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HomeMy WebLinkAboutPermit Mechanical 2003-1-9 .... . CITY OF SPRll~\.yJ<lJ<.,LD' Building/Combination Permit Status: Issued 225 Fifth Street, Springfiekl, OR 541.726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2003-00017 ISSUED: 01109/2003 APPLIED: 0110812003 EXPIRES: 07(0912003 VALUE: SITE ADDRESS: 1192 ISLAND ST ASSESSOR'S PARCEL NO.: 1703342100310 Springfield TYPE OF Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pnmp and air handler Owner: GENE LIVELY Address: 1192 ISLAND Sf SPRINGFIELD OR 97477 Phone Number: 541-747-2544 Phone Number: 541-747-2544 I CONTRACfOR mru.....IATlON' Contractor Type Electrical Mechanical Owner Contractor KS ELECTRIC COMFORT FLOW GENE LIVELY License 70889 460 Expiration Date 12/30/2004 06127/2003 Phone 541-686-6236 541-726-0100 541-747-2544 BUILDING INFORMATION' # of Bnildings: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: SETBACKS 'Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: ~Cl~'(sq Ft Garage/Carport X '\~'t. ~(jq Ft Other: "ll'~'t. ~ n~''\ '~n Impervious Surface Area: ,~" . n~" d'in I DE~itlxNPMElN1i1NR~~~~l\l . {~. c. yt... c.'i) .In ,c. }.tJ' "'-r.''., n,,1.\. "'~ ,;> \ :xl~!J~~n~tY ~,Cl'i). t-.~ ~~~:.\l~ c$t~~~: ~qd: % of Lot Coverage: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: Stree t o~\? , ~l \,~0S ~ \ ,\~\\'l...\ IPUBLlC IMPROVEMENTSI <\o~\~'l'l;;O~0~~S0~~O'\. ~\,.~~\l';l~ 'l..0S f<.9Jfjr- s'O'J "\,0\' v.......;~'b<JlYf:l~c...O\ll ~~\6 :\~~ S~ ~~ 'Sfb~\' ~\'I\0 O~0 ~~~~~~~~~~~~~~Ot;~'I\0~~~~C~~O~ ~o\~~ f<.9Jfj ~~'lO 0~.~O \)\\\\~~,\. .~O\ll -{O~ aa~'I! e9JO~ r?I'l.'?:. ~ (}(}9J()' "~ \'1\0 \'1\0 O~ ~(}(}.'S c,<>>\~ ~,O~ ~\S '\- ~~f\I'00 Ge~\e Storm Sewer Available: Spec ill I Instruction: Notes: I of 3 . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Type of Construction $ Per Sq Ft Square Footage Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add ......Mechanicallssuance Fee- + 10% Admiuistrative Fee + 7% State Surcharge Air Handling Vnit Vp to 10,000 Heat Pump Minimum/Adjustment Mechanical Amount Paid Date $4.60 $3.22 $43,00 $3,00 $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 1/8/03 1/8/03 1/8/03 1/8/03 1/9/03 1/9/03 1/9/03 1/9/03 1/9/03 1/9/03 Total Amount $116,47 I Plao Reviews I . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00017 ISSUED: 0110912003 APPLIED: 01/08/2003 EXPIRES: 07/09/2003 VALUE: Value Date Calculated Receipt N urn her 1200200000000000506 1200200000000000506 1200200000000000506 1200200000000000506 1200200000000000513 1200200000000000513 1200200000000000513 1200200000000000513 1200200000000000513 1200200000000000513 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. L.~e?'l~~\;!jons J 1 Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete. 3 Rough Mechanical: Prior to Cover 4 Final Mechanical: When all mechanical work is complete. 2 of 3 . . CITY OF SPKll'l\it<lJ!.LD Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2003-00017 ISSUED: 01/09/2003 APPLIED: 01/08/2003 EXPIRES: 07/09/2003 VALUE: By signature, I state and agree, that I have carefuUy 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 certifY that only contractors and employees who are in compliance with ORS 701.005 wiD 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. / ~ .fZI?~ / /C5~ / (5 :;> Owner or Contractors Signatuf ' / ' Date 3 of 3 WtI~IJ 111-- ft, , , "", ~ """.,,::,,-~' I i I _I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Hems: Job/Journal Number COM2003-000 17 COM2003-000 17 COM2003-000 17 COM2003-000 17 COM2003-000 17 COM2003-000 17 Payments: TWe olPayment Check Cash Change Paid By Receipt #: 1200200000000000513 Date: 01/09/2003 Descriotion Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Received By Cbeck Number Confino No COMFORT FLOW COMFORT FLOW COMFORT FLOW djb djb djb Page 1 013 119/2003 8:37:46AM, City of Springfield Development Services Department Public Works Department Official Receipt Line Item Total: . Amount Paid 8,00 12,00 25.00 10.00 3.15 4,50 $62.65 . Amount Paid 61.75 5.00 (4,10) $62.65 How Received In Person In Person In Person Payment Total: cReceipt.rp1 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone LIRe Items: JoblJournal Number COM2003-000 17 COM2003-000I7 COM2003-000 17 COM2003-000 17 COM2003-000 17 COM2003-000 17 Payments: TWe o(Paymest Check Cash Change Paid By Receipt #: 1200200000000000513 Date: 01/09/2003 Description Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Received By Check Number CsnfirmNo COMFORT FLOW COMFORT FLOW COMFORT FLOW djb djb djb Page 2 of 3 119/2003 8:37:47AM; City of Springfield Development Services Department Public Works Department Official Receipt Line Item Total: . Amount Paid 8.00 12.00 25,00 10.00 3,15 4.50 $62.65 . Amount Paid 61.75 5,00 (4,10) $62.65 How Received In Person In Person In Person Payment Total: cReceipl.rpt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Lme Items: Job/Journal Number COM2003-000 17 COM2003-000 17 COM2003-000 17 COM2003-000 17 COM2003-000 17 COM2003-000 17 Payments: Type of Payment Check Cash Change Paid By Receipt #: 1200200000000000513 Date: 01109/2003 Description Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Received By Check Number Cosfinn No COMFORT FLOW COMFORT FLOW COMFORT FLOW djb djb djb Page3 of 3 1/9/2003 8:37:46AM' , City of Springfield Development Services Department Public Works Department Official Receipt Line Item Total: . Amount Paid 8,00 12,00 25,00 10.00 3.15 4.50 $62.65 . Amount Paid 61.75 5,00 (4,10) $62.65 How Received In Person In Person In Person Payment Total: cRea:ipt.rpt \\\<,'>l :t\)O !lIS 1'1" 1'\00 ~,-e1J . C'" 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3 ~ 60 ELECTRICAL PERMIT APPLICATION ~~!I\l\\lO '\0~~~\lO~ eCityJobNUmber c...s-C)oO /7 Date i /2 /1003 ,~)\J._:\O\lS~~~~~~o"O\C\\}. I. I LOCATION OFINSTALLA1'ION ,"., 3, I COMPLETE FE~EDULft.~-'*'~"~' / / 9;).. .1 S / A-u. ~ Sf {' Nd- QS<' I'~:~~~~\\ 1'1"" LEGAL DESCRIPTION A, I No,,. ResideQtial-~~to~ Mulli,Fainily per dwelling 'n"iJil.l (703 "342-.( f . ,~ CITY OF (~UNGFffiED~~OREGON' 'U 2. I CONTRACTORII;VSTALLATIOIYOI'fLYI B. I' Sen\c,,"S'ar<Feeders- Iristallation, Alleratia;,s ar Rel9callan: Electrical Contractor Ics f:( "Gt/;>tL' l(/f'(tW(I.:/:u< 200 Amps or less $63.00 201 Amps ta 400 Amps $ 75.00 401 Amps to 600 Amps $125,00 601 Amps ta 1000 Amps $163,00 Over 1000 AmpsNolts $375,00, Reconnect' Only $ 50,00 0031 () JOB DESCRIPTION J) I fL JiA tIJ D ( f.-v ,I d T Pf.vI-J' Permits are non-transferable and expire if work is nat started within 180 days af issuance ar if wark is Suspended far 180 days, Address O. () ,'&UY 02 '1'93 :5 Phone b f 6 ~t 23 f:, City Eu(~ J .Supervisor License Number .3 '-197 ..s Expiration Date 161f /0 V- I ' Constr, Contr, Number 70 f1?9 Expiratian Date -L'.:2../ .3o/rl V Signature of Supervising Electrician ~~ ~ JJI.---/ , J Owners Name !: I'll!" ! /-kb ('veil., , , I Address //9.J- ...2?Uq.v.:? .{-I~t>.",f City ('! (... J) , Phone '? '17- J s-.Yt(' OWNER INST ALLA nON The installation is being made on property [ own which is not intended for sale, lease or rent. Owners Signature: . Inspectian Request: 726-3769 Service Included 1000 sq, ft. or less Each additianal 500 sq. ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service ar Feeder $106,00 $ 19,00 $50,00 c. l1:emporiu'yCSeh1~es arFeeders" ,w.()~'t- . Installatian, Alleratian ar R~~iI' ~f;)\ 200 Amps or less t.i-V\~t. ~~~~ t $ 50,00 ~Qt.~ps.w~~\~V ~~~\)".. $69.00 ~Wi~'lh ~~~'OI>-~\) $100,00 ~~~~~~~l~s~e "B" ab~ve,. .c \\\l ..~ N",~'i\J\lratian ar Extension Per Panel One Circuit I $ 43,00 Each Additional Circuit or 'with Service or Feeder Permit " ',:1 I $ 3.00 L(~ :s E, h MiS~~ii~II~(lIIS (~'efyic~if~ederjlOtintJ~4fd) -Each: II;slall~ ti~n.j ~ulles 'j '\\~ Pump or irrigatian Ol'llall-l Ie QIC'Jon \.I." \ 0.00 SignlO~~~1fi'fg)1~~o 'o~ \"9 \es"~e se\ ,00 B1"Qi~~~ii~Qtlll1>eIU ,,(1~~ 9':>"\~0 Lol\.<?~Il~~~"81J1Ie-l,WP~~s 0\ \"e :;~a5,OO NO\\'(I '';;.?:tiO 'n CO.. \61"\'c .;ntl Mini%~~:~~~~~~~ ~~fIilJ1l~Surcharges 4, [~'t~~~~r21~t.::(J If b 7% S\\1r.Sur.ffi~\e!l :> z z. 10% Administrative Fee '-I b 0 TOTAL 5:> !?::. Shared Drive(T:)!BuiJding FonnslElectrical Permit Application 1-03.doc .~ -1Ir~'=~'I"'" ._-, , ~ " .' , .~ " ! ,'~'''' :! . (,' ^.'t! . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspedion Line SITE ADDRESS: 1192 ISLAND ST ASSESSOR'S PARCEL NO.: 1703342100310 . CITY OF SPRINlYNJ<.LD . Building/Combination Permit PERMIT NO: COM2003-00017 ISSUED: 01108/2003 APPLIED: 01108/2003 EXPIRES: 07(08/2003 VALUE: Springfield TYPE OF Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: GENE LIVELY Address: 1192 ISLAND Sf SPRINGFIELD OR 97477 Contractor Type Electrical Owner Contractor KS ELECTRIC GENE LIVELY # of Buildings: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: SETBACKS , , " Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: Desc ription Type of Construction Phone Number: 541-747-2544 Phone Number: 541-747-2544 ~\O I CONTRACfOR INFORMATION )0'=> '!0\\X\\'! ~ ~"'"' ",<\0(\ . \0<'3 \~ p~"" ...0."~' ~0~O'E~W'S s~a..on Date ""O~"O t\\06 ~\eOll-~ <~1lI'ffi'04 , <:.~" GOy ~O <\'(\ 0~ 0 .~v \"'S~ .o"'~, ."'<o~." ,,\\~ hO~,_ ,..,{ L~", ~"'." t\\"'- \1i!fI...., 9-\W' BUlLDlJ!IiG INclJ'(I)RM'AlffONJr,Oy .\'(\0 ~\'O'\'\C [~'l .Il",~ 'U.""J"': :\.e.\: ,.... 1'\ ~d\W- 9':)~ - 9-'10 "(.~O ~\\\~~AA~' # o~Y'~\) ~ rja(\\0 ~o(\ 'J ~~'2:EOt Size: He~t~\\\~\'(\e \'(\00\.<o'ij'ij'~ Sq Ft 1st Floor: Type OtlH~l$e~\O~ ~e~\S Sq Ft 2nd Floor: Water ~l1't': CJ3~ Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Impervious Surface Area: Phone 541-686-6236 541-747-2544 I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: ~a?~ Total: # Street Trees X. \t i\'\t. S ~a\ Handicapped: Paved ~.ive Rqd: l\. t.'1-!(\rr:. !(t.?\1I\\ ~ \\ Compact: ~'~~i~C>>Cl~t\)t.? \\'\\~\)a~t.\) fa i\'\\~I..l(\?\lt.~" n\l, \s ~'O~ IPUBLlC)tMdX~IY~\)t.. ~~~ \ Sidewalk Type: Downspouts/Drains I Valuation Descrintion I $ Per Sq Ft Square Foota!!e Value Date Calculated I of 2 . . CITY OF SPRING FIELD Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2003-00017 ISSUED: 01108/2003 APPLIED: 01108/2003 EXPIRES: 07/0812003 VALUE: Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Ctrc Ea Add Amount Paid Date Receipt Num ber $4.60 $3.22 $43.00 $3.00 1/8/03 1/8/03 1/8/03 1/8/03 1200200000000000506 1200200000000000506 1200200000000000506 1200200000000000506 Total Amount $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. 1 Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete, By signature, I state and agree, that I have carefuUy 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 certifY that only contractors and employees who are in compliance with ORS 701.005 wiD be used on this project. I further agree to ensure that all required inspections are requested althe 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 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2003-000 17 COM2003-000 17 COM2003-00017 COM2003-000 17 Payments: Type o[Payment Check Paid By Description Add, Alter, Extend Circ Receipt #: 1200200000000000506 Date: 01108/2003 Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee KS ELECTRIC Received By Check Number Confirm No djb Page I of I 1/8/2003 ,,' 9:25:57AM, . ., I' City of Springfield Development Services Department Public Works Department Official Receipt .. Amount Paid 43,00 3.00 3.22 4.60 Line Item Total: $53.82 How Received Amount Paid In Person . Payment Total: 53.82 $53.82 cRoceipt.rpl