HomeMy WebLinkAboutPermit Mechanical 2003-08-18Building/Combination Permit
PERMIT NO: COM2003-00786ISSUED: 08/18/2003
APPLIED: 08/18/2003
EXPIRESz 0410312004
VALUE:
SITE ADDRESS: 3452 OR-EGON AVE
ASSESSOR'SPARCELNO.: 1702313106900
PROJECT DESCRIPTION: Replace existing Heat Pump System
Owner: RAy JONES
Address: 3452 OREGON ST SPRINGFIELD OR 97478
Springfield TYPE OF WORI(: Heating System
TYPE OF USE: New Residential
Contractor Type
Electrical
Mechanical
Contractor License
MCDIARMID CONTROLS INC 77023
ASSOCIATED HEATING & AIR CONDITIO 106275
Expiration Date
10t24t2004
08t3u2004
Phone
s4t-726-1677
541-683-2590
CONTRACTOR INFORMATION
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
%o ofLot Coverage:
$01
Lot Size:
Ft lst Floor:
Ft 2nd Floor:
Basement:
{t Garage/Carport
Other:
Surface Area:
REQUIRED PARJ(NG
Total:
Handicapped:
Compact:
\r \S N01
r0R
R-3
VN
o 10u
t
1
Notes:
Pase I of3
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
DUlr-Lrl1\ (, tt\ r trKlYtA I rLl\ |
\BOD N\
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2003-00786ISSUED: 08/18/2003APPLIED: 08/1812003EXPIRES: 04/0312004
VALUE:
Plan Reviews
Description Tvpe of Construction
Fee Description
-Mechanical Issuance Fee-
+ l0o Administrative Fee
+ 7oh State Surcharge
Heat Pump
Minimum/Adj ustment Mechanical
+ l0Yo Administrative Fee
+ 7o/o State Surcharge
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
Total Amount Paid
Total Value of Project
Date Paid
8/18/03
8/r8/03
8/18/03
8/18/03
8/18/03
10/3/03
10/3/03
t013t03
10/3/03
Value Date Calculated
Receipt Number
2200200000000001406
2200200000000001406
2200200000000001406
2200200000000001406
2200200000000001406
1200200000000002260
1200200000000002260
1200200000000002260
1200200000000002260
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$10.00
$4.s0
$3.15
$12.00
$33.00
$4.s0
$3.15
$43.00
$2.00
$115.30
tr'ees Paid
To Request an inspection call the24 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 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
3 Rough Electric: Prior to Cover
4 Final Electric: When all electrical work is complete.
Paee 2 of3
Valuation Descrintion I
,l(eourreo lnsDectrons I
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2003-00786ISSUED: 08/18/2003APPLIED: 08/1812003
EXPIRESz 0410312004
VALUE:
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that alt
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 c€rtify 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.
Owner or Contractors Signature Date
Pase 3 of3
225 Fifth Street
Springfield, Oregon 97 477
541-72G3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
coM2003-00786
coM2003-00786
coM2003-00786
coM2003-00786
+ 7%o State Surcharge
+ l0%o Administrative Fee
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
3.15
4.50
43.00
2.00
Item Total:$52.6s
Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid
CreditCard BRYAN RICHARDSON djb 000 I 86 6l 1093 In Person
Payment Total:
$52.65
$s2.6s
SPRIN
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00786ISSUED: 08/18/2003APPLIED: 08/1812003
EXPIRESz 0211812004
VALUE:
SITE ADDRESS: 3452 OREGON AVE
ASSESSOR'S PARCEL NO.: 1702313106900
Owner: RAy JONES
Address: 3452 OREGON ST SPRJNGFIELD OR 97478
PROJECT DESCRIPTION: Replace existing Heat Pump System-o ------ - ----- -"--- AT"IENIl
Springfield TYPE OF WORJ(: Heating System
TYPE OF USE: New Residential
Oru:uregot r IAW I€Q utres you tu
the Oregon UtilitY
Notiticati
in OAR 9
on Cente
52-001-00
r. Those ru
10 through
of the rules \
oAB 952-00
S
Contractor Type
Mechanical
Contractor aeotltEis
ASSOCIATED HEATING & AIR CONDITIO 106275
on
Phone
08t3u2004 541-683-2s90
)RMATION
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improyements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARJ(NG
It
ER
1ls}AhrRI
1yi\S4lidht0/Ped:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
ON
Sidewalk Type:
Downspouts/Drains:
glppffiact:
Total Value of Project
Pase I of2
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction Value Date Calculated
Date1
Overlay
# Street
Paved
%o of Lot
Valuation Descriptlon I
CITY
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2003-00786ISSUED: 08/18/2003APPLIED: 08/1812003
EXPIRESz 0211812004
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ llYo Administrative Fee
+ 7o/o State Surcharge
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount Paid
Amount Paid
$r0.00
$4.50
$3.1s
$12.00
$33.00
$62.6s
Date Paid
8/18/03
8/18/03
8/18/03
8/18/03
8/18/03
Receipt Number
2200200000000001406
2200200000000001406
2200200000000001406
2200200000000001406
2200200000000001406
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
<-\x n-(--t Cr
Owner or Contractors Signature Date
Paee2 ofZ
I'IE$
--\J
H AES ratd I
Keourreo lnsDectlons
(. -)
City of Springfield Official Receipt
Development Services Department
Public Works Department
Receipt #: 220020000000000 1 4U6 Date:uE/rE/2003 12:38:19PM
mEZIournalNumber Description Amount Paid
coM2003-00786
coM2003-00786
coM2003-00786
coM2003-00786
coM2003-00786
Heat Pump
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
+ lYo State Surcharge
+ llYo Administrative Fee
12.00
33.00
10.00
3.l s
4.50
Item Total:!i62.65
Type of Payment Paid By
uhecl( Number
Received By Batch Number Authorization Number How Received Amount Paid
Check ASSOCIATED HEATING & NC ddK In Person
Payment Total:
$62.6s
$62.6s
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Permits are llon-tr?rnsferable and
if u'ork is not started rvithin 180
ofissuance or ifrvork is
180 days.
Date
ervising Electrician
Name
Phone
OWNER INSTALLATION
The installation is being made on
propert-y- I orvn rvhich is not intended
for sale. lease or rent.
O*'ncrs Signlture:
ELEC1.,,PERMIT
City Job Numb
3. COMPLETE FEE SCHEDULE BELOW
A. Nerv Residential-Singlc or
NIulti-Family per drvelling unit.
portlon
Each Manufd Home or
Ivlodular Drveliing
Sen'ice or Feeder
D. Br
1. LOCATION
sV-SZ
OF INSTAILATION
O €.t:C-c rt-/
Qz
Items Cost
$106.00
$ r9.00
$ 50.00
rortzed signature
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations or
Eiectrical Relocation:
Address 200 amps or less
1000 amps $ I63.00
$375.00
$ 50.00
$50.00
er not included)
c0
NN\180 or irrigation
Sign/Outline Ligltting
Limited Energv/Res
Limited Energv/Cornm
{. SUBTOTALOFABOVE
7oh Stfie Surchitrgc
l6% Administrative Fee
s50.00
$50.00
$25.00
$-15.00
Ilinimum Electric Permit Inspection Fee is sJ5'00 + Surchargcs
Ltf
-37---qw-
Lf
TOTAL 5,
."SPzuNGFIELD, ORECON 97177 , i :i rli'
INSPECTION REQUE ST : 726-31 69
, ,.''OFFICE: 726-3759 ,' , . , '':
CRTPTION
JOB DESCRTPTION
bD 500
Neu'Alteration or
One Circuit
$ 3.00