HomeMy WebLinkAboutPermit Mechanical 2001-3-15
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I . Job# 01-00244-01
I
Page 1 of 2
TRANS#:Ol-0004682
DATt:: i'1AR 15 2001
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:003
SPRINGFIELD
~.,
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00244-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3447 Baldy View Ln Spr
Assessors Map#: 17031400
Lot: Block: Addition:
Tax Lot #: 01802
SubdivisiOn:
Owner:
Address:
ROBERT CRAMER
3447 BALDY VIEW lANE
Phone Number: 541-747-6704
City/State/Zip: SPRINGFIELD, OR 97477
New Value: $0
Scope Of Work: Mechanical
. NEW HEAT PUMP SYSTEM
Contractor Type
Mechanical Contr
Contractor
Comfort Flow Heating Co
1951 Don St Ste 0, Springfield, OR
97477-1993
Registration #
460
Expiration Date
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:
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.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Mechanical
03/15/2001 4682
03/15/2001. 4682
03/15/2001 4682
03/15/2001 4682
Value/Quantity
Fee Amount
Minimum Mechanical Permit
Administrative Fee - Mechanical
less than 100,000 BTU
Mechanical Issuance
$9.00
$.45
$6.00
$10.00
o
Job# 01-00244-01 I.
Paid On Receipt#
1 , Mechanical
03/15/2001 4682
o
Page 2 of 2
Value/Quantity Fee Amount
Fee
State Surcharge - Mechanical
Total Mechanical
$1.05
$26.50
$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 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
-.-, . runaenu;n;J"-'r"lumulngTI1ilecnanlc81 - - - ---
-- Prior to Insulation or decking. . 0 Wood Stovo - After Installallon.
. . ~r'~\:' .;'t~ l::i f:: ,~. ;
D-post and Beam,:-' Prlor.tcnloor
. Insulation or:decklng. .
o Floor InsulatIon -- Prior to
decking.
o Insert - After fireplace approvlll
and Installation of unit.
o Blocking and Set.Up - When all
blocking Is complete.
o Sanitary Sewer -pdor to' filling
trench. : .
o Curbcut & Approach - After
. forms are erected but prior to
placement of concrete.
o Plumbing Connections - When
home has been connected to
water .."nd sewer.
~-'~'..tV:"..., ....~." .
o Sidewalk & Driveway - After
excavation Is complete, .forms
and sub-base malerlal In place.
o Electrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Storm Sewer '"':- Prior to filling
tre,nch. ...
,,' .
.0 Water Line - Prior to filling
.trench. . .'
o Fence. - When cCi"o1pleted.
,. 'fit"'."
. -O,S,tree.t:Trees - When all required
. trees are planted,: . .' .. '.,
'I" . , ~.' I
D FInal - After all required
. . Inspections are approved and
. porches, skirting, decks, and
. venting have been Installed.
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D. ~~~e~~~I;~n1~.I,":9 ::..; - P~~~~, to
.,...i..J-. . .:.-. ,,,-. -.
;;
~
Lot faces
Lot Type
Lot sq. ftg.
Interior
Lot coverage
Corner
Panhandle ~.
Topography
Total height
Cul-de-sac
BUILDING PER~IT!' ...~ !~
ITEM sa. FT. x $/SO. FT.
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
FT.
FT.
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO
Wood Stove/Insert/ Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
ft
Curbcut
Demolition
State Surcharge
Total Miscellaneous Permits (E)
~
\.
"
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
i 11: 'i,'., ''';l' \l ~ :c ~ ih;fl.'I~ ~~ 1, .
:... '\ "'.;' , :,.:.:.~t:Jrj}"'fc;.' I'
h~L.
Setbacks .
IHSEIGAR ACCI
IS THE PROPOSED WORK tN THE.
. .
. 'HISTORICAL DISTRICT, OR ON .
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
N
S
Iw
IE
APPROVED:
. JJ
BUILDIN-G VJ('Lt!tE, ptAN CHECK
AND BUILDING PERMIT
VALUE
"
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 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
ADDITIONAL COMMENTS
FEE
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 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 Building Safety Division.
I further 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,tI.me, that each..address Is readable
from the street, that the permit card Is located at the front
d the proper~n..d the ap ,o,ed set of plans will ",main
on the site a a I times dMrl g construction.
:::a,u,e ; II ~ D I /
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;. :.. ' . ,; ~
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
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