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Home My WebLink AboutPermit Mechanical 2004-5-18 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2004-00512 ISSUED: 05/18/2004 APPLIED: 05/03/2004 EXPIRES: 11/18/2004 VALUE: * SITE ADDRESS: 788 LAKSONEN LP ASSESSOR'S PARCEL NO.: 1702352202800 Springfield TYPE OF Heating System TYPE OF USE: Addition Residential PROJECT DESCRII1lFIQl)liT/(jdd heat pump 10 IV. Oregon law . , /low r"'t>o ~,.,__.. reqUlre~ """ .~ Owner: BU ~rp.t.~~~j~LIA'M;S:. '-Th~~~lIe ,Uregon Utility Address: 788 LAflktSbN IilN2UQt;>J>.o.<;rA'" J\!fifubSllIR' O:uall 009 '"V ,vlflrough 0 """'I- . O. Yn" mo.. _,._ . AR il.~"_"", Calling the ' . - .-." Wf.J/SS Of tDB r' m.~ ./-:- nUmber fo tChenter. (Notel (J(j)N;f,RAC-rOR' INFORMATION I r e Oregon Ut . Cent . 'lity Notificatio Contractor Type Cont~I!iJr800-332-2344l. n License Electrical . MCDIARMID CONTROLS INC 77023 Mechanical ASSOCIATED HEATING & AIR CONDITION 106275 I BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available, Special Instruction: Notes: # of Stories: R-3 Height of NOTICE: Type of Heat: TH~PERMIT s~t~t:~WP.f~E I~ THE WORK AUTHORIZED U'''uc.~fJ~rJ'PERMIT IS NOT COMMENCED ;M]~~}f~oONED ~OR n1a .\:l\' ~ ~~ "W ~~R'nn I DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees . Paved Drive Rqd: % of Lot Coverage: IPUBLlC IMPROVEMENTSI Expiration Date 10/24/2004 08/31/2004 Phone 541-726-1677 54 I -683-2590 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains I Valuation Description I $ Per Sq Ft or multiplier Squa re Footage or Bid Amount Description Tvpe of Construction 1 of 2 Value Date Calculated v,_.....,.__ i'i','-' -- I, WiLi-JI : ..II".. . - '. .. Status: Issued 225 Fifth Street, Springfield; OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/ Adj ustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2004-00512 ISSUED: 05/18/2004 APPLIED: 05/03/2004 EXPIRES: 11/18/2004 VALUE: Total Value of Project Fees Paid I Amount Paid Date Paid Receipt Number 1200400000000000610 1200400000000000610 1200400000000000610 1200400000000000610 1200400000000000610 2200400000000000602 2200400000000000602 2200400000000000602 2200400000000000602 $10.00 $4.50 $3.15 $12.00 $33.00 $4.60 $3.22 $43.00 $3.00 5/3/04 5/3/04 5/3/04 5/3/04 5/3/04 5/18/04 5/18/04 5/18/04 5/18/04 $116.47 I Plan Reviews I To Rcquest an inspcction call the 24 hour recording at 726-3769. All inspection rcquested before 7:00 a.m. will be made the same working day, inspections requcsted after 7:00 a.m. will be made the following work day. Re(]uh~lnsnections I 1 Rough Mechanical: Prior to Cover 2 Final Mechanical, When all mechanical work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: When all electrical 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 ofthe 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 certi!y 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 perm it card is located at the front of the property, and the approved set of plans will remain on the site at all times ~on'(ka~-r 5/ / 'II 0 '+ y...) .1 Eontractors Signature D Date I 2 of 2 / 225 Fifth Street 'Springfield, Oregon 97477 541-726-3759 Phone . ~J:~~;.~'~ ' ': Wirl f " '~,,- ; .t.I!U ~, -..----, < JiiilY of Springfield Official Receipt .elopment Services Department Public Works Department RECEIPT #: 2200400000000000602 Date: 05/1812004 2:01,13PM Job/Journal Number COM2004-00512 COM2004-00512 COM2004-00512 COM2004-00512 Description Add, Alter, Extend Circ Add, Alter, Extend Cire Ea Add + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By CreditCard BRYAN RICHARDSON lIem Total: Check Number AuthoriZation Received By Batch Number Number How Received njm 000386 615583 In Person Payment Total: Amount Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82 .' 5/18/2004 Page 1 of I / -:;~225 FlFTII STREET :: . . ':":';';" .~.l,~...',:'.'...':',._i.',...:..~..'.,'..;.'.:.':',' > );j'}~ EL~S.,A..L:!)f~T,~R~.lg~,n()!'I >:';.:: . ~~lSPR.rj\jGF1ELI). OREGCn,i'!17477 ';}t;:~ ~~ . -: ~l>,,,::,,:":,,,..<,,:j..'>'i.'.-"..:,.,,; ::''',;',i''Jr"~: ,:,.:C"-7:~': ~::'IN'SPECTI.ONREQ~ST: · 726-3~6~' ;;. t,~ .., '~1Ci~f;JOh i~~~;}':;~~:i~lc:~~::m~\~;~~;i[~ 1;1:~FFI~I~:,.7,26.;.379:;:::i': ::: f4ir } ".:3 ~~' i1';I;. 3: COMPLETE FEESCHEDULE'BELO\V 'i,j;'~.;-;Y'f'!;-",~i0"~:Q', ~r,~Ct!(.JJgl~)~~~;\ Te~:~ "~:".: .:: .2'~~e~}~:;;denti;i;:~1~:;;~';~~!~~?:i,;~.:;:i~::}~fJ%ii;~:';lt~i~i;)}!~~ . win project as submitted hiMllfl1fR~~ per dwelling unit. :;~*~~;; t LEGAL D5<SCRIPTI~N 2~I,Oandgdoes not require spec~EA'rce'jSncluded:.j:':>. il()~ 6~ ).,J.. 0 '~,"I CDI2- . Items Cost SuIT;' , . . .', ZOning~_ ''''-D~O'l'[L VI less ":}'.\: ~.',f.;;,~~ ~w1J'?jn P ::00'" .'MM'~: :~:;:;:.~ "" "06.00 .. Permits <1re non-transferable <1nd expire thereof $ 19.00 '.. '. /~;::~;;:', if work is not started within 180 days Each Manllfd Home or . .:C<: Ofissy<m\<J'fi01'~r@i~;~l!spend~d;fOrJireS i'oU to Mod~lar Dwelling ,.'.:..: " " . :-0 '.T. 180 1ei1'/bw rUleS adopted by the Oregon Utility Sernce or Feeder . ;,;,:, .'~';:""- $ 50.00 :":; .;- ~' i '(n Center. Those rules are set forth ":':.~';": '..:.::Y::. ~,:,:..;_,~., 2, It< ~ 5CllL[.NeT6-\l~1ilC1ll'tQljlL\l52-001il. Sen'ices or Feeders .-..'...,;:, '. '~:':;f.~~~" '~I~' 1- tn u :>t::.OUl::U I ~ b .. .' ,... ._,', -"~":t : ~~:';::.\ Man '!ii:i1' ma."t '[1 co~s Qf ~~e r)-Jiee I Y Inst<1Il<1~lOn, Alter~hon,so~,..:. ::':~:':1:~";i.;~:I/:' : '~"t\I:;' Elec~T'~on {act t l).~f"rM~ Relocation: :.!,~:~:\~;,;_.~~;,' ~.~J~fi~~.~__~,_';:"_ . ::.l;':';' ".- calhng. :Qe ~ '. -' ';~-.. . . . '~.:--:f.:...;:..~t\...:->.~/ -~f~~{.~i~~:,_/.~:.'. . .' " ,'if'. .:, ~Uti_" ~lity Notill~\i~n ,:';";'---:i;-'f.__"l";'.~" ~.o'''''',i,'' ;;,,,..:. . u .;-:~~,..: Addre~f!>I~~.,prfL~ '" .... I'L"AA'('U'~-' ,- ~. 200 amps or less ~~~~!.;J~'*'.:'{~~~'''-'7.1~'';'~';'';:;\L~$ 63.00 I" '\'," ,'.$'''-::1..-4 ~. '.erIL....." ~ iC.~.,.=' --' ,,..~-,,,..-.i~--j~~,,.i,'~,~ "-'." -----; .;?:~;l ~..J',,;~.y, :<<:;~'f 4{;~~"E.L.~.. '~..y~' ..;,. 20 I amps to 400 amps .~ i'-;~l~,;:.~::.~~.'_f~.{;:...~j.i~S 7.).00 . -:.., '~.~I;...~. ,l=~r~~_.;. 'l."".;"yi ~'.,,;,.:l.,"_ ""~",,,:~I;o" ..j -,~ ,',,~~h1:i~'''~'',-''''':'ii;'i.~ \",'-----:--' ;~~,,; f.. City c..;.1 ~_':! 1.::;...........Phone -"t ~~J~~_':;:~;"':~:t ,'t:~....;i~1~ 40 I amps to,600 amps~." :~.r-:..i.~...;~.';...';.~':.~$125.00 . '.~." ',.r..~t'.:s . ... ,.., . ~- ,~;; ,.~. >;,"."_ ...>-= '~':'.~,,"':':::'JJ>", _", .. :"'-"~l.';~llt"~"i~~.' .- ., .~' ~ {~(." ,,-; .': .::':':"~:i~'" \'i,';r~~l ,t-:' './\i-j~'l.':~~::"f ~~'s""'.::Y!,~).;~i.160 I amps to_~1 000 amps : "'(~i:'i\:;.~::"i; ~ i':'?;":';: .$163 .00 I,'" . " -'~Z::"<' "~,,,,".'-~,.- "?.Io't!)~t\'''''.t,;>F!i'o:'''<:iI.,-'''-''~c;;,.>(,...r.'" .;.,~..(-"." ~.,I.:.""'" -.:.:'~ ,'..- :;~~::.....,.' Supervisor License:Number c.;o~~b-'\\;.o..\';~':.,::t-t-::'~~:($Over I OOO'amps/voltS "I ,-:''.i..~1 ~i?-{s"':'F;,,:!l.f$375.00 ~.~:..~ )...::~!,J. ;".:; \,1-! S' '" ~.:t..~ , ."" ._" - .-..." ';"D~~j.. ,~..:t">:"'~").-...l:-~'~" ;-.".~ '''r',,' .::t-"".1.' "'.;n~""" '..- :..-,..1i ~~ ~~-; /::<;;:;C\ tt:~:~~r:dS r ":~?f",i'2.v,,:iQ~':l'.,'~~:~,~~~7;\jO;-'~:\~';i~'.;.~:).;'-;:Reconnect Only:.!' .. '~.."c:.h-A:.. $,,'50.00' :,," i~~;/ EXPiration-Da't~'~n;f.{ti7'~Jt~a-O~.~~~t1i~i;~~~~'1l1~ti~-4~~fjti:,~:tl:t ~l~i:Z;;}t:',~~(~;,~..~~. i '~:~"f-',: ~ ,..'l;";.'.:....,~.~"'...,.....,....r.~.~. ..' ~1~~~'W.'J.-'R~:t:p' ~.'..."'w..:..:'". ,....""~',:.::;:.,..~..,.,'f' .J.""~'ti"'~~:l\'!..'~:,~ ..~~..." .~.;:~;;~ ~;"~f''$q:'!:1-~:'''-;:-},~~...;.~S~''k~'' J:~rLit .< ...-~~~- ..~\l' :=;lt1:enmOJ\'lr~ ServIces OT. "eeders~ ;'.r~.;J'I'~':I,~~~~~f:~~t~~:-:='j;~,;;,//? ,\~'fI I'; ~~'" I:...>r:l'..~ ~~I-:" ;;;~-:\l'}~ , O;:t~t\j:"] ~. . ~ . l1lil\.'B-C:U:~J.f',f...-t~,~q ~ "":;'::f~" ;<..lj\:,~t,;:J" lon,'r.: '~~'n~ to: -i",,~~1ii . ':"::"~\;r: .~~, t;- ;f';i..~ .) l~'~;':"; 'Cohstr Contr:N1, ti''t.U' '.. .,1., ,,1'$'1 -, _'~l;,;,~~~natiim"AIteration.o"Rel cation ,,"''''):~i,';':':: "':::.':;!,hi' ~;~~t "lA,.'f.~~;..';- '~~ ;..~~.- t4f~~::7i&Jt~~~~,V~'{~~~~~O::':~t-?::M!~~~.~;;'}~-b~i~ ':~~~li3;~\":iqQ~-\h\{~I'$;i{S::Z ~!~~)'\J'~~ .. f.J;JJ{j:tt"U.~t~~~~.. ,..~lg~:r~t-~:;..~.~~,~r~1:\::~n"%~t-,,<~,,.~,;.;:~}t.,...;..~~',:' ~~~i"1.::" :~;~~... ~h "1'" .....~.. \~I;~f.v~: t;'~1 ~ (~'1j~'l.I:,b::jExplratlon Date ~ U'T ;..l.di- n~n-\n~",.~.;~;q ~-.i..:4,;,1$:';wl!r;200 amps'or.less.''f~*, ~\,~~ .~1.'. '(:$.)0.00, ,U~'''' ~~!..-.ri:,"~'" rj;..#"s.,~.... ^NY I QU un\ , :,.-~'- -.~r::;::"'\' ~~;:;;I.:'",'t l:..}t-~:-2'0'1":' ~'. "'l~ . ;;'001'>-"':" ..~, ~":.;.;::. ., <"';$"6' 9" '0' O;~ ';'~~~, ~(:::.....r-.I"';-"\;'''l;./''' -.~~.~~. ;i;.~'~"'i~~~'" .amps to ~ , .,amps ~:~M~~' :~~......-,,~.,,:~.::: . ~,... ~~.' "'. 0; -1...,.'" ;;'/'~'~"..,\","" .. .. ......~...~ *11.'\;0 'I~ >- ,~',.-,... , 'J\!-~"....--.:-::;f~,\\.:I-::ll'~'---:-:p:-:-_ ,. :~..:--::--: ~~; 'f~~;~~;~~Ai.S~gl~ ~~tuF~c ..O~.SU p en'IsIng Electnclan .~ ~:..;. O'Y~~ 40}_}p,.~q9.;~p~, T~f;~~~~}~-~ :.:~:~' ~J ~~ .~P,:.':~i;o ,..:~ VJ7~~~~~,,!;,.'j::;,.: Over 600 amps or 1000 volts see !~'~:''''''~;'!}'i.J\;,:",~;I;:~~~'~: .,',:, ,,' .:ll',~'. ....""'~~J:,~, I \"'~~, h'c.;~",.:;~);, 'I".~,).;:\~ ;"(,::"" -'..,>.,t.'_-~~':.., ~~ liB" nbo\'e ......'l.;.i~.:,'.,.,..~...~\~.~~::::\'...,.;!'.:iI.':,.\{\~:rtA:".'1.,. f~i~~:ri~i? ) / ~ -..... ' r."" i'~~:~~~;Y~t'~?~~~~D~~if.!f,~~ .~ ,,:c.~~~-;f!..r. Y.. /7'/~ ~~'. .j".~,.!:5!...~,.:,~.::~t"~'l~~~( ;zJ:\~"""'~""f\:I~~",t;.- 8 '1" 'J -......<"'- bl -.... D B hC"'''' ..,1....". ~..~r;.1.,,',I..'*';t;r\, "":~J.~:~-:~~,~;~-'~,;'~:J:' /~~,.,. ,~,:U:: ';-.;?i,i'r,1C.c.':':",:,".<,.' ,,~_~tlci;,.~.. . ranc lrcmts .:. ;~:.; ~,~-.?~,:-~""~;i,.. ~';:-I~;<l':-r,\.."":" -.. "': '( ':-:,:O!,~;"" ~.~ ..~.' ~"~,.?~ {J..'I';;'~Y';--' :i:oi\":'~~7 ;0, . .' '~":.,"~'~';;~'t':l'_:,~~ \h~t;l.. .l1>'.<;~~.,~;t~9~:,I.t,C~'.s ~nr!le ,.'"." :....... :'"."'~:.'i Ne\\~!Y~'7~~_~on or~~tenslOn Per_~~~~~~,-,l::}!"~2~"~:"~t~-;~~;t~. ~\{:;;t~~e~~~~l:~:f:;.r;';;~{;t~!lY}tif{i1~~\~i:g,;::. an:'~!l~~t~:,.Jt~;.t::!l~'f~J~~~~~:~~::~F '.' , ~,.';.{;..:..:ity .......'., Each'AdditionaI C!r:~it or with Se~~e2..' 'X::,/ 6';~'.'.so -"," :"../",,:.,...' '".. or Feeder PermIt -'^. ~$3.00. J . .:,,:'~.: f' ~. - ;,.. ~ ',- .- ;.". :.l'~"..,.. , -,,,, ~- ',' . . ~-:-:--: . ... ',OWNER L'iSTALLATION ."., . ,.',' .. '" ',. ':: .....'.. '.: ;';'-:Theiristallation is being'iil<1de o~' E. !\IiscellnncousC5crvicc/feeder not included) ...' .... '..'i:,.'propeny I o\m which is not intended' . -Each instaI1atio~:., , ,,' .:.... . ., ' ..." '" ,. .. . . .. .", . :.'forsale,'leaseorrent.' '. ...,. . Pump'orirrigation .. Sign/Outline Lighting Limited Eriergy/Res Limited Energy/Comrn ;,~:: ~~:,:.. ~(2' . I;<~j/~:f:~:; .: ". ~: Owncr,~"Signature: ,-,' $50.00 --..:.. $50.00 $25.00 $-15.00 '. '. !'1inimum Electr.i.c. Permit.~nspcction Fee is $45.00 + Surcharges ..,.. / I, cS-U -I. SUBTOTAL OF ABO~E . 'I\P . 7% State Surcharge I.. -5 . -..:Y ~ ,,,% Administr<1til'e Fee. CJ. - V 0 j53.~2... TOTAL r' 05/18/04 TUE 14:16 FAX 5417263689 CITY OF SPRINGFIELD @J001 . ********************* . *** TX REPORT *** ********************* TRANSMISSION OK TX/RX NO CONNECTION TEL CONNECTION ID ST. TIME USAGE T PGS. SENT RESULT 1252 97479081 05/18 14:15 01'24 2 OK SPRINGFIE::LD Cit.Y of Springfield Development Services Department F acsirnile Cover F age. Fax: (5+1) 726-::?689 To; fax; Compan~' From. . ,\(lry,C,~ M?::~ ~~ * . (f) ~ ?..c::504- ~ . ClOSt ~