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HomeMy WebLinkAboutPermit Mechanical 2004-12-20 . Status Issued * ._CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01561 ISSUED: 12/20/2004 APPLIED: 12/20/2004 EXPIRES: 06/20/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2150 LAURA ST SPACE 87 ASSESSOR'S PARCEL NO.: 1703271004400 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Heat pump and air handler Owner: LAUREL LYBERT Address: 2150 LAURA ST SP 87 SPRINGFIELD OR 97477 Phone Number: 541-746-5644 I CONTRACTOR INFORMATION . Contractor Type Mechanical Contractor MARSHALLS INC License 25790 BUILDING INFORMATION I Expiration Date 12/2312005 Phone 541-747-7445 VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 nla Front yard Sethack: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I ~~~~~~~u~~~~~~=~?,~~~~I?N \ou.to Moted by the Oregon Utility fo\lOW~a~'msf: ~o e rules are set forth NotifiC~I!l&~~~~1 ~WbU9h OAR 952,001- In OARP.'M-dll}~l~~~ It: . s of the rules by 0090. '1!r<llbfll5lll ~~ ~gple . calling the center. (~ote: the telephone . __ .__ .ho n,,'nnn Utilitv Notification I PUB{iclWRRO:VEi\mN'rS12344). Sidewalk Type: DownspoutslDrains: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction IjVialiiarliln Description' THIS Pr:KMII ;:'M/-IlL l:1\r1~,t: IF THE WORK $Arm~.q\fflED UNLS.9,!ar~;R.b9t~gtMIT IS Notalue or multiplieT~ED ORoT' Bidf\Amoun~n FOR CUMI\i1tl~v ," rw """",,,y ANY 180 DAY PERIOD, Total Value of Project Paee 1 of2 Date Calculated 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% Stale Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Total Amount Paid . . CITY OF SPRINul'lJ'..LD Building/Combination Permit PERMIT NO: COM2004-01561 ISSUED: 12/20/2004 APPLIED: 12120/2004 EXPIRES: 0612012005 VALUE: L.FI'I''' PaWJ Amount Paid Date Paid Receipt Number 1200400000000001763 1200400000000001763 1200400000000001763 1200400000000001763 1200400000000001763 1200400000000001763 $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 12/20/04 12/20/04 12/20/04 12/20/04 12/20/04 12/20/04 $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 ~.'W\~U1 Tn..nl'diow Rough Mechanical: Prior to Cover 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 times during construction. c:: ( ~(' "'-- ,^,Q lieu . 0.1"-- - Owner or Contractors Signature Id ~ ;:?-O ' OLf Date Pace 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726"3"59 Phone .-' ..~ jjlLty of Springfield Official Receipt ..elopment Services Department Public Works Department Job/Journal Number COM2004-0 1561 COM2004-0 1561 COM2004-0 1561 COM2004-0 1561 COM2004-0 1561 COM2004-0 1561 Payments: Type of Payment Check r'~ 12/20/2004 RECEIPT #: 1200400000000001763 Date: 12120/2004 Description + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10.000 Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Paid By MARS HALLS INC item Total: Check Number Authorization Received By Batch Number Number How Received djb 18356 In Person Payment Total: Page I of I 1l:t3:26AM Amount Due 3.15 4.50 8.00 12.00 25.00 10.00 $62.65 Amount Paid $62.65 $62.65 " . ~: A ., ~~ " ~~iI'~~i~'~ . . . ~"" '0 '~'!~\a.~,~~I:t~~ . --;}, ' . 0 225 I'll' 1.[1 STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541}72!>-363~ ~ ,,< ~ g.~ ELECTRICAL PERMIT APPliCATION. . ~o - 0". .i CityJobNumberl'ooMZOOq'-O /5f,( Date J2./"Y>00Y ~'\. \ ~'''~:~'.'1' . , ",'. \ 0.... ~~ ' t:., ') . .~ 1. ~ncA.TION:'OE1NS~TI(jMf"!::~ 3. f?'co'MPru:;jj";ffiEsi:.B.iill;" ~fBE.tf" '. J' ~~,:;:it_... ..; '~~"""'J~'--"""_~~';...;~m1j ~^,~'__".4"~k~r-_.I"'::~_,-, . '-'- '. 21 5"0 Lobo"'-rA ~t *'87 LEGAL DESCRIPTION 1703 Z7f" JOB DESCRIPTION OI.(I.{OO A "b Col ~L""'\.(-\ 7.- 1000 sq. ft. or less Each additional 500 sq. ft..or portion thereof '. A. ~~,' e~. '~[cijti1ii.,~~~tifEiiiill ~, ' ~!f"'~~~~~~'~ ,....>>~... u. Service Included ~ Each Manufuct~d Home or . 'J I I':\~ Modular DVf~)lilig SerVi~~ sr, $50 00 Feeder "rwe< ad "On /,," . .ICati,,~;" OPted h,.:' . "'l./Ulres """. 2 lf€O~O,;-Jlw-srTpE~1:;U~\iJV~j . B. I~, ~,"',c~., ~'l'f-~d1B~~fu~~~'e~~il", ;~lft;';':~~ . l!.~i"o.--\J;.+n9'~~---"~7~-"'$<l- ~...", ~~'- - -- "'^r04Ji~i~~~~~~~_:_-_..:.}~"'7~ar'+~ . .-,. . -' Electrical ContnlCtor ..)l'IseP~ 'fxwk rdOC( .:tnc 200 ff.tjii~~~~~~tbi~in c:~~~~?AR ;;:;.~~h . . I 201 ~~r400~b~r. (Note: t~e ,'tie ISrU.5l0Qy Address 1525 wi! an(.~ Dr 401 AmPSuf600~~l.~~~~ Utili~,.~:',~~~IIJ.S;OO . ,I r 601 Amps to 1000 Amps 332'234,,). s'{~Y.D0 City F-"\M Q X\..t . Phone ::il.'-t - ~7l{-~ Over 1000 AmpsIVolts $375.00 \ Reconnect Only $ 50.00 . Permits are non-transferable and expire If work is ;. not started within 180 days of issuance or if work.is Suspended for 180 days. . Supe:visor License Number if 734- -S Expiration Date i 0 I 01 f 0 "7 t I I Constr. Contr. Number 2-0 - % ~7/567(P I Expiration Date I 0 I O() ~ /07 . -r;z.7. Owners Name ~rd 'LyJ..c-a...f- Address 2-1 S-O L,4..ArA- .# B? City S :P F ~ Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent Owners Signature: * Inspection Request: 726-3769 c.,~~~~>~~~~~~g",,~~ , InstIDatiill!;'Alteration 'or Relocation - "'ve' 200 ~SiorleSs T $ 50.00 . . ~. ell/VII <:u. ' 201 ~~'toljlOO AmpS'1LL EXPI- $ 69.00 40f,~~sv~,~~~s')ER THIS"C 1/' THF$IOO.og, . A OOchlotU no ,..,. "Ut1" . ""eN6"OO' FJ."- or l'ooo'Voits~see ~B"~~.I~ vvt ~PSl.,..~ "I)~'f" T D.~t@gt~~~~t~~~.'. ~~~M New Alteration or Extension Per Panel I II ";! One Circuit, $ 43.00 '1 .:> Each Additional Circuit or with, ? Service or Feeder Pennit $ 3.00-:' E. 'Mfs~ellii~1~Jirs~r:i~:~~r~~)~~~~Wi~ Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidentia1 $ 25.00 Limited Energy/Commercial $ 45.00 !'vlinimum Electric Permit Inspection Fee is $45.00 + Surcharges ~~",,,;C~~~:""""-_~'"<!~''' ,. lIb 4. lfoSUBTOTAE,OFABOVE '. :?~"'" "'.. ~ ' f ~"'~~~C;~~1,;..~ll!....."ii.i~~""'~~'-J.~"=- .. ~':j -~;::.;:':rt~ ' 7% State Surcharge 3 ~ 10% Administrative Fee l( ~ 5 ".$ BZ-. TOTAL _ ._.."..,__ t:"__~'C'l_...:.....1 0_:' .l.....I:....,;,.... l.i'1' ~ . . Lit l' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01561 ISSUED: 12/20/2004 APPLIED: 12/20/2004 EXPIRES: 06/30/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2150 LAURA ST SPACE 87 ASSESSOR'S PARCEL NO.: 1703271004400 "Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Heat pump and air handler Owner: LAUREL LYBERT Address: 2150 LAURA ST SP 87 SPRINGFIELD OR 97477 Phone Number: 541-746-5644 I CONTRACTOR INFORMATION I Contractor Type Electrical Mecbanical Contractor JOSEPH BUNCH ELECTRIC INC MARSHALLS INC .1..,......._ License 156761 25790 Expiration Date 08/2112007 12123/2005 Phone 541-344-8745 541-747-7445 VN BUILDING,INFORMAl'10N I .' 'UrlfiCatio -~ aaopted laW,eqUir . #lofS~9fies:n Center T: by the Ore ~ofCS~ Height or"S't?liCrureO"10 hose rUles g~lF:t"""t Floor: .., 1n" ... th a.re 'Y Type of Heulay Obta' rOUgh OAR SiilFtc2nd Floor: .....0'(10 fl.. In ,,().- '1lT Water Type~ Cente COPies Of t "'q31!.RAsement: ~'''On_, , IN he W" Range 1;~pe: the 0,' I' ote: the t ISQl!itV arage/Carport Energy Path:,r is 1 egon Utilitv. elepl5..q;J{J ther: Sprinkled BUilding:800'332.~!J'~~tlflc.Q"i5!tpant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 1\!.n?,~ % oHlotJ~.overage: THIS PER' AI.~. MIT C:u." I PUBLI(6tMPR(iviMENis:I~~I-'IRE IF THE W AN'y .~~u UH IS IS PCPAh ORK 180 DAY ABANSidewalk'ljpeOT PERIOD UUNEn c",.," . . DownspoutslDrams: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion , Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 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 Air Handling Unit Up to 10,000 Heat Pump Minimnm/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01561 ISSUED: 12120/2004 APPLIED: 12/20/2004 EXPIRES: 06/30/2005 VALUE: Total Value of Project Fee~ P.llirl I Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 $4.60 $3.22 $43.00 $3.00 1200400000000001763 1200400000000001763 1200400000000001763 1200400000000001763 1200400000000001763 1200400000000001763 1200400000000001809 1200400000000001809 1200400000000001809 1200400000000001809 12/20/04 12/20/04 12/20/04 12/20/04 12/20/04 . 12/20/04 12/30/04 12/30/04 12/30/04 12/30104 $116.47 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 Renuirerl InSDections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover 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 of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY wlll 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 wlll 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 times during construction. Owner or Contractors Signature Date Pa2e 2 of2 225 Fifth Street . Spri,ngfteld, Oregon 97477 541~726-3759 Phone Job/Journal Number COM2004-0 1561 COM2004-01561 COM2004-01561 COM2004-0 1561 Payments: Type or Payment CreditCard 12/30/2004 RECEIPT #: . GLPa.~;~i Wic. ' ~ of Springfield Official Receipt .elopment Services Department Public Works Department 1200400000000001809 Date: 12/30/2004 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Eo Add Paid By JOSEPH BUNCH Item Total: Check Number Authorization Received By Batch Number Number How Received djb 839545 In Person Payment Total: Page 1 of I 11:18:44AM Amount Due 3.22 4.60 43.00 3.00 $53.82 Amount PaId $53.82 $53.82