANICAL: ELECTRIC! I . aUAD AREA: . OF BLOGS' OCCY GROUP: ,. OF STORIES: WATER HEATER: - OFFICE USE - LAND USE: FLOOD PLAIN: _ I OF UNITS: ZONING CODE:_ ,. OF BDRMS: CONSTR. TYPE: _ HEAT SOURCE: SECONOARY HEAT: SOUARE FOOTAGE: RANGE: ___ T? r<:>qll"':)t e.n Ir~sp"Jc!!?n, )".::'u rT1:Jst ,:)Jl 72S 37fO. n:!::::.c..t':~ :-.~;.;: r':'':'OI.."ly. A;II'-'~ijc.:;ivr,:. .v~\h::>l(,!u ue,orc l:W a.m. will De made the same working day. Inspections requested tlfler 7:00 a.m. will bo made the following work day. REQUIRED INSPECTIONS o Temporary ElectrIc o SlIe Inspecllon - To be mado after excavallon, bul prior to setting forms. O Under.lab PlumblngtElectrlcalt Mechanical - Prior to cover. D Footing - After trenches are excavated. o Masonry - Sleel location, bond beams, groullng. o Foundatlon - After forms are erected but prlor 10 concrete placemont. o Undorground Plumbing - Prior to filling trench. O Undortloor PlumblngtMechanlcal - PrIor to Insula lion or decking. O Post and Beam - Prtor to floor Insulallon or decking. D Floor InsulaUon - Prior to decking. o Sanitary Sewer - Prior to filling trench. O Storm Sewer - Prlo, to flIUng trench. O Wale' Line - Prior to mUng trench. o Rough Plumbing - Prior to cover. o Rough MechanlcDI - Prior to cover. o Final Plumbing - When all plumbing WOrk Is complete. o Rough EleClrlCill - Prior to cover. o Final Electrical - When all electrical work Is complete. o Electrical Service - MUSI be approved to obtain permanent orectrlcal power. o Final Mechanical - When all mechanical work I!' complete. o Fireplace - Prior to facIng malerlal~ and framing Insp. o Final Building - When all required Inspections have botln approved and building is comploted. o Framing - PrIor to cover. o Other o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. MOBILE HOME INSPECTIONS o Wood Slovo - Afler InstalltlUon. o Inaert - After fireplace approval and,lnstallatlon of unit. o Blocking and Sel.Up - When all blocking Is complete. o Curbcul & Approach - After forms are crocled but prior 10 placemont of concrete. o Plumbing ConnecUons - When homo has been connect8'd to water and sewer; o Sidewalk & Drlvew:lIY - After excavation Is complele. (orms .nd .ub-baao mfl.lerlal I., place. o Electrical Connection - When blocking, set-up, and plumbing Inapocllona he.,. been 'PProv-d .nd the homo Is connectod to the service ponel. o Fence - When completod. O Str..t Tree. - When .11 required Irees are planted. D Flnel - Alter .11 required Inspections are apprOved and porches, aklrUng, decks, and venting nave been Inalalled.