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
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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
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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
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djb
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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