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