The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2004-10-7 . Status Issued .' CITY OF SPRIN\.J1'l~LJJ . Building/Combination Permit PERMIT NO: COM2004-0I220 ISSUED: 10/07/2004 APPLIED: 10/0112004 EXPIRES: 04/07/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1105 LA WNRIDGE AVE ASSESSOR'S PARCEL NO,: 1703261106100 Springfield TYPE OF WORK: Heating System TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: New heatpump Owner: BOONE KENNETH E & SUSAN MARIE Address: 1105LAWNRIDGEAVE SPRINGFIELD OR 97477 ,.~o ,Vvl! ,~ l\'~\\'l I C01Y~CI6R'tNIi@RMATION . ~~ "'(,~ l6~{ ()Q~- Cont~ 1\~~~86 ;."e tU~~F'-~ 9~~e~ 'O~License I#> '~'(I,ou'd ~ \'\'16 Ofle ~. . .~~~~~~.. \e\e9.~,,\\Ol1l7396 ~~ tf.iI' ~'J tFBu~iNGiINiiaRMA TION I ~....a.'CoU rjal ,{ e~lJ(! ~'l:''''' # of Units: \}U"'~\\\\9~",e?',Jt~n<<;ries:, Primary Occupancy Group: ~ ~_n\Bt IS Height of Structure Secondary Occupancy Group: ~ V""- Type of Heat: Primary Construction Type Water Type: Secondary Construction Type: Range Type: # of Bedrooms: Energy Path: Sprinkled Building: Phone Number: 541-736-1949 Contractor Type Electrical Mechanical Expiration Date Phone 03/08/2005 541-461-2101 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: ~'t. ~()~....tal: # Street Trees Rqd: s>\~'t. \r 1\\ \':1 ~lifandicapped: Paved Dr!.v.',Rqd: t>-\.\. 't.~ S ~'t.~ r~V. Compact: % Of~\'(>o.~e':l\\ 't.?- '\\\~ ~'ij~~'t.'ij ~~\':I ?~~\1t.'ij IJ~~ \':It>-'Ot>: IPUBLICINf~~~(tf~?-\~V' \~'{ \'O'u Sidewalk Type: Downspouts/Drains: 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 Page I of2 . . CITY OF SrK11'1ljt<1~L1J Building/Combination Permit PERMIT NO: COM2004-01220 ISSUED: 10/07/2004 APPLIED: 10/01/2004 EXPIRES: 04/07/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726,-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project t.,.t;w P~id I Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $4,60 10/1/04 2200400000000001226 + 7% State Surcharge $3,22 10/1/04 2200400000000001226 Add, Alter, Extend Circ $43,00 10/1/04 2200400000000001226 Add, Alter, Extend Circ Ea Add $3,00 10/1/04 2200400000000001226 -Mechanical Issuance Fee- $10,00 10/7/04 1200400000000001444 + 10% Administrative Fee $4,50 10/7/04 1200400000000001444 + 7% State Surcharge $3,15 10/7/04 1200400000000001444 Air Handling Unit Up to 10,000 $8,00 10/7/04 1200400000000001444 Heat Pump $12,00 10/7/04 1200400000000001444 Minimum/Adjustment Mechanical $25,00 10/7/04 1200400000000001444 Total Amount Paid $116,47 I Plan Reyiews 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. ~~rtions I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete, By signature, 1 state and agree, that I have carefully examined the completed application and do hereby eertify that all information hereon is true and correct, and 1 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. 1 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 wlll remain on the site at all times during construction, l:.~","u,"" ~ Do" 1c/7/uY Pal!e 2 of2 . ~.',.,. ~ ~_ 1 225 fifth Street Springfield, Oregon 97477 541-726-3759 Phone ) ;~~: Job/Journal Number COM2004-0 1220 COM2004-0 1220 COM2004-0 1220 COM2004-0 1220 COM2004-0 1220 COM2004-0 1220 Payments: Type of Payment Check '>." 10/712004 RECEIPT #: 1200400000000001444 Description + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum/AdjuSbnent Mechanical -Mechanical Issuance Fee-- Paid By JAMES HEATING Cheek Number Batch Number ReceIved By djb Page 1 of I ..fiily of Springfield Official Receipt Wvelopment Services Department Public Works Department Date: 10/07/2004 Item Total: AuthorIzation Number How Reeelved 1121 In Person Payment Total: ' 1:23:16PM Amount Due 3,15 4.50 8.00 12.00 25,00 10.00 $62,65 Amount Paid $62,65 $62,65 " t...~'.,.. :....~,t..,.. ,} ) 1 ~ "!t' . ...".~ ':J'/,'!, "1;~:" .... ~ l\. - " . I, ' 1V>.1.) , . '. 1 " .' ,~r. . '" , ':\ "': . {. ,'. ' .. '" . . \' \:-"" ...... 'c " 1 ....' <!;'" ~','. " . ""<'.r "" l ' ::". )_,', co,'" . "... Z ~ _ .....' ...... ." ., _~f',_'.'<.. '" SPRINGFIELD 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (54I)7J.~689 ELECTRICAL PERMIT APPLICATION ~~~ City Job Number 0fJUt 2-bf;>~ - () J 2..2-0 Dale ~~~~"\% . . ...,,_.... -'"'' ..... ....._. .... - ......' 1"'''''-:-' '"Elr .i1ro....J.;;"it'E...6T<T'.'" "."",.. ",.\ 1. j.~OqTIgN()F.'I1JS"t;.f\tr.4.T!9!,{;'-1,;,:~,i~; 3, :<;Q-MfYJ:..f:F.,.~.i"'"- =-~'_ '~~2< "'''::~,l.< :' /I()~ LAw.Jl.'JlriC. 1M3 , " . , ""'<5) ". "9.:.~ll~<i< LEGAL DESCRIPTION \ ~D'O'Uo\ \0.0\ cD A, b~1fJ~~i~~!i..i~~~~~!-:\th~~:~4!i~r~1;~;,"i';1 EL,3t:.//?;c..o,L /b.t.. fh:4r /,;,..1 I"JjiAf41j;",.JServicelnc1uded /0" C>~-?"'o1< 0'",0,,-, JOB DESCRIPTION 1 000 sq. ft. or less 06.00~.. <?n Each additional 500 sq, ft, or ~~ AeI); 'l ,1{)~/ [,0,4 w;...,' 10 J,:A1/j 1h:41'f'v....fportion thereof <r~ Permits are non-transferable and expire if work is Each Manufact'd Home or .~ not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days, Feeder '.....C' O";;'''''RA' '-'cr>' ""O':R','["SS=T,' :4.' T:r;ATId"o..N1,'.'O'"N.".'i~y<.D ~.~,\i-i'''''''''' '{.. ',.W i.i' ","" ."J, ,,C"" .. ."o,;..~, "I 2. [. ~~.~}.,:t.~-, .:' _. ,: ,". .A1!" _.""",."1\:" ~,<~JOi '~"j " B. f2~I.~,!C!~IO_~I~~~~.r~:;;:t~~S!!llta!J9~~;A1JJt~~:~~~~2.t(~eJ.9,~ati9",~ft'~'",1 Electrical Contractor Address / City Phone/ Supervisor License Numbe/ Expiration Dale Constr, Contr umber ~O'T\ : PIRf. IF i\-lf. WUhl\ Ex 'rab( e~ffi\\' S\-If\LL f.!\\\r. r~QMI1 IS N01 \i\~ 0 UNUth ( ,,- OR S. le' 'TuM\~f. .. ,,,....,.0,' ...mONto F Igoature 'fJt.NP1'tJ'\g\~ N"CW01- ~~~~io ~f\,{ Pf.RIOO. Owners Name J(c..J,V;;IIJ e. :1300"";6 Address //0_-7' J.l9w.JJ<J'J!r~ Ave. City .5!i;,;{,..f'liLd O~ Phone 73/;' - 1'1'1") OWNER INSTALLATION The installation is being made on property [ own which is not intended for sale, lease or rent. own~z::h ~' Inspection Request: 726-3769 $50.00 200 Amps or less 20 I Amps 10400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Reconnecl Only S 63,00 $ 75,00 $125.00 S163,OO S375,OO S 50.00 c, f,t~Pli~ary;S~rYic~r6r;'Fl!eli.i'{.' '. . "-i:-~;'tYi"::',','\!~ . '.. ~ '1 ".. ,~," . Installation, Alteration or Relocation 200 Amps or less 20 I Amps 10400 Amps 401 Amps to 600 Amps $ 50,00 S 69,00 $100.00 Over 600 Amps or 1000 Volts see "B" above. ,,",,'n'"r.~,...,,__"'~"~' ";,,,-,,-..:" ".~ ';}. -f'f.;""~. ,. 'j D. r~Bl~~.c~:.,q~f~.~~~.<~\t~ ". .]\ti,'~'_i2~J:/'l.'{&:'d ,;;;::~.~. New Alteration or Extension Per Panel One Circuit V'"" S 43,00 Each Addilional Circuit or with Service or Feeder Pennit 436-4 ? I S 3.00 E, ~~J~eila~~fid.~~Ic/iOt4nij~d~Ocijl9.iUfh'Inst~ll~tiOIU A'Ff'lles adopted by tne vr'E!gO~J h Pump o~lrP1l enter Thoo.P. rules ars 50:0,O")rt ...., t;'i(,.l'ltl~~ e ' An n"" 00 ,- Sign/Uttllltte:"'[;~'?J!01_0010 throuah 0 '~'SO~OO , AR ,-0 . ~ ''II S uy Limite\P~'er ti~sytil\!Jtain copies of trf25.O'O . . 0 ~u, . (Note' me \tJl~onone Luntlea D~Ry{Fuf",,,,,,",,h1r, '., 45,ORol' ~ \:f n eaop U\lIIlY ,,0 ilIl,;,,' Minimum EleqU:iIl~WMVP.~~I_'Ybti~!,.<$:!a,~Q)t Surcharges ! ..', .._ . ',. _,~nter..IS~, ',' _ ~. / . - ,.... , . .,,,~ .-.- ....j. -.' ,. t ,'" ,.-- -r... . 4, SUBTOTALOFABOVE,-",',\:";;,,':'l,, ""0 l: ,. ~',""'~~;:d";\-"..iJ'}-''''' ",", ';'_)':":'.tlb~"-"" .',,--', ,;;"" 't...--., ,,".,,:,c' 4~. 5,2'2.. .;.;. ~ () , , c::; 7, . ~ 1.. 7% State Surcharge 10% Administrative Fee TOTAL Shared Drivc(T:)IBuilding FonnslElectrical Permit Application I-Q3.doc . . CITY OF ~rK11'\jljt<l~L1J Status Issued Building/Combination Permit PERMIT NO: COM2004-01220 ISSUED: 10/01/2004 APPLIED: 10/01/2004 EXPIRES: 04/01/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1105 LA WNRIDGE AVE ASSESSOR'S PARCEL NO,: 1703261106100 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: New heatpump Owner: BOONE KENNETH E & SUSAN MARIE Address: 1105 LA WNRIDGE AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group:, Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # 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: n/a I DEVELOPMENTINFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Description Type of Construction I Valuation DescriDtion I $ Per Sq Ft Square Footage or multiplier or Bid Amount Value Date Calculated Total Value of Project Pa!!e 1 of2 . . CITY OF SPRIl'llJt<u,LD Building/Combination Permit PERMIT NO: COM2004-01220 ISSUED: 10/01/2004 APPLIED: 10/01/2004 EXPIRES: 04/0112005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line IF....., Pai!U Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $4,60 $3.22 $43,00 $3,00 10/1/04 10/1/04 10/1/04 10/1/04 2200400000000001226 2200400000000001226 2200400000000001226 2200400000000001226 Total Amount Paid $53,82 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 ~,rtNllr..d In.,n..ction\J Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, /~,/tJLj Date Owner or Contractors Signature Pal!e 2 of2 . . 225 Fifth Street .Sp;lngfield, Oregon 97477 541-726-3759 Phone . 8P~ Wic, .ty of Springfield Official Receipt Weyelopment Services Department Public Works Department Job/Journal Number COM2004-0 1220 COM2004-0 1220 COM2004-01220 COM2004-0 1220 Payments: Type of Payment Check 10/1/2004 RECEIPT #: 2200400000000001226 Date: 10/0112004 Deserlptlon Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By KEN E BOONE Received By dim Page I of I Item Total: Check Number Authorization Batch Number Number How Reeelved 8444 In Person Payment Total: I :23:17PM Amount Due 43,00 3.00 3.22 4.60 $53,82 Amount Paid $53.82 $53,82